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China's Social Security and Its Policy
Information Office of the State Council of the People's Republic of China
September 2004, Beijing
Foreword
Social security is one of the most important socio-economic systems for
a country in modern times. To establish and improve a social security
system corresponding to the level of economic development is a logical
requirement for coordinated economic and social development. It is also
an important guarantee for the social stability and the long-term political
stability of a country.
China is the biggest developing country with the largest population in
the world, and its economic base is weak and the development between regions
is unbalanced. Establishing a sound social security system in China is
an extremely arduous task.
According to China's actual situation and adhering to the principle of
"putting people first," the Chinese Government attaches great
importance and devotes every effort to establishing and improving its
social security system. The Constitution of the People's Republic of China
stipulates that the state shall establish and improve a social security
system corresponding to the level of economic development. The Chinese
Government regards economic development as the basic prerequisite for
improving people's livelihood and effecting social security.
For a long time before 1978, when China adopted the reform and opening-up
policies, China had practiced a social security policy corresponding to
its planned economic system, providing social security services to its
people as best it could. Since China established and improved its socialist
market economy system in the mid-1980s a series of reforms have been introduced
to change the old social security system practiced under the planned economy,
and a basic framework of a social security system has been set up in China
corresponding to the market economy system, with the central and local
governments sharing specific responsibilities.
China's social security system includes social insurance, social welfare,
the special care and placement system, social relief and housing services.
As the core of the social security system, social insurance includes old-age
insurance, unemployment insurance, medical insurance, work-related injury
insurance and maternity insurance.
I. Old-Age Insurance
China is now an aging society. As the aging of the population quickens,
the number of elderly people is becoming very large. This trend will reach
its peak in the 2030s. To guarantee the basic living standards of the
elderly and safeguard their legitimate rights and interests, the Chinese
Government has continuously improved the old-age insurance system and
reformed the fund-raising mode in an attempt to establish a multi-level
old-age insurance system marked by sustainable development. Promoting
the Development of a Basic Old-Age Insurance System for Employees in Urban
Areas
-- Reforming the basic old-age insurance system for enterprise
employees in urban areas. In 1997, the Chinese Government unified the
basic old-age insurance system for enterprise employees in urban areas
across the country by implementing a social-pool-plus-personal-accounts
scheme. Enterprise employees who have reached retirement age as provided
by law (60 for male employees, 55 for female cadres and 50 for female
workers) and who have paid their share of the premiums for 15 years or
more shall be entitled to collect a basic old-age pension every month
after retirement. The basic old-age pension consists of two parts: base
pension and pension from personal account. The monthly sum of the base
pension is tantamount to about 20 percent of an employee's average monthly
wage in that area in the previous year. The monthly pension sum from the
personal account is 1/120 of the total accumulated sum in the personal
account (11 percent of an employee's wage being deposited every month
in the pension section). The state adjusts the level of the basic old-age
pension with reference to the price index of living expenses for urban
residents and employees' pay increases. In 2003, the monthly basic pension
for enterprise retirees covered by the basic old-age insurance scheme
was 621 yuan on average.
-- Expanding the coverage of basic old-age insurance. Initially, China's
basic old-age insurance covered only state-owned enterprises and collectively-owned
enterprises in urban areas and their employees. In 1999, this coverage
was expanded to include foreign-invested enterprises, private enterprises
and other types of enterprises in urban areas, as well as their employees.
All provinces, autonomous regions and municipalities directly under the
Central Government can make provisions to include persons engaged in individual
businesses of industry or commerce in the basic old-age insurance in accordance
with the specific conditions in their localities. In 2002 China expanded
its basic old-age insurance coverage to all those who were employed in
a flexible manner in urban areas. In 2003, the number of people participating
in the basic old-age insurance scheme across China reached 155.06 million,
116.46 million of whom were employees.
-- Undertaking experimental reforms in selected areas to improve the basic
old-age insurance system. In 2001, the Chinese Government began to carry
out pilot projects along this line. The reform includes: gradually establishing
personal accounts so that funds can be accumulated, and probing ways of
preserving and increasing the value of the funds; changing the way the
base pension is calculated and paid, whereby the amount of base pension
is more closely linked to the length of time of the employee's premium
payment, and if an employee has participated in the basic old-age insurance
program and paid the premiums for 15 years, he or she will be entitled
to a higher rate of pension for every additional year of payment; unifying
the procedures of premium payment by those who are employed in a flexible
manner, whereby the base of their premium payment is uniformly set at
20 percent of the average wage of local employees. The pilot project was
first conducted in Liaoning Province, and has been expanded to Jilin and
Heilongjiang provinces in 2004.
-- Probing the reform of the retirement system of government agencies
and public institutions. In China the retirement and pension system in
government agencies and public institutions is different from that applied
in enterprises. In 2003, there were 670,000 retirees who had joined the
revolutionary ranks before October 1949 and 9,310,000 other retirees from
these agencies and institutions. In the 1990s, some localities in China
began to probe the procedures of reforming the retirement system in such
agencies and institutions. Pilot projects were conducted to raise the
retirement pension funds through the social pool program. By the end of
2003, some 11.99 million employees and 2.58 million retirees had participated
in such pilot projects.
