後期高齢者医療制度 Medical insurance system for the elderly

後期高齢者医療制度  Medical insurance system for the elderly aged 75 or over


The Medical Insurance system for senior after 75 years old or morebegan from April 1st this year.
The system is unpopular because senior after 75 years old have been entered in the Medical Insurance with family members but they had to enter in the National Insurance newly and pay his or her premium separately.

Plus the premium was deducted from their pension automatically.

In background there is serious problem of the National Insurance's balance.
The ageing society is advancing rapidly in Japan. The cost for the National Insurance and the Nursing Care Insurance is increasing more and more.

Before 35 years, almost all of politicians promised the sweet words like a full social welfare and got popularity. So, old people were pleased at having the preferential treatment then. The Health Insurance payment for the person advanced in years was cheap and the medical bill was free. Even rich senior didn't have to pay at all.

But those all costs were the tax revenue from the working generation.
It was said the waiting room of hospital was the haunts of senior.
And the hospital gave them surplus medicine and it was discarded in the gutter by hospital, it was said

At this, the opinion that it was injustice rose.
It was spread generally that the people who received the service should pay according to his or her income.
In the future, so after 20 years much more senior will increase surely.

Reference

Medical fees paid out in fiscal 2003 from health insurers and public funds to medical institutions hit an all-time high of 30.8 trillion yen, up 2.1 percent on the previous year, according to Health, Labor and Welfare Ministry estimates released.

1969 The geriatric medicine (70 years old or more) : free of charge in Tokyo. (the first in the whole country)
1973  Free medical care expenditures for the elderly
1983  Partial payment of the geriatric medicine is introduced.(hospitalization 300 yen/day, outpatient 400 yen/month)
1984 In government contribution of national health insurance 45%→38.5%, The burden of the insured of the health insurance is free →10 percent.
1987 Partial payment of geriatric medicine (hospitalization 400 yen/day, outpatient 800 yen/month)
1994 Meal medical expense system introduction when hospitalized. (A part of the meal is removed from insurance. )
1996 Partial payment of the geriatric medicine increase.(hospitalization 710 yen/day, outpatient 1020 yen/month)
1997 The burden of the insured of the health insurance increases from 10 percent to 20 percent.
Partial payment of the geriatric medicine increases. (Hospitalization 1000 yen, outpatient 500 yen/day four times a month)
1998 Partial payment of the geriatric medicine increases (Hospitalization 1100 yen, outpatient 500 yen/day four times a month)
1999 Partial payment of the geriatric medicine increases. (Hospitalization 1200 yen, outpatient 530 yen/day four times a month)
2002 The geriatric medicine completely fixes the rate. (10 percent load)
2003 The burden of the insured of the health insurance and family members increases from 30 percent.
2008 Medical-care system for the elderly of latter term is introduced.(Collect all members insurance premium from 75 years old and more. )The cost of from 70 years old to 74 years old is 20 percent load in principal.




後期高齢者医療制度担当者ハンドブック 制度の解説と事務処理の概要 2014[本/雑誌] / 社会保険出版社
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マンガ 誰でもわかる医療政策のしくみ vol.1
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2014-01-16
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bilingual
2009年07月15日 11:52
With due respect, where did you get "the elderly of latter term"? You do realise "latter" means the second one in the two listed, don't you?

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