The 20th National Congress of the Party pointed out，"Implementation actively responding to the national strategy of the aging of the population，Develop the career and the pension industry，Optimize the lonely elderly service，Promote the realization of all elderly people to enjoy basic pension services "。Where，Ensuring the needs of the basic care service of disabled elderly people，It is the top priority of the development of the elderly。Forecast of the National Old Old Age Commission，to 2030 and 2050，The number of disabled elderly people in my country will reach 61.68 million and 97.5 million respectively; from 2020 to 2050，Mild、The growth rate of the elderly for the elderly in moderate and severe disability is 108%、104%and 120%，At that time, the average disability period for the elderly will be as high as 11.45 years。For this，It needs to be constructed including insurance、Rescue、Basic care system, including the elderly, including welfare and other levels，Response expanded care needs，Solving the key issues of urgency and hope for the elderly group with heart。

Current long -term care insurance is still in the pilot promotion stage，Can't fully respond to the basic care service requirements of the disabled elderly people。Nursing service subsidy system provides a pocket service guarantee for the elderly for the elderly for the disabled，As of the end of 2021，903,000 elderly people who enjoy nursing subsidies nationwide、5.736 million elderly people who enjoy the subsidy of the elderly service。But the subsidy object is mainly disabled elderly people with economic difficulties，The coverage range is narrow，benefit the elderly only accounts for 2.48%of the population over 60 years old。Nursing service subsidy policy Lack of bet365 live casino games automatic upgrade mechanism，Can't fully adapt to the era requirements of relatively poor governance。With China fully entered a well -off society，Poverty governance has shifted to relatively poverty，Elderly people are relatively poor with complexity、Multi -dimensional and long -term。If the nursing service subsidy system cannot accurately identify new difficult elderly people，It is impossible to make up for it，Therefore, the damage system is wide and fair。For low -income marginal elderly groups，Even if the difficulties are similar，Still unable to enjoy the subsidy of the elderly service，That is the "cliff effect" in the system，Weaken the bottom guarantee function of the system。

The 20th National Report of the Party emphasized，High -quality development is the primary task for comprehensively building a socialist modern country。Multi -level elderly care system as the basic guarantee for the service needs of disabled elderly people，It must be upgraded and optimized for institutional systems under the concept of high -quality development。

First，Promoting the transformation and upgrade of the subsidy system for nursing service，To improve the efficiency and moderate inclusiveness of the care service system。"The Fourteenth Five -Year Plan of the National Economic and Social Development of the People's Republic of China and the Outline of the Metropolitania Target in 2035"，"Improving the subsidy system for the elderly for the elderly in the elderly in difficulties"。So，According to the requirements of high -quality development and the spirit of improving the elderly care system，Promote the high -quality development of the subsidy system for the elderly care service。

Expand the subsidy range，Improve the level of inclusive。In order to achieve it, it should be guaranteed，All places should according to the level of economic development，Based on the existing subsidy object，Gradually expand the coverage of coverage; first, appropriately reduce the age of the elderly in difficulties Bet365 app download in economic difficulties，Because they have higher risk of disability; the second is the "quasi -disable the elderly" in the minimum guarantee crowd and the sketch edge of the elderly，to relieve the "cliff effect" of the policy; the third is the elderly covering children with disability or suffering from major diseases，Their physical and mental pressure is huge，Temporary assistance is needed; fourth is to cover the elderly over 80 years old、Lost the elderly，Even if they have no disability，The ability to take care of self -care is also relatively fragile; fifth is the elderly with special contributions to the age of 80，If a retired soldier。The first three types of subsidies are rescue，The latter two types are welfare subsidies，Different concepts of the two，Can be superimposed。

Uniform disabled level recognition standard。The title of disability across the country is different，For example, Fujian Province divides the disabled elderly people into "self -care", "semi -disable" and "full disability"。Most places divide the disabled elderly people into "mild", "moderate" and "severe"，But the evaluation criteria of the disability level are not uniform、Irregular，Causes the underwriting，The disabled elderly people who should enjoy treatment are excluded from the system。From the short term，The assessment of the disability standard and long -term care insurance should be maintained; in the long run,，Standards for identifying the national unified national disable levels should be formulated，To ensure the fairness of the treatment of disabled elderly people。

Subsidy Standards Development requires top -level design。Current policy documents regulations，It can be based on the level of local economic development、Disposal of price changes and financial conditions expand the subsidy range、Improve subsidy standards。But the standards of all localities are not scientific and standardized，Lack of automatic adjustment mechanism，Therefore, the bet365 best casino games top -level design is required at the national level，Put forward the minimum standard and adjust the parameters，The factors of rising care costs should be considered，Enhance the system automatic adjustment ability。Subsidy standards can be divided according to social assistance and social welfare subsidies，Rescue service subsidy to achieve the function of the bottom guarantee，It is a manifestation of the right to survive，Standards should be higher。