Raising Funds for Basic Old-Age Insurance through Multiple Channels
As the aging of the population quickens and the number of retirees increases
steadily, the pressure on the payment of funds for basic old-age insurance
is becoming ever greater. In order to make sure that basic pensions are
paid in full and on time, the Chinese Government is raising such funds
through multiple channels.
-- Practicing joint premium payment by both enterprises and employees.
Generally the premiums paid by enterprises will not exceed 20 percent
of the total wage bill of the enterprise, with the specific proportion
being determined by the people's governments of provinces, autonomous
regions and municipalities directly under the Central Government. Individual
employees pay eight percent of their wages as premiums, whereas self-employed
individuals and those who are employed in a flexible manner in urban areas
pay an amount equal to about 18 percent of the average wage in their locality.
In 2003, the basic old-age insurance premium paid by enterprises nationwide
totaled 259.5 billion yuan.
-- Increasing the subsidy outlay from the government financial budget
for basic old-age insurance funds. The state has called upon governments
at all levels to increase the momentum of restructuring their financial
expenditure and raise their input into social security. In 2003, state
budgets at all levels contributed 54.4 billion yuan toward basic old-age
insurance funds,of which 47.4 billion yuan came from the central budget.
-- Establishing a national social security fund. In 2000, the Chinese
Government decided to create a national social security fund. Its sources
include: funds acquired from reducing state shareholding, stock ownership
assets, funds from the central budget, funds raised by other means approved
by the State Council, and investment returns. The national social security
fund is administered by the National Social Security Fund Executive Council,
and is operated on market principles in accordance with the procedures
and requirements prescribed by the "Interim Measures for the Management
of the Investment of the National Social Security Fund." The national
social security fund provides an important financial reserve for the implementation
of old-age insurance and other social security programs. By the end of
2003, it had accumulated over 130 billion yuan.
Promoting the Socialization of Management and Services for Old-Age Insurance
In the past, Chinese enterprises were responsible for both the issuance
of basic pensions to their own retirees and the administration of those
retirees. Now, to ensure that all retirees receive their basic pensions
in full and on time, and lessen the burden of social affairs on enterprises,
the government is actively practicing the delivery of basic pensions by
social service institutions. At the end of 2003, the basic pensions of
retirees from enterprises were all delivered by social service institutions,
and 84.5 percent of those retirees were under the administration of such
institutions.
In 2003, the Chinese Government began to implement an information-based
labor security project, or popularly called "golden social security
project," in order to raise the overall management level of social
insurance and to meet the needs of the floating labor force to continue
with their social insurance coverage once they change jobs. The goal of
the project is to realize computer-based networking of social security
information across the country. So far the networking of old-age insurance
information between the Central Government and the provinces has been
initially affected.
Establishing a Multi-Level Old-Age Insurance System
In recent years, the Chinese Government has made great efforts to build
a multi-level old-age insurance system. In addition to participating in
the compulsory basic old-age insurance, enterprises with suitable conditions
may set up annuities for their employees. Both enterprises and individuals
will contribute to this annuity, which will be accumulated wholly for
that specific purpose and managed in the form of personal accounts. The
enterprise annuity funds will be managed and operated in accordance with
the market mechanism. In 2003, nearly seven million people participated
in the enterprise annuity program. In addition, the state also encourages
personal savings for old age.
The first two decades of the 21st century will be a critical period in
the development of China's old-age insurance. The state will further improve
the basic old-age insurance system that combines social pool and personal
accounts, and gradually consolidate the latter. Basic old-age insurance
will extend to cover all eligible employees in urban areas, and at the
provincial level the establishment and improvement of regulating funds
for old-age insurance will be carried out. Social pool at the city level
shall be improved and gradually raised to that at the provincial level.
II. Unemployment Insurance
While promoting the reform of the enterprise employment system and setting
up a market-oriented employment mechanism, the Chinese Government is speeding
up the development and improvement of an unemployment insurance system
to guarantee the basic livelihood of employees after they lose their jobs,
to help them find new jobs, and accelerate the combination of the basic
livelihood guarantee system for people laid off from state-owned enterprises
with the unemployment insurance. By the end of 2003 there were 103.73
million people who participated in the unemployment insurance scheme,
which provided unemployment insurance benefits of varying time limits
to 7.42 million laid-off employees throughout the year.
Standardizing and Improving the Unemployment Insurance System
In 1999, the Chinese Government issued the "Regulations on Unemployment
Insurance," which effectively standardized and improved the unemployment
insurance system.
-- Range of participation and premium payment. All enterprises and institutions
in urban areas and their employees must participate in the unemployment
insurance program, under which employers pay two percent of their total
wage bill and individuals pay one percent of their personal wages as unemployment
insurance premiums. When the unemployment insurance funds in areas that
have participated in the social pool program are not enough, the shortfall
shall be made up by unemployment insurance regulating funds or subsidized
by local financial budgets.
-- Qualifying conditions for unemployment insurance. Laid-off persons
must meet three requirements to qualify for unemployment insurance: having
paid unemployment insurance premiums for at least one year; not having
terminated their employment voluntarily; having registered as unemployed
and being willing to be re-employed.
-- Rate of unemployment insurance allowance. The people's governments
of provinces, autonomous regions and municipalities directly under the
Central Government determine the unemployment insurance allowance in their
own localities, which shall be lower than the minimum wage in their localities
but higher than the minimum living allowance for urban residents. Provisions
regarding the time limit during which one receives the benefits are as
follows: An unemployed person whose former employer and himself or herself
have continually paid unemployment insurance premiums for more than one
year but less than five years is eligible for benefits for up to 12 months;
if they have paid the premiums for more than five years but less than
10 years, the unemployed person is eligible for benefits for up to 18
months; if they have paid the premiums for more than 10 years, the unemployed
person is eligible for benefits for up to 24 months.
