The township cures the endowment insurance Build and not so good as building early late

The township cures the endowment insurance Build and not so good as building early late
The problem of solving the rural doctor and supporting parents, concern the stability of the hygiene team at village level, concern the sustainable development of the rural hygiene industry even more. On opening number of " rural monograph " of this year, have paid close attention to and reported to this question, having caused the strong response in the rural doctor, many rural doctors write letters the incoming telegram reflects their difficulty, express and hope " Look after elderly properly " Heartfelt wishes. On October 19, the health offered and jointly held the rural doctor to support parents on the question forum with Committee of Experts of China Family Health Care Foundation, having invited relevant expert, scholar, the department of public health of every province, office relevant person assemble, exchange experience on this question, canvass the method. The township cures the endowment insurance to build and not so good as building the department of public health of Jiangsu Province and meeting autumn in the logical sequence Pan Rui's planned economy era of the ginger in summer early late, and is called with the rural doctor " Twin brothers " Teacher working at a school run by the local people,it is at the eighties the 20th century later stage state-run already,it last wage standard and endowment insurance treatment of public institution generally. The treatment of rural electrician, veterinarian is implemented too. The rural doctor's treatment problem is but can't be solved slowly, this is the reason why a rural doctor is bitterly disappointed. The rural doctor has born a large amount of public health and basic medical care, but at present, these team is unstable and person are supplementary the difficult problem is more and more outstanding. If does not set up rural doctor's endowment insurance as soon as possible, certainly will influence the team normal " metabolism " ,Lead to the fact young people personnel unwilling to enter, older are unable to withdraw. According to national sample investigation result, the rural doctor over 50 accounts for 31% of total number, among them the rural doctor reaches 9% of the total number over 60. As economics and society is developed fast, the price index is increasing constantly, the rural doctor's expense standard of setting up endowment insurance will be higher and higher, will thereupon increase too the difficulty. So, build and not so good as building early late. It is very special to ensure competence to be be higher than the rural the doctor's identity of peasants, although they are peasants, that is engaged in is the rural technological working of hygiene at the basic level, bear the public health service that the government assigns. If while waiting until setting up rural endowment insurance, and then include them in the rural social endowment insurance briefly according to the general standard, have meant ignoring their historical contribution to hygiene industry and important task undertaken in the service system of the rural hygiene at present. In order to keep the health of the rural doctor's team steady, the consolidation of maintaining hygiene service network at the basic level is developed, need, set up, ensure the intersection of competence and reasonable rural the intersection of doctor and endowment insurance, at least should enable supporting parents and ensuring competence to be higher than peasants of rural doctor. Rural social endowment insurance with more applicable and more current employee endowment insurance of enterprises, overly emphasize personal independence, the due and social and welfare that lack the social insurance, ensure low competence, the rural doctor of overwhelming majority will not accept, difficult to pursue in the real work. Enterprise's employee endowment insurance accords with the trend of rural integrated management of health organ, it is relatively more suitable to pay the fees and ensure competence, it is apt to implement. And the source of revenue of rural doctor is unstable, in view of the characteristic of the rural doctor's team, can confirm enterprise's employee endowment insurance as the subject form that the rural doctor supports parents. The form is easier to implement that this kind supports parents. The special crowd's special policy is on the issue that treatment of solving the rural doctor and supporting parents, merit attention a part leave the post or reach, leave the post age still on duty rural doctor already, they do not accord with the condition of participating in the endowment insurance, the situation of this part of personnel is more complicated, most of them do not have other source of revenue, the voice of demanding to solve problem of supporting parents is greatest. To this part of colonies, can't ignore, can adopt two kinds of methods to solve their problem of supporting parents: First, include in rural low insurance, carry on in line with low insurance target and support. Second, the local government arranges for the fund to at one time buy out. Can consult the intersection of enterprise and method that adopt under reform, practise medicine rural doctor actually time converts to compensate volume, by the disposable compensation of township government in the county. Rural the intersection of insurance and the intersection of dragon and body Liu, vice section chief