Japan's radical reform of long-term care

John Creighton Campbell, Naoki Ikegami

研究成果: Article査読

85 被引用数 (Scopus)


Japan's mandatory long-term care social insurance system started in 2000. Many important choices about the basic shape and size of the system, as well as a host of details, were necessary when the program was being planned. It represents a reversal from earlier steps toward a tax-based direct-service system, and is based on consumer choice of services and providers. The benefits are in the form of institutional or community-based services, not cash, and are aimed at covering all caregiving costs (less a 10 percent co-payment) at six levels of need, as measured by objective test. Revenues are from insurance contributions and taxes. The program costs about $40 billion, and is expected to rise to about $70 billion annually by 2010 as applications for services go up. There are about 2.2 million beneficiaries, about 10 percent of the 65+ population. The program has operated within its budget and without major problems for two years and is broadly accepted as an appropriate and effective social program.

ジャーナルSocial Policy and Administration
出版ステータスPublished - 2003 2月

ASJC Scopus subject areas

  • 開発
  • 社会学および政治科学
  • 行政


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