6月19日,省劳动和社会保障厅副厅长张德佑在全省医疗保险制度改革座谈会上就医疗保险制度改革中的几个具体政策问题发了言。关于缴费基数。他说,应以用人单位在职职工工资总额作为缴费基数(单基数),而不是以在职职工工资总额和离退休费用两部分为基数(双基数),这是国务院和省政府文件确定的一项原则,之所以确定这一原则,一是符合建立独立于企事业之外的社会保障体系的要求,对离退休人员逐步实行社会化管理;二是目前养老、失业、工伤等社会保险都实行单基数,便于同其他险种衔接,便于社会保险统一管理;三是公平新老行政、事业、企业单位的缴费负担,利于企业间的公平竞争。此外,以工资总额作为社会保险缴费基数也是国际惯例。这个问题要统一到国务院和省政府规定上来,考虑到退休人员医疗费用高,人口老龄化问题加剧等原因,基本医疗保险费多渠道筹措资金的问题,应逐步探索完善。 On June 19, Zhang Deyou, deputy director of the Provincial Office of Labor and Social Security, made a statement on several specific policy issues in the reform of the medical insurance system at the reform meeting of the province’s medical insurance system. About payment base. He said that the employer’s employees’ total wages should be used as the base for paying contributions (single-base) rather than on the basis of the two-part base salary (double-base) of the incumbent’s total salary and retirement expenses. This is a set of documents identified by the State Council and the provincial government. In principle, the reason for determining this principle is that it meets the requirements for establishing a social security system that is independent of enterprises and institutions, and gradually implements socialized management for retirees; secondly, social insurance such as pension, unemployment, and work-related injuries are all currently implemented. The base number facilitates the convergence with other types of insurance and facilitates the unified management of social insurance. Third, the payment burden on fair and old administrative, business and business units is conducive to fair competition among enterprises. In addition, it is also international practice to use total wages as the base for social insurance contributions. This issue must be unified to the State Council and the provincial government. Taking into account the high medical costs of retirees and the intensification of the population aging problem, the issue of raising funds for basic medical insurance through multiple channels should be gradually explored and improved.