Health Policy

John Creighton Campbell's The art of balance in health policy : maintaining Japan's PDF

By John Creighton Campbell

ISBN-10: 0521571227

ISBN-13: 9780521571227

In comparison to the remainder of the area, Japan has a fit inhabitants yet can pay quite little for therapy. Taking a comparative viewpoint, the authors describe the politics of health and wellbeing care in Japan, the diversity of companies, the common medical health insurance approach, and the way the associated fee time table constrains charges. certain realization is paid to problems with caliber, to the tough difficulties of assuring enough high-tech drugs and long term care, and to attainable classes for the United States
Low well-being care spending in Japan -- Actors, arenas, and agendas in wellbeing and fitness coverage making -- health and wellbeing care prone -- The egalitarian medical insurance approach -- The macropolicy of fee containment -- The micropolicy of rate containment -- the standard challenge

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Additional info for The art of balance in health policy : maintaining Japan's low-cost, egalitarian system

Sample text

In the midst of battle, they would go back and forth between the contenders to arrange the deals that solved the problem. Of course, conflict is only part of the story, and in many respects the health policy subgovernment functioned in an ordinary way to provide links among bureaucrats, politicians, and interest groups. The LDP's role as the sole ruling party ended in 1993, and in the unsettled political situation since then, it has been difficult to discern how decisionmaking patterns will change.

The Ministry of Finance (MOF) is usually regarded as an antagonist of the spending ministries, and indeed every year its budget examiners go toe-to-toe with the MHW to fight about how much money will be allocated to social policy. Nonetheless, the MOF is a key ally of the Welfare bureaucrats in its struggles with the JMA because it can credibly say that no more money will be spent on medical care. Finance officials' interests are easy to describe: They want to keep costs down, they especially want to keep government costs down, and most of all they want to keep spending from the General Account budget down.

Under the old regime, all the political parties that were in opposition to the LDP claimed that they were on the side of "the people" - for example, they criticized the introduction of small copayments for the elderly in 1982 and for employees in 1985. 14 The Japan Socialist Party (JSP) has always been the largest opposition party and moreover might be expected to take the role that has usually been ascribed to European socialist parties in building and maintaining welfare state policies. However, its position on many health-care issues such as financing has been complicated by its close ties with labor unions, which often have interests that conflict with non-employed people such as the elderly.

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The art of balance in health policy : maintaining Japan's low-cost, egalitarian system by John Creighton Campbell


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