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ThehealthandsocialsystemfortheagedinJapan

ShinyaMatsuda

DepartmentofPreventiveMedicineandCommunityHealth,UniversityofOccupationalandEnvironmental

Health,Kitakyushu,Japan

ABSTRACT.Japanimplementedanewsocialinsurancecomparethisincreasefrom7to14%withothercountries,

schemeforthefrailandelderly,Long-Term-CareIn-Francerequired125yearsandtheUSA75years.Fur-

surance(LTCI)on1April2000.Thiswasanépoque-thermore,accordingtotheofficialdemographicforecasts,

makingeventinthehistoryoftheJapanesepublictheproportionoftheagedwillcontinuetoincreasetoreach

healthpolicy,becauseitmeantthatinmodifyingitstra-25.8%in2025;thismeansthatJapanmustpreparefora

ditionoffamilycarefortheelderly,Japanhadmovedto-highlyagedsocietyinaveryshortperiod.Thesecondfac-

wardsocializationofcare.Oneofthemainideasbehindtorisbothdemographicandsociological.Withfewerchil-

theestablishmentofLTCIwasto“de-medicalize”andra-drenbeingborn(TotalFertilityRatewas1.3in1998),more

tionalizethecareofelderlypersonswithdisabilitieswomenworking,andachangingattitudetowardfamilyre-

characteristicoftheagingprocess.Becauseoftheagingsponsibilities,thetraditionalsystemofinformalcaregiving

ofthesociety,theJapanesesocialinsurancesystemre-iswidelyperceivedasinadequatetotakecareofthein-

quiredafundamentalreform.Theimplementationofcreasingnumberofthefrailelderly.Infact,about40%of

LTCIconstitutesthefirststepinthefuturehealthreformthehouseholdswithelderlypeopl

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