Health Care Systems in Japan and the United States

1. Front Matter

   Pages i-ix

   PDF

2. Overview

   • Ryuzo Sato, Elias Grivoyannis, Barbara Byrne, Chengping Lian

   Pages 1-6

3. Demographic Changes in Japan and the United States

   • Ryuzo Sato, Elias Grivoyannis, Barbara Byrne, Chengping Lian

   Pages 7-13

4. Health Care Services Utilization Profiles Among the Elderly

   • Ryuzo Sato, Elias Grivoyannis, Barbara Byrne, Chengping Lian

   Pages 15-25

5. Paternalism in Health Care for the Elderly

   • Ryuzo Sato, Elias Grivoyannis, Barbara Byrne, Chengping Lian

   Pages 27-30

6. Trends in Health Care Expenditures and Financing

   • Ryuzo Sato, Elias Grivoyannis, Barbara Byrne, Chengping Lian

   Pages 31-39

7. Our Approach to the Problem

   • Ryuzo Sato, Elias Grivoyannis, Barbara Byrne, Chengping Lian

   Pages 41-51

8. The Simulation Model

   • Ryuzo Sato, Elias Grivoyannis, Barbara Byrne, Chengping Lian

   Pages 53-60

9. Simulation Results

   • Ryuzo Sato, Elias Grivoyannis, Barbara Byrne, Chengping Lian

   Pages 61-81

10. Alternate Set of Assumptions

    • Ryuzo Sato, Elias Grivoyannis, Barbara Byrne, Chengping Lian

    Pages 83-100

11. Concluding Remarks and Policy Recommendations

    • Ryuzo Sato, Elias Grivoyannis, Barbara Byrne, Chengping Lian

    Pages 101-105

12. Back Matter

    Pages 107-150

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The health care sector has become a major component of the contemporary econo­ mies of Japan and the United States. It absorbs significant proportions of the GDP in both countries and places increasing stress on private, government and corporate budgets. As their income rises, the citizens ofJapan and the United States choose to allocate increasing portions of it on health care services because ofthe direct contri­ bution of health care services to prolonged life expectancy, reduced morbidity, or other indicators of improved health and well-being. The health care sector is a ma­ jor source ofemployment and affects the lives of all citizens. Adequate health care services are expected to have an important contribution to the quality of human life in any society. With so much at stake, arrangements for planning, financing, and operating health care service systems have increasingly come to be regarded as im­ portant economic and political issues. The political importance of health care is evidenced by the health care reform proposals of the Clinton administration in the United States and the deep involve­ ment of the government in the medical care security system in Japan. As policy­ makers in both countries look ahead to the coming decades, they realize that the imperatives of economic restructuring, globalization, and their rapidly aging socie­ ties will affect the way in which health care is organized, delivered, and financed.

• Financing
• Japan
• health
• health care
• rating

• New York University, USA

  Ryuzo Sato, Barbara Byrne

• University of North Carolina at Greensboro, USA

  Elias Grivoyannis

• Shanghai Institute of Economic Development, China

  Chengping Lian

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