The Global Financial Crisis and Healthcare Inequality in Japan
The Global Financial Crisis and Healthcare Inequality in Japan
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全球金融危机和日本的医疗保健不平等
DOI：
10.1007/s11205-021-02823-3
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发表时间：
2021
影响因子：
3.1
通讯作者：
Wakutsu Naohiko
中科院分区：
文献类型：
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作者：
Sakoda Sayaka;Tamura Masaoki;Wakutsu Naohiko
本研究的目的是澄清日本的医疗不平等是否在萧条期间扩大，即使日本有一个普遍的医疗体系。为此，我们研究了2008-2017年期间日本医疗支出不平等的时间序列波动，其中包括全球金融危机影响日本的时期。我们构建了一个经济范围内的不平等指数，将不同收入水平（低，中，高）的实际医疗保健支出与估计的医疗保健需求进行比较。研究结果如下。第一，富人（收入最高的20%的阶层）在医疗保健上的花费远远超过他们的估计需求，而穷人第二，在全球金融危机期间，日本的医疗不平等，特别是劳动一代的医疗不平等变得更加严重，这主要是因为不仅低收入阶层，而且中等收入阶层（最底层的30-60%）也无力支付医疗保健费用。
The aim of this study is to clarify whether health-care inequality in Japan widens during a depression, even though Japan has a universal health-care system. To this end, we investigate the time-series fluctuations in health-care expenditure inequalities in Japan for the period 2008–2017, which includes the period during which the global financial crisis affected Japan. We construct an economy-wide inequality index comparing the actual health-care expenditure at various income levels (low, middle and high) against the estimated health-care needs. The findings of the study are as follows. First, the rich (the top 20% income class) spend far more than their estimated needs on health care, whereas the poor (bottom 20%) spend far less. Second, during the global financial crisis, health-care inequality especially among the working generation became greater in Japan, mainly because not only the low-income class but also the middle-income class (the bottom 30–60%) was unable to pay for health care.