of, work of Beijing and office of social security: Support parents the intersection of township and medicine problem solve thorough Beijing issue establish and improve system of rural doctor's social insurance and basic the intersection of treatment and the intersection of security mechanism and foundation of policy in last October Have, issue the new rule again, bring the rural doctor into the new rural social basic old-age pension system, implement " old man's old method, rookie's new method, middleman's transition " ,Make the rural doctor support parents to ensure the problem to solve more completely. " old man's old method " ,Namely after the will it be December 31 2007, man reach the age of 60 the intersection of woman and over 55 years old rural doctor, according to its service life of operation, after the government, personal common wholesale pay the rural social endowment insurance premium, and then get the corresponding pension monthly; " middleman's transition " ,Namely will have already made operation qualification and medicine of village of accepting an appointment of the operation in the health station of the village before 2008, the one under the age of 55 of woman under the age of 60 of the man, after the government, personal common wholesale pay the corresponding rural social endowment insurance premium, include in the new rural social basic old-age pension system in this city, manage in unison; " rookie's new method " ,Namely made operation qualification and medicine of village of accepting an appointment of the operation in the health station of the village after January 1, 2008, according to the regulation of the new rural social basic old-age pension system, participate in the new rural social basic old-age pension system. The pension is made up the endowment insurance treatment that the rural doctor in Beijing enjoys monthly by two parts and made up of pension and basic pension of personal account. Among them, the personal account is handled the organization and responsible for setting up for him by the rural social pension of county of the rural doctor, the moon of pension get standard is to count, take place the moon, count, confirm according to basic the intersection of endowment insurance and the intersection of personal account and pension of national regulation. Basic the intersection of pension and standard the whole city unify, as 280 for each person every month, take fund raise by the city, finance of county for jointly. The city finance slopes to the mountain counties of outer suburbs appropriately according to county's functional demand, in order to guarantee the rural doctor can receive the pension of 580 yuan per month. The department links and guarantees to implement the affirmation work that every county Ministry of Health of Beijing is responsible for the rural doctor's identity, confirm that accords with the lists of personnel of rural doctor who includes the new rural social basic old-age pension system in. The county works and ensures the department to be responsible for paying calculating and taking over the work of insurance premium. Market, financial department of county are responsible for implementing and replenishing the fund. Go on, organize to unwilling rural doctor to pay insurance premium by villages and towns, each health clinics in towns and townships ' Or undertake the medical health organ of the corresponding task) Sign the agreement unwilling to participate in with it. All the intersection of village and town and social insurance responsible for the intersection of villages and towns and rural the intersection of doctor and insurance premium that individual wholesale pay this and pay the fees the detailed statement submit to the county and protect to handle the organization agriculturally in time, and then protect agriculturally and handles the rural doctor as effecting an insurance of the organization to set up personal account by the county. Rural hygiene place division chief of department of public health of Jiangsu Province Xia YingQiu: Innovative hygiene, finance, social insurance department of Jiangsu Province jointly issue the regulation in 2007 on the basis of enterprise's employee endowment insurance, confirm that regards enterprise worker's basic endowment insurance as the subject form that the rural doctor effects an insurance. Our province has already more than 40 counties,cities and districts have established rural doctor's basic old-age pension system, account for 50% of the total number of counties,cities and districts of the whole province. The policy does not adhere rigidly to our province of the current regulations to combine the actual conditions of the rural doctor, break through several following questions to some extent especially: Pay the fees base figure turn down rural doctor pay the fees ability to be very weak, bear ordinary the intersection of employee endowment insurance and base figure of paying the fees and pay the fees proportion while being difficult while being appropriate. Work and social security department are according to the stipulations of lower limit of paying the fees in enterprise worker's basic endowment insurance, confirm the rural doctor's lowest base figure of paying the fees at 60% of average salary of local worker; In the capacity of flexible employee, the proportion that the ones that carry out enterprise employee endowment insurance 20% are the lowest to pay the fees. Most rural doctors' remuneration basically comes from the registration fee, treats fee, fee and