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The Development of China's Undertakings for the Aged
Information Office of the State Council
of the People’s Republic of China
China
December 2006
Preface
I. State Mechanism of Undertakings for the Aged
II. Old-age Security System
III. Health and Medical Care for the Aged
IV. Social Services for an Ageing Society
V. Cultural Education for the Aged
VI. Participation in Social Development
VII. Safeguarding Elderly People's Legitimate Rights and Interests
Preface
At the end of the 20th century, the proportion of people aged 60 and
above in China accounted for over ten percent of the entire population,
and thus, according to the generally acknowledged international
standard, the age structure of Chinese population has entered the ageing
stage. The ageing of China's population accelerated in the first years
of the new century. By the end of 2005, there were close to 144 million
people over the age of 60 in China, accounting for 11 percent of its
entire population.
China is the biggest developing country in the world. As the number of
elderly people keeps increasing and ageing of population accelerates,
and due to the country's uneven development, one big challenge facing
China in its social development is how to guarantee the legitimate
rights and interests of the elderly people and promote the development
of undertakings for the aged.
The Chinese government has always cared for and paid attention to
undertakings for the aged. For years, the state has made great efforts
to promote the cultural tradition of the Chinese nation that elderly
people are respected and provided for; and taken effective measures to
explore a development mode of undertakings for the aged that suits
China's conditions. Especially in recent years, the Chinese government
has implemented the outlook of scientific development in an all-round
way and positively meet the challenge posed by the ageing of the
population. It has considered undertakings for the aged an important
part of balanced social and economic development as well as of the
building of a harmonious society, and has adopted economic, legal and
administrative measures to constantly promote the development of
undertakings for the aged.
I. State Mechanism of Undertakings for the Aged
China's goals for the development of undertakings for the aged can be
described as follows: All elderly people are to be provided for and
enjoy proper medical care. They are to be given opportunities to pass on
their experience as well as to learn new things. They should be given
the opportunity to do what they can for the society, while enjoying
their later years. In recent years, the Chinese government has worked
positively toward these goals. It has strengthened formulation of laws,
regulations and policies regarding elderly people, worked out
development plans for undertakings for the aged, perfected the work
system for care of the elderly, encouraged the extensive involvement of
the whole society in efforts to care for the aged, and conducted
international exchanges and cooperation in this regard.
Since the founding of the People's Republic of China in 1949, the state
has promulgated a number of laws, regulations and policies with regard
to elderly people, covering such areas as social security, welfare,
services, hygiene, culture, education and sports, as well as the
protection of the rights and interests of elderly people and related
industries. Over the past 20 years or so, the National People's Congress
and its Standing Committee, the State Council, and departments concerned
have promulgated some 200 laws, regulations and policies concerning
elderly people. A framework of laws, regulations and policies in this
regard has been established with the Constitution of the People's
Republic of China as its foundation, and the Law of the People's
Republic of China on the Protection of the Rights and Interests of
Elderly People as its backbone, together with other relevant laws,
administrative regulations, local regulations, rules, regulations and
related policies formulated by departments of the State Council and
local governments.
The Chinese government has promulgated and implemented the Seven-Year
Development Outline on Work Concerning Elderly People in China
(1994-2000), Outline of the Tenth Five-Year Plan for the Development of
China's Undertakings for the Aged (2001-2005) and Eleventh Five-Year
Plan for the Development of China's Undertakings for the Aged. Relevant
departments under the State Council and local people's governments at
all levels have formulated action plans for work concerning elderly
people in their departments and plans for the development of
undertakings for the aged in their localities.
The state has established a supervision and evaluation system to conduct
mid-term and final checks on the implementation of these plans, to
ensure that they are properly put into practice. It has also established
a system of statistical indices for undertakings for the aged and a
statistical work system which will provide basic data to help the
formulation of plans, supervision and evaluation in this field. Since
the 1980s, China has conducted three nationwide surveys on the elderly
population, which have provided an important basis for scientific
decision-making as regards undertakings for the aged.
The State Council has established the China National Committee on Ageing
to plan, coordinate and guide this work nationwide. It studies and
formulates development strategies and major policies for undertakings
for the aged; coordinates the relevant departments and guides them to
implement the development plans for undertakings for the aged; and
leads, supervises and checks the work at local levels.
A vice-premier of the State Council serves as the director of the China
National Committee on Ageing, which comprises 26 state-level
departments, with one senior leader equivalent to a vice-minister from
each department as its representative. An office under the committee is
responsible for routine work. Committees on ageing and related routine
work offices have been established throughout the country at the
provincial (autonomous region, municipality directly under the central
government), prefectural (city, league), county (city, district, banner)
and township (urban community) levels. Village and neighborhood
committees have special personnel engaged in undertakings for the aged.
