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Home » Employment, Featured, Health

Healthcare in Japan

Submitted by on September 9, 2009 – 2:31 am6 Comments

healthcare

With all of the talk –and complaints– about the Obama Administration’s Healthcare Plan, information on Japan’s healthcare system may prove interesting. Is President Obama’s proposal similiar to the Japanese health plan?

You may wonder, “How does it work in Japan?” “Does Japan employ a single-payer healthcare system?” Or, “Does Japan have a multi-payer system where the citizens (and expats), employers and the Japanese government ALL share the costs of healthcare?”

There are, of course, private insurance companies in Japan that do very well but there are also folks refused treatment at numerous hospitals, clinics or emergency rooms only to die later from serious injury, sickness and complications from pregnancy. Maybe that’s extreme but even the slightess hint of SARS or the latest flavor-of-the-month virus can leave you waiting out in the cold! I have both good and bad experiences with Japan’s healthcare system. I do not take lightly having a doctor tell me “It’s difficult!” or “I don’t understand!” only to over-prescribe some medication that I typically refuse to take, especially since the doctor didn’t understand or deemed the situation, “difficult.” I will say that the premiums in Japan are cheap BUT I truly enjoy the freedom of choosing my doctor, specialist, hospital and type of treatment as I do when in the United States. Then again, I pay for that priviledge.

Oh well! There is always more to the story and I am eager to hear your experiences. Please chime in and post your questions and opinion for all to respond. I especially look forward to hearing from those currently using Japan’s healthcare.:

Here is the Washington Post’s take on the debate.:

“Half a world away from the U.S. health-care debate, Japan has a system that costs half as much and often achieves better medical outcomes than its American counterpart. It does so by banning insurance company profits, limiting doctor fees and accepting shortcomings in care that many well-insured Americans would find intolerable.

The Japanese visit a doctor nearly 14 times a year, more than four times as often as Americans. They can choose any primary care physician or specialist they want, and surveys show they are almost always seen on the day they want. All that medical care helps keep the Japanese alive longer than any other people on Earth while fostering one of the world’s lowest infant mortality rates.

Health care in Japan — a hybrid system funded by job-based insurance premiums and taxes — is universal and mandatory, and consumes about 8 percent of the nation’s gross domestic product, half as much as in the United States. Unlike in the U.S. system, no one is denied coverage because of a preexisting condition or goes bankrupt because a family member gets sick.

But many health-care economists say Japan’s low-cost system is probably not sustainable without significant change. Japan already has the world’s oldest population; by 2050, 40 percent will be 65 or older. The disease mix is becoming more expensive to treat, as rates of cancer, stroke and Alzheimer’s disease steadily increase. Demand for medical care will triple in the next 25 years. ” Click here for more!

BTW, thanks to Durf for pointing me to the Mutant Frog post on healthcare in Japan. Those on Twitter can follow @Durf and @Mutantfroginc for more observations on Japan.

  • http://durf.org/ Durf

    This Mutantfrog post and the attached comments offer some good views on this very topic. Check it out.

  • http://www.blacktokyo.com zurui

    @ Durf: Thanks for the link. I will check it out!

    [Posted on the Mutant Frog] My wife and I have mixed experiences with Japanese healthcare. Some doctors were good while others needed to be put out to pasture. You really have to search for quality healthcare. A friend of mine had cancer and I use to accompany him to his visits to the doctor.

    His doctor took smoke breaks and had my friend attend “kikou” sessions to “compliment” the chemo treatments. The cancer was at a late stage so I guess everything helped. Anyway, the “gift” a.k.a. money passed during the visit was unbelievable. A thank you for treatment at a well-known university hospital. A hospital were my friends father once worked.

    My wife and I had very good dentists (both were trained in the US and one liked to practice his English so I found myself in the chair longer than usual). Unlike what I saw in the hospital, the equipment and technology was cutting-edge. Everything computerized, shoot and view, spelled out with reference in English and Japanese. I forgot the name of the dentist but he was located in the Dentsu Building.

  • Aaron

    my friend Mike said in japan all his coworker had to pay was $900 when he was on a business trip from America for TWO days and ripped his Achilles tendon playing basketball. for his surgery, sleep, meds, and everything. However when Mike himself broke his leg it cost $30,000 dollars for the surgery and everything. his insurance only covered 40%. Hes still paying for it.

  • Scott Johnson

     I found this ad in the paper about an online petition drive to knock out the new immigration guideline and thought I would post it for everyone that is interested in this.  It says:

    =========================================================
    JOIN THE PETITION!
    FOR THE REPEAL OF IMMIGRATION GUIDELINE NO. 8

    In April 2010, the Immigration Bureau will begin requesting foreigners who are obligated to enroll in social insurance to present their health insurance cards as a prerequisite for visa renewal. Many foreigners in Japan choose to purchase private health insurance because it offers certain benefits that expatriates consider important and that public insurance does not cover, such as:

    -payment of medical fees at international clinics in Japan
    -family reunion expenses in the event of serious illness
    -medical and/or political evacuation
    -repatriation of remains in the event of death
    -comprehensive international coverage
    -payment of pharmaceuticals not covered by public insurance

    These needs are not at all unreasonable for expatriates. While we fully understand the government’s concern that foreigners have insurance protection, we cannot condone expatriates being forced onto public insurance by means of immigration policy, a tactic that ignores their needs and takes the humanity out of medicine.  The Free Choice Foundation will therefore petition the Japanese government under Article 16 of the Constitution to revoke the new guideline.

    Please visit our Web site for more information. While there, we invite you to join our online petition drive by sharing your comments on the “Declare Your Support” form. 
    We welcome your support!

    http://www.freechoice.jp/

    =========================================================

    I for one am on private insurance and I sure would not like to have to pay 2 years in back-payments should immigration actually enforce this. 

  • Kuroyama

    Lived here for going on year 5. Not a single unsatisfactory health visit. It took me a while to get used to the idea of going to the doctor for every little thing, but when it costs so very little, why not? (presuming you not medicating every time…)

    Back in San Diego I was paying over $800 per month for health insurance for myself and my wife. Without exception every time I went to the doctor it all came out of pocket. Everytime there was an excuse about how nothing was covered. At least twice that I can recall Id show up at the doctor only to be informed that said doctor was no longer participating in my plan (despite having been confirmed as a long term participant at the time my appointment was made weeks in advance).

    In the US I probably saw a doctor an average of once every 2 years. Each time was a poor experience. All those people in the US worried about Obama ruining their healthcare…

    I have to laugh! What wonderful healthcare system do they imagine they are participating in??? Who in the US ISNT currently being fiscally shanked by their insurance provider????? (except for the independently wealthy of course)

    Well. At this point if they want to just wallow in their own filth of a healthcare system, let em.

  • danny

    I posted this somewhere else before but i’m still appalled by how this parent was treated when his/her child needed medical help for brain injuries.

    http://tokyorave.wordpress.com/

    They described their recent bad experience with a doctor in Tokyo Medical & Surgical Clinic only to get dissed by the doctor’s husband. There’s also an article talking about why you may be refused medical treatment in Japan. Something to do with doctors and civil law here. Definitely worth a read.

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