|Implemented in this survey?|
In 2002, Prime Minister Koizumi?fs cabinet launched a structural reform to tackle the increasing financial burden of the medical system in Japan by increasing patients?f contributions. Co-payments of patients insured under the Employees?f Health Insurance were raised from 20 to 30 percent, thus harmonizing rates for all public health insurance schemes.
The environment that surrounds medical systems, such as rapid aging, economic inactivation, progress of medical technology, and change of national consciousness, is changing a lot. As one subject
of structural reform, Japan has to overcome the current situation and tackle medical system reform in a limited source of revenue called@contributions by the patients, insurance premiums, and the tax
revenue of the nation.
A characteristic is that the co-payment rate of patients insured by Employees' Health Insurance is set to increase from 20% to 30%. (The co-payment rate of 30% for patients insured by National Health Insurance had been set from before.)
An expected outcome is that relation between medical benefits and contributions are clarified and become fair.
Mainly, financial incentive is built into this policy.
The patients insured by Employees' Health Insurance can be affected in the form of the rise of a price in primary. Employees' Health insurance finances are affected because benefits of health insurance decrease.
Medical system reform
Patients insured by society-managed health insurance, Insurer of society-managed health insurance
|Medienpräsenz||sehr gering||sehr hoch|
In order to revitalize the Japanese economy from the current environment of structural stagnation, it is necessary to bring in all policy measures. Therefore Prime minister Koizumi and his cabinet will try to accelerate the four reforms, namely government expenditure reform, tax system reform, financial system reform and regulatory reform. This medical system reform goes into all those four categories.
|Implemented in this survey?|
The idea was put forward around February 2002. When the governing party (which consists the Liberal Democratic Party in addition to this with 2 other parties) had agreed with the government, this
idea was submitted to the ordinary Diet session.
Prime minister Koizumi and his cabinet are the driving forces behind this idea, because they try to accelerate structural reform.
It's not an entirely new approach, and it follows earlier discussions.
The approach of the idea is described as:
This policy was performed in the bill relating to medical system reform.
JMA (Japan Medical Association) is opposed to this policy, because this raising of individual co-payment rate means an incrase of medical expenses for a patient insured by the Employees' Health Insurance.
In the political meaning, the opposition party is also opposed to this bill.
Yes, this health policy leads to a formal piece of legislation.
MHLW (Ministry of Health, Labour and Welfare), JMA (Japan Medical Association)
The policy will realize "intelligible fair benefits" between each Health Insurance system.