These committees and offices have formed a complete network all the way
from the central government down to the grassroots level.
Through policies and public opinion guidance, the state is actively
engaged in creating a social environment for the development of
undertakings for the aged, leading the public at large to be concerned
with, support and participate in the development of undertakings for the
aged. It also uses the market mechanism to guide and assist enterprises
and public institutions in providing various products and services for
elderly people. It has mobilized all social resources to help national
and local ageing-related societies in their fund-raising campaigns, to
organize large recreational and sports activities for the aged, to
conduct scientific research on ageing and develop education for elderly
people. In addition, the state encourages mass organizations and
volunteers throughout the country to enrich elderly people's spiritual
and cultural lives, and provide various services for them.
The Chinese government dispatched high-level delegations to the first
and second world conferences on ageing held by the United Nations, and
other international and regional conferences on ageing. It hosted the
Follow-up Action Conference for the Asia-Pacific Area of the UN's Second
World Conference on Ageing, as well as several international and
regional conferences on ageing. It took part in formulating and actively
implemented international ageing action plans and the Asia-Pacific
region's ageing action plans. China actively engages in multilateral and
bilateral global and regional exchanges and cooperation in the field of
ageing. It has joined six international organizations engaged in this
work, and has established business contacts with related organizations
in more than 90 countries and regions. It has worked on cooperative
projects with relevant agencies of the United Nations, the European
Union, and governmental and non-governmental organizations (NGOs) of
some countries in scientific research on ageing, helping elderly people
out of poverty and education for elderly people.
II. Old-age Security System
China regards the establishment of an old-age security system
corresponding to the level of the country's socio-economic development
and ageing population as an important task and a priority area in its
undertakings for the aged. In recent years, China has gradually
established and improved an old-age security system involving the
government, society in general, the family and individuals in its
efforts to guarantee the basic life of elderly people.
Establishing an Old-age Insurance System in Urban Areas
In recent years, the Chinese government has gradually established a
uniform basic old-age insurance system in urban areas that covers all
the employees of different types of enterprises, persons engaged in
individual businesses of industry or commerce, and people who are
employed in a flexible manner. By the end of 2005, the number of people
participating in the basic old-age insurance scheme across China had
reached 175 million, 43.67 million of whom were retirees. The
disbursement of the old-age insurance fund was 404 billion yuan. The
state has also set up an adjustment mechanism of the basic pension, by
which the state adjusts the level of the basic pension of enterprise
retirees in light of price fluctuations and wage raises of enterprise
employees. A retirement system for staff members of government agencies
and public institutions has been established; these people get their
pension either directly from the central government finances or from
their former employers at the rate stipulated by the state.
The state raises funds for the basic old-age insurance through multiple
channels so as to increase the fund reserve needed for the increasingly
larger gray population and ensure that enterprises' employees get their
basic pension in full and on time. The state has made greater efforts to
ensure that payments are made to the funds for the basic old-age
insurance. By the end of 2005, the balance of China's basic old-age
insurance funds was 404.1 billion yuan, and the total payment to the
funds that year was 431.2 billion yuan. The government has also
increased its financial input into the fund. In 2005 some 65.1 billion
yuan of the basic old-age insurance fund came from government finances
at different levels. Besides, a nationwide social security fund has been
established, and by the end of 2005 the accumulated total was 201
billion yuan.
The state is actively developing supplementary old-age insurance. It
guides and helps enterprises with adequate capacity to set up annuities
for employees. Both enterprises and employees pay toward the annuity, so
that funds are accumulated and managed under individual accounts. By the
end of 2005, a total of 24,000 enterprises all over China had set up
enterprise annuities, with 9.24 million employees participating. The
state also encourages the development of old-age insurance attached to
personal savings deposits; and guarantees the livelihood of elderly
people through multiple channels.
Probing the Establishment of an Old-age Security System in Rural Areas
About 60 percent of the elderly people in China live in rural areas.
Based on the socio-economic development level in rural areas, the
Chinese government emphasizes the role of the land and the family in
providing for people advanced in age. It has begun to study the
establishment of an old-age social security system in rural areas in
order to guarantee the basic livelihood of the elderly people there.
Giving full play to the role of the land in ensuring elderly people's
livelihood and protecting farmers', including the elderly people's,
right to operate land contracted to them. The Law of the People's
Republic of China on the Protection of the Rights and Interests of
Elderly People stipulates that an elderly person's guardian is obligated
to till the land contracted to the elderly person he/she supports, and
also to tend forestry and livestock under the elderly person's charge.
The revenue from these will go to the elderly person as a guaranteed
source for his/her basic livelihood. The state encourages people to sign
a "family support agreement," which stipulates how the elderly person is
to be provided for and what level of livelihood he/she will have.
