Officials Say Public Nursing Home Rejects Disabled Old People Is Government Misconduct

In the past four periods, we asked about the construction of the Beijing pension system from the urban nursing homes, “a hard-to-find bed”, community-based pensions “in name only,” “problem highlighting” in nursing homes, and “growing troubles” in private nursing homes. In this issue, we interviewed authoritative people and learned from foreign experience to ask for the future of Beijing's retirement.

Comparing the development plans of the “12th Five-Year” old-age undertakings around the country, objectively speaking, Beijing’s old-age care and nursing homes are more standardized and perfect than other places.

However, as shown in the main picture of the report in this issue, the old man's eyes wrapped in wrinkles are full of helplessness and anticipation, and the photographs beside him are so young and calm.

For the elderly, for tomorrow's ourselves, there is reason to ask for higher requirements for the elderly.

Youthful

He is the deputy director of the Office of the National Working Committee on Ageing, and the Party Committee Secretary of the Office of the National Working Committee on Aging, and the Vice President of the China Association for the Aging.

Old-age care is not a matter for a government department, and consensus needs to be formed between various departments. No matter how well the system is designed, it will not be implemented and it has no meaning.

When I was researching, I liked to chat with the dean of the private nursing home. I don't need to say anything about the difficulties they encountered. I know.

- When the public nursing home refused to accept an old man who could not take care of himself, he clenched his fists and knocked a few tables.

[Talk about the future]

Home + community care is the future mainstream

"Get out and go in."

Beijing News: Why is there such a dilemma? In China, what is the relationship between different pension models?

阎 Youth: Our aging population is too fierce and lacks forward-looking preparations. Not ready yet, the problem has come; in addition, we have unclear roles for different old-age care models, what kinds of old people are suitable for home (community) care, what old people are suitable for institutional care, there is no scientific division and a clear concept. .

China has initially established the concept of “home-based, community-based, and institution-based”. There is a logical relationship between home-based care for the elderly, community-based care for the elderly, and institutional care for the elderly. However, in the research, home-based care for the elderly has included community care for the elderly. Now.

Beijing News: There is a contradiction that there are more and more people in the city.

阎 Youth: The home-community pension model that we propose is to realize that the elderly live at home. When the children are not around, the community service can make up for the lack of life and emotions of the elderly.

Elderly people with good health and low ages should encourage them to “get out”. The community should take the platform and the old people sing, dance, and play the piano. This will not only stretch the body but also delight the spirit; older people who cannot go out We must train, train, and reserve a group of nursing care professionals to enter the elderly, and “walk in” to provide home services for the elderly.

Western pension is returning home

Beijing News: What basis does this model have?

阎 Youth: The consensus in foreign countries is that family pensions are supplemented by socialized help and are suitable for the elderly.

In the early days of the aging society in the West, the government invested heavily in many nursing camp-style nursing homes, which relieved the pension pressure to some extent. However, follow-up studies have found that home-based care for the elderly is 3 to 5 years older than those in institutional pensions. Western scholars have come to the conclusion that large-scale camp-type pensions have far more spiritual damage to the elderly than material satisfaction.

Afterwards, the government gradually dissolved large-scale pension institutions and returned to the community. However, it was later studied that relying on the community is still flawed and should return to the family.

[Talk about institutions]

Health elderly living in public nursing homes is a waste

Public nursing homes should overcharge disabled old people

Beijing News: You once said that “healthy elderly people are a waste of resources when they are staying in retirement institutions”. But the paradox is that elderly people who have needs and ability to pay are eager for higher quality services.

阎 Youth: I still insist on my point of view, but I want to correct one point. It is good for the elderly to have both demand and purchasing power. But here we discuss the issue of government responsibility. The pension service belongs to social welfare. This area is the field of secondary distribution of national income. The fiscal revenue derived by the government through taxation should be used in the welfare sector to pursue and realize social equity and narrow the income distribution gap.

In particular, it is unbearable that some local governments use tax to build luxurious, high-grade, expensive nursing homes, but they take in healthy, self-care old people; a large number of elderly people who have difficulties in life cannot do this without cost. No nursing home. The responsibility of the government is to provide assistance to the weak. The old people who have both the demand and the purchasing power can go to the market to solve it.

Beijing News: But the result is another situation.

阎 Youth: This is a serious departure from the basic function of “guaranteeing basic and protecting difficulties” that the government should bear. The nursing home built by the government using tax money has refused to accept people with difficulties. Where does the government's responsibility and policy lead? Therefore, I said that it is the government’s dereliction of duty to reject disabled seniors in public nursing homes.

Public and private dual system brings inequity

Beijing News: Public and private pension institutions run in parallel. This dual-track system seems to have been criticized for a long time.

Youth: Many public nursing homes are not non-existent, but the roles they assume should be adjusted. Many public pension institutions’ service status and positioning deviate from the basic principles of social welfare in the welfare society and create new inequities in the pursuit of fairness. It also deviated from the basic rules of equal competition in the market economy and hindered the healthy development of market players.

The government builds old homes, builds houses and builds houses, adds equipment, hires people, and even provides operating expenses. The private sector must rely on itself. How can he compete with you? You are a zero cost and earning a penny is earning. If he earns ten yuan, he will not be compensated enough. In the long run, private pension institutions will inevitably struggle.

[Talk about functions]

The government needs to reverse its functions to put an offside position in place

Beijing News: Why is it that the retirement work cannot be achieved only by the government?

阎 Youth: Let’s count the accounts. In the “12th Five-Year Plan” period, the number of people aged over 60 in China will reach 221 million, which is calculated according to the target of 30 old-age beds per 1,000 elderly people. We will need 6.63 million pension beds at that time. Zhang. As a result, there are still at least 3.5 million gaps. We researched in Shanghai. The cost of building a bed in the city center is 300,000 yuan, and the suburb is 100,000 yuan. Calculated on a low standard, the investment in pension beds in the five years is 350 billion yuan, equivalent to 70 billion yuan each year.

Who came out of the money, did the government take it? Even if we can bear it, with the current system of pension institutions, it would be reasonable to spend 70 billion 700 billion RMB.

Therefore, the vigorous development of the people's nutritional pension institutions is an inevitable trend of future institutional pensions. It is impossible for the government to presumably and unwillingly complete this matter.

Beijing News: What role should the government assume in the future pension system?

Youth: In the process of building a socialized old-age care service system, we must reverse the phenomenon that the current government functions are off-site, dislocation, and lack of position.

The government that shouldn’t control does not want to control it. The government of the government must take responsibility for it. In the five-year plan for the “12th Five-Year Plan” old-age care service that we have formulated, we have made amendments to some of the outstanding issues as far as possible. For example, the service and operation management of pension institutions should be handed over to the society, without the government dragging it from the office to the management, and avoiding the current catastrophic phase of high input, low output, high consumption, and low efficiency.

Increase investment in community care networks

Beijing News: In what areas should the future pension system build?

阎 阎 阎 : : : : : : : : : : : : : : : : : : : : 一个 一个 一个 一个 一个 一个 一个 一个 一个 一个. During the “Twelfth Five-Year Plan” period, we proposed the goal of full coverage of the urban community home care service center. It is the basic coverage of this kind of home care service center for day care, which sets the direction for the government's investment in this area.

The other is the construction of institutions. We must avoid the construction of large-scale, high-grade pensions for the “rich old man and old woman” as we have done in the past. Instead, we should focus on nursing care for elderly people with mental disabilities.

If we follow this direction and actually accomplish the goals we set, we should have a quick change in the construction of our old-age care service system, and we can bring more services to the disabled elderly people.

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