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Reforming China’s Social Security System: Facts and Perspectives Presented by: Naiting Fu 傅傅傅 (94925030); Anita Mingching Lee 傅傅傅 (96925008); Tomas Hsihsien Chang 傅傅傅 (95925026) Professor: Jack Wu 傅傅傅 Written by: Aidi Hu Social Security and Health Insurance System in China, IMCS International Social Security Review Vol.50, No.3, P45-65 1997

Reforming China’s Social Security System: Facts and Perspectives

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Social Security and Health Insurance System in China, IMCS. Reforming China’s Social Security System: Facts and Perspectives. Written by: Aidi Hu. Presented by: Naiting Fu 傅迺婷 (94925030); Anita Mingching Lee 李敏菁 (96925008); Tomas Hsihsien Chang 張希賢 (95925026) Professor: Jack Wu 吳文傑. - PowerPoint PPT Presentation

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Page 1: Reforming China’s Social Security System: Facts and Perspectives

Reforming China’s Social Security System: Facts and

Perspectives

Presented by: Naiting Fu傅迺婷 (94925030);

Anita Mingching Lee李敏菁 (96925008);Tomas Hsihsien Chang 張希賢 (95925026)

Professor: Jack Wu吳文傑

Written by: Aidi Hu

Social Security and Health Insurance System in China, IMCS

International Social Security Review Vol.50, No.3, P45-65 1997

Page 2: Reforming China’s Social Security System: Facts and Perspectives

Abstract This article overviews the social security reform started

shortly after the commencement of the general economic system restructuring in China in 1978.

The reform is remarkable not only for its scale in terms of population covered, territory affected and comprehensiveness sought, but also for the difficulties confronted, progress made and confidence achieved.

Although there is still a long way to go to fulfill its ambitious ultimate objectives, 14 years of reforming exercises have built up a solid basis for a sound social protection system to be gradually extended to the non-covered population.

China now can share its experience with other nations in a similar situation.

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Page 3: Reforming China’s Social Security System: Facts and Perspectives

Outline Introduction Specific Reform Exercises

Old-age benefit Unemployment benefit Healthcare benefit Maternity benefit Employment injury benefit

Current reform difficulties confronted, and the next move Old-age pension Health insurance Unemployment Related general issues

Conclusion

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Page 4: Reforming China’s Social Security System: Facts and Perspectives

Introduction (1/3)

The significant stage of the social security system reform in China officially commenced in 1984 after a number of years of careful contemplation, study, debate and planning to meet requirements arising form the economic reform, which has switched the economy from central planning to market orientation.

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Page 5: Reforming China’s Social Security System: Facts and Perspectives

Introduction (2/3)

Four political aims of the social security reform : To support the general economic reform and, particularly,

to facilitate and reinforce State-Owned Enterprise (SOE) reform, which constitutes a key aspect of the general economic reform.

To provide the population with sufficient social protection provisions.

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Page 6: Reforming China’s Social Security System: Facts and Perspectives

Introduction (3/3)

To facilitate the mobility of the labour force to formulate and develop a dynamic labour market, as it is regarded as essential and vital for sound and sustainable growth of the market-oriented economy.

To make a contribution to the stability, perennity and sound development of the national economy, which in turn will promote the current political system and secure the affordability and continuation of the new social security system in the nation, by injecting some accumulated social security funds into the national and regional economies to speed up development.

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Page 7: Reforming China’s Social Security System: Facts and Perspectives

Specific Reform Exercises (1/18)

The social security reform in China has experienced several stages over past two decades of development.

The preparatory phase (1978-1983) The preliminary phase (1984-1993) The phase of comprehensive advancement

(1994-)

Page 8: Reforming China’s Social Security System: Facts and Perspectives

Specific Reform Exercises (2/18)

Old-age benefit Unemployment benefit Healthcare benefit Maternity benefit Employment injury benefit

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Page 9: Reforming China’s Social Security System: Facts and Perspectives

Old-age benefit (3/18)

Objectives and principles. Universal coverage by the basic public pension provision,

which is to be available to the whole economic population in urban areas, including workers employed in all types of enterprises and also self-employed persons;

Financial costs shared between the State, employers and workers;

A multiple-tier pension system which comprises a compulsory basic pension component to meet the basic subsistence needs of retirees, a top-up supplementary component stemming from a complementary component stemming employer-sponsored pension scheme, and/or additional personal savings; the last two components should be voluntary;

The compulsory basic pension to combine a social insurance element with a funded individual account.112/04/21 IMCS9

