National health insurance in Japan

to join the national health insurance self-employed and non-regular workers (NHI) in premiums, by the municipality that there is a gap between the two regions more than doubled nationally in the Mainichi Shimbun survey found. Compared with the national rather than the official data to determine

premium for each municipality is the first real evidence gap. Premium income in local government to reach the quarter, the possibility to influence the debate about health care reform. Kazuto [Takeshima, Akira Kaori Hirano]

According to the Ministry of Health "uninsured children" have surveyed 816 municipalities, 585 municipalities had responded (response rate 71.7%). "Household income of 200 million yen, 40 children aged two to four couples and families" who heard the model 08 years the annual premium.

The maximum amount of ¥ 503,900 Neyagawa, Osaka Prefecture. Kazamaura village in Aomori Prefecture, Beppu City, Oita, Okinawa Prefecture, Shima Itiko Palace and many more, the top 40 municipalities exceeded 40 million yen. Neyagawa was "forced to reduce the prospect of raising rates, forced to set a high insurance premiums" (Office of the insurance business) are explained.

Neyagawa City Hall. Jpg Neyagawa income, household, calculated from the cost of insurance per family per base. By local governments, which in some cases reflect the population to calculate tax and fixed asset tax insurance premiums, the amount calculated from the local government to adopt the same as in Neyagawa City, Tama City, Tokyo ¥ 219,800. Neyagawa City and the opening times will be 2.29.

The national average of ¥ 328,980. 45 percent of the municipalities and the increase in the current fiscal year, the average price ratio of FY 07 increased ¥ 12,051.

From the financial year, the law on local government fiscal health "consolidated real deficit ratio" is applied, can be added to determine the financial situation of the special account deficit in the National Health Insurance new. Expected deficits in many cities trying to raise premiums in the 20 municipalities, Izumiotsu and Wakayama (Osaka) in two towns, 07 year earnings Ataru in Yellow "recapitalization standard" outside.

◇ If the high insurance premiums, increase in arrears

▽ Ritsumeikan Professor Hideaki Shibata (social theory) that there are more than twice the difference between a story about the environment, but we can not ignore the issue of equality under the law. Become increasingly more expensive insurance premiums in arrears, they decided more and more people to hospital insurance benefits are prohibited. State National Insurance should be fundamentally reviewed.

◇ 08 years of national health insurance premiums are 20 local high

City rank order insurance premiums 08 municipalities in the fiscal year 08
(1) Neyagawa (Osaka) ¥ 503,900 (11) city Ootsuti (Iwate) ¥ 436,300
(2) Kazamaura village (Aomori) ¥ 483,860 (12), Hakodate (Hokkaido) ¥ 435,180
(3), Beppu (Oita) ¥ 483,400 (13), Sakai ¥ 434,106
(4) city of Miyako Island (Okinawa) ¥ 478,300 (14), Kurume (Fukuoka) ¥ 432,800
(5) Yuasa-cho (Wakayama) ¥ 466,400 (15) Kasaoka (Okayama) ¥ 428,400
(6) Tokushima ¥ 464,280 (16), Kaizuka (Osaka) ¥ 428,160
(7) Usuki (Oita) ¥ 445,500 (17), Ube (Yamaguchi) ¥ 425,482
(8) city of Nemuro (Hokkaido) ¥ 444,900 (18), Akita ¥ 424,800
(9) Hitoyoshi (Kumamoto) ¥ 440,500 (19), Kadoma (Osaka) ¥ 424,750
(10), Wakayama, ¥ 436,810 (20) Izumiotsu (same) ¥ 423,900

※ "200 million yen income family of four" models calculated.

Kazamaura village hall. Jpg2 first realized that the data gap more than doubled. Each local government to manage national health insurance have not named, that the premium is determined given a little full of contradictions.

Universal health care system in Japan is the largest in the world may have premiums that vary depending on where to stay, if the premium is higher than the other, non-payment by it, is insurance, almost covered by insurance will be a country.

Currently the "people" without health insurance, "City" has got a national health insurance. Premiums are determined centrally country of origin, local governments may think that only the original transaction only administrative. NHI directly operated clinics and hospitals, particularly in remote areas which will be spent on hospitality, I thought a good idea of the countries in the form of management with responsibility for all as a nation.

Furthermore, I personally think is as follows.
We have previously opposed the tax. Should be abolished too late now, should be taken from income tax must be compatible with this tax is a tax on expenditure, and increased very rapidly fatigue during strength, especially the weak economic poverty can further push to.
National health insurance and pension funds may actually think such a tax regressive tax burden. The premium is reduced by the amount of variation多寡regressive tax revenues will have a character.

Beppu City. Jpg original local tax revenues and health insurance premiums included in the collection of pensions, health insurance should be passed to ensure all citizens.
Lowering the minimum taxable income, if necessary, I think a good system for reducing progressive income tax.

Interest in this idea of the ministries involved will not pass I think. The husband did not agree with the service. Treasury officials became increasingly Eraku On the other hand is not enough. For retirement, health insurance, including tax, I believe that the system should be more transparent before the people.