price differential of medicines of paying a home visit " Three fee for a difference " ,Only paid the fees by individual, it is very difficult to implement. Our province confirms government, health clinics in towns and townships and individual afford the premium together, 8% that rural doctor individual paid the premium are charged to the personal account, remaining 12% are mainly subsidized by the local government, the conditional health clinics in towns and townships subsidize too. The provincial finance is while arranging for the provincial endowment insurance to subsidize the scheme, the appropriate support that offer to the weak area of economy. It doesn't receive the basic endowment insurance regulation of the retired worker of age limit enterprise to pay the fees, get legal to pay the fees, can effect an insurance while being for less than 15 years retirement age. The rural aging situations of personnel of doctor's team are more serious, so, set up rural doctor's endowment insurance, must break through the past restriction of paying the fees. After the numerous coordination of related departments of our province, confirm the rural doctor pays the fees without receiving retired age limit, continue prolonging and paying backward after allowing to reach for retirement age, until fully paying for 15 years. Age or rural doctor who has already left the post as to already reaching and leaving the post, we convene related departments such as the work, finance,etc. to carry on the case study, confirm finally that does not include it in social endowment insurance again, but is subsidized appropriately by the local government. Many areas of Jiangsu Province of new actions have some new actions to combine here actually in all parts. First, adopt " Pay arrears forward " With " prolong, pay backward " Way of paying the fees to combine together. To reaching the rural doctor fewer than 15 years at retirement age, Suzhou, Yangzhou and Yancheng, strand county and other places adopt the policy at one time making up a deficiency of and paying the fees, 60 years old, woman and 55 years old get the pension in time after retiring to guarantee men; The intersection of Nantong and city implement at one time paying arrears premium for less than 10 year, pay the fees for 15 years year by year according to regulation later, can get the pension monthly after arriving for retirement age. Second, rural the intersection of doctor and individual pay after the 8% premium, other parts are paid by the local government. Market and Taicang of Jiangyin stipulate, the rural doctor effects an insurance the expenses are replenished solving by two grades in the towns, villages. Deputy Bureau Director of Municipal Health Bureau of Jiangsu Province Changshu Jin ZhiQiang: Trying to take the road to urban endowment insurance in Changshu began to try to bring the rural doctor into the urban endowment insurance in 2004. By 2007, have already all handled urban employee endowment insurance and medical insurance for the rural doctors on duty, among them, already until " whether two dangerous " 64.33% rural doctor Carry out the transition to " Five is dangerous " . December of 2004, the government of Changshu proposed, rural doctor on duty of registration qualified to work and ensure department's stipulating and effecting an insurance, can participate in the urban endowment insurance. The job regards pressing down as the unit to handle in unison to effect an insurance this time, to needing to pay the rural doctor of the pension, at one time pay arrears while going through formalities of effecting an insurance. Some fund relies mainly on the fact that individual provides funds to pay arrears, town, village are according to the length of service of rural doctor, it is offered that appropriate the lump-sum subsidy, it is not lower than 30% which pays the amount of money to subsidize the total proportion. To pay the insurance premium relatively largely, bear the rural doctor who really has a difficulty without effecting an insurancing, in order to pay in the expenses the standards of the town, subsidy part 50% which the village bears are compensated; To already exceeding the registered rural doctor on duty who has handled urban endowment insurance, offer disposable appropriate compensation. In July of 2005, our city further required the rural doctor to participate in the premium of urban employee endowment insurance and pay some to solve from the pool in special funds of rural public health collectively. The municipal government stipulates clearly, 20% of the special funds of rural public health, are used mainly in the rural doctor and participate in the endowment insurance and pay some subsidies collectively. Deputy Bureau Director of Songjiang district of Shanghai health bureau Xu JianXin: By " press down and protect " Accelerating solving the problem of supporting parents of medicine of village as the steady rural doctor's team, we have set up rural doctor's treatment to increase the mechanism year by year. In 2005, the district government of Songjiang issued the regulations of document, the annual remuneration of the rural doctor was not lower than 12,000 yuan, the district finance implements financial transfer payment to the remuneration of the rural doctors of the low developed villages and towns, replenish 3500 yuan for each person every year, has solved the low problem of the rural doctor's remuneration well. By 2008, the annual income of my rural doctor of the district has already reached 22,000 yuan, some