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重庆出台长期护理保险制度实施方案，实现长护险全民全年龄段覆盖_我的网站

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一 | 　　讯 8月14日，重庆市政府新闻办召开《重庆市建立健全长期护理保险制度实施方案》（简称《实施方案》）政策吹风会。重庆市医保局局长邓莉在会上介绍，按照中央文件精神，重庆市已于7月30日印发《实施方案》。

二 | 对于老龄化程度较高的重庆而言，长期护理保险制度落地有着重要现实意义。 NEW YORK -- On the 400th anniversary of Shakespeare's First Folio, rare originals are being displayed and publishers are offering collectors editions of Shakespeare's plays, including one that sells for $1,500.Scholars believe that between 200-300 copies still survive from the late 1623 release of “Mr. William Shakespeares Comedies, Histories & Tragedies." Presided over by two friends and former colleagues of Shakespeare, who had died in 1616, the Folio ensured that lasting texts existed for “Macbeth,” “Twelfth Night” and other cornerstones of Western literature. In Shakespeare's lifetime, many of his works were unpublished or available only in cheap paperback editions.“Without the First Folio we would have lost a world of words,” Gregory Doran, artistic director emeritus of the Royal Shakespeare Company, writes in the introduction to “The Complete Plays” of Shakespeare, a new publication.First folios have been on exhibit everywhere from the British Museum to the New York Public Library and at least two major book projects will mark the anniversary. The British Museum is collaborating with Rizzoli Books in New York on “Shakespeare’s First Folio: 400th Anniversary Facsimile Edition,” contained within a slipcase cover. With a list price of $150, the book is 928 pages and includes an introductory booklet co-written by Adrian Edwards, head curator of the British Library’s Printed Heritage Collections.The most ambitious, and exclusive project, is “The Complete Plays,” a limited edition from the Folio Society, an employee-owned company in London that puts out customized volumes ranging from "Beowulf" to George R.R. Martin's “A Song of Ice and Fire” series. The Society has printed just 1,000 copies of the 3-volume box set, with a list price of $1,500. Besides Doran's introduction, the Folio Society release includes a foreword by Dame Judi Dench. Each set is hand-numbered by illustrator Neil Packer.More than three-quarters of “The Complete Plays” have already sold, according to the publisher.“In an era when everything seems disposable, I feel like there's a good market for fine editions of classic books,” says Folio Society publishing director Tom Walker.The First Folio was daring, even audacious for its time, when such publications were “reserved for learned treatises, hefty genealogical texts, books of religious or historiographical importance, or even works by monarchs,” according to Shakespeare scholar Chris Laoutaris. Before Shakespeare the only playwright known to have been so honored was his contemporary Ben Jonson, who honored himself by overseeing “The Workes of Benjamin Jonson” in 1616. While the British Museum edition is relatively affordable, the Folio Society's production is closer to the intended market for the original release."Only those with deep pockets, and the space to read them, could afford such luxurious products," says Laoutaris, an associate professor at the Shakespeare Institute in the playwright's native Stratford-On-Avon and author of “Shakespeare’s Book: The Intertwined Lives Behind the Fist Folio,” which came out this year. “When it was released, the First Folio cost more to produce than any other collection of plays in history up until that point.”The Folio proved successful enough that an updated edition, the Second Folio, was published in 1632, a Third Folio in 1663 and a fourth in 1685. By the 19th century, the original Folio was becoming a valued piece of history, in part through the efforts of collectors Henry and Emily Folger, and a symbol of might for the British Empire. Sir George Grey, who had served as a colonial governor, established libraries worldwide that included copies of the First Folio.“For Grey, the First Folio represented the pinnacle of culture, but specifically English culture,” Laoutaris says. “He sought nothing less than the obliteration of the language and culture of the native populations in Australia, New Zealand and South Africa, nurturing a desire to replace these with the English language and its literary products." The United States is home to more than half of all existing copies of the First Folio, followed by the United Kingdom and Japan, with handfuls of editions also existing in Germany, France, South Africa, Australia and New Zealand among other countries. For antiquarians, the First Folio is the greatest of prizes: One sold for $9.9 million in 2020. For scholars and countless admirers, the Folio is secondary to the plays themselves."Shakespeare’s stature, for the past 400 years, is a reflection of his plays’ staying power on the stage far more than their survival in a collected works," says James Shapiro, a professor of English and comparative literature at Columbia University and author of several books on Shakespeare.“You can buy a Ben Jonson folio for a few thousand dollars; a Shakespeare folio will cost you millions. The reason for this simple: the remarkable afterlife of his comedies, histories, and tragedies in theaters throughout the world.”。　　据介绍，此次出台的《实施方案》核心内容可概括为“两个扩面、三个明确”。

三 | 　　参保人群迎来扩面。长期护理保险试点阶段仅覆盖职工医保参保人员，新方案将城乡居民医保参保人员一并纳入参保范围，实现全民覆盖。居民长期护理保险将于2026年第四季度启动参保工作，与居民医保集中筹资同步推进，参保人员自2027年起可按规定享受相关待遇。

四 | 长期护理保险保障对象不受年龄限制，居民长护险正式实施后，未成年人也纳入制度保障范畴，实现全年龄段护理保障覆盖。　　护理服务项目扩面。

五 | 从2027年起，重庆现行28项护理项目将扩充至国家规定的36项，新增吸痰、常规换药、吞咽功能训练等基础性必要医疗护理项目，进一步丰富失能人员照护服务供给，方便群众按需选择，更好满足失能群体照护需求。　　实施方案同时清晰明确三大关键事项。　　一是明确职工、居民两类参保人群筹资标准。职工长护险2026年筹资标准沿用现行政策，2027年起实施调整。退休职工缴费费率由0.2%下调至0.15%，缴费基数调整为个人基本养老金，整体缴费水平较试点阶段下降；在职职工缴费费率由0.2%调整至0.3%，用人单位与个人各承担0.15%，单位缴费部分从基本医保单位费率平移，不新增企业负担；灵活就业人员缴费费率同步调整为0.3%，缴费基数保持不变。　　居民长护险2027年度筹资，以2025年度重庆人均可支配收入为基数，按0.15%费率筹集，财政、个人各负担一半，并计划用5年左右时间逐步过渡至0.3%的国家规定费率。

六 | 政策允许参保人使用职工医保个人账户余额，为本人及近亲属代扣代缴个人缴费部分，减轻群众现金缴费压力。　　二是明确待遇保障相关规则。现有职工长护险待遇政策保持稳定，已享受待遇人员不受政策调整影响；居民参保人员自2027年起依规享受待遇，起步阶段保障重度失能人员，后续将按照国家部署逐步拓宽保障范围。

七 | 长护险待遇不设置起付标准，结合参保类型、失能等级、服务方式实施差别化保障，年度最高支付限额原则上不超过重庆市上年度人均可支配收入的50%。具体待遇标准将结合经济发展、基金运行、护理服务供给等因素动态优化调整。　　三是明确全流程管理服务规范。方案延续试点成熟政策体系，对定点管理、失能评估、护理项目、职业培训、支付方式、基金财务结算与监管等工作作出统一要求。持续采用国家统一长护险失能等级评估标准，护理机构、评估机构实行定点管理，持续加强长期照护师人才培养，稳步夯实长期护理保险运行基础。版权申明：凡注有“”或电头为“”的稿件，均为独家版权所有，未经许可不得转载或镜像；授权转载必须注明来源为“”，并保留“”的电头。。