“I want to ensure that this healthcare system is preserved for future generations.”When I began researching this, I uncovered many pressing issues. Today, I’d like to explore some of the challenges we need to address, comparing healthcare systems in Japan and France.to provide adequate care in the near future. This trend is particularly noticeable in rural areas, where the retirement of doctors has been leading to the closure of many medical facilities.2.Rising Healthcare Costs Amidst a Shrinking Tax BaseOn the one hand, national healthcare spending continues torise, while on the other, the number of working individuals whocontribute to healthcare funding—through insurance premiumsand taxes—is shrinking. This makes securing financialresources for healthcare gradually becoming difficult.In addition, people aged 65 and older account for 61% ofthe national healthcare expenditure. The per capita cost forsomeone over 65 is ¥733,700, nearly four times the amountspent on those under 65. The challenge now is how to curbrising healthcare costs and secure the necessary funding tosustain the system.Hello, everyone!By the time you’re reading this, the new year may have already begun, and you might be thinking about your resolutions for the year ahead.My resolution this year is to embrace my new environment and job while staying true to myself and maintaining my health. If possible, I’d love to make it through the year without needing a visit to the hospital !Now, studying at an international university has allowed me to speak with people from various countries. It’s often surprising how much one realizes about what we have and what is lacking in their own country when comparing notes with others. Recently, I had a conversation with a friend from the United States that made me reflect on Japan’s insurance and healthcare systems.Last December, a tragic incident took place, where a 26-year-old man killed an insurance executive, reportedly driven by Frustration with the insurance industry.“One was told that he or she needed treatment to survive. But the insurance company doesn’t seem to care, refusing to pay. So, considering he is one of the patients like that, I can’t completely condemn what the perpetrator did.”Hearing my friend speak like this made me realize how much I had taken for granted the ease of receiving timely treatment and the financial relief that insurance offers.After the conversation, I have come to think about future generations. Japan:Japan’s healthcare system is facing significant challenges, primarily driven by its aging population and the decline in the working-age population.Currently, the population aged 65 and older is rapidly increasing, with the percentage of elderly citizens surpassing 20% in 2010. Surprisingly, it is expected to account for nearly 40% of the total population by 2065.On the other hand, the working-age population (aged 15 to 64) was 63% of the total population in 1990. By 2020, this had decreased to 51.6%, and by 2065, it is projected to fall below 50%.These demographic shifts are creating two major barriers for Japan’s medical system:1.Shortage of Healthcare ProvidersAs the number of healthcare users rises, the number ofhealthcare workers is declining. Simply put, there is apossibility that we face a severe medical professional shortage3Neoma Business School, Rouen, FranceMidori Pederson Challenges Facing Our Healthcare SystemBuilding a Sustainable Healthcare System for Tomorrow
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