Abstract
This chapter, the introduction, surveys historiography concerning the development of Japanese medical insurance programs. Then, it explains three new perspectives in terms of the development of medical insurance programs in Japan—placing emphasis on the external environment, especially Japan’s changing status in international society; making detailed, scientific, and empirical studies based on the analysis of primary documents about the roles of the government; and relativizing the importance of World War II .
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Notes
- 1.
The Meiji Restoration was the January 1868 political coup d’état that declared the reversion of power in Japan from the Tokugawa shogunate to the emperor.
- 2.
The Meiji period is the Japanese modern era under the reign of Emperor Meiji from September 1868 through July 1912.
- 3.
Article 25 of the Japanese constitution stipulates, “All people shall have the right to maintain the minimum standards of wholesome and cultured living.
In all spheres of life, the State shall use its endeavors for the promotion and extension of social welfare and security, and of public health.”
Article 25, the Constitution of Japan http://www.japaneselawtranslation.go.jp/law/detail_main?re=&vm=02&id=174#en_ch3at16. Accessed on 4 May 2018.
- 4.
In this chapter, “medical insurance” refers to a variety of legally required medical insurance programs (social insurance )—such as the Health Insurance , the National Health Insurance , and other programs.
- 5.
Insurance physicians are those physicians who agree to consult with patients covered by medical insurances.
References
Anderson, S. J. (1993). Welfare policy and politics in Japan beyond the developmental state. New York: Paragon House.
Arioka, J. (1997). Sengo iryo no 50nen: Iryo hoken seido no butai ura [Fifty years of postwar healthcare: Behind the medical insurance system]. Tokyo: Nihon Iji Shimposha.
Asakura, S. (1983). Nihon no iryo to iryo seisaku [Japanese healthcare and health policies]. Tokyo: Rodo Jumposha.
Asakura, S. (Ed.). (1991). Nihonjin no shogai to iryo [Japanese life and healthcare]. Tokyo: Rodo Jumposha.
Campbell, J., & Ikegami, N. (1998). The art of balance in health policy: Maintaining Japan’s low-cost, egalitarian system. New York: Cambridge University Press.
Hayashi, S. (1984). Nihon shihonshugi ni okeru kokumin iryo no shomondai [Problems of national healthcare in Japanese capitalism]. Tokyo: Iryo Tosho Shuppansha.
Hino, S. (Ed.). (1987). Nihon iryo no tembo: Iryo o meguru kompon soten wa: kokumin shuken no iryo sozo eno michi wa [The outlook of Japanese healthcare: What is the fundamental point of contention: How can we find a path to healthcare based on popular sovereignty?]. Tokyo: Akebi Shobo.
Hiroi, Y. (1997). Iryo hoken kaikaku no koso [Ideas of sickness insurance reforms]. Tokyo: Nihon Keizai Shimbunsha.
Hori, K. (1994). Shakai hosho ho soron [General survey of social security laws]. Tokyo: Tokyo Daigaku Shuppankai.
Ichien, M. (2003). Iryo hoshoron: Genjo, kadai, tembo [Medical security: Current status, challenges, and prospects]. Tokyo: Koseikan.
Iryo Keizai Kenkyukai. (Ed.). (1977). Nihon iryo no shinro [The course of Japan’s healthcare]. Tokyo: Otsuki Shoten.
Ito, S. (1994). Shakai hosho shi onkei kara kenri e: Igirisu to Nihon no hikaku kenkyu [History of social security from favors to rights: Comparative study between Great Britain and Japan]. Tokyo: Aoki Shoten.
Jinushi, S. (1970). Iryo to keizai [Healthcare and the economy]. Tokyo: Yomiuri Shimbunsha.
Kasahara, H. (1999). Nihon no iryo gyosei: Sono rekishi to kadai [Japan’s healthcare administration: Its history and challenges]. Tokyo: Keio Gijuku Daigaku Shuppankai.