Page 10: Reforming China’s Social Security System: Facts and Perspectives

Old-age benefit (4/18)

Progress achieved. Promotion of the pooling level. Provision of socialized services. Expansion of coverage. Establishment of an indexation adjustment

mechanism Pension formulas/models. Experimental pension schemes for civil

servants

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Page 11: Reforming China’s Social Security System: Facts and Perspectives

Old-age benefit (5/18)

Pension formulas/models The 1978 formula The 1986 formula The 1991 formula The 1993 formula The 1995 formula

Page 12: Reforming China’s Social Security System: Facts and Perspectives

Pension formulas (5/18a)

The 1978 formula was based on State Council Decree No. 104 issued in 1978, which prescribed that the due pension benefit payable depended on the duration of employment and was calculated on the basis of the last standard wage of the insured person prior to retirement.

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Page 13: Reforming China’s Social Security System: Facts and Perspectives

Pension formulas (5/18b)

The 1986 formula was consistent with State council Decree No. 77 of 1986, which set out a new role for contracted workers:

The overall contribution was fixed at around 18 per cent of the payroll while up to 3 per cent should be paid by the insured persons.

The above contribution income constituted a cumulated individual account for contracted workers; upon retirement, their pension would depend on both the number of contribution years and the paid-in amount of total contributions prior to termination of employment.

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Page 14: Reforming China’s Social Security System: Facts and Perspectives

Pension formulas (5/18c)

The 1991 formula was in line with State Council Decree No. 33 of 1991, which stipulated some very important rules: Developing a multiple-tier pension system, Sharing the costs among the State, Employers and employees;

Regularly adjusting pensions in line with wage/price inflation;

Gradually unifying the two different contribution rates applied to the established employees and contracted workers and integrating them into one fund; and being a partially funded scheme.

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Page 15: Reforming China’s Social Security System: Facts and Perspectives

Pension formulas (5/18d)

The 1993 formula was based on the instruction on the calculation of basic pension payments issued by MOL, which spelled out that the basic pension comprises two parts, namely a social pension component with a scale of flat rates, and an income-related pension component.

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Page 16: Reforming China’s Social Security System: Facts and Perspectives

Pension formulas (5/18e)

The 1995 formula Option 1 Option 2 Option 3=Option 1+Option2+ two

remarkable characteristics:

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Page 17: Reforming China’s Social Security System: Facts and Perspectives

Pension formulas (5/18e)

Option 3--two remarkable characteristics:

(a) contribution of around 10-12 % of employees’ final wages is allocated into their individual accounts;

(b) the benefit consists of a flat basic pension equal to 20-25% of the regional average salary plus a top-up calculated on the famous formula “A/120”.

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Page 18: Reforming China’s Social Security System: Facts and Perspectives

Unemployment benefit (6/18)

After a long interval of 30 years, unemployment insurance was introduced for the second time by the Temporary Regulation on Unemployment Insurance for SOE Workers issued by the State Council in July 1986.

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Page 19: Reforming China’s Social Security System: Facts and Perspectives

Unemployment benefit (7/18)

In fact, the Chinese government had set up a temporary unemployment protection scheme in 1950 to provide some income security to unemployed workers—then amounting to 4 million, equivalent to half of all workers at that time in the urban area.

Page 20: Reforming China’s Social Security System: Facts and Perspectives

Unemployment benefit (8/18)

The program ended in 1956, when full employment had been realized and it was widely believed it would last forever nationwide.

The second-generation unemployment scheme actually forms an inherent part of a set of regulations on SOE reform entering into force in July 1986.

Page 21: Reforming China’s Social Security System: Facts and Perspectives

Unemployment benefit (9/18)

The other related laws are (a) Temporary Regulation on the

Application of the Labor Contract Measure in SOEs;

(b) Temporary Regulation on Recruiting New Employees by SOEs;

(c) Temporary Regulation on Dismissing Bad-Conduct Workers by SOEs;

(d) Bankruptcy Law

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Page 22: Reforming China’s Social Security System: Facts and Perspectives

Unemployment benefit (10/18)

The main objective of the newly born unemployment insurance scheme, prescribed by the Temporary Regulation of Unemployment Insurance for SOE Workers, which was later amended by the Regulation on Unemployment Insurance Covering SOE Employees issued by the State Council on 12 April 1993, is subsequently defined as being to protect those unemployed workers from unemployment contingencies with an appropriate income support.