Village (neighborhood) committees or other relevant organizations will
supervise the implementation of the agreement in order to make sure that
elderly people receive the support they are entitled to. At present, all
families in rural areas are encouraged to sign a "family support
agreement." By the end of 2005, some 13 million "family support
agreements" had been signed.
Probing the establishment of an old-age social insurance system in rural
areas. By the end of 2005, about 1,900 counties in 31 provinces,
autonomous regions and municipalities under the central government had
established their own old-age social insurance systems. More than 54
million farmers were involved, with the accumulated insurance funds
reaching some 31 billion yuan. And more than three million farmers now
receive pensions. The total disbursement of old-age insurance payments
in 2005 was 2.13 billion yuan.
China actively develops social security systems of various forms, and
priority is given to a special group of elderly people to be covered in
the social security system in rural areas. These are elderly people who
have lost the ability to work, who have no source of income, and who
have no legal guardians whatsoever to support them, or their legal
guardians do not have the ability to support them. They enjoy the
state's "five guarantees" system, which means that their food, clothing,
housing, medical care and burial expenses are taken care of and
subsidized by the government.
At present, more than 4.6 million elderly people across the country are
benefiting from this government policy. For rural couples who have
followed the state family planning policy and given birth to only one
child (or two daughters), when they turn 60 they receive a bonus from a
special fund made available by the central and local governments. By the
end of 2005, some 1.35 million people had received such a bonus.
The Chinese government pays attention to taking care of elderly farmers
whose land has been requisitioned in the process of urbanization. By
gradually including those farmers in the social security system, the
government makes sure that their basic livelihood is permanently
guaranteed. So far, 15 provinces, autonomous regions, and municipalities
directly under the central government have drawn up social security
policies regarding farmers whose land has been requisitioned. About six
million farmers are now covered by social security schemes, and some 50
billion yuan has been raised for this purpose.
Establishing Aid System for Impoverished Elderly People
The Chinese government has included the alleviation and elimination of
poverty among elderly people in its anti-poverty strategy and the plan
for the development of undertakings for the aged. The state has
established a system that guarantees a minimum standard of living for
urban residents. Families with per-capita income lower than what is
needed to ensure the minimum standard of living in their area are
entitled to a special allowance according to the standard.
In 2005, some 22.33 million impoverished urban residents (including
impoverished elderly people) received such allowances, including almost
all the people eligible for receiving the minimum living allowance. In
the rural areas, the state practices an aid system by which families in
most straitened circumstances receive a fixed amount of aid regularly or
other livelihood assistance when the need arises. In regions where
conditions are appropriate, the state is actively probing the
establishment of a system that guarantees the minimum standard of living
for rural residents.
At present, 8.65 million rural residents have been designated as people
in the most serious financial difficulties, and they receive fixed aid
from the government regularly. Some 9.85 million rural residents are
entitled to receive the minimum living allowance, including poor elderly
people who do not meet the requirements of the "five guarantees" system.
The state encourages areas with adequate capacity to build homes for the
aged, grant old-age subsidies and, for those over the age of 80, a
special allowance in order to improve the lives of elderly people.
Meanwhile, local governments are actively organizing "helping the poor
through production" schemes. They are doing their best to help poor
people in their 60s who are generally healthy and strong enough to work
to engage in farming, aquaculture and processing business, so that they
can support themselves. China should give full play to the role of all
social sectors in helping poor elderly people, encouraging NGOs like the
old-age foundations to be found all over the country, as well as
enterprises, public institutions and individuals to provide charitable
and other assistance.
Various other forms of assistance are officially encouraged, such as
pairing up between a well-off family and a poor elderly person so that
the former may give more help to the latter, making commitments to
support poor elderly people, doing volunteer work for them or paying
visits to convey greetings to them. Therefore, various types of
assistance are provided to the poor elderly people.
III. Health and Medical Care for the Aged
Improving medical care and service for the aged and enhancing their
health are an important part of the efforts for the overall improvement
of the people's health and quality of life in an ageing society. The
Chinese government pays great attention to medical care for senior
citizens in both urban and rural areas by improving medical and health
services for them so as to meet their basic medical needs and improve
their mental and physical health.
Strengthening Medical Care for the Aged in Urban and Rural Areas
The state has established a basic medical insurance system which
combines the unified planning program with individual accounts for urban
employees. Under this system, retirees do not have to pay the basic
insurance premiums, and they are given appropriate consideration in the
ratio of medical costs paid between what is put into their individual
accounts by their former employers and the part they have to pay
personally. The general practice now is that large amounts for the
medical costs for elderly people's common and chronic diseases are
covered by the funds under the unified planning program, thus reducing
the percentage paid by the individual retirees. By the end of 2005,
retirees covered by the basic medical insurance in China had reached
37.61 million.
