The Japan Healthcare Debate

The Japan Healthcare Debate

Author: Mark A. Colby

Publisher: BRILL

Published: 2021-10-25

Total Pages: 174

ISBN-13: 9004213864

DOWNLOAD EBOOK

Driven by the demographic tsunami of a rapidly aging population, costs of universal healthcare in Japan have grown at an unprecedented rate. These trends are mirrored elsewhere, so industrialized countries are asking if Japan will become a global test case for healthcare delivery.


Health Insurance Politics in Japan

Health Insurance Politics in Japan

Author: Takakazu Yamagishi

Publisher: Cornell University Press

Published: 2022-05-15

Total Pages: 239

ISBN-13: 1501763512

DOWNLOAD EBOOK

Japan is the fastest aging country, with the largest super-aged society in the world and growing larger by the day, yet its universal health care costs are relatively low. In Health Insurance Politics in Japan, Takakazu Yamagishi draws back the curtain for an international audience and investigates how Japan has been able to control health care costs through health insurance politics. Covering the period from the Meiji Restoration to the Abe Administration, Yamagishi uses a historical institutionalist approach to examine the driving force behind the development of health insurance policies in Japan. Yamagishi pays special attention to the roles of government and medical professionals, the main actors of the policymaking and medical worlds, in this development. Health Insurance Politics in Japan pushes Japan into the spotlight of the international conversation about health care reform.


War and Health Insurance Policy in Japan and the United States

War and Health Insurance Policy in Japan and the United States

Author: Takakazu Yamagishi

Publisher: JHU Press

Published: 2011-07-01

Total Pages: 209

ISBN-13: 142140091X

DOWNLOAD EBOOK

World War II forced extensive and comprehensive social and political changes on nations across the globe. This comparative examination of health insurance in the United States and Japan during and after the war explores how World War II shaped the health care systems of both countries. To compare the development of health insurance in the two countries, Takakazu Yamagishi discusses the impact of total war on four factors: political structure, interest group politics, political culture, and policy feedback. During World War II, the U.S. and Japanese governments realized that healthy soldiers, workers, mothers, and children were vital to national survival. While both countries adopted new, expansive national insurance policies as part of their mobilization efforts, they approached doing so in different ways and achieved near-opposite results. In the United States, private insurance became the predominant means of insuring people, save for a few government-run programs. Japan, meanwhile, created a near-universal, public insurance system. After the war, their different policy paths were consolidated. Yamagishi argues that these disparate outcomes were the result of each nation’s respective war experience. He looks closely at postwar Japan and investigates how political struggles between the American occupation authority and U.S. domestic forces, such as the American Medical Association, helped solidify the existing Japanese health insurance system. Original and tightly argued, this volume makes a strong case for treating total war as a central factor in understanding how the health insurance systems of the two nations grew, while bearing in mind the dual nature of government intervention—however slight—in health care. Those interested in debates about health care in Japan, the United States, and other countries, and especially scholars of comparative political development, will appreciate and learn from Yamagishi’s study.


Health Care Systems in Japan and the United States

Health Care Systems in Japan and the United States

Author: Ryuzo Sato

Publisher: Springer

Published: 1997-08-31

Total Pages: 168

ISBN-13:

DOWNLOAD EBOOK

Health Care Systems in Japan and the United States: A Simulation Study and Policy Analysis takes a macroeconomic policy approach to analyzing a fundamental question of the health care debate, namely, can the anticipated increasing rate of growth in future health care expenditures be financially absorbed by the society's increasing income and output? This monograph addresses not only if but also how health care financing could in the future be ethically, safety, and economically accomplished. It identifies the right questions which must be answered and the balance that must be sought among the dilemmas and paradoxes raised by the realities of financing health care services in the future.


