Health Care Issues in the United States and Japan (Hardcover)

Recent data shows wide disparity between Japan and the United States in the effectiveness of their health care systems. While Japan spends close to the lowest percentage of gross domestic product on health care among OECD countries, the United States spends the highest--yet life expectancies in Japan are among the world's longest. Clearly a great deal can be learned from a comprehensive comparative analysis of health care issues in these two countries. In "Health Care Issues in the United States and Japan, "a group of leading experts in health care and economics explore the structural characteristics of the health care systems in both nations, the economic incentives underlying the systems, and how they operate in practice. Japan's system, contributors show, is characterized by generous insurance schemes, a lack of gatekeepers, and fee-for-service mechanisms. In contrast, the United States' structure is distinguished by the public Medicare system for persons over 65 and by employer-provided insurance for the younger population. But despite the relative success of the Japanese system, an aging population and a general shift from infectious diseases to more chronic maladies are forcing the Japanese to consider a model more closely resembling that of the United States. In an era when rising health care costs and aging populations are motivating reforms throughout the world, this timely study will prove invaluable.