The state has taken supplementary medical care measures to reduce the
burden of medical costs for the elderly. The state has set up a medical
subsidy program for civil servants, and such expenditure, including the
part for retirees, is covered by the state revenue. The government
encourages the establishment of a subsidy system to cover hefty medical
costs throughout the country. The fund collected from individual or
enterprise payments will be used to cover medical costs in excess of the
maximum coverage under the unified planning program for employees and
retirees who suffer from major, serious or chronic diseases.
Where conditions permit, enterprises have set up a supplementary medical
insurance system to cover medical costs in excess of the maximum
coverage under the basic medical insurance. The Chinese government is
exploring ways to set up a social medical aid system in cities by
pooling medical-aid funds from many channels, such as state revenue
allocations, public lottery welfare funds and public donations, to
subsidize the medical costs of people in dire need. By the end of 2005,
experimental work had been conducted in 1,119 counties (cities,
districts, banners), providing medical aid in 1.633 million cases.
Experimental work began in 2003 to set up a new type of rural
cooperative medical system by pooling funds from individual payments,
collective support and government subsidies. By the end of June 2006,
such experimental work had been extended to 1,399 counties (cities,
districts, banners), covering 495 million rural dwellers. Up to 396
million farmers, and over 73 percent of the elderly people in the
experimental areas, had participated in this new type of rural
cooperative medical system. A total of 14.412 billion yuan had been paid
in 282 million cases as subsidies to farmers covered by the new type of
rural cooperative medical system.
The central government requires local governments to give appropriate
preferential treatment to people over the age of 70 participating in the
new type of rural cooperative medical system to meet their special
needs. A rural medical aid system has been established, with funds from
government appropriations and public donations to help the elderly
covered by the "five guarantees" system and poor farmers to join the new
type of rural cooperative medical system. The medical aid system
provides certain subsidies to poor farmers whose high medical costs for
serious diseases have affected their basic family life, and has to a
certain degree alleviated the basic medical burdens on the aged. So far
the rural medical aid system has been set up in all of the 31 provinces,
autonomous regions and municipalities directly under the central
government. In 2005, a total of 1.08 billion yuan of medical aid subsidy
was given to farmers in 11.12 million cases.
Special activities to provide the aged with dedicated medical aid and
healing aid are going full steam ahead in China. The National
Development Outline for the Disabled and the Action for Helping Seniors
to Regain Their Eyesight, conducted mostly in the western areas, have
given operations to about six million elderly people in remote areas
suffering from cataracts, and helped poor and disabled seniors to
recover or regain physical functions by providing artificial limbs or
hearing aids for free.
Developing Medical and Health Services for the Aged
The state has strengthened the planning and leadership of medical and
health work for seniors. The Chinese government has formulated and
implemented the Plan for Medical and Health Work for Seniors in the
Eighth Five-Year Plan Period (1991-1995), issued policy documents twice
on improving medical and health work for seniors, including work in a
series of health development plans such as the Outline for National
Health Education and Health Improvement Work (2005-2010), Outline for
the Development of China's Nursing Work (2005-2010) and Plan for China's
Mental Health Work (2002-2010). The National Health Work for Seniors
Leading Group and the Experts Consultative Committee for Health Work for
Seniors have been set up to strengthen the guidance, coordination and
scientific decision-making in this regard.
The state encourages large- and medium-sized medical institutions, where
conditions permit, to open special departments or outpatient departments
for senile diseases to provide specialized services to seniors. The
establishment of medical service institutions according to regional
health plans is also encouraged to help prevent and treat senile
diseases, provide healing service for the aged and hospice care.
Priority and preferential treatment for people over the age of 70 are
generally provided in Chinese medical institutions in terms of
registration, treatment, obtaining medicine and hospitalization. The
Outline for National Economic and Social Development in the 11th
Five-Year Plan Period issued by the government in 2006 included the
Nursing with Care Project and speeding up the development of nursing
facilities for elderly patients and the disabled as key tasks.
The establishment of an urban community health service system has been
speeded up nationwide, with emphasis on medical and health work for the
aged, so as to provide safe, efficient, convenient and economical health
services to the elderly. Grassroots medical institutions all over the
country are encouraged to convert into community health service
institutions, and to provide health care, medical treatment, nursing and
healing services for the aged.
By the end of 2005, over 15,000 community health service centers had
been set up in Chinese cities, and urban community health services were
available in 95 percent of the cities at or above the prefectural level,
and in 86 percent of the districts under municipal jurisdiction and the
county-level cities. With visiting and taking care of patients at home,
daily care and hospice care provided by grassroots medical institutions
according to the special needs of the elderly, their health problems can
be basically solved within the community.
