Medical Care Security and the ‘Vitality of the Private Sector’ in Japan

  • William E. Steslicke


As Japanese health policy-makers look ahead to the 1990s, they realise that the imperatives of ‘economic restructuring’, ‘globalisation’, and a ‘rapidly aging society’ will affect the way in which health care is organised, delivered, and financed. This will provide both opportunities and challenges for them. Although they can take some pride in the accomplishments of the 1980s, they know that the Japanese health care system has not reached a state of perfection (Koseisho, 1989; Ministry of Health and Welfare, 1988, pp. 14–19). Not only is there much room for improvement in the quality of health services, but a good deal of readjustment of organisation, delivery and financing of services, in keeping with the changing domestic and international environment of the 1990s, will also be necessary (Economic Planning Agency, 1988, p. 5). Health care is not an area in which Japanese national policy-makers can afford to relax or simply follow business-as-usual.


National Health Insurance Scheme Liberal Democratic Party Insurance Business Social Insurance System Medical Care Service 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Christa Altenstetter and Stuart C. Haywood 1991

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  • William E. Steslicke

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