<P> Insurance for individuals is paid for by both employees and employers . This ends up accounting for 95% of the coverage for individuals . Patients in Japan must pay 30% of medical costs . If there is a need to pay a much higher costs, they do get reimbursed up to 80 - 90% . Seniors who are covered by SHSS (Senior insurance) only pay 10% out of pocket . As of 2016, healthcare providers spend billions on inpatient care and outpatient . 152 billion in spent on inpatient care while 147 billion is spent on outpatient care . As far as long term goes, 41 billion is spent . </P> <P> Today, Japan has the severe problem of paying for rising medical costs, benefits that are not equal from one person to another and even burdens on each of the nations health insurance programs . One of the ways Japan has improved its healthcare more recently is by passing the Industrial Competitiveness Enhancement Action Plan. The goal is to help prevent diseases so people live longer . If preventable diseases are prevented, Japan will not have to spend as much in other costs . The action plan also provides higher quality of medical and health care . </P> <P> The beginning of the Japanese Health care system happened in 1927 when the first Employee Health Insurance plan was created . </P> <P> In 1961, Japan achieved universal health insurance coverage, and almost everyone became insured . However, the copayment rates differed greatly . While those who enrolled in Employees' Health Insurance needed to pay only a nominal amount at the first physician visit, their dependents and those who enrolled in National Health Insurance had to pay 50% of the fee schedule price for all services and medications . From 1961 to 1982, the copayment rate was gradually lowered to 30% . </P>

Which country does not have a comprehensive government-sponsored health care system for all citizens