Kasza, G. J. (2002). War and welfare policy in Japan. The Journal of Asian Studies, 61(2), 417–435.
Kawakami, T. (1965). Gendai Nihon iryo shi [History of modern Japanese healthcare]. Tokyo: Keiso Shobo.
Kawakami, T. (1967). Nihon iryo no kadai [Challenges to Japanese healthcare]. Tokyo: Keiso Shobo.
Kawakami, T. (1973). Iryo to fukushi: Gendai shihonshugi to ningen [Healthcare and welfare: Modern capitalism and human beings]. Tokyo: Keiso Shobo.
Kosaka, F. (1973). Iryo hi no shiharai hoshiki [Payment method of medical fees] In T. Kawakami & Y. Nakagawa (Eds.), Iryo hosho [Medical security] (pp. 102–112). Tokyo: Nihon Hyoronsha.
Kosaka, F. (1995). Senso to kosei – “Nihongata iryo shisutemu” keisei ni mukete [War and health & welfare—Toward the formation of the “Japan-style medical system”]. In N. Asao et al. (Eds.), Iwanami koza Nihon tsushi [Iwanami series Japanese history] (Vol. 19, pp. 329–346). Tokyo: Iwanami Shoten.
Koyama, M. (1969). Gendai iryo hoshoron [Modern medical security]. Tokyo: Shakai Hoken Shimposha.
Kudo, T. (1997). Shakai hosho no mokuteki to zaisei [Goals and financing of social security]. In Y. Kamii (Ed.), 21 seiki no shakai hosho: Sengo 50nen no sokatsu to tembo [Social security in the 21st century: Summary and prospects of 50 years in the postwar era] (pp. 23–44). Tokyo: Ochanomizu Shobo.
Kuroki, T. (1959). Nihon shakai hosho [Japanese social security]. Tokyo: Kobundo.
Masuyama, M. (2007). Senryo shoki “risoteki shakai hosho seido” koso no tenkai katei to kiketsu [The development process and end results of “idealistic social security system” schemes in the early occupation period]. Aomori Kenritsu Hoken Daigaku Zasshi, 8(1), 77–90.
Mima, T. (1998). Gunkoku shugi jidai: Fukushi kokka no kigen [The age of militarism: Origins of the welfare state]. In J. Sato & K. Kuroda (Eds.), Iryo shinwa no shakaigaku [Sociology of healthcare myth] (pp. 103–126). Kyoto: Sekai Shisosha.
Miura, T. (1973). Iryo seisaku ketti no haikei [Behind the health policy decision-making]. In T. Kawakami & Y. Nakagawa (Eds.), Iryo hosho (pp. 197–215).
Nakashizuka, M. (1993). Iryo hoken seisaku no tenkai katei – “shakai hosho seido” koso to seisaku kettei katei no “seijika” [Development process of medical insurance policies—“Social security system” scheme and politicization of the decision-making process]. Nempo Kindai Nihon Kenkyu, 15, 1–42.
Nakashizuka, M. (1998). Iryo hoken no gyosei to seiji: 1895–1954 [Administration and politics of medical insurance: 1895–1954]. Tokyo: Yoshikawa Kobunkan.
Niki, R. (1990). 90nendai no iryo [Healthcare in the 1990s]. Tokyo: Keiso Shobo.
Niki, R. (1992). 90nendai no iryo to shinryo hoshu [Healthcare in the 1990s and the medical treatment fees]. Tokyo: Keiso Shobo.
Niki, R. (1994). “Sekai ichi” no iryo hi yokusei seisaku wo minaosu jiki [Time to reconsider “the world’s best” medical expenditures containment policy]. Tokyo: Keiso Shobo.
Nishimura, H. (1980). Fukushi shakairon to sogo fukushi seisaku no tenkai: 80nendai senryaku toshiteno “Nihongata fukushi shakai koso” [Theory of welfare society and the development of comprehensive welfare policies: “Japanese-type welfare society” in the 1980s as strategy]. Gekkan Rodo Mondai, 277, 44–50.