-- Other unemployment insurance benefits. If an unemployed person falls
ill while enjoying unemployment insurance allowance, he or she is entitled
to receiving medical subsidies. If the unemployed person dies during this
period, his or her family can receive funeral subsidies as well as a pension.
In addition, an unemployed person may receive vocational training and
subsidies for job agency services when receiving unemployment insurance
allowance.
-- Unemployment insurance provisions for farmers-turned-contract- workers
who are employed by enterprises and institutions in urban areas. Their
employers shall pay unemployment insurance premiums as required, while
the individual workers shall not. Those who have worked for one year continuously,
those who do not renew their contracts upon expiration or those who terminate
their contracts before they expire can apply for a living allowance, which
shall come in a lump sum depending on the length of time they have been
employed.
Promoting Re-employment
While guaranteeing the basic livelihood of the unemployed, the state actively
looks for effective ways to steer unemployment insurance in the direction
of promoting re-employment. It has strengthened the link between unemployment
insurance services and re-employment services. Through prompt registration
of unemployment, active provision of employment information and giving
comprehensive employment guidance and job agency services, the state helps
unemployed people to enhance their capabilities for competitive employment
in both skills and mentality. It also increases the input of unemployment
insurance funds into job agency services and occupational training. Through
organizing training directly or purchasing R and D achievements, the government
provides all kinds of job skill training for the unemployed in order to
improve their capabilities for re-employment.
Guaranteeing the Basic Livelihood of Laid-Offs from State-owned Enterprises
In 1998, in view of the increased pressure on state-owned enterprises
in re-positioning their redundant personnel and the inadequate bearing
capacity of the unemployment insurance, the Chinese Government created
the basic livelihood guarantee system for people laid off from state-owned
enterprises.
-- Making sure that the laid-off personnel from state-owned enterprises
receive their basic living allowances in full and on time. Re-employment
service centers have been established in all state-owned enterprises with
laid-off personnel. After the latter have registered at a re-employment
service center, they shall receive from it a basic livelihood allowance
a little higher than the unemployment insurance payment in their own locality.
The re-employment service center also pays old-age, medical and unemployment
insurance premiums for laid-off people. The centers' funds for basic living
allowance payment to laid-off persons and their insurance premiums generally
come from the following three sources: one third from the local government's
financial budget, one third provided by enterprises, and the remaining
one third from the social pool program (mainly from unemployment insurance
funds). From 1998 to 2003, some 24 million laid-off persons from state-owned
enterprises across China had registered at the re-employment service centers,
and nearly 19 million of them had found new jobs. Those who had registered
at the centers had received allowances for basic livelihood in full and
on time, and the centers had also paid social insurance premiums for them.
-- Establishing the "three guarantees" system. Since 1998, the
Chinese Government has put into operation a system that provides for three
guarantees: basic livelihood guarantee for laid-off persons from state-owned
enterprises, unemployment insurance guarantee and minimum living standard
guarantee for urban residents. Laid-off persons can receive a basic living
allowance for up to three years. If they still have not found a job by
then, they can receive unemployment insurance payments. If the per capita
income of a family is below the local minimum living standard, they can
apply for the minimum living standard guarantee for urban residents.
-- Integrating with unemployment insurance. With the steady improvement
of the unemployment insurance system and the increase of the fund accumulations,
since 2001, the basic livelihood guarantee system for laid-offs from state-owned
enterprises has been integrated with the unemployment insurance program.
State-owned enterprises now have ceased to establish any new re-employment
service centers, and, in principle, people newly laid off by enterprises
have also ceased to register at such centers. Instead, enterprises just
terminate their labor contracts according to law and the laid-off persons
will then be entitled to unemployment insurance benefits according to
relevant regulations.
For some time in the future, the problem of surplus labor force and the
problem of irrational employment structure will still exist, and unemployment
insurance will continue to face considerable pressure. The Chinese Government
will make every effort to expand the coverage of unemployment insurance,
and standardize fund raising and payment as well as its use and management.
While guaranteeing the basic livelihood of unemployed people, it will
give further play to the role of unemployment insurance in promoting re-employment.
III. Medical Insurance
In 1998, on the basis of previous trials, the Chinese Government promulgated
the "Decision on Establishing a Basic Medical Insurance System for
Urban Employees," promoting a national reform of the basic medical
insurance system for urban employees. By the end of 2003, some 109.02
million people around China had participated in the basic medical insurance
program, including 79.75 million employees and 29.27 million retirees.
Establishing a Basic Medical Insurance System for Urban Employees
China has adopted a basic medical insurance system for urban employees
and combines social pool and personal accounts. In principle, the medical
insurance is managed locally.
-- Insurance scope and premium. The basic medical insurance program covers
all employers and employees in urban areas, including employees and retirees
of all government agencies, public institutions, enterprises, mass organizations
and private non-enterprise units. People employed in a flexible manner
can also participate in the basic medical insurance program. The funds
for basic medical insurance come mainly from premiums paid by both employers
and employees: the premium paid by the employer is about six percent of
the total wage bill, while that paid by the employee is two percent of
his or her wage. Retirees are exempted from paying the premiums. The individuals'
premiums and 30 percent of the premiums paid by the employers go to the
personal accounts, and the remaining 70 percent of the premiums paid by
the employers goes to the social pool program funds.
