Why can't social security cards be used nationwide? Where is the difficulty?

Social security card, also known as social security card, was originally designed according to the principle of "one card is multi-purpose and universal". At present, the social security card has made great progress in the whole country, but there is still a certain gap from the national popularization.

Hello, everyone, I am the thinking of social security experts. At present, the national all-in-one social security card is advancing steadily and has made great progress.

For example, now, direct settlement of medical treatment across provinces and different places can directly settle hospitalization medical expenses with social security cards, without having to pay in advance and then go back and forth for reimbursement procedures. Using social security cards across provinces and different places saves money, effort and worry for the insured.

A data from Ministry of Human Resources and Social Security shows that 3 1 1 cities across the country have opened social security cards for cross-regional use. Cross-regional use scenarios mainly include social security benefits such as medical settlement in different places, drug purchase in different pharmacies, and pension collection in different places.

Among them, at least 123 cities have achieved off-site settlement of drug purchases, and 95 cities have achieved off-site card collection for pensions.

Although the social security card has made great progress in the popularization of the whole country, there is still a certain distance and space to truly realize the national one-card system.

The main reason is that the overall level of social security is not high, staying at the provincial level, including endowment insurance and medical insurance, and has not yet achieved national overall planning.

In this way, due to the different levels of economic development and overall planning in different places, each place has its own small abacus, so it has not really achieved national networking. Therefore, the realization of national universality faces certain resistance.

The low level of overall planning is a long-standing problem in promoting the universal use of social security cards throughout the country, which can not be solved overnight, but will take some time to solve.

Only when social security is co-ordinated throughout the country can social security cards be universally used throughout the country have a solid foundation and conditions, which can be easily realized.

In addition, the progress of issuing social security cards varies from place to place. Some places are only the first generation of social security cards, and now social security cards have reached the third generation.

For example, Beijing's social security card is still the first generation, with no chip and no financial function, and financial function is also a condition for social security cards to be universal in the country.

At present, 365,438+065,438+0 cities across the country have opened social security cards for cross-regional use. Among them, 259 cities (accounting for 69.6%) achieved instant settlement of medical treatment in different places; 123 city realizes the settlement of drug purchase in different pharmacies; 106 medical services such as card-holding, off-site diagnosis and treatment, and medicine taking are realized in the city; Ninety-five cities and cities have realized receiving pensions in different places with cards. Among them, social security cards in Hebei, Shanxi, Inner Mongolia, Jiangxi, Shandong, Henan, Hunan, Hainan, Chongqing, Guizhou, Shaanxi, Gansu, Qinghai, Ningxia and Xinjiang all have financial functions.

In 20 17, the national medical settlement system in different places entered the trial operation stage, which means that the process of social security card one-card has taken a key step, and realizing the national "one-card" of social security card is not only a policy goodwill, but also a reform dividend.

Nowadays, social security cards between many provinces and cities are not universal, not because of technical factors, but because of the local interests of different levels of overall planning and independent funds.

The existing social security system has long followed the idea of "governing the border" in regional development, some at the county level and some at the municipal level, and the overall level is low, which has become the biggest obstacle on the road of social security card. Moreover, for a long time, local governments have treated the non-registered population differently, especially in some areas where "local protectionism" prevails and it is impossible to accept the floating population in other cities, so it will naturally not be included in the security system.

However, with the implementation of the "Internet Plus Society" model, the application scope of social security cards will be wider in the future, and it is believed that the national one-card system will also have great potential.

How can such a situation be common in the whole country? This must be coordinated at the national level.

Due to the different levels of economic development and overall planning in different places, each place has its own small abacus, so it has not really achieved national networking. Therefore, the realization of national universality faces certain resistance.

The low level of overall planning is a long-standing problem in promoting the universal use of social security cards throughout the country, which can not be solved overnight, but will take some time to solve.

Only when social security is co-ordinated throughout the country can social security cards be universally used throughout the country have a solid foundation and conditions, which can be easily realized.

In addition, the progress of issuing social security cards varies from place to place. Some places are only the first generation of social security cards, and now social security cards have reached the third generation.

In fact, because each city independently accounts for social security benefits, the level of each city is different, so their social security base will be different. For example, some cities are only prefecture-level cities, and some cities are sub-provincial cities, so it is still difficult to achieve social security coordination in the province. Different payment bases and different average social wage levels will be a major difficulty. Only by crossing the threshold of universal social security in the whole province can we hope to realize the possibility of universal social security in the whole country.

But so far, many provinces have realized the social security transfer in the inland areas of the province, so we don't need to apply for a new social security card to pay social security in different places. Although there is no need to apply for a new social security card, the balance in the social security account can only be used directly in cities in our own region. For example, if you want to buy medicine, you must go to a member of the designated medical insurance or a designated pharmacy, which shows that the province has not really realized the unification of medical insurance in the province.

