Policy Options for Financing the Future Health and Long-Term Care Costs in Japan
As the Japanese population structure changes, health care and long-term care costs will steadily increase. The current style of financing (pay-as-you-go) will create a large increase in future burden of these costs. This paper studies an alternative policy that prefunds the social insurance benefits for the elderly. During a transition process, the proposed scheme maintains a higher contribution rate in order to accumulate sufficient funds. Under our baseline scenario, the sum of the contribution rates toward health insurance and long-term care insurance increases from 5.06 percent of earnings to 12.41 percent of the same. The rate of increase in overall burdens, including taxes and subsidies, is 63 percent. Our sensitivity analysis has shown that the quantitative implications of the increase in total burdens depend on social cost scenarios, the labor force, and the interest rate. However, labor force scenarios do not have a considerable impact on the rate of burden. As against this, the setting of social costs has a significant impact on the same. Even under the most optimistic scenario, the rate of increase in total burden is 34 percent. Even though we cannot predict the exact amount of the necessary contribution rate that is capable enough to transfer the funded system, what we are sure of is that a significant increase in the contribution rate is inevitable.
|Date of creation:||Aug 2006|
|Date of revision:|
|Publication status:||published as Itō, Takatoshi and Andrew Rose (eds.) Fiscal policy and management in East Asia. Chicago and London: University of Chicago Press, 2007.|
|Contact details of provider:|| Postal: National Bureau of Economic Research, 1050 Massachusetts Avenue Cambridge, MA 02138, U.S.A.|
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- Alan J. Auerbach & Jagadeesh Gokhale & Laurence J. Kotlikoff, 1991.
"Generational Accounts - A Meaningful Alternative to Deficit Accounting,"
NBER Working Papers
3589, National Bureau of Economic Research, Inc.
- Alan J. Auerbach & Jagadeesh Gokhale & Laurence J. Kotlikoff, 1991. "Generational Accounts: A Meaningful Alternative to Deficit Accounting," NBER Chapters, in: Tax Policy and the Economy, Volume 5, pages 55-110 National Bureau of Economic Research, Inc.
- Alan J. Auerbach & Jagadeesh Gokhale & Laurence J. Kotlikoff, 1991. "Generational accounts: a meaningful alternative to deficit accounting," Working Paper 9103, Federal Reserve Bank of Cleveland.
- Olivia S. Mitchell & John Piggott & Satoshi Shimizutani, 2004.
"Aged-Care Support in Japan: Perspectives and Challenges,"
NBER Working Papers
10882, National Bureau of Economic Research, Inc.
- Mitchell Olivia S. & PIGGOTT John & SHIMIZUTANI Satoshi, 2004. "Aged-Care Support in Japan: Perspectives and Challenges," ESRI Discussion paper series 118, Economic and Social Research Institute (ESRI).
- David F. Bradford & Derrick A. Max, 1997.
"Implicit Budget Deficits: The Case of a Mandated Shift to Community-Rated Health Insurance,"
in: Tax Policy and the Economy, Volume 11, pages 129-168
National Bureau of Economic Research, Inc.
- David F. Bradford & Derrick A. Max, 1996. "Implicit Budget Deficits: The Case of a Mandated Shift to Community-Rated Health Insurance," NBER Working Papers 5514, National Bureau of Economic Research, Inc.
- Louise Sheiner & David M. Cutler, 2000.
"Generational Aspects of Medicare,"
American Economic Review,
American Economic Association, vol. 90(2), pages 303-307, May.
- Tadahiko Tokita & Tetsuro Chino & Hideaki Kitaki & Izumi Yamamoto & Mitsuyoshi Miyagi, 1997. "The present and future National Medical Expenditure in Japan (in Japanese)," Economic Analysis, Economic and Social Research Institute (ESRI), vol. 152, pages 3-67, September.
- "Iwamoto, Yasushi", 1998. "Japan's Labor Force in the Year 2020," Economic Review, Hitotsubashi University, vol. 49(4), pages 297-307, January.
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