日本社会保障制度概况.pptx

Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,4/1/2016,#,J,apans Social Insurance Programs post WWII,PUBPOL 716,Xiang Yan,4/1/2016,Japans social security system,Social Insurance schemes:,Pension,Health insurance,Long-term care insurance,Employment insurance,Work-related accident insurance,Social Security schemes:,Public health,Services for the elderly,Family policy,Policy for people with disabilities,Public assistance,Pension,Health care,Other,Social Insurance,Tax,1911 Factory Law,1922 Health Insurance Act,1937 Maternal and Child Health Act,1961 Universal Coverage in pension and health insurance,1974 Employment Insurance Act,1997 Long term care Insurance Act,2000 Social Welfare Act,Pension:three-tier system,Three-tier,Pension system,Coverage,Contribution,Financing,Average Benefit,Basic Pension,All residents ages between 20-60,Flat,rate premium,Contributions+tax(,50%,of benefits and administrative cost),￥,54,612(2011,83%of full amount),Employees Pension Insurance,All corporations,with more than 5 employees,8.9%,Employer+8.9%Employee,Contributions,+tax(administrative cost),￥,149,334,(2011),Optional Scheme(employees pension fund,national pension funds,etc),Some corporations,some self-employed individuals,Varies across scheme,Contributions,+Private Insurance corporations and trust banks,Public health insurances,National Health Insurance,(municipality-based),Employees Health Insurance,(Occupation-based),Medical Care for Elderly,(75 years old and over),10%Premium revenues,50%government subsidies,40%from other insurance programs,￥,361,262(2009),￥,52,618(2009),50%P,remium revenues,41%central government,9%prefectural government,Premium revenues,Scheme,Financing,Subsidy per enrollee,Cost-sharing,30%,30%,10%,Challenges to Japans social insurance programs,Decline in economic growth,G,rowing budget deficits,A,n aging population and declining fertility,Non-compliance among low-income and young people,Above 65 years old:,2010:23%,(US:13%),2060:40%,Nation,Government,debt as a percentage of GDP(2010),Japan,198%,USA,93%,UK,81%,France,92%,Greece,129%,How can the government keep subsidizing the basic pension insurance and national health insurance programs?,R,eforms,Consumption tax rate raided from 5%to 8%percent in April 2014,and then 10%in October 2015,Increase,premium contributions,Cut benefits,Increase retirement age,:from 65 years old to 70 years old?,