I just received notice that Lou Dobbs will be covering Japan’s national health insurance system tonite on his TV show, but I will blog this story anyway as it is already written.
With all the debate and town hall meetings recently on the reformation of the US health care industry and the introduction of a national health care insurance system run by the government, I still wonder why no one in the major media mentions the Japanese national health care system and how successful it is or, if they do, why they do not go into full detail on it? Why? Is it because Japan’s system is far better than that of England and Canada which US politicians and pundits in the media knock each other over point to as being disasters? “Do we want a system like the UK and Canada where people wait months for elective surgery or CAT scans,” they say.
Why do they not use the example of Japan’s single tier system where each and every person pays 4% of their salary with companies and the government (in the case of those self-employed or those out of work) picking up the remainder? Therefore, regardless of ones salary, from $500 per week to $50,000 per week, everyone pays the same percentage. Why do they not mention the Japanese compulsory system where no one waits for anything, can visit any doctor, hospital, specialist, or clinic they desire, and where no one ever goes into bankruptcy due to catastrophic illnesses like cancer as per month costs are capped with the government picking up the remainder? Why do they not point out that even death is covered under insurance to help defray the costs for the family? Why do they not point to Japan’s system where prices of everything from major surgeries to the price of prescription drugs to the cost of a stitch or a filling is set and reviewed by the Japanese government every two years and where all hospitals must be not for profit?
Why do the pundits, so critical of other countries’ national health care systems, not point to Japan’s system where the average cost per family of health insurance is $250 per month in a system where no one is denied insurance due to pre-existing conditions and where everyone must be covered and participate and the cost per capita to the government is around US$2,500 per year whereas in the US, even with no national health insurance the cost is well over $7,000 per capita? Could it be the greed of big pharma, the insurance companies, and the hospitals and doctors here in the US and hospitals for profit whereas in Japan, although many hospitals are private, they must be non-profit? Could it be because there is no tort reform and a doctor has to pay tens of thousands in malpractice insurance eating into his/her own salary and increasing our costs where Japan does not have these problems? I don’t know. All I know is that Japan’s system is second only to France’s and that it is a huge success. I should know as I lived under it for more than 11 years.
Today, one rarely pays more than a couple of dollars to visit a doctor or about $10 – $20 to visit a specialist including x-rays and blood tests. When I lived there the cost of root canal was about $30 and it is probably near that today if not the same. Here is one example I had when I visited Japan recently and needed emergency medical care:
I have Diverticulitis which sometimes becomes inflamed (like once every few years) and I have to go to the doctor to receive antibiotics. The pain subsides within 24 hrs and disappears after about three days.
Well, while I was visiting Japan with my Japanese wife a while back it became inflamed and within 24 hrs I developed a slight fever and knew I would have to go see a doctor or go to the hospital. I was a little concerned as I had no national health insurance, but it had to be done regardless of the cost.
My wife called a clinic in the neighborhood and an appointment was made for an hour later. It was a Saturday morning and I figured it would probably be crowded. I had not received medical care in Japan since the late 80’s when I was living there full time and, not knowing the cost today, we took 60,000 yen with us (approx US$600) as, in the US, with no health insurance the cost would probably be at least $200 if not more.
We walked the 10 minutes to the small clinic and upon entering, after removing our shoes and using the slippers (pink for females, blue for males) I was amazed that there were only two patients there, an elderly gentleman and a woman with a baby. Surprising for a Saturday morning as in the US on a Saturday the offices are booked solid and one must wait at least an hour over ones scheduled ”appointment”. The nurse behind the counter took my basic information and asked that I take a seat and said the doctor would see me shortly. Unlike the US there were no pages and pages of info to fill out for a first time visit.
Within 10 minutes the doctor called us in and I noticed his diploma on the wall from Tokyo University. I explained my situation to him in Japanese with help from my wife and what kind of penicillin I usually take for the symptoms. He understood what I was talking about, checked his computer for reference and asked that I lie down. Locating the pain on the left side of my abdomen he asked that I take a urine test. I left the cup on the counter in the restroom and no longer than 5 minutes after I returned to the room the nurse came in with the results and he said that my urine was ok. Now that was fast!
He said that he would give me a 5 day prescription for antibiotics and pain killers and that if the pain did not subside within 24 hrs that I was to return. We went to the counter and we were given the medicine right there! No pharmacy to go to! Our bill was calculated and it was presented to us.
To my astonishment the total bill for the visit, urine test and two prescriptions was 4,610 yen!! Approximately US$38 at the then current exchange rate and about $48 at today’s exchange rate! And that was with no National Health Insurance! My wife and I looked at each other with wide open eyes. I asked her if this was the normal cost and she asked the nurse. Yes it was and they apologized for the “high” cost with my having no health insurance! Unbelievably reasonable in my opinion and there was no need for them to apologize if they knew the cost of such a visit in the US. It was way lower than either of us expected.
I calculated the cost of what this would have cost me in the US WITH insurance. The co-pays for the doctor, urine test, and two prescriptions at a pharmacy would have come out to about $60 and, with no insurance the cost would have been at least $200! This just goes to show how unreasonable medical costs are in the US.
Anyway, within a couple of days I was fine and my visit to Japan was not interrupted at all as I was still able to function thanks to the pain killers and had a wonderful time for the remainder of my visit. I am very grateful that in Japan you are not ripped off for emergency medical care even if you have no health insurance!
Now is that reasonable or what for having to pay full price for a medical emergency? This average Joe says yes and it should be mandatory here in the US also!
Therefore, if you are visiting Japan and become ill, don’t fear that it will cost you an arm and a leg if you have to receive care as the costs are very reasonable to one without insurance. For the average Joe it will not cost an arm and a leg to repair an arm or a leg or both!
If you don’t believe me at how reasonable medical costs are in Japan, check out this video from an American woman living in Japan under Japan’s health insurance program where someone called her a liar about her costs for care: Health Care Costs in Japan
Unfortunately, with the greed here in the US and our ruling elite under the thumb of the lobbyists, I doubt we ever have a system as successful, affordable and reasonable as Japan’s. Besides, with so many people receiving welfare and the vast number of illegal immigrants here, I cannot see how it would ever work and be affordable to not only the taxpayers and the working average Joe, but the government also, unless the congress gets some C O Jones’ and cracks down for the good of the whole rather than kowtowing to special interests and lobbyists.
Sadly, whenever the government runs anything in this country it is a disaster. Just look at your local DMV office or try and get some information from the government or try and get something done by the government. Hell, anyone who pays $6,000 for a toilet seat cannot possibly run a national health care system. Any average Joe knows that!