Transcript
HEALTHCARE IN JAPANBY: KARYSSAANN COSTAGLIOLA
INTRODUCTION
• Japan has one of the top healthcare systems that
focuses on giving everyone healthcare without
rising costs
• U.S. healthcare ranks second in health care
spending cost and ranks low on efficiency
• U.S. system believes healthcare is a privilege and
in Japan it is looked upon as a right everyone is
entitled to
HISTORY
• It is said that, “they hold the belief that if equity and
universality of access are goals, then cross-
subsidization of payments must occur between people
of different economic means, and government must
regulate this process” (Ikegami 2014)
• By offering universal insurance to everyone it makes it
easier to maintain costs and helps keep everyone
healthy no matter what their economic status
HISTORY
• The insurance is paid by tax dollars, payroll
deductions, and the co-payments made by the
people of Japan
• It started in 1922 giving manual workers insurances
benefited the company because a healthy worker is
better than a sick one. This continued later down
the years to cover all of the family of the employee
and by 1961 they achieved universal healthcare
LIFE EXPECTANCY AGES
JAPAN COMPARED TO U.S.
• Life expectancy in United States is 80.6 in the United
States and 86.4 years for Japan as of 2011
• The infant mortality rate for U.S. is 6.2 and Japan has a
rate of 2 as of 2012
• The length of hospital stays in United States is 4.6 days
and Japan has a rate of 52.1 which is significantly
higher, but the cost for these days is higher in U.S. even
for the same problem
INFANT MORTALITY RATES
JAPAN COMPARED TO U.S.
• The cost of an appointment is the cost of what is
equivalent to a co-pay in the U.S.
• The average cost for insurance for a family in Japan is
$280 when in the U.S. it can cost that match just for a
single person a week
• Some tests in Japan can be done without prior
authorization unlike in the U.S. and costs for tests are
different. For instance a cost for an MRI is $1,200 for
example here and $100 for the same test in Japan
HEALTH EXPENDITURES
STRENGTHS IN U.S.
• Top quality services are available to people who
have the insurance to pay for it
• U.S. is at the top for clinical research
• There have been major technological
breakthroughs and treatment of many diseases
• There is a high number of medical providers and
specialists throughout the country
STRENGTHS IN JAPAN
• Coverage is universal
• All costs are controlled by a national fee schedule imposed by
the government with limits on expenditure increases
• All patients have the freedom to choose from any physician
they wish to take care of them and there is no wait time when
needing treatment
• Each medical provider is paid the same for the same
procedure across the board
• All dental care and prescriptions are covered
WEAKNESSES IN U.S.
• Over 37 million people are uninsured which is steadly
changing because of the ACA, but there is still people who are
unable to obtain that insurance either do to costs
• Cost of healthcare is the highest per person and is growing
fast
• Healthcare outcomes are poor compared to other developed
countries- 20th in infant mortality rate, 29th for premature or low
birth weight infants, and 6th in life expectancy
WEAKNESSES IN U.S.
• Many individuals are denied do to preexisting conditions
• There are shift costs that hospitals charge more to
smaller payers to try and cover the costs tat are incurred
by uninsured and costs not covered by other insurance
companies
• They have more providers, but they are unevenly placed
throughout the country only serving better paying better
located places verses rural settings
WEAKNESSES IN JAPAN
• The coverage does not include preventative health
exams
• The financial incentives cause excess use of lab tests,
high-tech equipment, and prescription drugs-Japan is
the highest per capita use in the world
• Long hospital stays because of lack of nursing homes
• The medical services given are fragmented making
clinics and hospitals suffer excess capacity and
duplication of services
SUMMARY
• Although Japan seems to have a very strong healthcare
system some things can be changed to better the
system as a whole. By having more availability for long
term care homes can help eliminate the unnecessary
costs in treatment hospital based.
• If U.S. would try and adapt some of Japan’s basic
structures and availability it can better them in a lot of
areas in the current healthcare system benefiting
everyone.
REFERENCES
• www.nyu.edu/projects/rodwin/lessons.html
• www.economist.com/node/21528660
• www.commonwealthfund.org
• www.livescience.com/7830-healthcare-systems-
japan.html
• prezi.com/u0yjavi4yinp/japans-healthcare-vs-
united-states/
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