Chapter 254 Is it difficult to open a hospital?(1/2)
In fact, the idea of recruiting a large number of individual booksellers and cooperating with them through franchising to first establish a regional bookstore chain group and then further expand it into a national chain newsstand group was just an idea that came to Cao Zhiqiang, and he had not formally held a meeting with anyone yet.
discuss.
To be precise, when Cao Zhiqiang went to the department store to buy things, he only needed to drink tea and rest in the teahouse because he did not need to do it himself. So from that time on, he had been thinking about this matter.
But at that time, although Liu Donghai also served as a temporary bodyguard and secretary, accompanying Cao Zhiqiang, it was impossible for Cao Zhiqiang to talk to Liu Donghai hastily about the newsstand chain group.
But it is precisely because Cao Zhiqiang has been thinking about this "huge" project that he returned to the courtyard and met his blood sister. He was originally talking about her future work, but he involuntarily involved his own.
A big project is coming.
By the way, Cao Zhiqiang also briefly expressed his previously immature thoughts to his own sister Cao Jiajia in the pavilion of this courtyard.
In fact, Cao Zhiqiang didn't ask Cao Jiajian to give any good advice. He just wanted to find a reliable and strict person to talk to him to make his thinking clearer.
If you have to make an analogy, it's like having a brainstorming meeting and finding someone to talk to.
Of course, Cao Jiajia didn't think so much, and she didn't know that Cao Zhiqiang simply wanted to find someone to talk to. She just instinctively felt that what Cao Zhiqiang said was too big and a little beyond her imagination.
In other words, due to factors such as limited knowledge, Cao Jiajia believed that Cao Zhiqiang was doing it entirely for himself, in order to arrange a good job and a good future for himself, so he launched such a large-scale operation to recruit thousands of self-employed people, and his purpose was to establish a medical
So, let her, Cao Jiajia, be the director.
This made Cao Jiajia a little panicked.
"Zhiqiang." Cao Jiajia frowned after listening to Cao Zhiqiang's ramble.
"We are doing very well now, and I don't insist on any leadership. Just find me a hospital, such as a factory-run hospital, and let me continue to be a nurse.
But you can’t do anything illegal and disciplinary for me, this is not okay!”
After listening to Cao Jiajia's words, Cao Zhiqiang, who was still resuming his thoughts, was stunned. He looked at Cao Jiajia, who had a worried look on his face, and immediately understood.
Obviously, the other party thought too much and thought that he wanted to use power for personal gain.
After thinking about it, Cao Zhiqiang decided not to discuss this with his sister.
Anyway, judging from my sister's situation, I can arrange whatever I want for her.
In addition, Cao Zhiqiang has now come to think about it. For someone like his sister, directly letting her be the leader is indeed too big a step and can easily lead to confusion.
It's better to arrange for her to go to the factory-run hospital and continue working as a nurse for a while, and then think of other ways.
As for the medical clinic, this must be done.
It's not because of his sister, but this is part of Cao Zhiqiang's entire plan.
In fact, the current Cao Zhiqiang is no longer blind when he first came here, he already has some understanding of this era.
Why in this era does everyone envy employees of state-owned enterprises?
It’s not just a matter of salary, there’s also an issue of hidden benefits.
This hidden benefit is not just a matter of bonuses or not, or industrial coupons.
But something more real - social security!
Of course, there was no word for social security during this period, but it was called labor insurance, or labor insurance for short!
This labor insurance basically consists of two parts, including pension and medical benefits.
The specific overall planning unit also has two parts.
The first part refers to the cadres of government agencies and institutions, that is, those people whose files are in the Personnel Bureau.
The labor insurance of these people is all the responsibility of the national treasury and is paid by local finances. The specific welfare benefits are calculated according to their levels.
The other part refers to the employees of the enterprise, that is, these people whose files are in the labor bureau.
The labor insurance of these people is now the responsibility of the labor union.
Specifically, overall planning is generally based on the percentage of the income of all workers in the country.
For example, 3% of workers' wages are withdrawn every month and deposited into the labor insurance coordination account of the Federation of Trade Unions.
In other words, the labor insurance of enterprises and the labor insurance of government agencies and institutions have been two lines and two pools since the 1950s, and they are not the same thing.
The same goes for medical insurance. People in government agencies and institutions are divided into two pools as workers in enterprises. But there is one thing that is the same, that is, discounts are based on the level of service and seniority.
That is to say, the higher your level of service, the more favorable the discount on medical expenses.
If you reach certain very high levels and have seniority, medical expenses are completely free.
On the surface, labor insurance benefits for government agencies and public institutions are even higher.
But in actual operation this is not the case.
Because since the 1950s, companies have been more popular and their income has been higher.
It is precisely because of this that workers had the highest status and were the most enviable in that era.
Without him, the income will be higher and the benefits will be better.