It is very necessary to unify medical insurance in the whole province, because it involves the problem of reimbursement when we meet in different places. If the medical insurance in the whole province is unified, even if you participate in the medical insurance in your city, you will not be bound to see a doctor in another city, and it will be more humanized and convenient to see a doctor. For retirees, many retirees may not choose to live in their retirement places for a long time, but their medical insurance will have a great impact. They can't always rush to their retirement places for the convenience of medical reimbursement, so there will still be a lot of inconvenience.

At present, it will take some time to realize universal social security and medical insurance. Of course, if it is realized, it will undoubtedly be extremely good news for any insured person.

There are many difficulties, mainly because the level of economic development in different places is inconsistent, which leads to the difficulty of national overall planning. In addition, it used to be local planning, including system construction, and there are some problems to be solved.

Take Guangdong as an example. In 20 18 years, the accumulated balance of social security funds in Guangdong Province was1283.7 billion yuan, that is, the accumulated balance over the years exceeded 100 trillion yuan except the expenditure in that year. This is an important guarantee for pensions in Guangdong Province, and at least there is no need to worry about pensions for many years to come.

According to the social security report of 20 16, the income of enterprise employee pension insurance fund in Heilongjiang in 20 16 was 89 billion yuan, but the expenditure of 20 12 10 billion yuan failed to meet the expenditure of 32 billion yuan in the current period. Heilongjiang has also become the first province in China to spend all its pension balance.

How can such a situation be common in the whole country? This must be coordinated at the national level.

But in history, our country's pension has not been coordinated by the state. Generally speaking, it is provincial-level overall planning, and even some cities and counties have overall planning. Because the level of economic development between regions is too different, and the pension for marriage after retirement is also very different, which requires a certain financial tilt.

Social security card is actually aimed at the goal of national overall planning. Although national overall planning has not been fully realized at present, it will be realized in a few years.

According to a data from Ministry of Human Resources and Social Security, as of September 5, 20 17, the number of social security card holders in China reached 10 billion, covering more than 72% of the population, and 3 1 1 cities in China have opened social security cards for cross-regional use. Among them, 259 cities (69.6%) achieved instant settlement of medical treatment in different places; 123 city realizes the settlement of drug purchase in different pharmacies; 106 medical services such as card-holding, off-site diagnosis and treatment, and medicine taking are realized in the city; Ninety-five cities and cities have realized receiving pensions in different places with cards.

In any case, with the development of economy and technological progress, social security will gradually realize national overall planning in the future. Social security coverage will also achieve universal coverage, but it will take time.

Hello, landlord, why can't the social security card be used nationwide? What's the difficulty? The main function and function of social security card mainly refers to this medical insurance account, so our medical insurance account cannot be universal. For example, if you participate in medical insurance in a certain area, pharmacies in that area can only buy medicine or settle medical treatment with their ID cards, and you can't use the money in your personal medical insurance account across regions.

Although we have achieved cross-regional medical settlement, it can only be used in hospitals designated by designated cities, so it has great limitations. Then if we see a doctor locally, there will be no restrictions and restrictions. In other words, all hospitals and pharmacies in this area can use the medical insurance card normally as long as they meet the conditions of your medical insurance, so it will be normal in the future, which means that no matter where you go, any pharmacy can use it normally.

The main difficulties are: firstly, 1 This step is to realize the overall medical insurance in the whole province, because many provinces have not yet achieved the overall medical insurance in the whole province, which needs to be done first. Secondly, on the basis of the province's medical insurance co-ordination, if the national medical insurance co-ordination can be realized in the future, then I believe that the future social security card will not be a problem in the whole country.

Thanks for reading, please add my attention.

Why is it so difficult to pay traffic fines all over the country, and it is so difficult to use medical insurance.

Hello, landlord, why can't the social security card be used nationwide? What's the difficulty? On this issue, I think it is a prerequisite that the social security card cannot be used nationwide, and it is the national overall planning of social security. Because social security cards are not universal, it cannot be said that social security cards are universal.

But so far, we have realized the medical settlement of cross-regional medical institutions, which is feasible, but this cross-regional medical settlement can only be carried out in the designated area, so it has great limitations. To realize the 1 step of national social security co-ordination, it is necessary to realize a provincial social security co-ordination. In fact, many provinces have independent social security between their cities, but they have not achieved overall planning, so this is what we will do in the future 1.

Then, on the basis of national social security co-ordination, it may be possible to realize social security co-ordination in neighboring provinces. In this case, our social security card can be used normally with neighboring identities, which is also an improvement. However, if the national overall planning can be realized in the future, I believe it should be possible, but it is only a matter of time to wait. Therefore, the first thing to do is to plan as a whole within the province, and then to achieve national planning.

Thanks for reading, please add my attention.

State and society. State is not equal to society. There are several social components in a country, and the society can be regional or industrial. As far as social security is concerned, it is generally regional, and its source of funds is paid by employers and employees in the region. Under certain circumstances, the people's governments at or above the county level shall give financial support. Therefore, social security cards cannot be used nationwide.

What do you want to protect? It's good to say it. You work outside, so you can't report more when you are in hospital. Finally, you report it to your hometown to make up for your travel expenses.

The difficulty lies in "interests"!