Page 23: Reforming China’s Social Security System: Facts and Perspectives

Unemployment benefit (11/18)

Under the newly amended unemployment legislation, personal coverage is extended from the initial four categories of workers to seven groups, comprising

(a) employees of bankrupted SOEs; (b) redundant employees of quasi-

bankrupted SOEs; (c) employees of SOEs closed down by the

State for one reason or another; (d) redundant employees of SOEs which

are in the idling and adjustment period in line with related state regulations;

Page 24: Reforming China’s Social Security System: Facts and Perspectives

Unemployment benefit (12/18)

(e) employees with an expired labor contract;

(f) employees dismissed by SOEs; (g) other employees as appropriate.

Page 25: Reforming China’s Social Security System: Facts and Perspectives

Unemployment benefit (13/18)

As regards contributions, it is stipulated that all SOEs have to contribute 0.6 per cent of their overall employee payroll to the unemployment fund.

This contribution rate could be reduced somewhat or increased up to 1 per cent if surplus or deficits are excessive.

Page 26: Reforming China’s Social Security System: Facts and Perspectives

Unemployment benefit (14/18)

The unemployment social insurance funds, which can be used more widely than the corresponding ones in many industrialized countries, comprise

(a) the unemployment benefit paid monthly to the unemployed person;

(b) medical insurance benefits paid to the unemployed person when medical expenditure occurs;

(c) funeral allowance, survivors’ allowance and relief allowance paid to the survivors of deceased unemployed persons;

(d) training allowance; (e) productive loans aiming to help in the creation of

employment opportunities for the unemployed person; (f) administrative costs of operational agencies; (g) other necessary allowances approved by governments at

the provincial level.

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Page 27: Reforming China’s Social Security System: Facts and Perspectives

Healthcare benefit (15/18)

Since the late 1980s, financial difficulties in supporting the healthcare system have drawn more and more attention from the government.

Statistics show that the average annual increase in medical expenditures under the old system was about 20 per cent in the late 1980s and 30 per cent in the early 1990s.

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Page 28: Reforming China’s Social Security System: Facts and Perspectives

Maternity benefit (16/18)

Maternity insurance provisions for female workers and female civil servants and other public workers are fairly similar and their substance has not been significantly changed since the 1950s: provisions for maternity leave, maternity pay during that leave, costs of related medical care and hospitalization, special working and employment protection, etc.

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Page 29: Reforming China’s Social Security System: Facts and Perspectives

Employment injury benefit (17/18)

Various efforts have been made: In 1989, the State Science and Technology Commission assigned a

first scientific research project on compensation for work-related injury and the mode of raising funds, which was complete in October 1991.

While the final report is not at present available, its findings are believed to have influenced subsequent reforms.

In 1989, the State science and Technology commission assigned a scientific research project on the standard for appraising the degree of disability of employees resulting from a work-related accident or an occupational disease.

This study was completed in 1992 and the standard (in trial form) was subsequently issued during the same year. It recognized ten progressive grades of disability.

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Page 30: Reforming China’s Social Security System: Facts and Perspectives

Employment injury benefit (18/18)

Experimental employment injury insurance schemes existed by the end of 1994 in nearly 900 cities and counties of 22 provinces, autonomous regions and municipalities, covering 18 million employees.

A resolution on the scope of work-related diseases and the corresponding compensation for the employees in question was jointly issued by MOPH, MOL, MOF and ACFTU in 1987, with a standard listing of the occupational diseases including all diseases enumerated in schedule 1 annexed to ILO Convention No. 121 on Employment Injury Benefits.

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Page 31: Reforming China’s Social Security System: Facts and Perspectives

Current reform difficulties

Old-age pension Health insurance Unemployment Related general issues

Page 32: Reforming China’s Social Security System: Facts and Perspectives

Strategy

MOL has deployed a new strategy to ensure that the unification of the pension system can be attained in three years. Precisely four levels of unification are expected:

_ covering all workers _ the standardized criteria _ the agency-run schemes _ the integration of the pension funds

Page 33: Reforming China’s Social Security System: Facts and Perspectives

Three types of problems

The lack of qualified human resources for the operational agencies.

The transfer of administrative responsibilities.