Therefore, in the actual implementation process, because the company's income is higher and the company's labor insurance pool has more funds, this results in workers' pensions and medical reimbursement being higher than those of people in government agencies and institutions during the same period.
The title of "Big Brother of the Workers" did not come from nothing. At that time, workers were really treated the best and had the highest status.
To sum up, from the 1950s to the early days of reform and opening up, the state was actually responsible for national labor insurance, which was a typical national social security model.
After all, we don’t count the insurance of government agencies and institutions from the state treasury, let’s talk about enterprise insurance. Since enterprises are all state-owned enterprises, it can be regarded as the state’s guarantee for you.
But by 1978, the situation had changed.
Due to the emptiness of the national treasury, enterprises in various places have also begun to weaken. Many enterprises have low efficiency and heavy burdens. Therefore, pensions and medical benefits have already caused a heavy financial burden on the country at this time, and reform is imperative.
As early as last year, the country began piloting labor insurance reform in Shanghai.
This labor insurance reform, to put it simply, is to establish an insurance company, and then the insurance company will pool the pensions of local enterprise employees.
During the specific implementation process, pension insurance premiums will be paid to the insurance company for the employees based on the company's efficiency and the employees' personal intentions. After the employees retire, they can receive pensions from the insurance company.
To put it simply, this is similar to the commercial insurance of later generations. It is to establish a separate pension account. If you pay more, you will get more, and if you pay less, you will get less. However, the plate is much smaller. The risk is borne by the company and the employees, and the state is no longer completely responsible.
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Of course, this pilot does not have to be carried out in Shanghai. Other cities and companies can also apply to do this on their own.
But unless there is pressure from above, no local government is willing to take the initiative to carry out reforms. After all, the interests involved are huge.
If history remains unchanged, then by 1986, all enterprises in various places will implement new labor insurance methods, which is commonly known as breaking the iron rice bowl and implementing a floating pension system where the more you pay, the more you get.
To put it bluntly, during that period, the labor insurance of government agencies and institutions remained unchanged for the time being, and they still depended on the finance. However, the pensions and medical benefits of enterprise employees were all replaced by social co-ordination from the original state, or the company itself, similar to wool
Out of the sheep.
In this way, the expenditure on corporate pensions and corporate medical funds will be reduced, which will greatly reduce the financial burden on the country.
However, this burden falls entirely on the enterprises themselves.
As for the overall social security system where enterprise labor insurance is completely transformed into social insurance, that will only happen after the 1990s.
But no matter how this labor insurance changes, it will only be benefits that government agencies, public institutions and state-owned enterprises can enjoy.
For the majority of self-employed people, I’m sorry, but in this period, you don’t want to enjoy pension benefits and medical reimbursement benefits.
Yes, self-employed people are rich, and in current hospitals, medicine and treatment fees are not high, so for wealthy self-employed people, medical treatment is really not expensive during this period.
Therefore, money is not a problem at all for self-employed people to see a doctor. The biggest problem for self-employed people to see a doctor is the vague sense of shame.
Think about it, if you go to the doctor in the same way, if someone with a formal employer next to you goes to see a doctor, he will be reimbursed directly and he can speak louder.
But as a self-employed person without an employer, you pay for everything yourself. Even if the expenses are not high, you will feel dwarfed compared to other people who can be reimbursed.
Even nurses have different attitudes towards those with work units and those without work units.
For those with work units, especially those with better work units and higher status, nurses tend to have better attitudes.
For self-employed people without an employer, nurses are often more perfunctory.
It is said that when you have enough food and clothing, you will know honor and disgrace.
In the early 1980s, most of the self-employed people were those who could not enter a formal employer. Their original purpose of becoming self-employed was really to make a living.
Once you make money as a self-employed person and have enough food and clothing, you will naturally have a higher pursuit, which is respect.
However, in today's China, no matter how rich the self-employed are, they still don't get the respect they deserve.
Even if you are a household with a household income of 10,000 yuan, or even 100,000 yuan, as long as you are self-employed, an ordinary factory worker can still look at you askance, or point at your nose and scold you.
It can be said that self-employed people during this period were wealthy, but they were not welcomed in various ways.
This situation cannot be changed for the time being, and neither can Cao Zhiqiang, a time traveler.
However, Cao Zhiqiang can find another way to integrate those self-employed people.
It would be much better if Cao Zhiqiang recruited those self-employed people in the name of a state-owned enterprise and entered into an agreement with them that was acceptable to both parties for mutual benefit.
But there is still a big problem here, that is, Cao Zhiqiang's so-called recruitment can only be done with them in the name of "contract workers".
This kind of contract workers are on the company's own recruitment list, similar to temporary workers.
As for this kind of temporary workers, the files can only be owned by the hiring company itself and cannot be entered into either the Personnel Bureau or the Labor Bureau.
Without formal cadre or worker status, naturally you cannot go to a regular hospital to enjoy relevant welfare policies.
To be continued...