-- Payment standards. Medical expenses are shared by the medical insurance
fund and the individual: Outpatient treatment fees (smaller amounts) are
mainly paid from the personal account, while hospitalization expenses
(larger amounts) are paid mainly from the social pool fund. The minimum
and maximum payments from the social pool fund are clearly set out. The
minimum payment is, in principle, about 10 percent of the average annual
wage of local employees, and the maximum payment is about four times the
average annual wage of local employees. The medical expenses between the
minimum and maximum standards are mainly paid from the social pool fund,
and the individual pays a certain proportion. Expenses paid by retirees
for medical treatment and medicine are reasonably lower than those paid
by people in employment.
Improving Medical Insurance Management and Services
To standardize medical services and reduce costs, the state simultaneously
promotes the reform of the basic medical insurance system, medical and
healthcare system, and pharmaceuticals production and circulation system.
Catalogues have been made of medications, medical consultations and medical
services and facilities covered by the national basic medical insurance
scheme. Efforts have been made to ensure that the insured enjoy necessary
medical services, to curb unreasonable medical expenses, and to enhance
the utilization efficiency of the basic medical insurance fund. A management
method of the designation of medical institutions and pharmacies allowed
to provide services covered by medical insurance has been put into practice.
A competitive mechanism has been established to select and designate medical
institutions and pharmacies that operate in a standard manner and provide
good services. Meanwhile, account settlement procedures have been formulated
and steadily improved for medical insurance handling organizations and
designated medical institutions.
Improving the Multi-Level Medical Security System
While establishing the basic medical insurance system, to meet the medical
demands of different types of people covered by the insurance, the state
has established and improved a multi-level medical security system to
reduce personal burdens on the insured individuals. In local areas, a
system of subsidies for large medical expenses has been set up in accordance
with actual conditions to settle medical expenses exceeding the maximum
limit of the basic medical insurance payment, the funds for the subsidies
being raised mainly from individuals or enterprises. The state encourages
enterprises to establish supplementary medical insurance for their employees,
mainly for settling medical expenses not covered by the enterprise employees'
basic medical insurance. The part of the enterprise's supplementary medical
insurance premiums that is within four percent of the total wage bill
is booked as the production cost. A civil servants medical subsidy system
has been established for civil servants and employees of public institutions
who formerly enjoyed free medical services. The state is gradually establishing
a social medical aid system mainly funded by the government to provide
basic medical security for people with special difficulties.
The reform of China's medical insurance system faces many heavy tasks.
In future, the state will further expand the coverage of medical insurance
to steadily include eligible people in all kinds of employment in urban
areas in the basic medical insurance scheme; strengthen and improve medical
insurance management and services; curb the irrational increase of medical
expenses, and provide better services for the insured; establish and improve
a multi-level medical security system, gradually lessen personal burden
on the insured, and realize the stable operation and sustainable development
of the medical insurance system.
IV. Insurance for Work-related Injuries
The Chinese Government has made great efforts to establish an insurance
system for work-related injuries that includes work-related injury prevention,
compensation and recovery. After January 2004, when the "Regulations
on Insurance for Work-related Injuries" went into effect, the coverage
of such insurance has expanded rapidly. By the end of June 2004, as many
as 49.96 million employees had underwritten this insurance scheme.
Establishing a Social Pool System for Insurance Funds for Work-related
Injuries
The state stipulates that all enterprises and all individual businesses
engaged in industry and commerce with employees must participate in work-related
injury insurance, and pay insurance premiums for all their employees,
permanent as well as temporary. The individual employees do not pay such
premiums. The work-related injury insurance scheme adopts a social pool
fund program with a balance of revenue and expenditure, and collection
determined by expenditure. The social pool funds are established by cities
at the prefecture level or above. The government determines the differential
premium rates according to the degree of risk of work-related injuries
involved in different sectors, and sets several premium rates within each
sector according to the insurance payments and occurrence rates of such
injuries.
Defining the Social Security Benefits
The work-related injury insurance scheme adopts the principle of "no-fault
compensation." The benefit items mainly include medical expenditures
for work-related injuries; injury and disability subsidy, allowance and
nursing fee according to the degree of loss of the ability to work; funeral
subsidy, pension for the keep of family members and a lump-sum death subsidy
payment, all of which go to the directly-related family members of the
deceased worker in the case of death resulting from a work-related accident.
The main qualifying condition for insurance payment is that the employee
has been injured as a result of a work-related accident or has contracted
an occupational disease during his or her working hours and within his
or her workplace.
Exercising a Labor Ability Assessment System
The state has uniformly formulated and promulgated a national standard
for assessment of the degree of a work-related injury and the degree of
a disability caused by an occupational disease, whereby to assess the
labor ability of an employee suffering from disability and whose labor
ability has been affected due to a work-related injury, notwithstanding
its being in a relatively stable condition after treatment. The labor
ability assessment includes rating of the degree of physical impediment
for labor and the degree of impairment to self-care ability. A labor ability
assessment committee, consisting of representatives from relevant departments
of the government, trade unions and employing units, is formed in each
provincial-level city and city divided into districts to be in charge
of the assessment of labor ability of injured and maimed employees. Application
for labor ability assessment can be submitted by the employing unit, the
employee suffering from the injury, or his or her directly-related family
members, to the local committee. Having received the application, the
committee will randomly choose members from its reserve of medical and
health experts to conduct the assessment, and give its assessment conclusion
based on the experts' opinions.
