Pension, medical and other livelihood topics have been the focus of the National People's Congress. Nie Pengju, a representative of the National People's Congress and chairman of Hunan Kolier Electric Group Co., Ltd., said in an interview with a reporter from China Economic Times that this year he put forward a proposal on the national unified pension insurance and medical insurance payment ratio.

"The aging of our country's population continues to deepen, and the foundation of the elderly care service system is still relatively weak. The phenomenon of left-behind elderly is relatively common, and the problem of elderly care has become a major problem. To solve the pension problem, it is urgent to improve the social security system as soon as possible and speed up the pace of improving the overall level of national social security, especially the unification of old-age insurance and medical insurance. "Nie Pengju believes that at this stage, the proportion of pension insurance and medical insurance contributions across the country is not uniform, and there are also big differences in the social security payment base. This difference not only leads to the difficulty of the overall calculation of national social security, the complicated procedures and lack of convenience for the transfer of social security relations in different places, but also aggravates the imbalance of pension costs in urban and rural areas, eastern and western regions, and lacks fairness.

"In the long run, it will seriously affect the mutual aid function of the pension system and the medical insurance system, profoundly affect the composition of labor costs and labor mobility under the condition of market economy, and is not conducive to promoting the coordinated development of regional and urban and rural areas. "Nie Pengju said that the specific adverse effects can be seen from three aspects: first, because the level of social security coordination is not high enough, the flow of talents is restricted; second, the proportion of social security contributions and the base of social security contributions in various provinces, autonomous regions and municipalities across the country are not unified, which is not conducive to national overall planning and cross-provincial settlement; third, the proportion of pension insurance and medical insurance unit contributions included in individual accounts varies from province, this difference has contributed to the differences in the population structure of different regions and the resulting differences in the payment burden of enterprises, as well as the unfair environment of regional economic development competition, which is not conducive to the industrial upgrading and the formation of new competitive advantages in the eastern coastal areas. it is also not conducive to the transfer of traditional manufacturing industries from the eastern region to the central and western regions and the development of labor-intensive industries in the central and western regions.

"The national unified pension insurance and medical insurance payment ratio needs top-level design, so that the top-down promotion can finally be realized slowly. "Nie Pengju suggested that we can start from several areas to gradually achieve the goal.

Gradually realize the national overall planning of social security. Due to the different levels of economic development, government policies, service systems and other conditions among provinces, autonomous regions and municipalities across the country, it is bound to be impossible to achieve the national overall planning of social security. It is necessary for all provinces, autonomous regions and municipalities to support and cooperate with each other and adjust the implementation plan. Only during the running-in period can we finally determine the trial time and reasonable rate of the new social security rate, and gradually realize the national overall planning of social security.

Improve the cross-provincial settlement system for social pooling funds. At present, my country has basically realized the cross-provincial settlement of the social security fund, but the degree of realization is different, and there are great differences between provinces, autonomous regions and municipalities. There are also many problems in the overall planning area. There are many restrictions on cross-provincial settlement. Cards or medical insurance cards can only achieve cross-provincial settlement in designated hospitals, so it is necessary to further improve the cross-provincial settlement system of social pooling funds and establish a more convenient and effective social security system.

We will deepen the reform of the medical security system and establish a unified national mechanism for basic medical insurance rates. "This can start from accelerating the reform of medical service supply, establishing a market-led price formation mechanism for drugs and medical consumables, and establishing a national transaction price information sharing mechanism; optimizing medical security public management services, through the establishment of a unified, efficient, compatible, and convenient, Safe medical security information system, realize the interconnection of national medical security information, and strengthen the orderly sharing of data, we will gradually establish a relatively complete basic medical security system covering all people and deepen the reform of the medical security system. "nie pengju said.

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