In consideration of health and physical characteristics of the aged, the
Chinese government has made positive efforts in organizing hygiene and
health care publicity work. Radio, TV, newspapers and community bulletin
boards are all used to publicize common knowledge of how to keep fit and
healthy in old age. Hospitals at various levels provide regular health
lectures throughout the year to local communities, providing health
advice to those suffering from chronic diseases.
The state has set the standard for healthy seniors, and organized
national public appraisals of healthy seniors as a way to promote a
scientific and healthy lifestyle. The "three-level prevention and
treatment work" (of heart, brain and blood diseases as well as diabetes
and other chronic diseases) is being stressed, and the prevention and
treatment guidance and management plan for high blood pressure and
diabetes has been formulated and gradually promoted to facilitate the
early discovery, diagnosis and treatment of chronic diseases related to
old age. Starting in 1991, the Chinese government began to include the
prevention and treatment of senile diseases in the state scientific and
technological plan. So far, more than 50 institutions in the country are
engaged in research to prevent and treat senile diseases.
Promoting Mass Sports and Fitness Exercises among Elderly People
The Chinese government promotes mass sports and fitness exercises among
elderly people with an aim to improve their physique and health. By the
end of 2005, all counties and higher administrative units, 70 percent of
urban communities and 50 percent of townships in rural areas had
established sports associations for seniors, which are strengthening
organization work and guidance for the mass sports activities of the
aged. In recent years, the state initiated the National Fitness Project,
which helps to set up public sports and fitnes s grounds and facilities,
and to provide space for elderly people to do physical exercises.
At present, there are over 30,000 such sports grounds throughout the
country. Since 2001, the "Millions of Seniors' Fitness Exercise
Activities" organized in China have attracted more and more senior
participants, so it is estimated that there are now more than 58 million
elderly people doing regular sports and fitness exercises in China.
IV. Social Services for an Ageing Society
To speed up the building of a social service system suitable for an
ageing society is an important measure to meet elderly people's growing
needs for social services. In recent years, the Chinese government has
made great efforts to develop community services for the aged and to
continually improve elderly people's living environment. Meanwhile,
social service institutions for the aged are being encouraged to meet
seniors' needs for diversified social services. So far, a social service
system for the elderly has taken initial shape, based on family care for
the aged, and supported by community services and supplemented by
institutional services for seniors.
The state has promulgated a series of policies and documents, such as
Opinions on Promoting Urban Community Construction Nationwide and
Opinions on Strengthening and Improving Community Services, and has
taken active measures, increased its input, strengthened community
construction and service work, so as to provide diversified and more
convenient services to community residents, including the aged, and to
constantly improve the social service environment for them.
By the end of 2005, there were 195,000 urban community service amenities
and 8,479 comprehensive social service centers in China. Family visits,
regular service provided at fixed venues, and mobile service are
available in most places, providing care and housekeeping services,
emergency aid, and other free or reduced-payment services for the aged.
In the period 2001-2004, the Chinese government invested a total of 13.4
billion yuan in the "Starlight Program" to build community welfare
service facilities for seniors. The program helped to set up 32,000
"Starlight Centers for Seniors," which provide family visit, emergency
aid, day care, health and healing services, and organize recreational
activities, benefiting over 30 million elderly people. In 2005, there
was an average of 1.32 urban welfare institutions for seniors in every
community committee, and one such institution for every 9.8 neighborhood
committees.
In recent years, the state has increased its investment in the building
of social welfare institutions, targeting elderly people who have lost
the ability to work, who have no source of income, and who have no legal
guardians whatsoever to support them, or their guardians do not have the
ability to support them. The government actively promotes the
construction of senior citizens' lodging houses, elderly people's homes
and nursing homes for the aged, to provide institutional services for
seniors with different financial and physical conditions, especially
those over 80, sick and disabled.
The building of elderly people's homes is also promoted in rural areas
for people in the "five guarantees" category. The government has issued
policy documents including Opinions on Accelerating Socialized Welfare
Services and Opinions on Accelerating the Development of Social Services
for the Aged to speed up the development of institutional social
services for the aged. Various modes are encouraged to mobilize social
resources for this purpose: state built and privately run, privately
operated with government support, government subsidy, and services
purchased by government.
By the end of 2005, there were 39,546 institutions providing services
for seniors, such as social welfare institutions for the aged, elderly
people's homes, senior citizens' lodging houses, and nursing homes for
the aged, with a total of 1,497 million beds, including 29,681 rural
elderly people's homes with 895,000 beds. The state has intensified its
administration of standardized social institutional services for the
aged by issuing the Assessment Standard for State-level Social Welfare
Institutions for the Aged and the Basic Norms for Social Welfare
Institutions for the Aged, to improve the quality and level of such
services.
