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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.
Americans praise medical technology for saving lives and improving health. Yet, new technology is often cited as a key factor in skyrocketing medical costs. This volume, second in the Medical Innovation at the Crossroads series, examines how economic incentives for innovation are changing and what that means for the future of health care. Up-to-date with a wide variety of examples and case studies, this book explores how payment, patent, and regulatory policiesâ€"as well as the involvement of numerous government agenciesâ€"affect the introduction and use of new pharmaceuticals, medical devices, and surgical procedures. The volume also includes detailed comparisons of policies and patterns of technological innovation in Western Europe and Japan. This fact-filled and practical book will be of interest to economists, policymakers, health administrators, health care practitioners, and the concerned public.
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.
Representing the first book on the topic, this work offers the reader an introduction to the Japanese systems for health technology assessment (HTA) officially introduced by the Ministry of Health, Labour and Welfare (MHLW) in 2016. Policy and guidelines are discussed, with the relevant methods and conditions of cost-effectiveness analysis explained alongside. Numerous instructive examples and exercises, ranging from basic to advanced, impart valuable knowledge and insight on the quantitative methods for economic evaluation, which will appeal to both beginners and experts. This guidebook is authored by Japan’s foremost expert in HTA and pharmacoeconomics, with a view to strengthening the reader’s expertise in value-based healthcare and decision-making. The methods presented are essential to informing regulatory, local and patient decisions; as such, the book is equally recommended to industry and government, as well as academia, and anyone with an interest in Japanese HTA.
Bu and her contributors illustrate the complexity of tensions and negotiations in the development of different types of public health systems in Asia during the early Cold War. Competing models of development with different political ideologies and economic enterprises increasingly influenced Asian countries in their efforts to build modern nations after World War II. Looking at examples from China, Japan, South and North Korea, India, and Indonesia, the contributors to this volume look at how a range of Asian countries handled this postcolonial challenge. Health became a pivotal area that sustained the political discourse of differentiating one type of society from the other and promoting each system’s advantages over the other’s during the Cold War. Central to the discourse of a just society and the well-being of citizens was the promotion of public health and welfare for the people. The right to health was considered a fundamental human right as well as an essential social justice. A healthy population was also a prerequisite for national economic prosperity. Public health in postwar Asia was, therefore, a sociopolitical matter as well as a concern for the well-being of individuals. The health of the people demonstrated the advancement of a nation and provided the insurance for economic productivity and national prosperity. An essential read for historians and policymakers of public health and historians of Asia during the Cold War.
A major new study tracing historical roots of the interplay between policy, population and science in Japan from the 1860s-1950s.
Ageing population poses a set of complex policy and dilemmas for social security systems, intensifying the concerns about rising expenditures in health care and long-term care for elderly. In this context, ageing societies has many valuable lessons to learn by studying Japan's experience dealing with its hyper-aged society and particularly from its strategies to ensure the financial sustainability of the Long-Term Care Insurance (LTCI) system. Based on an exhaustive literature review, and the results from six original researches on long-term care expenditures in Japan (LTCE) conducted during a doctoral program, the book provides a comprehensive view in analyzing trends and factors associated with increasing expenditures in the Long-Term Care Insurance system in Japan. The book address relevant topics such as; the main socio-demographic changes experienced by the Japanese society during the last three decades, predictors of the LTCE, measuring efficiency in nursing homes, the impact of the LTCI 2005-reform to contain expenditures, cost-effectiveness of the in-home and community based services and institutional LTCE in the last year of life. The book end with a discussion on futures challenges and strategies oriented to contribute with the sustainability of LTCI system in Japan.
This wide-ranging collection seeks to reassess conventional understanding of Japan’s Asia-Pacific War by defamiliarizing and expanding the rhetorical narrative. Its nine chapters, diverse in theme and method, are united in their goal to recover a measured historicity about the conflict by either introducing new areas of knowledge or reinterpreting existing ones. Collectively, they cast doubt on the war as familiar and recognizable, compelling readers to view it with fresh eyes. Following an introduction that problematizes timeworn narratives about a “unified Japan” and its “illegal war” or “race war,” early chapters on the destruction of Japan’s diplomatic records and government interest in an egalitarian health care policy before, during, and after the war oblige us to question selective histories and moral judgments about wartime Japan. The discussion then turns to artistic/cultural production and self-determination, specifically to Osaka rakugo performers who used comedy to contend with state oppression and to the role of women in creating care packages for soldiers abroad. Other chapters cast doubt on well-trod stereotypes (Japan’s lack of pragmatism in its diplomatic relations with neutral nations and its irrational and fatalistic military leadership) and examine resistance to the war by a prominent Japanese Christian intellectual. The volume concludes with two nuanced responses to race in wartime Japan, one maintaining the importance of racial categories while recognizing the “performance of Japaneseness,” the other observing that communities often reflected official government policies through nationality rather than race. Contrasting findings like these underscore the need to ask new questions and fill old gaps in our understanding of a historical event that, after more than seventy years, remains as provocative and divisive as ever. Defamiliarizing Japan’s Asia-Pacific War will find a ready audience among World War II historians as well as specialists in war and society, social history, and the growing fields of material culture and civic history.
This remarkable collection commemorates the 70th anniversary of the 1951 San Francisco Peace Conference by revisiting the important legacies of both the Peace Treaty and the US-Japan Security Treaty have had on the peace and stability of the Asia-Pacific. Drawing on multiple perspectives, the volume conveys the hopes and fears that the authors have for the domestic and international politics of the region. In a post Trumpian world marked by the US-China tensions amidst a raging pandemic, the region’s continued prosperity looks exceedingly grim. Would the arrangements made in 1951 continue to have relevance for an Indo-Pacific region beset by great power rivalry and potential conflict fuelled by contending nationalisms, clashing interests and territorial disputes? Through a rigorous debate based on the latest empirical developments, the volume explores various ways where by the spirit and legacies of San Francisco arrangements can be meaningfully preserved and enhanced. In order for the region stronger and more prosperous in the post-pandemic world, the countries have to come together to enhance the existing security architecture to contain great power rivalry and ensure that a regional order capable of addressing problems of the 21st century eventually evolves.
Nowhere in the world presents a more dramatic case of wealth creation than East Asia. Contrary to the common belief that social policy in the economic powerhouses of the region is secondary to their pursuit of economic growth, Gyu-Jin Hwang argues that it has in fact played an integral part in building strong states and competitive market economies.