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KMID : 1023720180730010133
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Journal of Welfare for the Aged
2018 Volume.73 No. 1 p.133 ~ p.161
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A comparative study on the LTC policies between the US and Japan: focusing on ‘Obama care plan’ and ‘Abe-Reform’
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Kim Chan-Woo
Shin Soo-Kyung
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Abstract
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The purpose of this paper is to examine the comparison between the recent long-term care policies of both Japan and the US. Both countries has implemented the recent LTC policy reforms, so-called Abe-reform and Obama plan. Since 2012, Japanese LTC reform have focused on the efficiency, focalization, and enhancement of the medical and LTC service provision system. It turned out to enact the‘Act of comprehensive improvision of integrated medical care and long-term care’in 2015. In the US, public LTC policies has been long time issues derived from the debates of Medicaid, Medicare and other health care financing. The Obama government has tried to solve those issues by implementing ‘the Patient Protection and Affordable Care Act’. The results of this study shows the three core points of the recent LTC reforms of both countries, community-focusing, prevention and integrating health and long-term care. In the first section, this study discussed the history of both countries’LTC policies. In the second section, by focusing on community-focusing, prevention and integrating health and long-term care, the study compared the main characteristics of recent reforms between both countries. Lastly, the study suggests several ways to reform the Korean LTC insurance policy. The implication of this study is believed to impact on planing of the future LTC insurance reform in Korea.
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KEYWORD
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Long-term care policy, Japanese LTC insurance, Abe-Reform, The affordable care Act, Integrated care
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