Abstract
This chapter analyzes the relationship between the government and the Japan Medical Association in a corporatist framework consisting of the government as a coordinator, big business, and the Japan Medical Association as a specialized interest group. The research questions this chapter addresses are: (1) How was the Japan Medical Association incorporated in the corporatist framework ? and (2) How did the incorporation of the Japan Medical Association affect the development of the Health Insurance . My hypotheses are: (A) The Japan Medical Association was incorporated into the corporatist framework in such a way that bestowed economic gains and the legal authority to control private practitioners on the Japan Medical Association ; and (B) the Japan Medical Association lost its independent status, became a special interest group, and played an important role in making a step toward eliminating the insurance nature of the social insurance .
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Notes
- 1.
Insurance physicians are those physicians who agree to consult with patients covered by medical insurances.
- 2.
Isei is a journal published by the Great Japan Medical Association and later the Japan Medical Association .
- 3.
Nagase Tsunezo of the Ministry of Agriculture and Commerce estimated that the average annual length of medical treatment would be 17.3 days and the average medical expense per day would be 0.5 yen. The expected annual medical expense would be 17.3 × 0.5 = 8.65 yen per person. The government deducted a certain amount from this figure and finally came up with the official annual medical expense at 7.4267 yen per person. Kitahara (1995), p. 6.
- 4.
The capitation payment method means setting the medical fee per person per year, and the fixed-price payment method means fixing the medical fee per medical treatment score or per person per day. Shakaikyoku Hokenbu, Kenko Hoken jigyo enkaku shi (pp. 271–273).
References
Aoyanagi, S. (1983). Dainihon Ishi Kai no seiritsu to Kitazato Shibasaburo [Formation of the Great Japan Medical Association and Kitazato Shibasaburo]. Igaku Shi Kenkyu, 57, 29–30.
Aoyanagi, S. (1985). Nihon Ishikai shoshi 24 [Concise history of the Japan Medical Association No. 24]. Nihon Ishikai Zasshi, 93(9), 1816.
Aoyanagi, S. (1996). Shinryo hoshu no rekishi [History of medical treatment fees] (pp. 414–418). Kyoto: Shibunkaku Shuppansha.
Dai Nihon Ishi Kai. (1922). Dai 7ji teiji sokai nittei to gian [Schedule and bills at the seventh annual meeting]. Isei, 1(10/11), 49.
Isei kigen [Noble statement in medical politics]. (1927). Isei (Fukkatsu), 2(7), 4.
Kaisei Ishi Kai Rei no kofu [Promulgation of revised Medical Association Ordinance]. (1923a). Isei, 2(5), 49.
Kaisei Ishi Kai Rei no kofu [Promulgation of revised Medical Association Ordinance]. (1923b). Isei, 2(6), 12–13, 34–37, 48–49.
Kansai Iji Kisha Kurabu. (1926). Kenko Hoken ryoyo kyufu ni kansuru sankosho [References on medical benefits of the Health Insurance] (pp. 5, 13–15). Osaka: Kansai Iji Kisha Kurabu.
Kanto Gen [Preface]. (1921). Isei, 1(3), 1.
Kawakami, T. (1990). Gendai Nihon iryo shi [History of modern Japanese healthcare] [10th printing]. Tokyo: Keiso Shobo.
Kitahara, R. (1971). Rodo kumiai Kiseikai Tekko Kumiai no kyusai katsudo 1 [Relief activities of Kiseikai Ironworkers’ Union 1]. Igaku Shi Kenkyu, 36, 22–23.
Kitahara, R. (1984). Shakai hoken iryo kenkyu 4 [A study on social insurance healthcare 4]. Shinshu Daigaku Kyoiku Gakubu Kiyo, 51, 3–4.
Kitahara, R. (1989). Kenko Hoken seido no hossoku to chiho ishikai (1) [The Health Insurance and the local medical associations 1]. Utsunomiya Daigaku Kyoiku Gakubu Kiyo, 39, 70–71.
Kitahara, R. (1991). Kenko Hoken seido no hossoku to chiho ishikai (3) [The Health Insurance and the local medical associations 3]. Utsunomiya Daigaku Kyoiku Gakubu Kiyo, 41, 43–65, 58.
Kitahara, R. (1995). Nagase Tsunezo to 7 en 42 sen 6 ri 7 mo [Nagase Tsunezo and 7.4267 yen]. Yokohama Kokuritsu Daigaku Jimbun Kiyo Dai1rui Tetsugaku/Shakai Kagaku, 41, 6.
Kitahara, R. (1999). Kenko Hoken to ishi kai – Shakai hoken soshiki ni okeru ishi to iryo [The Health Insurance system and the medical association in Japan—Doctors and healthcare at the beginning of the social health insurance] (pp. 9–11, 100–109). Tokyo: Toshindo.
Kitajima, T. (1926). Heikai no aisatsu [A closing address]. Isei (Fukkatsu), 1(11), 38.
Kitajima, T. (1955). Seifu to Nihon Ishikai tono shinryo keiyaku toji o kaiko shite [Looking back on the time when the government and the Japan Medical Association concluded the medical treatment contract]. Shakai Hoken Jumpo, 424, 19.
Kose, Y. (1938). Kenko Hoken no iryo seido to rodosha no kenko kyoka [The medical system of the Health Insurance and the strengthening of workers’ health] (pp. 105–106, 301–302). Tokyo: Hoken Eisei Kyokai.
Koseisho Hokenkyoku. (Ed.). (1953). Kenko Hoken 25nen shi [25-year history of the Health Insurance] (pp. 12, 398–400). Tokyo: Zenkoku Shakai Hoken Kyokai Rengokai.
