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Elderly (Keywords (The five pillars (Multi pillar model) ( Social…
Elderly
Keywords
Reasons for few government intervnetion
Self Reliance
Small government big market
Reasons for multi-pillar model
Reduce risk
Sustainable
The five pillars (Multi pillar model)
Social security
MPF run by government
MPF by private companies
自願醫保
Self reliance/ others
Quality of Life
Psychologically
Sense of security
Privilege or right?
Role of individual citizens
Effectiveness of individual effort
How can a society function well?
Its implication on the role of the government
Results
Social
Elderly poverty
Elderly do not apply for government assistance because
Disengagement in Community (lack of knowledge)
Traditional concepts
Self-reliance
Family honour (Filial piety)
Stingmatization
Burden Health care system
Increase resources allocation (Conventional and contigency)
#
Challenge to city planning
Challenge to infrastructural planning
Economic
Financial burden on govt
Medical Care
Elderly Service
Day care, nursing home, support teams
Challenges Competitiveness of Hong Kong
Benefits
Econ: Silver market
Boost in economy
Problem: They need to have purchase power first!
Solutions
Current
Pillar 1: Social Security schemes
Means-tested in-kind benefits
Medical Fee Waiver
Home Environment Improvement Scheme for Elderly
Elderly Dental Assistance Programme
Non-recurrent cash benefits
Additional CSSA
one-off living subsidy (electricity charges subsidy)
Rates waiver
6000
Recurrent cash benefits
#
OAA
OALA
CSSA
Problems
Stigmatization
High threshold
Others
Mandatory Provident fund
Problems
Uncertain rate of return
Limited coverage
High management fees
對衝
Proposed
3-party contribution scheme (MPF) (Create 1st pillar)
Rationale
Improve Quality of life of elderlies
Financially
Psychologically
Increase sense of security
Aging population
Stigmatization
Effectiveness
:red_cross: stigmatization (because ever)
Feasibility
:red_cross: financially stable
Violate fiscal prudence
Structural deficit
Because recurrent expenditure
VS One-off deficit
Lack of support from younger generation
Resources not focused on needy
Violates inter-generational equity
RB: Who supported the current prosperity of Hong Kong?
Unintended Pros and Cons
Pros
Boost Silver economu
Cons
Higher tax rate
Lower attractiveness
Value
:red_cross:Fairness
:red_cross:Self Reliance
Better alternatives
Five directions
Provide financial support
Increase income
Cost-saving measures
Improve infrastructural plan
Enhance manpower (e.g. healthcare practitioners)
Education& publicity
Reinforce traditional values
Filial Piety
Self reliance
Maintain/ enhance HK's competitveness
e.g. sustainable population polity
Reasons
Government
Big market small government
(e.g. Private elderly houses vs public)
Others
Traditional Chinese values
Filial piety
Featured Topic
: Universal pension vs non-universal pension scheme
Universal pension
Effectiveness
Wide coverage
:red_cross: Stigmatization
Root cause
:red_cross:stigmatization
Principles
:check:Human right protection
:red_cross:small government big market
Loopholes
Transferal of assess to get through access check
Cost effective
:red_cross:waste of resources (in carrying out access check)
Social
:check:Legitimacy
Economic
Competitiveness
:red_cross:motivation to work
Disincentive because tax
Silver economy
Non-universal pension scheme
Principle
Small govt big market
Sustainability
Balance in other aspects
Sudden incidents (e.g.financial tsunami)
Effectiveness
Cost effective
Really everyone in need? Lee Ka Shing?
Social harmony
Balancing of interest
Positive rapport
:red_cross:仇富