Medical Care Policy and Law : Legal studies on the articulation of the compulsory health insurance scheme with medical and pharmaceutical system

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In this research, we collected and analyzed Japanese, German, French and other countries' books, articles and documents on health care and pharmaceutical legal scheme as well as the compulsory medical insurance scheme. We interviewed also scholars and patricians specialized in these fields in visiting in Germany and France. First, our country accomplished successively the amendments of Acts and the reforms on compulsory medical insurance scheme in order to make it adapt to aged society and explosion of medical costs. These amendments and reforms reflect exactly health care policies as well as compulsory insurance policies. Although Health care and pharmaceutical legal scheme is totally distinguished of compulsory medical scheme, there is the very strong articulation between them, and this articulation is more than more strengthen. Articulation of the compulsory medical insurance with health care and pharmaceutical legal scheme is also observed in Germany and France, and each country, this articulation becomes stronger as in our country. In these two countries, we observe the advanced medical care techniques don't attract so much attention maybe because of the difference of hospital system from ours. We remark also the measures for control of medical care services offered by the compulsory medical insurance scheme adapted in Germany and France are not similar to Japanese methods. The recent evolution to be remarked in Germany is introduction of competition principle in the field of compulsory medical insurance scheme, however this policy arises serious legal question from point of view of European Law.