The Chinese government is endeavoring to train management and service
personnel to provide services for the aged through educational course in
school, work-and-learning programs and on-the-job training. The
Provisional Regulations on the System of Assessing the Professional
Level of Social Workers and the Methods for Implementing Professional
Proficiency Tests for Social Workers, both promulgated by the state,
encourage professional social workers and college graduates majoring in
social work to work in social welfare institutions.
The government has also laid down the standards and qualifications for
the occupation of professional nurses for the aged, in order to
strengthen the building of professionalism and standardization of this
contingent. By the end of 2005, nearly 20,000 people had obtained such
qualifications.
The government encourages establishment of volunteer organizations to
carry out the program known as Golden Sunshine Action throughout the
country, has mobilized many teenagers and people of all walks of life to
join volunteers to take care of the aged. Their services cover many
areas including taking care of seniors' everyday lives and providing
medical and health care as well as legal aid by serving in social
service institutions for the aged and forming one-on-one relationships
with the aged at home. So far, more than 630 million hours of volunteer
service have been provided in 13 million cases for over 2.8 million
elderly people, and volunteers have set up over 60,000 service centers
for the aged.
V. Cultural Education for the Aged
The promotion of cultural education for elderly people is a requirement
for enhancing the level of their spiritual and cultural life. China pays
much attention to the development of cultural education for the aged in
order to enrich their cultural life and satisfy their needs in this
regard.
The Chinese government has set up comprehensive activity centers with
adequate multi-functional facilities for seniors in large- and
medium-sized cities; cultural activity centers for seniors in counties
(cities, districts and banners); activity stations (sites) for seniors
in townships, towns and communities; and activity rooms for seniors in
grassroots villages and neighborhoods.
By the end of 2005, there were over 670,000 amenities for seniors'
recreational activities in Chinese urban and rural areas. Governments at
all levels have designated special activity venues for seniors in both
old and new public-welfare cultural establishments, and cultural
activity venues under the administration of government institutions have
also been opened to the elderly. Public cultural service establishments
such as libraries, cultural centers, art galleries, museums, and science
and technology centers supported by state funds, as well as public
recreation places, including parks, gardens and tourist sites, are open
to seniors free or at a discount. As a result, the social and cultural
life of the elderly is continuously improving.
The state has made positive efforts to provide spiritual and cultural
products suitable for senior citizens. Central and provincial radio and
TV stations broadcast programs and special features for elderly people.
By the end of 2005, China had published 24 newspapers for seniors, with
a total circulation of 2.8 million copies, and 23 magazines and
periodicals, selling some 3.058 million copies.
Large quantities of literary and artistic works popular among elderly
people have been created in literary, movie and television, theatrical
and publication circles. Cultural departments and institutions at
various levels organize art troupes to create and give performances
warmly welcomed by elderly people at grassroots units.
The Chinese government positively promotes and supports all kinds of
cultural and recreational activities beneficial to the mental and
physical health of seniors, and allocates special funds every year for
such large-scale activities as national performances by elderly people
and the Chinese Elderly People's Chorus Festival, and for international
cultural and artistic exchanges for the elderly. Diversified and healthy
cultural activities for the elderly are frequently organized in
communities throughout the country.
Public cultural institutions such as art centers, cultural centers and
cultural stations make it a point to give guidance to elderly people's
cultural activities, and meanwhile, have cultivated a contingent of
amateur art and literary activists among seniors, who play an important
role in enlivening and enriching the spiritual and cultural life of the
elderly. Mass recreational organizations of elderly people in both urban
and rural areas are growing rapidly, forming the backbone of elderly
people's cultural activities.
The state attaches importance to protecting elderly people's right to
education, and has increased financial support for such endeavors.
Governments of different levels, departments concerned, enterprises and
public institutions have established model institutions of higher
learning for the elderly.
On the basis of existing provincial, municipal and county-level mass
cultural facilities, education for seniors has been developing through
different channels and at various levels, aiming to achieve the goal of
making higher education available for elderly people in every county,
and extending to townships and communities.
In some places, modern means of telecommunications have been fully
utilized to open TV and online schools for the elderly to expand
coverage of education for the aged. Today, an educational system for
elderly people that is multi-level, multi-form and multi-disciplinary
with different lengths of schooling has taken initial shape. Studying in
elderly people's schools helps seniors to broaden their knowledge,
enrich their lives, refine their sentiment, improve their health and
serve society. By the end of 2005, there were over 26,000 such schools
in China, with a total enrollment of 2.3 million elderly students.
VI. Participation in Social Development
The state values and cherishes senior citizens for their knowledge,
experience and skills, and respects them for their good ethical values.
It thus makes vigorous efforts to create conditions for senior citizens
to bring into full play their expertise and capability, and gives them
encouragement and support to integrate into society and continue to make
contributions to the social development of China.
