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Where Does Critical-Illness Online Mutual Aid Fit Within the Multi-Tiered Social Security System?

Zhang Mading3 min read

In the past, when I donated to people in hardship on platforms such as Qingsongchou, Shuidichou, and Tencent Charity, a simple question always arose: if one day I were to fall into the same desperate straits, could I too receive the charitable help of strangers?

Later I learned from a scholar's analysis that it is actually very hard for ordinary people to obtain adequate assistance through personal critical-illness fundraising. Only those who carry social influence, have strong personal networks, or have suffered something unusual and tragic enough and are skilled at telling their story can raise substantial sums — teachers with students all over the world, well-known figures in the public-welfare field, and so on. For the vast majority of ordinary people, relying on online charity fundraising to withstand the risk of critical illness is highly incidental and uncertain.

This raises a real need: when I help others out of goodwill, can I obtain a corresponding certainty — that when I meet with calamity, I too will receive the help of others? Following this line of thought, many people turn to commercial insurance, whose underlying logic is likewise the mutual aid of 'all for one, one for all.'

But commercial insurance today severs the direct connection between the insured and becomes in essence a contest between the individual and the insurance company. At claim time the company bears the protection liability; when no claim is made, the premiums are managed and pooled by the insurer. Although objectively the premiums do end up being used to help other insured users, the destination of the funds, the recipients of assistance, the payout amounts, and the platform's retained costs are all an opaque 'black box' throughout, of which we know nothing. Commercial insurance can provide stable payouts, but it cannot satisfy ordinary people's psychological desire to do good transparently and to give and receive mutual aid.

Critical-illness online mutual aid fills precisely the gap between charitable fundraising and commercial insurance, solving the shortcomings of both. By taking part in mutual aid, we can both directly help other members who fall ill, knowing clearly whom we are helping and by how much, and enjoy mutual aid rights ourselves, so that if we fall ill with a covered critical illness in the future we can receive the shared assistance of other participants. It combines goodwill giving, transparent information, and self-protection, realizing a two-way flow of compassion.

Of course, online mutual aid is weaker than regulated, protected commercial insurance in the stability of its protection and the certainty of its payouts, and it has no nationwide hard guarantee behind it. But it effectively resolves the real problems of spontaneous private fundraising being highly random and of ordinary people finding it hard to get help.

To sum up, back to the core question: where does critical-illness online mutual aid sit within the multi-tiered social security system?

It is precisely the intermediate form between private charitable fundraising and commercial insurance. As inclusive supplementary protection, it improves the chain of society's defenses against critical-illness risk and plays an indispensable transitional and supplementary role within the multi-tiered social security system.

Zhang Mading
Founder, KangAi Commune
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