BACKGROUNDOne policy-related task we must prioritize is theoptimization of future social security expenditure,particularly healthcare expenditure, which isexpected to continue growing in the coming years.In order to ensure that future generations caninherit the advantages offered by Japan’s nationalhealth insurance system, it is essential not only torebuild our healthcare system in a manner thatwould allow it to cope with future demographictrends, but also to reform the underlying fundingpolicies that support this system appropriately,creating incentives for new technologies that cankeep the population healthier, for longer.RECOMMENDATIONSRECOMMENDATION 5SECURE THE NECESSARY FINANCIALRESOURCES TO SUSTAIN JAPAN’S SOCIALSECURITY SYSTEM, DETERMININGAPPROPRIATE INDIVIDUAL BURDENS BASEDON ABILITY TO PAY, WHILE PROVIDING NEWOPTIONS FOR TAX-DEFERRED INVESTING Although the government is currently consideringa review of the upfront costs incurred by peopleover the age of 75 for healthcare services, it is alsonecessary to review the High-Cost MedicalExpense Benefit and the Special or SpecifiedMedical Care Coverage systems while providingtargeted assistance to households that aregenuinely struggling financially. There should alsobe a review of the current age-based co-payment system, and the introduction of an income orasset-based ability to pay system.While strengthening the public insurance system,the foundation of Japan’s medical system, at thesame time it is necessary to encourage expansionof private savings (through iDeco, NISA, etc.) andprivate insurance coverage (by raising themaximum cap), while considering the introductionof a mechanism that can offset part of theincreased cost incurred by individuals.As individual burdens are assessed based onability to pay, priority should be placed onimproving investment returns to supportindividuals by raising their ability to pay.Encouraging increased investment-related wealthcreation by individuals can be accomplished SHIFT FINANCIALRESOURCES TOWARDSHEALTHCARE ANDRETIREMENT NEEDSPAGE | 08| ACTION 2ACTION 2The 5-year total savings from drug price revision reached509.6B yen (75 percent of total savings) in 2020. A moresystem-wide perspective is necessary in approachingheatlhcare system budget reforms. SOCIAL SECURITY BUDGET OVER "INTENSIVEREFORM PERIOD" Source: Japan Ministry of Finance.
元のページ ../index.html#14