Strengthening Work-related Injury Prevention and Occupational
Rehabilitation
The Chinese Government actively promotes prevention of work- related injuries
and occupational diseases through improvement of engineering technology,
publicity and education, formulation of safety regulations, implementing
safety and hygiene standards, and encouraging employing units to improve
production safety by manipulating their injury insurance premium rates.
Following the principle of "Safety and prevention first," the
government urges enterprises and employees to abide by the rules and regulations
concerning work safety and hygiene, and to strictly enforce the state
work safety and hygiene rules and standards, so as to prevent accidents
during work, and reduce occupational hazards. The state actively explores
methods of occupational rehabilitation, providing injured workers with
injury recovery, psychological recovery, occupational training and employment
guidance. Occupational rehabilitation centers and hospitals have been
set upin some areas to help injured workers to overcome physical and mental
problems, regain their health and ability to work, and return to their
jobs.
V. Maternity Insurance
In 1988, the state introduced a reform of the maternity insurance system
in some areas. At the end of 2003, there were 36.55 million employees
covered by maternity insurance. In the year of 2003, 360,000 employees
received maternity insurance benefits.
The maternity insurance system mainly covers urban enterprises and their
employees, and in some places women employees of government agencies,
public institutions, mass organizations and enterprises. The premiums
are paid by the employers participating in the maternity insurance scheme,
and should not be more than one percent of the total wage bill. Individual
employees do not pay the premiums. Employers not having participated in
the scheme will still be responsible for providing maternity insurance
benefits. Employees giving birth to babies may enjoy a childbirth allowance
for 90 days according to law. Women employees who have given birthto babies
or had abortions shall maintain their original wages and positions, and
get reimbursements for their medical expenses according to related regulations.
VI. Social Welfare
The Chinese Government actively promotes the development of social welfare,
raising funds through various channels to provide social welfare benefits
for the elderly, orphans and the disabled.
Social Welfare for the Elderly In accordance with the "Law of the
People's Republic of China on the Protection of Elderly People's Rights
and Interests," the state and the society have adopted measures to
improve conditions for such people's livelihood, health and participation
in social development. Governments at all levels include services for
elderly people in their socio-economic development plans, gradually increase
investments in services for elderly people, and encourage investment from
all sectors of society, so as to enable such services to grow in coordination
with socio-economic development. In recent years, thanks to the promotion
of the socialization of social welfare undertakings, a social service
system for elderly people has gradually taken shape, with state- and collective-run
social welfare organizations for elderly people as the backbone, those
sponsored by various social sectors as a new growth point, community welfare
services for elderly people as support, and services for elderly people
living at home as the basis. Today, there are 38,000 social welfare organizations
of various kinds for elderly people, with 1.129 million beds, or 8.4 beds
for every 1,000 people over the age of 60. In 2001, the state introduced
the "Starlight Plan -- National Community Welfare Service for Elderly
People." By June 2004, a total of 32,000 Starlight Homes for Elderly
People had been built or rebuilt in urban and rural areas all over China,
with a total investment of 13.49 billion yuan.
Social Welfare for Children
According to relevant laws and regulations, such as the "Law of the
People's Republic of China on the Protection of Minors" and the "Education
Law of the People's Republic of China," the state provides comprehensive
welfare for children, including education and planned immunization, and
takes special care to ensure the livelihood, recovery and education of
children with special difficulties, such as disabled children, orphans
and abandoned babies, by providing welfare projects, facilities and services.
Today, China has 192 special welfare institutions for children and600
comprehensive welfare institutions with a children's department, accommodating
a total of 54,000 orphans and disabled children. There are also nearly
10,000 community services around China for orphans and disabled people,
such as rehabilitation centers and training classes for mentally retarded
children.
The Chinese Government has decided that, starting from 2004, itis going
to carry out the "Tomorrow Plan -- Operations and Rehabilitation
for Disabled Orphans." The plan will cover a three-year period and
involve 600 million yuan in fund. Under the plan, each year 10,000 disabled
orphans will receive operations and rehabilitation services. The aim is
that by 2006 all the disabled orphans with surgical operation indications
in all the social welfare institutions around China will have received
effective operations and rehabilitation services.
Social Welfare for Disabled People
The "Law of the People's Republic of China on the Protection of Disabled
People" promulgated by the state provides legal guarantees for disabled
people's rehabilitation, education, employment, cultural life and social
welfare. The government helps disabled people to get employment by running
welfare enterprises, providing employment opportunities in a certain proportion,
and supporting the self-employment of disabled people. Special care for
disabled people is provided through such welfare measures as temporary
aid, concentrated support and the running of accommodation institutions
for disabled people. By the end of 2003,a total of over 4.03 million disabled
people in urban areas around China were in employment, and 16.85 million
disabled people in rural areas were engaged in productive labor; 2.59
million impoverished disabled people enjoyed guarantees for their livelihood;
442,000 disabled people enjoyed concentrated support and the "five
guarantees" (of food, clothing, medical care, housing and burial
expenses) in various welfare institutions and homes for the aged; 2.46
million disabled people were receiving temporary aid, regular allowances
and special allowances; and over 7.01 million impoverished disabled people
were receiving assistance to solve their problem of basic food and clothing.