Nishimura, S. (1977). Gendai iryo no keizaigakuteki bunseki [Economic analysis of modern healthcare]. Tokyo: Medical Friend.
Niwata, N. (1973). Shakai hoshoron: Gendai ni okeru hosho to hoken no riron [Social security: Theories of security and insurance in modern times]. Tokyo: Yuhikaku.
Niwata, N. (1977). Iryo hosho ni okeru juekisha futan no koka to genkai (ge) [Effects and limits of beneficiary liability in medical security (II)]. Kenko Hoken, 31(5), 8–17.
Nomura, K., & Mori, S. (1990). Iryo no eirika to iryo kikan/zaitaku iryo [The commercialization of healthcare and healthcare institutions/home treatment]. In S. Asakura et al. (Eds.), Koza Nihon no hoken/iryo (Vol. 4) Iryo eirika to kokumin iryo [Japanese Healthcare Series (Vol. 4) Commercialization of healthcare and national health] (pp. 49–88). Tokyo: Rodo Jumposha.
OECD. (2017). Life expectancy at birth (indicator). https://data.oecd.org/healthstat/life-expectancy-at-birth.htm. Accessed May 4, 2018.
OECD Family Database. (2017). Chart CO1.1 A. Infant mortality, neonatal mortality, and post-neonatal infant mortality rates, 2014 or latest available year. https://www.oecd.org/els/family/CO_1_1_Infant_mortality.pdf. Accessed May 4, 2018.
Ohno, Y. (1976). Shakai hoken hoshiki tai kohi futan hoshiki [The social insurance method versus the public subsidy method]. Keizai Kenkyu, 21(2), 1–16.
Ohno, Y. (1991). Shakai sabisu no keizaigaku [Economics of social services]. Tokyo: Keiso Shobo.
Ohuchi, T. (1980). Nihon no shakai hosho no tokushitsu [Characteristics of Japanese social security]. In Shakai Hosho Koza Henshu Iinkai (Ed.), Shakai hosho koza (Vol. 1) shakai hosho no shiso to riron [Social Security Study Series (Vol. 1) Thoughts and theories on social security]. Tokyo: Sogo Rodo Kenkyujo.
Saguchi, T. (1964). Iryo no shakaika: Iryo hosho no kihon mondai [Socialization of healthcare: Basic problems of medical security]. Tokyo: Keiso Shobo.
Saguchi, T. (1965). Nihon shakai hoken shi [History of Japanese social insurance]. Tokyo: Nihon Hyoronsha.
Sakai, H. (1998). Kokusaika jidai no shakai hosho: Korei shakai eno Nihon no taio [Social security in the age of internationalization: Japan’s response to the aging society]. Tokyo: Keiso Shobo.
Satomi, K. (2007). Gendai shakai hoshoron: Kai hosho taisei o mezashite [Modern social security: Towards a universal security system]. Tokyo: Takasuga Shuppan.
Shakai Hosho Kenkyujo. (Ed.). (1996). Iryo hosho to iryo hi [Medical security and medical expenses]. Tokyo: Tokyo Daigaku Shuppankai.
Sheingate, A. D., & Yamagishi, T. (2006). Occupation politics: American interests and the struggle over health insurance in postwar Japan. Social Science History, 30(1), 137–164.
Shionoya, Y. (1997). Seijuku shakai ni okeru shakai hosho no rinen – Shijo keizai shisutemu to jiyu, soshite kosei [Ideals of social security in a matured society—Market economy system, freedom, and fairness]. Kenko Hoken, 51(4), 30–36.
Shiratori, R., Rose, R., Kijima, M., & Kawaguchi, Y. (1990). Sekai no fukushi kokka: (Kadai to shorai) [Welfare states in the world: (Challenges and the future)]. Tokyo: Shin Hyoron.
