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The 1922 Japanese Health Insurance Law: Medical Association

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Book cover Japan's Shifting Status in the World and the Development of Japan's Medical Insurance Systems

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Abstract

This chapter analyzes the relationship between the government and the Japan Medical Association in a corporatist framework consisting of the government as a coordinator, big business, and the Japan Medical Association as a specialized interest group. The research questions this chapter addresses are: (1) How was the Japan Medical Association incorporated in the corporatist framework ? and (2) How did the incorporation of the Japan Medical Association affect the development of the Health Insurance . My hypotheses are: (A) The Japan Medical Association was incorporated into the corporatist framework in such a way that bestowed economic gains and the legal authority to control private practitioners on the Japan Medical Association ; and (B) the Japan Medical Association lost its independent status, became a special interest group, and played an important role in making a step toward eliminating the insurance nature of the social insurance .

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Notes

  1. 1.

    Insurance physicians are those physicians who agree to consult with patients covered by medical insurances.

  2. 2.

    Isei is a journal published by the Great Japan Medical Association and later the Japan Medical Association .

  3. 3.

    Nagase Tsunezo of the Ministry of Agriculture and Commerce estimated that the average annual length of medical treatment would be 17.3 days and the average medical expense per day would be 0.5 yen. The expected annual medical expense would be 17.3 × 0.5 = 8.65 yen per person. The government deducted a certain amount from this figure and finally came up with the official annual medical expense at 7.4267 yen per person. Kitahara (1995), p. 6.

  4. 4.

    The capitation payment method means setting the medical fee per person per year, and the fixed-price payment method means fixing the medical fee per medical treatment score or per person per day. Shakaikyoku Hokenbu, Kenko Hoken jigyo enkaku shi (pp. 271–273).

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Authors and Affiliations

  1. Osaka University, Osaka, Japan

    Yoneyuki Sugita

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  1. Yoneyuki Sugita
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Correspondence to Yoneyuki Sugita .

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Sugita, Y. (2019). The 1922 Japanese Health Insurance Law: Medical Association. 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_3

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  • DOI: https://doi.org/10.1007/978-981-13-1660-9_3

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