In 2003, governments at all levels earmarked 1.5 billion yuan for services
for the disabled, and raised nearly 100 million yuan for social welfare
funds.
VII. Special Care and Placement
The special care and placement system is one by which the Chinese Government
provides materials and expresses compassion mainly for servicemen and
their families. At present, such people number over 40 million.
To protect the rights and interests of people eligible for special care,
the Chinese Government has promulgated the "Regulations on Commending
Revolutionary Martyrs," "Regulations on Special Care and Preferential
Treatment for Servicemen," and similar laws and regulations. The
state sets different grades and standards for special care and preferential
treatment according to the eligible people's capacities and contributions,
and with reference to the level of economic and social development. State
compensation is provided to families of martyrs and servicemen who died
on duty or of illnesses, and wounded and disabled servicemen. Regular
and fixed living allowances are provided for special cases such as demobilized
veterans. Allowances are universally distributed to the families of conscripts.
Special cases, including disabled servicemen, enjoy social preferential
treatment in terms of medical care, housing, transportation, education
and employment. In 2003, there were 4.65 million people eligible for state
compensation and subsidy, and government budgets at all levels for such
compensation and subsidy totaled 8.79 billion yuan.
The "Military Service Law of the People's Republic of China,"
"Regulations on Placement for Demobilized Conscripts," and similar
laws and regulations provide for the placement and resettlement of demobilized
servicemen. The government provides employment for demobilized soldiers
in urban areas, and grants a lump-sum subsidy as well as preferential
policy support for those who seek their own employment. Demobilized conscripts
from rural areas have their difficulties in production, livelihood and
medicare settled according to their different situations. Government and
non-government organizations, enterprises and public institutions provide
preferential recruitment for ex-servicemen from both urban and rural areas.
Secondary schools and schools of higher learning provide preferential
admission to ex-servicemen. Appropriate care is given to wounded and disabled
ex-servicemen in terms of employment and livelihood. Arrangements for
placement and resettlement are made for demobilized, transferred and retired
military officers (including non-commissioned officers). Now, relevant
services have been established by governments at all levels.
Proceeding from protecting the immediate interests of the people eligible
for special care and preferential treatment, as well as ex-servicemen,
the Chinese Government is determined to mobilize all sectors of the society
to continuously improve the special care and placement system, increase
the level of protection for people of this category, promote legal and
institutional guarantees for the placement and resettlement of ex-servicemen,
and protect the legal rights and interests of the people eligible for
special care and preferential treatment.
VIII. Social Relief
Proceeding from the situation of national development, the Chinese Government
has made the greatest efforts to provide the minimum standard of living
for the urban and rural poor, to provide relief to natural disaster victims
and to urban vagrants and beggars, while promoting and encouraging all
kinds of social mutual help activities.
Guarantee of the Minimum Standard of Living for Urban Residents
In 1999, the Chinese Government promulgated the "Regulations on Guaranteeing
Urban Residents' Minimum Standard of Living," which stipulates that
urban residents with non-agricultural permanent residence permits whose
family's per capita income is lower than the local urban residents' minimum
standard of living can receive basic subsistence assistance from the local
government; those with neither source of income nor working capability,
nor legal guardian, supporter or fosterer can receive in full the minimum
living allowance according to the minimum living standard of local urban
residents. The minimum living standard is decided primarily on the basis
of urban residents' average income and consumption level per capita, the
price level of the previous year, the consumption price index, the local
cost necessary for maintaining the basic livelihood, other connected social
security standards, the materials for the basic needs of food, clothing
and housing, and the expenditure on under-age children's compulsory education.
Meanwhile, consideration must also be given to the level of local socio-economic
development, the number of people eligible for receiving the minimum living
allowance and the local government's fiscal capacity. Funds for this purpose
are included in the fiscal budgets of the local governments. For local
governments that have very tight budgets, the Central Government will
provide financial support. By the end of 2003, there were 22.47 million
urbanites nationwide drawing the minimum living allowance, which was an
average of 58 yuan per person per month. A total of 15.6 billion yuan
for the minimum living allowance was allocated from government budgets
at central and local levels in 2003, which included the 9.2 billion yuan
of the Central Government's subsidies to the disadvantaged central and
western regions.
Natural Disaster Relief
The state has set up an emergency system and a social relief system to
deal with abrupt natural disasters. Taking people's lives as the most
important thing, the government has made timely efforts to save and evacuate
disaster-stricken people, and to lead them to engage in self-relief production
and mutual help. In this connection, it has also mobilized all social
sectors to render help, so as to minimize as much as possible the casualties
and property losses brought about by natural disasters, and to ensure
that disaster victims can have adequate food, clothing and lodging, and
access to medical treatment. Governments at all levels have enlisted expenditure
in their budgets for the storage of disaster-relief materials and for
evacuating victims. In 2003, the expenditure for such purposes from governments
at various levels reached 5.31 billion yuan, of which 4.05 billion yuan
came from the Central Government.
Relief for Urban Vagrants and Beggars
On August 1, 2003, the state promulgated the "Measures for the Administration
of Relief for Vagrants and Beggars Without Assured Living Sources in Cities."
