C489 Task #3 Organizational Systems and Quality Leadership.pdf - Page 1 Japan and America a Healthcare Comparison Task#3 Japan and America a Healthcare

C489 Task #3 Organizational Systems and Quality Leadership.pdf

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Japan and America, a Healthcare Comparison Page 1 Task #3 Japan and America, a Healthcare Comparison Melanie Troxell Western Governors University August 17, 2018
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Japan and America, a Healthcare Comparison Page 2 Healthcare for Children in the United States and Japan There are many differences as well as many similarities between the healthcare systems in the United States and Japan. In America, the government funds nearly 50% of all healthcare. Children are mostly covered or not covered with medical insurance based on their family’s situation, with the very poorest of children being covered well through Medicaid and sometimes “CHIP” and a general public perception that middle income children aren’t appropriately provided for in this area. Medicaid is controlled at the State Level. 1 In Japan, the Statutory Health Insurance System (SHIS) is the government entity that regulates almost every aspect of healthcare. The details of this care system are mostly regulated at the regional level. All plans cover basically the same thing, though copays, etc. vary from region to region. All children under seven have subsidized copays. 1 Healthcare for Unemployed in the United States and Japan Unemployed or underemployed families of the US may (or may not) have access to Medicaid, while individual adults have a much more difficult time qualifying for these services. There is a level of unemployment benefits provided for a time for certain newly unemployed persons based on how long they worked and for what wages. 2 “A variable and patchwork mix of organizations and programs deliver care for uninsured, low-income, and vulnerable patients in the United States, including public hospitals, local health departments, free clinics, Medicaid, and CHIP….Premium and cost-sharing subsidies are also available to low- and middle-income individuals through the insurance exchanges or marketplaces, with health plan premium subsidies….The federal government also funds community health centers, which are a major source of primary care for underserved and uninsured populations. In addition, private providers are a significant source of charity and uncompensated care.” 1
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