Social Implications of Long Term Care Insurance in Japan: A Review ^☆

Atsuko Kawakami is currently affiliated to Department of Social Sciences, Tarleton State University, Box T-0660, Stephenville, TX 76402, akawakami@tarleton.edu

Abstract

Purpose

This chapter will review the evaluations of the newly developed elderly care system in Japan, Long Term Care Insurance, and its social implications with the focus on demographic change.

Methodology/approach

By reviewing literature, this chapter will examine how demographic and social change over the years has impacted the features of caregivers. Then, how this policy change has demedicalized the aging process will be described. Finally, this chapter will evaluate whether this insurance has shifted the responsibility for elderly care from the family to society as the governmental slogan advertised.

Findings

The new insurance has offered more options in different services and established a new norm of self-reliance and determination for one’s own aging however it is doubtful if this new insurance has shifted the responsibility from family to society.

Research limitations/implications

Applying the implications of policy reforms for elderly care in Japan to the United States, one can assume the traditional U.S. norms and values can facilitate effective utilization of the elderly care system. However, since each nation faces different problems with its specific condition, continuous studies and observations on the relationship between elderly care, immigration issues, and demographic changes will be necessary in order to offer more specific suggestions for each aging nation.

Originality/value of chapter

As Japan’s new insurance scheme for the elderly has been studied by many aging nations, recommendations for more comprehensive plans are suggested including building a community-based support system into the Long Term Care Insurance scheme to prevent social isolation and respond to emergency situations for the elderly.

Citation

Kawakami, A. (2014), "Social Implications of Long Term Care Insurance in Japan: A Review ^☆

Atsuko Kawakami is currently affiliated to Department of Social Sciences, Tarleton State University, Box T-0660, Stephenville, TX 76402, akawakami@tarleton.edu

", Technology, Communication, Disparities and Government Options in Health and Health Care Services (Research in the Sociology of Health Care, Vol. 32), Emerald Group Publishing Limited, Leeds, pp. 181-198. https://doi.org/10.1108/S0275-495920140000032020