Based on the principle of "Receiving aid of one's own free will,
and giving help gratis," relief for vagrants and beggars who have
no assured living sources in cities should be administered with compassion,
and that relief should be provided in accordance with the different circumstances
and needs of the recipients, so that they can receive relief in terms
of food, lodging, medicare, communications, transportation to their hometowns
and escort. By the end of 2003, some 909 such relief administrative centers
had been set up throughout the country, offering help to 210,000 cases
of urban vagrants and beggars who had no assured living sources that year.
Social Mutual Help
The state encourages and supports members of society to organize and participate
voluntarily in the efforts to give help to the poor and needy, promotes
the development of a social donation system, sets up and improves regular
social institutions, and a network of offices and storage facilities to
receive donations at any time from the general public. By the end of 2003,
there were some 28,000 social donation centers in large and medium-sized
cities and in some small cities with adequate facilities. From 1996 to
2003, a total of 23 billion yuan in donations was received from the general
public (including goods converted into money), together with 960 million
pieces of clothing and quilts, which helped an accumulative total of 400
million disaster victims and poverty-stricken people. Governments at the
grassroots level also operate community services to provide care and services
to the poor and needy. Trade unions at all levels organize "heart-warming
activities" every year to offer help to badly-off families. From
1994 to early 2004, a total of 18.11 billion yuan had been raised for
this purpose, and 55.778 million sympathy visits had been paid to families
of poverty-stricken employees.
China's trade unions at all levels also organize mutual help and social
security activities. By the end of 2003, some 18,000 mutual help and social
security organizations had been set up by the nation's trade unions, with
7.23 million people participating in the social insurance program. Some
1,839 trade union organizations had started such employee mutual help
and social security programs which covered 14.85 million participants,
and six million cases were given assistance.
IX. Housing Security
The Chinese Government actively promotes the development of an urban housing
security system which includes mainly the system of publicly accumulated
housing funds, the system of generally affordable and functional housing,
and the low-rent housing system for the purpose of unremittingly improving
urban residents' housing conditions. By the end of 2003, the average floor
space had reached 23.7 sq m per capita for urban residents.
The system of publicly accumulated housing funds is a policy-based financing
channel by which the Chinese Government tries to solve the housing problem
of employees. The funds are gathered monthly from government agencies,
public institutions, enterprises, mass organizations, private non-enterprise
units and their on-the-job employees in a certain proportion to the employees'
salaries, and such funds belong to individual employees. The publicly
accumulated housing funds are deposited in devoted accounts and are used
exclusively for employees to purchase, build and renovate their houses,
and can be loaned to the employees for these purposes. The publicly accumulated
housing funds are characterized by obligation, mutual help and housing
security. In 1994, this system was implemented in cities throughout China.
In 1999, the state issued the "Regulations for the Management of
the Publicly Accumulated Housing Funds," and reissued them in 2002,
to ensure that the system functions in an institutionalized and standardized
way. Now, an administrative system has been basically set up, which involves
decision-making by the Administrative Committee of the Publicly Accumulated
Housing Funds, operation by the Administrative Center of the Publicly
Accumulated Housing Funds, deposit in devoted bank accounts as well as
financial supervision. The publicly accumulated housing funds can be booked
as cost of enterprises, and are exempt from personal income tax. The funds
can also enjoy preferential low-interest loan policy. By the end of 2003,
a total of 60.45 million employees throughout China had opened accounts
for publicly accumulated housing funds, raising a total of 556.3 billion
yuan, of which 174.3 billion yuan was withdrawn from the banks by employees
for buying or building their houses or for retirement, and a total of
234.3 billion yuan was granted as personal housing loans to help 3.27
million employees' families to purchase or build houses. The system of
publicly accumulated housing funds has played an important role in the
improvement of people's housing conditions.
Generally Affordable and Functional Housing System
In 1998, the Chinese Government decided to build generally affordable
and functional housing. Affordable and functional housing means housing
for which the government provides preferential policies, and sets the
construction standards, the selling price and the users' qualification
criteria. It is policy-based, security-type commercial housing. Households
meeting the following requirements can apply to buy or rent a suite of
such housing: those having local registered permanent residence permits
(including servicemen eligible under local resettlement standards) or
those specified by the city or county government; those with serious housing
problems -- without housing of their own or with their current housing
space below the standards set by the city or county government; households
whose family incomes meet the income standard set by the city or county
government; and households meeting other conditions set by the city or
county government. A low-profit principle is maintained for such housing
when it is sold or rented. Only after a specified length of time following
the purchase of such housing may the owner sell it at the market, and
a portion of the earnings therefrom must be turned over to the government.
The purchase of this kind of housing must be subject to application, examination
and public announcement, thus emphasizing public transparency and strict
supervision and administration. From 1998 to 2003, the construction of
477 million sq m of such housing space was completed.
The Low-Rent Housing System
Since 1998, the Chinese Government has made active efforts to promote
the low-rent housing system and to continuously improve housing security
policies. Temporary exemption of property tax and business tax is applied
to publicly owned housing and low-rent housing lent out at prices prescribed
by the government. Under the guidance of uniform state policies, the local
governments have setup their own low-rent housing systems for urban minimum-income
households in accordance with the level of local economic and social development.
