The Art of Balance in Health Policy: Maintaining Japan's Low-Cost, Egalitarian System

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Cambridge University Press, Sep 13, 1998 - History - 227 pages
Compared to the rest of the world, Japan has a healthy population but pays relatively little for medical care. This book analyses how the health care works, and how it came into being. Taking a comparative perspective, the authors describe the politics of health care, the variety of providers, the universal health insurance system, and how the fee-schedule constrains costs at both the macro and micro levels. Special attention is paid to issues of quality and to the difficult problems of assuring adequate high-tech medicine and long-term care. Although the authors discuss the drawbacks to Japan's stringent cost-containment policy, they also keep in mind the possible implications for reform in the United States. Egalitarian values and a concern for 'balance' among constituents, the authors argue, are essential for cost containment as well as for access to health care.
 

Contents

Low HealthCare Spending in Japan
1
Actors Arenas and Agendas in Health Policy Making
21
HealthCare Providers
53
The Egalitarian Health Insurance System
87
The Macropolicy of Cost Containment
116
The Micropolicy of Cost Containment
145
The Quality Problem
175
Lessons?
199
Index
219
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