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Japan & Taiwan Healthcare 2012

Comparison of the two countries and their government & private health insurance
by

Samson Lu

on 28 September 2012

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Transcript of Japan & Taiwan Healthcare 2012

2012-9-28
Samson Lu, MS1
Mary Kate Erdman, MS1
USF MCOM SELECT Japanese and Taiwanese Healthcare 2012 Praise Japanese Healthcare System [7] References Country Backgrounds [1] [1] http://newsimg.bbc.co.uk/media/images/40530000/gif/_40530865_china_japan_taiwan_map203.gif
[2] CIA World Factbook (https://www.cia.gov/library/publications/the-world-factbook/)
[3] http://nces.ed.gov/naal/estimates/overview.aspx
[4] http://en.wikipedia.org/wiki/List_of_countries_by_literacy_rate
[5] http://www.pbs.org/wgbh/pages/frontline/sickaroundtheworld/countries/
[6] http://www.oecd.org/els/healthpoliciesanddata/healthataglance2011.htm
[7] http://www.commonwealthfund.org/~/media/Files/Publications/Fund%20Report/2011/Nov/1562_Squires_Intl_Profiles_2011_11_10.pdf
[8]http://content.healthaffairs.org/content/22/3/77.long
[9] http://lcweb2.loc.gov/frd/cs/profiles/Taiwan.pdf
[10]http://www.guardian.co.uk/commentisfree/2007/oct/07/taiwangetshealthy
[11] http://www.international.ucla.edu/article.asp?parentid=15333
[12] http://www.thrf.org.tw/EN/Page_Show.asp?Page_ID=124 [2-4] Health Stats [6] [5-7] Critiques Taiwanese Healthcare System [8, 9] Critiques [10-12] Praise [10] Mainly private healthcare delivery entities
60% covered by employers
40% covered by local municipality
Unemployed, self-employed, & retired
No choice of plans
Undocumented immigrants not covered
Out-of-pocket payments make up 15.8% of health expenditures (2009)
Easy access to specialists
Not much distinction between primary care & specialists All citizens covered
Preventative & mental health
Biannual review of medical prices [5]
20% copay for young children
10% copay if >70 y/o
Monthly out-of-pocket ceiling
1% copay if >$467-$1978 (low- to high-income, respectively)
Large elderly population (22% > 65 y/o), but low cost ($2878 per capita) Doesn't cover eyeglasses
30% copays for general population
Usually, no formal scheduling system, i.e. wait in waiting room for available physician
Voluntary hospital accreditation
Specialist accreditation processes do not require recertification
Limited HIT implementation, except for billing Redesigned in 1995, "Modeled after Medicare"
Single payer, global budget, and fee-for-service
60% covered by employers
30% out-of-pocket
10% government subsidy
Poor and veterans- fully subsidized
Coverage:
Preventive medicine, prescriptions, dental, Chinese medicine, etc.
Retirees are guaranteed a pension
IC chip 99% of population covered
Choice of provider
No waiting lists
Healthcare not attached to employment
72.5% of population happy with the system Average physician visit is 2-5 minutes
Fragmented healthcare delivery
Abuse of fee-for-service system
Access to care not uniform
Full transcript