Some uncertainty associated with the new pension model

Page 34: Reforming China’s Social Security System: Facts and Perspectives

Solutions

Extending personal coverage: _ all types of urban enterprises _ all workers of the above

enterprises _ the self-employed and assistants _ owners of private companies and members of the professions

Page 35: Reforming China’s Social Security System: Facts and Perspectives

Current reform difficulties

Old-age pension Health insurance Unemployment Related general issues

Page 36: Reforming China’s Social Security System: Facts and Perspectives

Three aspects Efficiency and social equity Design: contribution revenues are to be

allocated into two accounts (social pooling funds and the individual accounts)

Purpose: To control the rapid and continuing increase in medical care expenditure

Concerns: _ protect the insured persons effectively _ cost down as expected

Page 37: Reforming China’s Social Security System: Facts and Perspectives

Three aspects : continued

Reforms in the healthcare provider and medication supply sectors

Old: global public health program and

functioned as service supports. New: medical service and medication

price-determining mechanisms

Page 38: Reforming China’s Social Security System: Facts and Perspectives

Three aspects : continued

Healthcare insurance for the rural population

Old: Semi-insurance scheme called “

Barefoot Doctor Programs” New: Set up voluntary medical insurance

schemes

Page 39: Reforming China’s Social Security System: Facts and Perspectives

Current reform difficulties

Old-age pension Health insurance Unemployment Related general issues

Page 40: Reforming China’s Social Security System: Facts and Perspectives

Impacts

A large proportion of SOEs are allowed to be closed down and the imbalance between the income and outlay of the scheme.

Should the rural migrant workers be covered? If yes, how? With what resources?

To use part of the funds for the promotion of employment opportunity?

Page 41: Reforming China’s Social Security System: Facts and Perspectives

Current reform difficulties

Old-age pension Health insurance Unemployment Related general issues

Page 42: Reforming China’s Social Security System: Facts and Perspectives

Investment of SSF

Scale: 28 billion yuan (approximately US$3.5 billion) by the end of 1994

Measures: _ invest in special government

bonds _ freely to choose trusted agencies _ set up a supervisory mechanism to

monitor Problems:

Page 43: Reforming China’s Social Security System: Facts and Perspectives

Suggestions

Clear regulatory provisions on the investment portfolio.

Safeguard the minimum pension level of the basic public scheme.

Prepare a sound environment for SSF investment.

Strengthen the investment capacity of responsible agencies.

Page 44: Reforming China’s Social Security System: Facts and Perspectives

Related general issues : continued

Overdue contributions arising from SOEs’ financial difficulties.

Governance and management

Formulation and establishment of the regulatory framework

Page 45: Reforming China’s Social Security System: Facts and Perspectives

Author’s Conclusion (1)

In the Past: Established a social security system for its

urban population quite similar to industrialised countries.

The system following the International Labour Convention can just cover the minimum requirements for labours and residents in China.

However, the minimum coverage can no longer meet the people’s needs in the modern, market-driven economy.

Page 46: Reforming China’s Social Security System: Facts and Perspectives

Author’s Conclusion (2)

Present Old-Age Pension : From Individual

employer based schemes to social insurance based.

Unemployment Insurance: : From SOEs to all industries is under way.

Health Insurance : Nationwide experiments is going ahead.

Maternity Insurance, work related injury, etc. has some achievements.

Page 47: Reforming China’s Social Security System: Facts and Perspectives

Author’s Conclusion (3)

In the Future Competent authorities have done some things,

there are only administrative and operational issues rather than systems, programme designs or planning.

International and assistance will still be essential.

Chinese people are confident in their own public insurance compared with those emerging countries in South East Asia or East Europe.

Page 48: Reforming China’s Social Security System: Facts and Perspectives

Real Problems (1)

The Budget Deficits: the old age pension fund has a 30 billion RMB deficits in 2002 compared to 5 billions in 1998.

Uncollected Charge: More than 2,000 billion RMB Old Pension Fees are default in year 2002.

Unemployment Insurance: 4.4 Million unemployed accounting for 57% had obtained the

payment. Others are not paid due the strict measurements. Many are still unemployed after subsidized more 24 months

due the structure unemployment.

Page 49: Reforming China’s Social Security System: Facts and Perspectives

Real Problems (2) Health Insurance: Only 70 million labours join the scheme.

Furthermore, Only 25 million join the retirement health

insurance scheme. Totally 95 million people joint the heath

insurance scheme accounting no more than 25% in the population. No doubt China’s health is one of the worst in the world.

The Personal Account in health insurance stops the insured people going the hospital.

Page 50: Reforming China’s Social Security System: Facts and Perspectives

Critiques Due to the wrong planning, totally the Social

Insurance costs the Chinese government 50 billion annually.

However, not all people can join those insurance schemes due to the corruptive government’s unfair policy. (The government does not provide a healthy regulatory environment to protect labours.)

The Chinese government is unwilling to face the real problem, in stead, it just uses some scholars to boast its insurance policies to other countries.

Tactually the article is just a propaganda though it provides some information to us.

Page 51: Reforming China’s Social Security System: Facts and Perspectives

Thank you for your kind attention!

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