Jump to ContentJump to Main Navigation
Health Care Issues in the United States and Japan$
Users without a subscription are not able to see the full content.

David A. Wise and Naohiro Yashiro

Print publication date: 2006

Print ISBN-13: 9780226902920

Published to Chicago Scholarship Online: February 2013

DOI: 10.7208/chicago/9780226903248.001.0001

Show Summary Details
Page of

PRINTED FROM CHICAGO SCHOLARSHIP ONLINE (www.chicago.universitypressscholarship.com). (c) Copyright University of Chicago Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in CHSO for personal use.date: 21 September 2021

Removing the Instability and Inequity in the Japanese Health Insurance System

Removing the Instability and Inequity in the Japanese Health Insurance System

Chapter:
(p.83) 4 Removing the Instability and Inequity in the Japanese Health Insurance System
Source:
Health Care Issues in the United States and Japan
Author(s):

Seiritsu Ogura

Tamotsu Kadoda

Makoto Kawamura

Publisher:
University of Chicago Press
DOI:10.7208/chicago/9780226903248.003.0005

This chapter compares Japan's current public medical insurance to an unstable two-story building, whose second floor (health insurance for the elderly) is becoming heavier each day, while its first floor is losing strength. It evaluates the weaknesses in the current health insurance system: the insurance of the elderly, or the second floor of our insurance system; and the National Health Insurance (NHI) system. It is observed that a switch to a consumption tax is a reform that brings the burdens of households who are raising families more or less in line with their medical costs. The rich are paying more than they consume under the present system and under any reform plan. In the 1996 health insurance system, it is shown that an imbalance of the benefits and burden of medical services was created across generations and that the imbalance was growing rapidly due to the aging of the population.

Keywords:   health insurance system, Japan, elderly, National Health Insurance, consumption tax, medical costs, medical services

Chicago Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs, and if you can't find the answer there, please contact us.