Originally posted by bbarr
Wait, this is hilarious. You actually think that the federal government is providing health care? You know that health care is provided by doctors, right? And that the health care bill mandates that citizens purchase health insurance from private corporations, right? And that there is no public option, right? Perhaps you think we should get rid of Medicar ...[text shortened]... as you go? Educate yourself:
http://www.gov.cn/english/official/2005-07/28/content_18024.htm
Don't laugh too hard, someone in your household might overhead you making a fool of yourself. If you believe anyone here was saying that a bureaucrat instead of a doctor did handson treating, you're incredibly wrong, as with the assumption that the details of healthcare were not already discussed and understood on these blogs for a long time. It's still the federal government forcing people to purchance insurance under threat of "fines" (taxes) and milking from those who used to freely opt out (the young and healthy single males especiallly) to give to the pre-existing condition and low income groups, in the end a government established system albeit through private enterprise.
As for Chinese social security, I have read sources glibly describing the system as non-existing, but to be more precise on the following source I would point out that the benefits are highly limited, uneven, and have no notable social effect (see especially end paragraphs):
http://www.cato.org/events/china/papers/jie.html
I hope this has been equally educational for you, as I did not know the details of the weak social security system in China, just that studies cited it as an effect on people's savings rates.
Later on a series of policies and regulations were promulgated. At that time, the All China Federation of Trade Unions was the highest leading body for national insurance service, and the Ministry of Labour was the highest supervisory institution for the national labour insurance work. Part of labour insurance fund was paid directly by enterprises, another part was raised by the All China Federation of Trade Union. The social security system has played an important role in rehabilitating and developing the national economy, guaranteeing the essential life of the people and consolidating people's democratic dictatorship.
The second stage ranged between 1966 and 1976. During the 10 chaotic years, social insurance work suffered serious setbacks and destruction, management organs were dissolved, trade union organizations were compelled to suspend activities, social pooling from society for retirement expenses was cancelled, and social insurance was turned into enterprise insurance.
The third stage ranged from the Third Plenary Session of the 11th CPC Central Committee in 1978 to the 14th National Congress of the Party. Along with the in depth development of reform and opening up, we have engaged in the research and promotion of the establishment and advancement of the socialist security system as an important aspect of the economic system reform. In 1984, some regions began exploration of methods for reform of the old age pension insurance system, the method of raising funds from society for retirement pension was introduced to state owned enterprises and most urban collective-owned enterprises, and it was decided to institute employee's contribution system. Some regions even boldly explored ways for the establishment of a system which integrates social pooling with personal account. Government institutions and some villages have also conducted trial reform of the pension system.
In his Government Work Report to the First Session of the Seventh National People's Congress in 1988, Premier Li Peng pointed to the need of accelerating reform of the social security system, establishing and perfecting various social insurance systems and gradually forming a social security system with Chinese characteristics. In 1990, in many of his written instructions and speeches, Premier Li Peng noted that reforms of the housing system, the insurance system and the medical system should be placed in an important position in the next 10 years, these three reforms directly concern the vital interests of the people.
The fourth stage ranged from the 14th National Congress of the Party to the present. While proposal for the establishment of a socialist market economic system was put forward for the first time, deepening reform of the social security system was also clearly defined for the first time as one of the important links in the reform of the economic system. The Decision on Some issues Concerning the Establishment of a Socialist Market Economic System adopted at the Third Plenary Session of the 14th Party Central Committee further clearly defined the goal and principle for the establishment of a new social security system. The pace of the social security system reform has notably accelerated.
Some problems currently existing in China's social security system are in urgent need of solutions through deepening relevant supportive reforms.
First, chaotic management system. There are two major problems: one is making no distinction between the government and the institution, and confusing supervision and management have both adversely affected management efficiency and increased management cost; second, policies coming from many sources and multiple management. For example, the fact that the Ministries of Labour, Personnel, Civil Affairs, and Public Health, the State Family Planning Commission, the People's Insurance Company of China respectively participated in the management of social security, plus the trade insurance introduced to 11 local pension insurance trades, has aggravated the chaos in the social security management system.
Second, imperfection of laws and systems. As a system guaranteeing the basic interest of life of all labourers, social security needs to be standardized by law and to guarantee its implementation. China's current social security system, although having gone through many years of revisions and supplements, is still very incomplete and cannot meet the needs of the development of multiple economic forms, multiple operational methods and multiple employment systems in the market economy. For example, many difficult problems related to social insurance in foreign funded enterprises have been encountered, regarding which there are no laws to go by, and there exists the problem whereby foreign funded enterprises take advantage of loopholes in China's laws and evade employees' social insurance.
Third, limited coverage of social insurance and its uneven development between regions. Most employees with China's private enterprises have not as yet participated in social insurance; the urban unemployed can only enjoy a low level social security; the development of social security in rural areas is slow and its level is low, the current coverage of rural social security is less than 5 percent of the rural population. There is a wide gap in the average social insurance expenses for labourers in various provinces and cities. The level of social insurance expenses is high in Shanghai, Guangdong, Hainan and other provinces and cities, with the highest reaching 1,326 yuan per month, and the lowest being only 100 yuan.
Fourth, a low degree of socialization. China's social security system, which is based mainly on enterprise security, limits the universality of security, and weakens enterprises' competitiveness. In addition, there are many covert but few overt security projects, therefore labourers have only shallow impression on them, although the state and enterprise have spent huge amounts of expenses, social effect is not notable."