Opinions on promoting the construction of a basic elderly care service system

A: There are great differences in the level of economic and social development in different parts of China, and the development of population aging has obvious regional gradient characteristics from east to west, and the population aging in the economically developed eastern coastal areas is significantly faster than that in the economically underdeveloped central and western areas. To advance the development of a basic old-age service system, we must not only meet the bottom line of ensuring people's livelihood and providing basic old-age services, but also properly handle the issue of sustainable financial affordability and balanced regional development. The core of this is to adhere to the basic principles, that is, to base on China's basic national conditions, take into account the necessity and possibility, focus on ensuring basic, wide coverage and sustainability, and do what we can to ensure the basic life and care needs of the elderly. There are four main considerations:

One is "everything". Specifically speaking, all laws and regulations have clear provisions, the Party Central Committee and The State Council have clarified that the basic elderly care services that China's elderly should enjoy should be incorporated into the full, in principle to achieve full coverage, no leakage, and further refine service standards. The second is "promises must be kept". The National List of Basic elderly Care Services is a hard commitment made by the state to every citizen, and the listed service items must be basically implemented at this stage. Third, "adapt to local conditions". Governments at the provincial level and below can, according to the actual development of the local economy and the needs of the elderly, study and propose specific local implementation projects and standards, and on the basis of ensuring the implementation of the national basic elderly care service list project, the most suitable services are sent to the side of the elderly. Fourth, "dynamic sustainability". In accordance with the general requirements of meeting the bottom line of people's livelihood and ensuring basic people's livelihood, we will continue to do our best and do what we can, focusing on the most direct and realistic interests of the people. It is necessary to find the best balance between meeting the needs of the people's basic elderly care services and the national financial security capacity, so as to make the fiscal sustainable and dynamically adjust in accordance with the procedure.

Q: How to give play to the role of the market and promote the diversification of the providers and ways of providing basic elderly care services?

A: The elderly care service is divided into two parts, one is basic elderly care service and the other is non-basic elderly care service. Non-basic elderly care services are mainly provided by the market. The "Opinions" require that basic elderly care services are mainly provided directly by the state or through certain ways to support the relevant subjects to provide, which includes the requirement to give full play to the role of the market, and promote the diversification of the providers and the diversification of the ways of providing them.

First, we should give full play to the role of effective markets and competent governments and encourage diversified supply. We will implement preferential support policies for the development of elderly care services, encourage social forces to participate in the provision of basic elderly care services, combine government purchase of services with direct provision of services, and give priority to ensuring the service needs of disabled, elderly, unattended and other elderly people with financial difficulties. Localities where conditions permit will optimize policies such as bed construction subsidies and operation subsidies for elderly care service institutions, and support elderly care service institutions in providing basic elderly care services. Second, give full play to the power of charity and voluntary service. Encourage and guide enterprises, social organizations, individuals and other social forces to provide support and assistance for basic elderly care services through donations, the establishment of charitable funds, voluntary services and other means in accordance with the law. Third, actively support the development of inclusive elderly care services, and realize that inclusive elderly care services can be enjoyed by payment, affordable prices, guaranteed quality, and safe supervision. Fourth, actively guide the development of high-quality and diversified non-basic elderly care services, make them a useful supplement to the basic elderly care service system, and jointly build a multi-level sustainable elderly care service system with Chinese characteristics.