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Who is covered and how insurance financed?

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Who is covered and how insurance financed?

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Everyone in Japan is required to get a health insurance policy, either at work or through a community-based insurer. The government picks up the tab for those who are too poor. It's a model of social insurance that is used in many wealthy countries. But it's definitely not socialized medicine. Eighty percent of Japan's hospitals are privately owned more than in the United States and almost every doctor's office is a private business.  Although the majority of the population holds some form of private health insurance, it plays only a supplementary or complementary role.

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Government regulates nearly all aspects of the universal Statutory Health Insurance System (SHIS). The national and local governments are required by law to ensure a system that efficiently provides good-quality medical care. National government sets the SHIS fee schedule and gives subsidies to local governments, insurers, and providers. It also establishes and enforces detailed regulations for insurers and providers. Japan’s 47 prefectures (regions) implement those regulations and develop regional health care delivery with their own budgets and funds allocated by the national government. More than 1,700 municipalities operate components of the SHIS and organize health promotion activities for their residents

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Eighty percent of Japan's hospitals are privately owned more than in the United States and almost every doctor's office is a private business.  Although the majority of the population holds some form of private health insurance, it plays only a supplementary or complementary role. It developed historically as a supplement to life insurance and provides additional income in case of sickness, mainly in the form of lump-sum payments when insured persons are hospitalized or diagnosed with cancer or another specified chronic disease, or through payment of daily amounts during hospitalization over a defined period. Since the early 2000s, the number of standalone medical insurance policies has increased.

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A short video about Japan's Healthcare system

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The Universal Health Care Syetem Works-2/5 Japan

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Japan has a healthcare system characterized by universal health insurance coverage, as all Japanese citizens belong to one of the country’s health insurance systems. Japan’s healthcare system is fundamentally a system of universal health insurance coverage. Japanese citizens belong to the national health insurance, workplace-based health insurance, or government-managed health insurance system. It is a free-access system with no gatekeepers that allows people to be examined and treated at the medical institutions of their choice, regardless of their symptoms. This has led to the problem of excessive demand from patients who visit doctors too often.  “The frequency of doctor visits per patient in Japan far outstrips the average for organization for economic cooperation and development countries. Another characteristic of the Japanese healthcare system is the high number of hospital beds per capita; to maintain the utilization rate of all these beds, hospital stays are also longer than the organization economic cooperation and development average.”

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Japan's National Institute of Public Health:                      Was established in 1938 under the administration of the Ministry of Health and Welfare of the Japanese Government for the purpose of training public health personnel and performing research works on public health. In 1940, it was renamed the Institute of Health and Welfare Science and consolidated the Institute of Nutrition under the Ministry of Interior, and in 1941 it was consolidated again in the Department of the Institute of Physical Training under the Ministry of Education. In 1942, the Institute of Population Problems and the Institute of Industrial Safety joined with the Institute of Health and Welfare. In 1949, the name of the institute was changed to National Institute of Public Health with 14 departments and a library. In 1965, the World Health Organization accredited the institute as a school of public health. 

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Japan's National Institute of Public Health:                      Was established in 1938 under the administration of the Ministry of Health and Welfare of the Japanese Government for the purpose of training public health personnel and performing research works on public health. In 1940, it was renamed the Institute of Health and Welfare Science and consolidated the Institute of Nutrition under the Ministry of Interior, and in 1941 it was consolidated again in the Department of the Institute of Physical Training under the Ministry of Education. In 1942, the Institute of Population Problems and the Institute of Industrial Safety joined with the Institute of Health and Welfare. In 1949, the name of the institute was changed to National Institute of Public Health with 14 departments and a library. In 1965, the World Health Organization accredited the institute as a school of public health. 

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Japan population:127,156,000SIZE:377,915 sq kmGDP (USD):$5.5 trillionAVERAGE INCOME:$35,190LEADING CAUSES OF DEATH:- Cancers- Stroke- Coronary Heart Disease- Influenza and Pneumonia- SuicideINFANT MORTALITY:2 deaths/1,000 live birthsAVERAGE LIFE SPAN:Male: 80 Female: 86

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Japan population:127,156,000SIZE:377,915 sq kmGDP (USD):$5.5 trillionAVERAGE INCOME:$35,190LEADING CAUSES OF DEATH:- Cancers- Stroke- Coronary Heart Disease- Influenza and Pneumonia- SuicideINFANT MORTALITY:2 deaths/1,000 live birthsAVERAGE LIFE SPAN:Male: 80 Female: 86