Are there concerns about the long-term financial sustainability of the new system?
TH: Yes, there are. The most recent reform measures passed in the Diet in June 2005 had the following three basic goals: • Sustainability • Active Aging Society • More comprehensive Social Security aiming at an efficient and effective Social Security System. These three goals are mutually related. To sustain the scheme, the reform measures were implemented to increase the efficiency of the system and to provide more targeted benefits. More autonomy was given to the insurers, i.e., municipalities. Therefore, they can promote more optimal and appropriate services to their own communities. The second point was to establish an “Active Aging Society” by changing the system into a prevention-oriented one. Additional preventive services, such as exercise programs and nutrition counseling, were introduced for individuals requiring a lower level of support. The last point was to create more comprehensive Social Security. From this viewpoint, coordination of long-term care insurance with the pub
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- Are there concerns about the long-term financial sustainability of the new system?
