Abstract
The Long-term Care Insurance (LTCI) system that is scheduled to start in April 2000 will change the existing Japanese welfare system in two respects. First, the basic principle of eligibility will be altered. Under the 1963 Welfare for the Elderly Law, services have been based on a means-tested poverty program model, mainly aimed at older people without families. In contrast, the new system is based on the principle of universality, under which all insured elderly people are qualified to receive services, based not on their economic or family conditions but only on their needs arising from disability.
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Further Reading
Public Participation in Policy-making Process of Health Care (in Japanese). Shinzan-sha, 1993
Continuity and change of the policy on the health system in Japan (in Japanese). The Annuals of the Japanese Political Science Association, 1997, pp 135–153
Transformation of the “Japanese-style welfare” under the coalition period since 1993; the process for the establishment of the long-term care insurance system in Japan (in Japanese). Leviathan, 1998, pp 68-94
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© 1999 Springer-Verlag Tokyo
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Eto, M. (1999). Japan’s Long-Term Care Insurance System: The Likely Impact on Service Suppliers and Their Staffs. In: Campbell, J.C., Ikegami, N. (eds) Long-Term Care for Frail Older People. Keio University Symposia for Life Science and Medicine, vol 4. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68503-6_31
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DOI: https://doi.org/10.1007/978-4-431-68503-6_31
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-68505-0
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