Koseisho Hokenkyoku. (Ed.). (1958a). Kenko Hoken 30nen shi jokan [30-year history of the Health Insurance] (Vol. 1, pp. 180, 273–274). Tokyo: Zenkoku Shakai Hoken Kyokai Rengokai.
Koseisho Hokenkyoku. (Ed.). (1958b). Kenko Hoken 30nen shi gekan [30-year history of the Health Insurance] (Vol. 2, pp. 23–24, 99–101, 106–109, 273–275, 289–290). Tokyo: Zenkoku Shakai Hoken Kyokai Rengokai.
Kumagai, K. (1927). Kenko hoken kumiai no zaigen to iryo soshiki ni tsuite [On the financial source and medical service supply system in the health insurance associations]. Shakai Seisaku Jiho, 82, 406.
Nagaoka, R. (1926a). Kenko Hoken ni tsuite [On the Health Insurance]. Isei (Fukkatsu), 1(7), 8, 12.
Nagaoka, R. (1926b). Nihon Ishikai sokai ni nozomite [At the general meeting of the Japan Medical Association]. Isei (Fukkatsu), 2(3), 2–3.
Nakashizuka, M. (1998). Iryo hoken no gyosei to seiji: 1895–1954 [Administration and politics of health insurances, 1895–1954] (p. 95, 160, 165, 168–171, 176). Tokyo: Yoshikawa Kobunkan.
Nihon Ishi Kai. (1926). Nihon Ishi Kai hyogiin kai no keika [Proceedings of the board of councilors of the Japan Medical Association]. Isei (Fukkatsu), 2(2), 18–19, 52.
Noda, T. (1923). Kenko Hoken Ho to iryo kyufu [The Health Insurance Law and medical treatment benefits]. Isei, 2(1), 23.
Nomura, T. (1976). Nihon Ishi Kai [Japanese Medical Association]. Tokyo: Keiso Shobo.
Rodo Hoken Chosakai [The Investigation Committee for Labor Insurance]. (1921, May 21). Tokyo Asahi Shimbun. Newspaper clippings collection. Kobe University Library. http://www.lib.kobe-u.ac.jp/das/jsp/ja/ContentViewM.jsp?METAID=00828940&TYPE=IMAGE_FILE&POS=1&LANG=JA. Accessed May 5, 2018. Also see for the list of members, Yonekawa, N. (1998). Waga kuni ni okeru Kenko Hoken Ho no seiritsu katei [The formation process of the Health Insurance Law in our country]. Mie Daigaku Hokei Ronso, 15(2), 152.
Saguchi, T. (1965). Nihon shakai hoken shi [History of Japanese social insurance] (pp. 121–122). Tokyo: Nihon Hyoronsha.
Saguchi, T. (1982). Iryo no shakaika [Socialization of medicine] (p. 44). Tokyo: Keiso Shobo.
Shakai Jigyo Kenkyujo. (1997). Kindai iryo hogo jigyo hattatsu shi [History of the development of modern medical care undertakings] (pp. 30–34, 64–66). Tokyo: Nihon Tosho Center.
Shakaikyoku Hokenbu. (Ed.). (1935). Kenko Hoken Ho shiko keika kiroku [Procedure documents of the enforcement of the Health Insurance Law] (pp. 39, 64–65, 227, 319, 335, 427–430). Tokyo: Shakaikyoku.
Teramura, K. (1922). Kenko Hoken hoan to ryoyo kyufu hoho [The Health Insurance bill and the methods for treatment and medical treatment benefits]. Isei, 1(6/7), 6–8.
Teramura, K. (1923). Kenri to shiteno ryoyo kyufu [Medical treatment benefits as a right]. Isei, 1(12), 9.
Teramura, K. (1927). Kenko Hoken ryoyo kyufu hi no tokeiteki kenkyu [A statistical study on Health Insurance medical benefits expenses]. Isei (Fukkatsu), 2(7), 7–10.
Tomono, T. (1950). Kenko Hoken no unei to ishikai eno yobo (zoku) [Management of the Health Insurance and expectations for the Japan Medical Association (II)]. Shakai Hoken Jumpo, 257, 486.
Tomono, T. (1950). Shippei hoken ni okeru iryo hoshu no shiharai hoho ni tsuite [On payment methods for medical treatment fees in medical insurance]. Shakai Hoken Jiho, 24(6), 2.
Uchigasaki, T. (1922). “Iryo kyufu” shoron [An essay on “medical benefits”]. Isei, 1(8/9), 9.
Yuzawa, M. (1926). Ishi shokun ni taisuru aisatsu narabini kibo [Greetings for physicians and our hopes]. Isei (Fukkatsu), 1(11), 7–10.
Yuzawa, M. (1926). Keiyaku an no naiyo to seiritsu no keika [Contents of the contract proposal and the process of its formation]. Isei (Fukkatsu), 2(3), 3–8.
Yuzawa, M. (1958). “Kenko Hoken 30nen shi” ni yosete [For the “30-year history of Health Insurance]. In Koseisho Hokenkyoku (Ed.), Kenko Hoken 30nen shi jokan (Vol. 1, p. 3).
Zen, K. (1922). Kenko Hoken hoan ni tsuite [On the Health Insurance bill]. Isei, 1(4/5), 22.
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Sugita, Y. (2019). The 1922 Japanese Health Insurance Law: Medical Association. In: Japan's Shifting Status in the World and the Development of Japan's Medical Insurance Systems. Springer, Singapore. https://doi.org/10.1007/978-981-13-1660-9_3
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