THE NEWZ Vol.28 英語
11/21

10JapanJapan is one of the countries that faces a rapid transition into an can be said disruption of medical service delivery by COVID-19, and the persistent shortage of medical staff which does not cover the demand for the service. In addition, the amount paid for the service does not justify what is actually received. For example, all student visa holders must pay for immigration health surcharge (IHS) to access the NHS, costing £1,035 per year, and some medical treatments are not funded by the NHS such as prescriptions, dental treatment, and an eye exam. However, international students in Japan have access to National Health Insurance (NHI) with a certain amount of costs, calculated by their previous year’s income (typically around 2,000 yen per month). As we know, this insurance covers 70% of the actual medical costs, and they can also apply for an eligibility certifi cate that entitles them to receive the ceiling amount in advance when being hospitalised. Comparing the costs and the quality of the medical system in Japan and the UK from a student visa holder’s perspective, it clearly shows the gap between the services we canget. After the COVID-19 pandemic, the total waiting list for healthcare access dramatically surged, and it still continues to be risen today. These challenges are caused by multiple factors, but main reasons can be said disruption of medical service delivery by COVID-19, and the persistent shortage of medical staff which does not cover the demand for the service. In addition, the amount paid for the service does not justify what is actually received. For example, all student visa holders must pay for immigration health surcharge (IHS) to access the NHS, costing £1,035 per year, and some medical treatments are not funded by the NHS such as prescriptions, dental treatment, and an eye exam. However, international students in Japan have access to National Health Insurance (NHI) with a certain amount of costs, calculated by their previous year’s income (typically around 2,000 yen per In recent years, the resilience of healthcare systems has increasingly been emphasised to promote, provide, and protect health and well-being for all, especially in the aftermath of theCOVID-19 pandemic. The sustainability of the healthcare system is not limited to developing countries but also applies to high-income countries like Japan and the United Kingdom. Both countries are now facing challenges in their sustainability due to the demographic changes and efficiency of elective care. By comparing the issues of their current healthcare systems, this report analyses their action plans to tackle those challenges, and as a person who study abroad and live in the UK, this report also discusses with my experiences in Japan and the UK.ageing society, and it alsosignifi cantly impacts its healthcare system. Their situation is also known as hyper ageingsociety. The number of people aged 75 and over is 20.08 million, accounting for 16.1% of the total population, and surprisingly, it has overtaken the population aged 65-74 in size in 2023.The Japanese government predicts that the ageing society will continue to get more seriousissues in the future, expecting one in 2.6 people will be 65 years old and over and one in 4.0will be 75 years old and over by 2070. The ageing society brings challenges to the fi nancialsustainability of the healthcare system in Japan, with rising healthcare costs exceeding JPY 46 trillion in 2022, from costs totalling around JPY 30 trillion in 2000. Although the government expenditure for the healthcare system rises, we all have a great accessibility to the medical treatment with a minimum cost, and its quality keeps at a high standard as we can see from the life expectancy and patient satisfaction in Japan.UKEven though the UK has an ageing society challenge, the waiting time to access their healthcare system is much worse than other issues.After the COVID-19 pandemic, the total waiting list for healthcare access dramatically surged, and it still continues to be risen today. These challenges are caused by multiple factors, but main reasons Ai Ueno Introduction Issues of the current healthcare systemctionUniversity of Birmingham, the UKThe sustinability of the healthcare systems in the UK and Japan

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