日本の医療保障をめぐる議論とイギリスの国民保険サービス

概要

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Japan introduced employment-based health insurance in 1927 taking after the German model, and community-based health insurance in 1938 taking after the Danish model. However, it was the British National Health Service as a symbol of socialized medicine that was studied most after the Second World War, but with virtually no concrete influence on Japanese health care policy. As Japan developed health care provision with the extension of health insurance coverage, it became increasingly important to rationalize the delivery of medical care. We thus came to use the strategy of controlling and planning the supply of medical care. The British NHS, on the other hand, became more market oriented after the recent reforms and the two health care systems came to have more in common in recent years. Considering this process of narrowing the gap between the two system, the author supports an insurance-based system as opposed to tax-based system in implementing new universal long-term care policy in Japan.
関西学院大学の論文