Medical expenses for the over-75s To accelerate discussions such as the reduction of income burden November 15, 16:09
With the increase in the window burden on medical expenses for people aged 75 and over, the government has made it possible to accelerate discussions such as the deduction of eligible income. Opinions are divided on the scope of the target, and the government will carefully consider the scope of discussions in the ruling party.
In order to reduce the increase in the burden on the working generation, the government will raise the window burden at hospitals for the elderly aged 75 and over from 10 percent in the current principle to 20 percent for people with a certain income or higher.
The government wants to design specific systems, such as the reduction of income to be raised by the end of the year, and plans to hold an all-generational social security review meeting in late November to accelerate discussions.
With regard to the deduction of income subject to the increase, the Japan Medical Association said that due to concerns about “abstaining from medical examination” due to the increase in the burden, it should narrow the annual income to a relatively high income of approximately 3.4 million yen or more, which is 30% of the out-of-pocket expenses of long-term care insurance.
On the other hand, health insurance societies, etc., which are joined by current generation employees, insist that the annual income taxed is approximately 1.55 million yen or more, which should be widely raised in order to improve insurance finances.
In addition, opinions are divided on the scope of the subject within the ruling party, and the government will proceed with careful consideration while also looking at the discussions in the ruling party.
A Review of the Health Care System for the Elderly
The medical care system for the elderly is for people aged 75 and over, and approximately 17 million people have joined the system.
In principle, the burden on hospitals and other facilities is 10 percent, but people with annual incomes of approximately 3.83 million yen or more are said to have “incomes equal to those of active duty,” and as with the working generation, 30% of the burden is required.
These people are 7% of the total.
The financial resources of the medical care system for the elderly are funded by support from insurance premiums paid by the 75-year-old and older, approximately 50% of public funds, and 40% from insurance premiums paid by the working generation, such as company employees, except for the burden on patients.
As the population ages, the amount of support to cover the medical expenses of the elderly continues to increase year by year, straining the finances of the health insurance societies that company employees join, and there are calls for the burden on the working generation to be reduced.
For this reason, in order to maintain the system while maintaining inter-generational fairness, the government has indicated that it will review the idea of requiring burdens based on income, not age, by 2022, when the so-called “baby boomer generation” begins to be 75 years old.
What scale do you want to be?
According to the Ministry of Health, Labour and Welfare, there are about 17 million people over the age of 75.
Of these, it is said that there is income at the same level as active duty, and the window burden of medical expenses is 30%, and about 1.15 million people earn about 3.83 million yen or more per year, which is 7% of the total.
If the line reduction of 20% is set to an annual income of approximately 1.55 million yen or more, which is taxed by resident tax, approximately 9 million people and 53% of the total will be covered by 20%.