Soeda, Y. (1993). Kosei Sho shi no kenkyu [A study on the history of the Ministry of Health and Welfare]. A Report for Grants-in-aid for Scientific Research (Comprehensive A), Tsukuba University.
Sorifu Shakai Hosho Seido Shingikai Jimukyoku. (Ed.). (2000). Shakai hosho no tenkai to shorai: Shakai Hosho Seido Shingikai 50nen no rekishi [The development and future of social security: 50-year history of the Advisory Council on the Social Security System]. Tokyo: Hoken.
Soumae, K. (2015). Senchu ki no iryo taisei seibi to sengo iryo seisaku no tenkai [Universal medicine by war welfare: How the healthcare system developed in prewar Japan] Osaka Yakka Daigaku Kiyo, 9, 19–33.
Steslicke, W. E. (1972). Doctors, patients, and government in modern Japan. Asian Survey, 12(11), 913–931.
Steslicke, W. E. (1982). Development of health insurance policy in Japan. Journal of Health Politics, Policy and Law, 7(1), 197–226.
Sugaya, A. (1976). Nihon iryo seido shi [History of the Japanese healthcare system]. Tokyo: Hara Shobo.
Sugaya, A. (1977). Nihon iryo seisaku shi [History of Japanese healthcare policy]. Tokyo: Nihon Hyoronsha.
Sugiyama, A. (1995). Senryoki no iryo kaikaku [Healthcare reform during the occupation period]. Tokyo: Keiso Shobo.
Takagi, Y. (1983). Isha to kanja no keizaigaku: Tenki o mukaeta iryo hi mondai [Economics between physicians and patients: Medical expenditure problems that face a turning point]. Tokyo: Keiso Shobo.
Takahashi, C. (1956). Shakai hosho to shotoku saibumpai [Social security and income redistribution] In T. Yamanaka (Ed.), Shakai hosho no keizai riron [Economic theory of social security] (pp. 62–127). Tokyo: Toyo Keizai Shimposha.
Talcott, P. D. (1999). Why the weak can win: Healthcare politics in postwar Japan (Doctoral dissertation). Harvard University.
Tsutsumi, S. (2004). Shakai hosho no kozo tenkan: Kokka shakai hosho kara jiritsu shakai hosho e [Structural transformation of social security: From national social security to independent social security]. Tokyo: Shakai Hoken Kenkyujo.
Yamagishi, T. (2011). War and health insurance policy in Japan and the United States: World War II to postwar reconstruction. Baltimore: Johns Hopkins University Press.
Yamasaki, Y., & Ogata, H. (2003). Iryo seido kaikaku to hokensha kino [Healthcare system reforms and the function of insurers]. Tokyo: Toyo Keizai Shimposha.
Yashiro, N. (2003). 21Seiki no shakai hosho no kadai [Challenges for 21th century social security] In N. Yashiro & Nihon Keizai Kenkyu Center (Eds.), Shakai hosho kaikaku no keizaigaku [Economics of social security reforms] (pp. 1–21). Tokyo: Toyo Keizai Shimposha.
Yokoyama, K., & Tada, H. (Eds.). (1993). Nihon shakai hosho no rekishi [History of Japanese social security]. Tokyo: Gakubunsha.
Yoshihara, K., & Wada, M. (1999). Nihon iryo hoken seido shi [History of the Japanese health insurance system]. Tokyo: Toyo Keizai Shimposha.
Zhong, J. (1998). Nihongata fukushi kokka no keisei to “15nen senso” [Formation of the Japan-style welfare state and the “15-Year war”]. Kyoto: Minerva Shobo.
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Sugita, Y. (2019). Toward a New Perspective. In: Japan's Shifting Status in the World and the Development of Japan's Medical Insurance Systems. Springer, Singapore. https://doi.org/10.1007/978-981-13-1660-9_1
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