Second，Research Nursing Service Subsidies System and Long -term Nursing Insurance Connection Mechanism，Improve multi -level basic basic elderly care system。Long -term nursing insurance is the basic insurance system that should be on the risk of disability in the elderly，Pilot from 2016，Currently covering 49 cities、145 million people，Effectively alleviated the nursing pressure of the disabled semi -disabled elderly。According to national deployment，"Fourteen Five -Year Plan" period will form a long -term care insurance system framework with Chinese characteristics。With the gradual promotion and implementation of long protection，Must do a good job of connection between the basic system in advance。

The first thing is to clarify institutional functional positioning and responsibility boundary。Long -term care insurance follows the social insurance mechanism，Payment of treatment for participants; the subsidy system for the elderly follows social assistance and social welfare mechanism，Have the function of pocket guarantee and social welfare function。Different departments of the two，The guarantee objects are independent of each other; the payment conditions and the content of the two are different，But at the same time there is a cross in the two。

Under the premise of ensuring the integrity of the system，Clarify the gradient relationship of institutional treatment，List of payment list for the subsidy system for nursing service，It can avoid omissions with long protection、Overlap and friction situation。For Bet365 lotto review example，Specialty elderly people meet the conditions for the payment of two institutional treatment at the same time，Cannot overlay treatment。Because the nursing service subsidy system is the bottom guarantee for disability，If the disabled care gets the basic payment of long -term danger，Can't be superimposed to enjoy。But the treatment of participants is not reduced，The right to select the insured。Subsidies for welfare elderly care service，Provided by the subsidy service system，Select the list of elderly people according to the list of basic service items，To improve the adaptability of supply and demand。

again，Strengthen the integration and collaborative governance between systems，Fund guarantee for enhanced basic care services。Elderly people usually face poverty、Disease、Disable risk，Multi -level pension guarantee system、Medical Security System、The care system provides a risk sharing mechanism。The boundaries between the system should be kept clear，At the same time, the connection between institutional should be strengthened、Integrated and collaborative governance。but，At present, some system functional positioning has not been clarified，Uninterrupted connection between systems，Lack of systemic design，Reduced the efficiency of resource allocation in the field of elderly protection。For example，In the increase of basic pensions，There is an old age tilting increase，Value orientation is a medical treatment with higher senior groups、Nursing expenditure。If medical treatment、The guarantee system for care is perfect，The old -age tilting part of the basic pension increases part of the fiscal expenditure，It can be used to support the upgrade of the subsidy service system，Fund demand to ensure the scope of subsidies or increase subsidy standards。For example，In 2022, Jiangxi Province's pension is more than 5 billion yuan，Among them, the old tilt part accounted for about 10%，about 500 million yuan。Based on the current Bet365 app download subsidy object 86,000，Average service subsidies per person per year will increase by about 6000 yuan，Its marginal contribution is much greater than the increase in the pension of the old age。If you adjust the fiscal expenditure structure、Add Nursing Service Subsidy Expenditure，Not only can improve the efficiency and value of fiscal funds，It is also conducive to alleviating the pressure of pension gold。

，It is recommended to exempt urban and rural elderly residents medical insurance premiums，The ability to enhance the purchase or exchange service for the elderly。The medical insurance premium paid by the elderly residents is about 1/4 of the basic pension，and retired employees not only need to pay medical insurance premiums，Its pension is also about 20 times the pension of residents。

Last，Strengthen the cooperation of service subsidy system and family care support policy，Organic combination between promoting formal care and informal care。According to research，Long -term care insurance has a crowded effect on intergenerational economic support，But it is conducive to increasing the care time and spiritual comfort of the child generation。Visible，If the elderly are rich in pension resources，They can exchange more family care。This is not only conducive to strengthening family care function、Promoting intergenerational harmony，It can also reduce the risk of disable the elderly，to reduce nursing subsidy expenditure。

For this，Must advocate the concept of self -care，Supporting personal pension asset allocation，To deal with longevity risks。This includes improving the basic pension of residents，Encourage residents to participate in vocational insurance、Improve the payment grade，Support financial institutions to launch an affordable pension wealth management product，Free medical insurance premium for elderly residents of urban and rural elderly people。At the same time，Improve the support policy of family caregivers，Enhance family care ability。This Bet365 app download needs to encourage enterprises to provide elastic work hours for employees with disabled elderly care needs、Payment care and other measures，Support multi -generation cohabitation，Personal tax deduction of increasing children's disabled care cost，Focus on the short -term care of the elderly、Standard service requirements such as asthma service，Develop community embedded pension service。

　　Bet365 lotto review

(Author Unit: School of Finance, Tax and Public Management, Jiangxi University of Finance and Economics)