The Law of the People's Republic of China on the Protection of the
Rights and Interests of Elderly People has a special chapter on
protecting the rights and interests of elderly people to participate in
social development. China has issued a development plan for elderly
people that includes, as an important component, the encouragement of
elderly people to participate in social development, and has made
special policies to bring into full play the expertise of retired
scholars and professionals.
In urban areas, governments at all levels guide senior citizens to
participate in the fields of education and training, technological
consultation, medical and health work, scientific and technological
development and application, and care for the younger generation, in
accordance with the demands of economic, social, scientific and
technological development.
In rural areas, governments encourage people in their 60s to engage in
farming, aquaculture and processing activities. Statistics show that
among the elderly people of China, in urban areas 38.7 percent
participate in public welfare activities, and 5.2 percent still have
paid work; in rural areas, 36.4 percent are engaged in farming.
In 2003, the Chinese government started to organize the Silver Hair
Action program, aimed at enabling senior intellectuals to apply their
scientific and technological knowledge and expertise to aid the western
regions and other under-developed areas in their localities. So far,
senior citizens involved in the Action program have treated over 200,000
patients and trained 38,000 medical personnel and primary and middle
school teachers in 24 provinces, autonomous regions and municipalities
directly under the central government.
And a volunteer program named Loving Care for Helping the Growth of the
Young is being carried out around the country. Volunteers from among
healthy people in their 60s, through the Moral Education Action,
Publicity Action, Inspection Action, Protecting Children Action and
Caring Action programs, are helping teenagers to solve study, life and
psychological problems. These programs have already been launched in
over 100 cities nationwide.
Under the guidance and with the support of the government, 13 national
associations for senior citizens have sprung up, including the China
Senior Professors Association, Association of Senior Scientists and
Technicians and Association of Senior Lawyers, branches of which have
appeared all over China. The membership of China Senior Professors
Association and Association of Senior Scientists and Technicians
together exceed 650,000.
In local areas, societies with senior intellectuals as the mainstay have
been founded, such as the Association of Retired Engineers, Association
of Senior Teaching Staff and Association of Retired Medical Workers,
which help their members to continue to make contributions to the social
and economic development of China. Local governments attach importance
to the building of grassroots senior organizations in urban and rural
areas.
By the end of 2005, China had 317,000 such associations in both urban
and rural areas, playing an active role in organizing large numbers of
elderly people to take part in grassroots community construction and
public welfare activities, and safeguarding the rights and interests of
elderly people.
In recent years, the state has promulgated the Design Codes for
Accessibility of Urban Roads and Buildings, and formulated the Tenth
Five-Year Plan on Constructing Barrier-Free Facilities, and a number of
similar regulations such as Standards for Barrier-Free Facilities and
Equipment in Civil Airport Passenger Terminal Areas, Design Codes for
Accessibility of Railway Stations and Junctions, Design Codes for
Construction of Railway Stations for Passengers, Design Codes for
Equipment Used for Passenger and Freight Transport at Railway Stations
and Premises.
Construction of barrier-free facilities on roads, in stations, airports,
shops, at bus stops, in residential areas and other public buildings in
large and medium cities have been developing rapidly, creating
convenience for senior citizens in their daily lives and enabling them
to engage more fully in social activities. A campaign to build
demonstration cities/districts of barrier-free facilities is being
carried out around the country, and 12 cities, including Beijing,
Shanghai and Tianjin, have been listed among the first to build such
bases.
VII. Safeguarding Elderly People's Legitimate Rights and Interests
The Chinese government respects and protects the legitimate rights and
interests of elderly people, and employs legal and ethical means to
strengthen this work so as to promote realization of legitimate rights
and interests of the aged.
The Constitution of the People's Republic of China stipulates that
"Chinese citizens have the right to material assistance from the state
and society when old, sick or unable to work;" "Citizens above the age
of 18 are obliged to support their parents;" and "There must be no
mistreatment of senior citizens, women or children." The basic laws of
China, including the Law of the People's Republic of China on the
Protection of the Rights and Interests of Elderly People, General
Principles of the Civil Law of the People's Republic of China, Law of
Succession of the People's Republic of China, Marriage Law of the
People's Republic of China, Criminal Law of the People's Republic of
China, and Law of the People's Republic of China on Public Security
Administration Punishments, all clarify the rights of senior citizens
and stipulate the legal punishments for acts infringing on their rights.
So far, 30 provinces, autonomous regions and municipalities directly
under the central government have promulgated and enforced local
regulations on the protection of the rights and interests of senior
citizens. The state fully respects and cares for senior citizens in
social life. In 2005, the government issued Opinions on Strengthening
the Work of Care for Senior Citizens, requiring the departments
concerned to give preference to senior citizens regarding economic
support, medical care, everyday services, cultural recreation and
exercise, and rights protection. Similar policies on special treatment
for senior citizens have been promulgated in all provinces, autonomous
regions and municipalities directly under the central government,
enabling seniors to fully enjoy social respect and care.
