Health insurance and health policy, American and Japanese style: lessons of comparative experience

Rodwin, VG
Japan and the World Economy 5 (1993) 121-136

This paper considers how American and Japanese policymakers might learn from
their mutual experience with health insurance and health policy. Each country views itself as a
health care leader in their respective areas of strength. Each country is characterized by
distinctive patterns of health care organization and financing. Yet, policy analysts on both sides
are intrigued and often envious of the other’s success. Americans can learn from the central
regulation of Japanese national health insurance and from Japan’s stellar health status and its
recent political commitment to long-term care. The Japanese can learn from the active role of
payers and other organizations in the United States in controlling volume, assuring quality of
care, and designing alternative health care delivery systems.

Wagner Faculty