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Japan's radical reform of long-term care
Author(s)John Creighton Campbell, Naoki Ikegami
Journal titleSocial Policy & Administration, vol 37, no 1, February 2003
Pagespp 21-34
KeywordsHealth insurance ; Insurance [elderly] ; Social policy ; Japan.
AnnotationJapan's mandatory long-term care social insurance system began in 2000. It represents a reversal from earlier steps toward a tax-based service system, and is based on consumer choice of services and providers. The benefits are in the form of institutional or community-based services, not cash, and are aimed at covering all caregiving costs (less a 10% co-payment) at six levels of need, as measured by an objective test. Revenues are from insurance contributions and taxes. The programme costs $40 billion, and is expected to rise to about $70 billion annually by 2010 as applications for services increase. There are some 2.2 million beneficiaries, about 10% of the 65+ population. The programme has operated within its budget and without major problems for 2 years, and is broadly accepted as an appropriate and effective social programme. (RH).
Accession NumberCPA-030314508 A
ClassmarkWPG: JG: TM2: 7DT

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