Containing Health Care Costs in Japan

Containing Health Care Costs in Japan

Author: Naoki Ikegami

Publisher: University of Michigan Press

Published: 2010-05-06

Total Pages: 320

ISBN-13: 0472024132

DOWNLOAD EBOOK

The Japanese health care system provides universal coverage to a healthy but aging population. Its costs are among the lowest in the world and have remained nearly constant as a share of the economy for more than a decade. Americans concerned about runaway medical spending need to know about the successes that Japan has experienced and the problems the country has encountered in its effort to control costs while maintaining quality of care. Offered here is an analysis of the key issues of cost-containment by specialists followed by reactions from some of America's best-known experts on health care delivery and finance. Topics include the macro-and microeconomics of health care, technology and costs, institutions and costs, attitudinal and behavioral aspects, and the politics of health care. This collection provides an authoritative study of successful cost-containment in the Japanese health care system---a chronicle of success that is neither a statistical illusion nor a result of sociocultural factors. Detailed here is information on the key mechanism of cost constraint: a fee schedule that covers virtually all medical services and rewards inexpensive services while making expensive services unprofitable. This system has resulted in the provision of quality health care to the entire population at roughly half the cost of American health care. Is it a single-payer system? Would the United States have to introduce a dramatically altered health care structure to benefit from the Japanese experience? No. Japan relies mainly on fee-for-service medicine financed by multiple insurers---a system familiar to Americans and one from which many lessons may be learned. Based on conferences held in Washington, D.C., and Izu, Japan, this volume collects original chapters on the overall cost structure, how the negotiated mandatory fee schedule works, specific mechanisms for cost control, the politics of health care financing, and the impact of cost cutting on quality, among other topics. These pathbreaking studies will be a significant resource for policymakers and scholars interested in comparative health care systems as well as those interested in health care reform in the United States.


The Healing of America

The Healing of America

Author: T. R. Reid

Publisher: Penguin

Published: 2010-08-31

Total Pages: 306

ISBN-13: 0143118218

DOWNLOAD EBOOK

A New York Times Bestseller, with an updated explanation of the 2010 Health Reform Bill "Important and powerful . . . a rich tour of health care around the world." —Nicholas Kristof, The New York Times Bringing to bear his talent for explaining complex issues in a clear, engaging way, New York Times bestselling author T. R. Reid visits industrialized democracies around the world--France, Britain, Germany, Japan, and beyond--to provide a revelatory tour of successful, affordable universal health care systems. Now updated with new statistics and a plain-English explanation of the 2010 health care reform bill, The Healing of America is required reading for all those hoping to understand the state of health care in our country, and around the world. T. R. Reid's latest book, A Fine Mess: A Global Quest for a Simpler, Fairer, and More Efficient Tax System, is also available from Penguin Press.


Japan's Shifting Status in the World and the Development of Japan's Medical Insurance Systems

Japan's Shifting Status in the World and the Development of Japan's Medical Insurance Systems

Author: Yoneyuki Sugita

Publisher: Springer

Published: 2018-12-06

Total Pages: 247

ISBN-13: 9811316600

DOWNLOAD EBOOK

This book explains the origins and early developments of Japanese medical insurance systems from the 1920s to the 1950s. It closely examines the changes in the systems and the symbiotic relationship between Japan’s status in international relations and the development of domestic medical insurance systems. While previous studies have regarded the origins and development of Japanese medical insurance systems as merely a domestic issue and pay little attention to the role or effects of international affairs, this book closely examines the changes in these systems by looking at the enactment of the Health Insurance Law in 1922, the establishment of the National Health Insurance in 1938, the epoch-making reforms of 1942, numerous plans in the early Allied occupation period, and Japan’s social security plan in 1950. In doing so, it shows that there was indeed a symbiotic relationship between Japan’s status in international relations and the changing nature of domestic medical insurance systems. It also reveals that Japan’s status in international relations set the framework within which interested groups, primarily the government, made rational choices. This book is a valuable resource for academics, researchers and students who have an interest in the Japanese medical insurance systems.