rural doctors leaving the post get back to the rural doctor's team again. On solving the rural doctor's endowment insurance, peasant's endowment insurance that our district combines endowment insurance of small town already pursued, urban endowment insurance and takes over the land for use, according to own situation, bring them into these 3 kinds of guarantee ways rural doctor. Up to the end of 2006, there are 636 rural doctors, 347 of rural doctor on the job among them in all in my district, retired rural doctor is 289. In 636 people, obtain " town assuare and city protect, take over the land for use endowment insurance " already There is be 291 people,solve yet, whether social security that the problems 345 people. To not solving the rural doctor of the social security problem yet, so long as can be brought into " protect in the town " when according with the following conditions Range: First, have agricultural registered permanent residence of this district. Second, hold the relevant rural doctor's operation card that Municipal Health Bureau issued. Third, work on the rural doctors of this district post or reach retirement age on the rural doctor post before March 20, 2007. The basic endowment insurance of this part of people pays the fees, it is according to the base figure of paying the fees of the insurance of the town of 2007, fee of basically supporting parents for 15 years of standard of paying the fees. Pay the fees way to pay to effect an insurance fund all at one time, every town, street bear collective, pay, support parents the intersection of pool and King according to regulation. Chief of Anhui Province county hospital of Feixi Zhang ShenPing: Raise funds, let the intersection of village and medicine socialize, support parents 2006 in many ways, the intersection of Feixi and county set up the intersection of village and the intersection of medicine and socialized endowment insurance. Because medicine of village is the agricultural registered permanent residence, it is not the target of effecting an insurance of enterprise's employee endowment insurance, in addition, the base figure of paying the fees of enterprise's employee endowment insurance The proportion is relatively high with paying the fees, medicine of village is unable to bear. Through studying repeatedly, we choose to implement the rural social endowment insurance to medicine of village finally. County hospital and the intersection of social insurance and medicine of village that department make jointly participate in the rural social endowment insurance management regulation, all ages are under 55 years old, confirm by the county hospital, is employed by the commune hospital now, defend in the village? �� hurriedly shelf thumb Qun several broadleaf plants skill tip round and false in office! ? The rural doctor's endowment insurance fund of our county takes and combines by three-in-one the way to raise. The target pays the fees without lower than 50 yuaning for each person every month to effect an insurance, pay more unlimitedly, stand for each person every month and subsidize 50 yuan in hygiene of village, the county hospital subsidizes 300 yuan from the operation expense of the hygiene by norm every year, it is 125 yuan that it is minimum to pay the fees for each person every month. Raise for, join insurance money and remit, pay county, protect while being agricultural in unison by health clinics in towns and townships, hygiene operation expense subsidize, appropriate county, protect while being agricultural directly according to number of people after the authorization by some. Medicine of village is according to the principle of effecting an insurance voluntarily, regard station as the unit and effect an insurance in unison, the insurance premium is paid once every year. I county stipulate not in accordance with condition of effecting an insurance personnel because of age,etc., reach, stipulate whom service life leave the post, can get the living cost of 200 yuan for each person every month, the living cost is undertaken by the commune hospital where one stays, the county hospital subsidizes 300 yuan of commune hospital for each person every year; To effect an insurance for time short, get to the personnel that the pension is fewer than 200 yuan per month at the specified dating, it gets difference part made up by the commune hospital where one stays; It is getting more unwilling to qualified to effect an insurancing village that effect an insurance medicine,last retirement age from after station, offer its disposable compensation according to the pertinent regulations of state. The village that our county sets up cures the endowment insurance, that the Ministry of Health organizes implementation voluntarily, the intersection of village and medicine join voluntarily, raise funds in many ways in the system, rural social endowment insurance that participate in in unison. But this kind of insurance form is not organized by government and guided and implemented, have not got financial direct support. In addition, the standard is relatively low to raise funds, it has 125 yuan only to pay the fees that medicine of village is the lowest for each person every month, lead to the fact that it is relatively low to ensure competence, according to this standard of paying the fees, pay for full 30 years, can only get 330 yuan by 60 years old every month, the problem has a distance before really solving medicine of village and supporting parents.

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