Such a housing security system, supported mainly by the government's financial
budget while the low-rent funds are pooled from other channels, is practiced
in many ways --with housing rent subsidy as the major form, supplemented
by the supply of basic furniture and rent deduction. For households whose
incomes and housing space are below the standards set by the local government,
the latter should ensure that their basic housing needs are met by application,
registration and waiting one's turn. In 2003, this low-rent housing system
for minimum-income families was established in 35 large and medium-sized
cities.
X. Social Security in Rural Areas
The majority of the Chinese people live in rural areas, where the economic
development level is comparatively low. In the rural areas the land, as
a means of both production and livelihood, is owned collectively where
the contractual household output-related responsibility system is practiced.
Under the influence of China's traditional culture, there is a time-honored
tradition of provision by the family, security coming from self-reliance
and help from the clan. In accordance with the characteristics of rural
socio-economic development, the state's social security measures in rural
areas are different from those practiced in cities.
Experimenting to Establish an Old-Age Insurance System in Rural
Areas
The old-age security in China's rural areas is centered mostly on families.
In the 1990s, China began to try out an old-age insurance system in some
of the rural areas in accordance with the actual level of local socio-economic
development. In light of the principle that "The premiums are paid
mainly by individuals themselves, supplemented by collectively pooled
subsidies and supported by government policies," an old-age insurance
system with the accumulation of funds taking the form of personal accounts
was established. By the end of 2003, the work of old-age social insurance
had been carried out to various extents in the rural areas of 1,870 counties
(cities, districts). Some 54.28 million people had underwritten the old-age
insurance program, which had accumulated a fund running to 25.9 billion
yuan, with 1.98 million farmers drawing old-age pension. In 2004, the
Chinese Government began to experiment with a system that supports and
rewards households that practice family planning by having only one child
or two girls in some of the rural areas. Each person of such couple may
receive a minimum of 600 yuan a year from the age of 60 till the end of
his or her life. This reward will be provided jointly by the central and
local governments.
Establishing a New Rural Cooperative Medical Service System
In order to guarantee that farmers' basic medical needs are satisfied,
to alleviate their medical burdens and to solve the problem of poverty
caused by illness or prevent them from getting poor again because of illness,
in 2002 the Chinese Government began to set up a new rural cooperative
medical service system based mainly on a financial-pool-against-serious-disease
scheme. Farmers can participate freely in such a cooperative medical system,
which is organized, led and supported by the government with funds coming
from the government, collectives and the beneficiaries. At present, the
system is being tried out in 310 counties (cities) in 30 provinces, autonomous
regions and municipalities directly under the Central Government. By June
2004,the system had covered 95.04 million rural residents, with 68.99
million participants and 3.02 billion yuan in raised funds, of which 1.11
billion yuan was in the form of financial subsidies from local governments
at various levels, and 390 million yuan was in the form of Central Government
subsidies to the central and western regions.
Practicing Rural Social Relief
The "five guarantees" system was initiated in China in the 1950s.
In 1994, the State Council issued the "Regulations Concerning the
Work of Providing the 'Five Guarantees' in the Rural Areas." It stipulates
that elderly people, disabled people and minors meeting the following
conditions in rural areas can enjoy the "five guarantees" of
food, clothing, housing, medicare and burial expenses (compulsory education
for minors): Those who have no legal guardian to provide for them, or
whose legal guardians are unable to provide for them; those who have no
working ability; and those who have no source of income. To take care
of elderly people in the "five guarantees" category who cannot
look after themselves alone, homes for the aged have been built, and have
gradually become a major form of providing the "five guarantees"
for the elderly. By the end of 2003, there were 2.545 million people covered
by the "five guarantees," and 24,000 homes for the aged providing
accommodation for 503,000 elderly people in this category.
In view of the uneven economic development and the large disparity in
financial conditions between regions, the Chinese Government encourages
areas with adequate capacity to establish a system that guarantees the
minimum standard of living for rural residents. In other areas, the basic
subsistence relief system covering destitute households is practiced under
the principle of "government relief, social mutual help, offspring
support and stabilized land policy." Meanwhile, medical relief is
provided for sick farmers who are in great difficulty. By the end of 2003,
there were 12.57 million poverty-stricken people in rural China who enjoyed
the minimum living allowance and subsistence relief for destitute households.
Conclusion
After years of experiments and practice, a social security framework with
Chinese characteristics has taken initial shape. However, China still
has a long way to go to develop its social security services to a satisfactory
level. The aging of the population will put more pressure on the old-age
pension and medicare expenditure, while the progress of urbanization will
make the establishment and improvement of a social security system covering
both urban and rural areas more urgent. More employees of non-state-owned
businesses and people employed in a flexible manner will be covered by
the social insurance system as employment forms become more diversified.
All this will raise new requirements for the smooth operation of China's
social security system and for the establishment of a long-term mechanism
which will ensure the sustainable development of the social security services.
To press ahead with the improvement of the social security system is an
important task for the Chinese Government in its efforts to build a moderately
prosperous society in a comprehensive way. The increase in China's overall
economic strength as a result of the sustained, rapid, coordinated and
healthy development of China's national economy, the implementation of
the scientific concept of overall, coordinated and sustainable development,
and a social security system suited to China's national conditions and
established after many years of exploration, will pave the way for China's
social security system to develop continuously. In the years to come,
the Chinese people will benefit more from the nation's development and
progress, and enjoy more plentiful fruits of its material civilization.
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