In 2021，the comprehensive management reform of social security in China has achieved remarkable results. In terms of system，we should strengthen the party’s absolute leadership，comprehensively deepen reform and strengthen self-development. In practice，efforts have been made to build operational mechanisms such as ‘preventing diseases before they occur’，‘treating mild diseases’，‘controlling serious diseases’ and ‘cracking down on crimes’. In 2022，the comprehensive management of social security should serve economic and social development，prevent and resolve contradictions and risks in key areas，and improve the three-dimensional prevention and control system，so as to continuously improve the modernization level of the comprehensive management of social security.