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Compared to the rest of the world, Japan has a healthy population but pays relatively little for medical care. This book analyses how the health care works, and how it came into being. Taking a comparative perspective, the authors describe the politics of health care, the variety of providers, the universal health insurance system, and how the fee-schedule constrains costs at both the macro and micro levels. Special attention is paid to issues of quality and to the difficult problems of assuring adequate high-tech medicine and long-term care. Although the authors discuss the drawbacks to Japan's stringent cost-containment policy, they also keep in mind the possible implications for reform in the United States. Egalitarian values and a concern for 'balance' among constituents, the authors argue, are essential for cost containment as well as for access to health care.
In postindustrial societies, people must consciously define their individuality through the choices they make. Recently, death has become yet another realm of personal choice, making a "good death" one in which we die in our "own way." Does culture matter in these decisions? Final Days represents a new perspective on end-of-life decision-making, arguing that culture does make a difference but not as a checklist of customs or as the source of a moral code. Grounded in rich ethnographic data, the book offers a superb examination of how policy and meaning frame the choices Japanese make about how to die. As an essay in descriptive bioethics, it engages an extensive literature in the social scie...
This Handbook explores the challenges demographic change poses to today’s Japan. The first part provides the fundamental data involved, and the subsequent two parts address the social and cultural aspects of Japan’s demographic change. Parts four and five are dedicated to the political, economic and social security aspects of demographic change. The Handbook brings together a group of international scholars of various disciplinary backgrounds to take issue with the world’s fastest demographic transition. Topics include the dynamics of gender roles, images of age, policy formation, labour market structures, pension system, living arrangements, ethical values, and many more. Against the ...
This book explores the ways in which socio-technical settings in medical contexts find varying articulations in a specific locale. Focusing on Japan, it consists of nine case studies on topics concerning: experiences with radiation in Hiroshima, Nagasaki, and Fukushima; patient security, end-of-life and high-tech medicine in hospitals; innovation and diffusion of medical technology; and the engineering and evaluating of novel devices in clinical trials. The individual chapters situate humans and devices in medical settings in their given semantic, pragmatic, institutional and historical context. A highly interdisciplinary approach offers deep insights beyond the manifold findings of each case study, thereby enriching academic discussions on socio-technical settings in medical contexts amongst affiliated disciplines. This volume will be of broad interest to scholars, practitioners, policy makers and students from various disciplines, including Science and Technology Studies (STS), medical humanities, social sciences, ethics and law, business and innovation studies, as well as biomedical engineering, medicine and public health.
The increasing global prevalence of obesity and nutrition-based non-communicable disease has many causes, including food availability; social norms as evidenced in local foodways; genetic predisposition; economic circumstance; cultural variation in norms surrounding body composition; and policies affecting production, distribution, and consumption of food locally and globally. The Applied Anthropology of Obesity:Prevention, Intervention, and Identity advances understanding of the many cultural factors underlying increased global obesity prevalence. This collection of chapters showcase the value of anthropology’s holistic approach to human interaction by exploring how human identity associa...
In this clear and very readable introduction to Japanese law, J. Mark Ramseyer and Minoru Nakazato employ an economic approach to challenge commonly held ideas about the Japanese legal system. While many studies assume that Japanese law differs fundamentally from the law in the United States, this work shows the essential similarity between the two. Arguing against the idea that law plays only a trivial role in Japan or is culturally determined, the authors demonstrate that standard economic models go far to explain why Japanese law has the shape it does.
A multidisciplinary forrum for communicating new information, new interpretations, and recent research results concerning Japan to the English-reading world.
The goals of universal health coverage (UHC) are to ensure that all people can access quality health services, to safeguard all people from public health risks, and to protect all people from impoverishment due to illness, whether from out-of-pocket payments for health care or loss of income when a household member falls sick. Countries as diverse as Brazil, France, Japan, Thailand, and Turkey have shown how UHC can serve as a vital mechanism for improving the health and welfare of their citizens and lay the foundation for economic growth and competitiveness grounded in the principles of equity and sustainability. Ensuring universal access to affordable, quality health services will be an im...
This study explores economic aspects of the market for long term care (LTC) with a special focus on Japan. First, we describe the LTC system in Japan as presently implemented, and we highlight some aspects of the program that are novel and potentially of interest to other countries seeking models for long-term care provision. Next, we discuss alternative projections of Japanese LTC utilization and costs. Finally, since Japan appears likely to experience important shortfalls in LTC in the future, we discuss whether such services might be more efficiently organized and financed under alternate forms of provision.