Health Care Policy In East Asia: A World Scientific Reference (In 4 Volumes)

Health Care Policy In East Asia: A World Scientific Reference (In 4 Volumes)

Author:

Publisher: World Scientific

Published: 2019-11-25

Total Pages: 1278

ISBN-13: 9813236124

DOWNLOAD EBOOK

During the past three decades, health care systems in the East Asian regions of China, Japan, South Korea, and Taiwan have undergone major changes. Each system has its unique achievements and challenges. Global health care policymakers are increasingly interested in understanding the changes that have taken place in these four systems. This four-volume reference set is designed to help health care professionals, academics, policymakers, and general readers gain a good grasp of the background and latest developments in the health care systems of China, Japan, South Korea, and Taiwan. This reference set provides an in-depth comparative health policy analysis and discussion of health care reform strategies in each of these systems. One unique feature of this set is that each volume has been edited by a leading scholar who has been deeply involved in the development of the health care system in that particular region. Each of these editors also has invited both scholars and practitioners to provide a first-hand description and analysis of key health care reform issues in that system. The many examples provided in each volume demonstrate how findings of evidence-based policy research can be implemented into policy practice.Volume 1 describes and discusses China's ambitious and complex journey of health care reform since 2009. The Chinese government has achieved universal health insurance coverage and has embarked on reforms of the service delivery system and provider payment methods that are aimed at controlling health expenditure growth and improving efficiency. This volume includes pilot and social experiments initiated by the government and researchers and their evaluations that have guided the formulation of health reform policies. It provides information on how to make reforms work at the local and provincial levels. The findings detailed in this volume will contribute to a global knowledge base in health care reforms.Volume 2 provides a comprehensive review and evaluation of the Japanese health care system. Japan has a long history of health care system development and provision of universal health coverage, with a mature and well-developed health care system among East Asian countries. However, due to increases in health care costs, economic stagnation and the country's rapidly aging population, Japan has undergone significant health care reform during the last two decades, both in the delivery as well as financing of health services in its hospital sector, medical technology sector and long-term care insurance. Despite these challenges and reforms, health outcomes among the Japanese population have been progressively among the best in the world. This volume shows how policy research can lead to policy analysis, implementation and assessment. It also provides valuable lessons learnt for mutual learning among other health care systems.Volume 3 offers a comprehensive review of the developments in South Korea's national health insurance system since 1989 in terms of financing, delivery systems, and outcomes. The volume analyzes the efficiency of cost and service delivery by public sectors versus private sectors. It points out areas of challenge to future Korean health care reform. Chapter authors in this volume are leading experts involved in Korean health care policy implementation.Volume 4 reviews the development and achievements of Taiwan Health Insurance since 1995. Because of its continuous reform in payment, services delivery, and pharmaceutical technology, Taiwan has been considered a model example of universal health insurance among global health systems. This volume shows the processes used to translate policy research findings into policy changes. While the health care reform in Taiwan is ongoing, the Taiwan example provides a real-world and practical understanding of health care system changes.In summary, this four-volume set makes an outstanding contribution to health care system reform and policy research, based on solid scholarly work. It also introduces policy researchers and academic communities to current debates about health systems, health financing, and universal health coverage. This reference volume is a must for anyone keen on East Asia's health care system reform dynamics and changing scene.


Health Care in Japan

Health Care in Japan

Author: Margaret Powell

Publisher: Routledge

Published: 2010-10-18

Total Pages: 358

ISBN-13: 113689764X

DOWNLOAD EBOOK

In the 1970s and 80s Japan experienced some deep-rooted social changes which affected attitudes to health care services among both professionals and consumers alike. Health Care in Japan provides an introduction to and overview of health and medical services in Japan at that time. It describes the historical development of modern medical care; the social, political, and cultural factors which have influenced the development of the system for the provision of health and medical services. It also discusses and analyses those aspects of the health care system which are of concern to the government and assesses how the existing system of health care will meet the needs of Japanese society in the future.