The People's Court takes very seriously the handling of cases of
mistreating, abandoning and harming seniors, punishing in accordance
with the law crimes infringing on senior citizens' rights of person and
property, and gives priority to lawsuits concerning seniors' support and
medical care in putting on file, adjudicating and executing these cases.
Some grassroots people's courts have set up "seniors tribunal" to handle
civil cases concerning senior citizens, and established the jury system
for cases involving seniors.
The Supreme People's Court of China has formulated regulations on
judicial assistance, and on postponing, reducing or exempting court
costs for poor senior citizens. In 2005, more than 30,000 seniors
received judicial assistance. Public security agencies severely crack
down on illegal acts or crimes infringing on the legitimate rights and
interests of senior citizens in accordance with the law, so as to
protect the safety of their persons and property.
Judicial and administrative departments make vigorous efforts to provide
legal assistance and services to senior citizens. And local legal
assistance and service agencies give top priority and preferential
treatment to seniors. Grassroots people's mediation organizations in
both urban and rural areas are playing a significant role in settling
disputes concerning senior citizens and protecting their rights and
interests. From 2001 to 2005, each year legal service agencies provided
assistance to seniors involved in over 40,000 cases, served as agents
and provided services in over 400,000 similar lawsuits and non-lawsuits,
and settled over 400,000 senior-concerned disputes.
The standing committees of the people's congresses at all levels conduct
regular or irregular inspections on law enforcement in this regard,
ensuring that government departments are fulfilling their responsibility
to protect the legitimate rights and interests of senior citizens. From
2001 to 2005, standing committees of people's congresses above the
county level made altogether more than 3,000 inspections on the
enforcement of laws and regulations relating to senior citizens.
Meanwhile, people's political consultative conferences at all levels
fulfill the function of democratic supervision, offering advice to
governments on how to improve the work of protecting the rights and
interests of senior citizens. From 2001 to 2005, members of the National
Committee of the Chinese People's Political Consultative Conference made
nearly 1,000 proposals concerning senior citizens. Government
departments at all levels are improving the work of handling petitions
and visits, in order to make sure that the channel for the people's
supervision is unimpeded.
By letters and visits, senior citizens protect their rights and air
their opinions and advice. In 2005, agencies on ageing around China
handled altogether nearly 400,000 letters and visits from senior
citizens. The news media too has carried out different forms of
supervision by public opinion centering on the issue of protecting the
rights and interests of senior citizens.
The Chinese government attaches importance to publicizing and
popularizing laws, regulations and policies concerning senior citizens.
It has included the Law of the People's Republic of China on the
Protection of the Rights and Interests of Elderly People in the Third
Five-Year (1996-2000), Fourth Five-Year (2001-2005) and Fifth Five-Year
(2006-2010) plans on spreading general knowledge of the law, and
launched educational activities in varied forms, strengthening the
people's awareness of the importance of protecting seniors' legitimate
rights and interests, as well as seniors' self-protection awareness.
Governments at all levels have adopted a variety of methods to
invigorate the tradition of the Chinese nation of respect and support
for elderly people, and improve people's awareness of the importance of
respecting seniors. Senior Citizens' Day is celebrated nationwide.
On the Double Ninth Festival (the ninth day of the ninth lunar month)
and local Senior Citizens' Day, government departments concerned
actively organize large-scale educational activities and activities for
respecting senior citizens. Local governments target teenagers for
education in respect for senior citizens, include relevant content in
primary and middle school courses, and conduct the Educational Activity
of Respecting, Loving and Helping Senior Citizens among teenagers, and
boost a sound social environment for giving respect to and providing for
the aged.
China has made obvious achievements in its undertakings for the aged.
However, as a developing country with a population of 1.3 billion, China
still has problems and shortcomings in the work concerning elderly
people. For example, laws and regulations concerning senior citizens
need further improvement, and there are still acts infringing on the
legitimate rights and interests of elderly people; the social security
system is yet to be perfected; elderly people with difficulties in their
everyday lives in some urban areas do not have adequate social security;
the problem of impoverished elderly people in some rural areas is still
conspicuous; and a social atmosphere of respecting elderly people needs
to be further developed.
In China, the task of solving problems concerning elderly people and
continuously promoting the development of undertakings for the aged
remains an arduous one. At present, the population of senior citizens in
China is growing by three percent every year. Facing the growing
challenge of the ageing population, the Chinese government will adopt
more effective strategies to promote the undertakings for the aged in
coordination with economic and social development, in order to enable
senior citizens to share the fruits of economic and social development.
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