Social Security Reform: Government Must Seek Understanding for Medical Spending Cuts
Editorial
16:23 JST, December 29, 2025
Specific plans have at last been finalized regarding two focal issues in social security system reform. To curb ever-rising medical expenditures, a certain increase in the burden on patients is unavoidable.
The government should provide thorough explanations and seek understanding from patients.
Regarding the high-cost medical care benefit system that limits patients’ out-of-pocket payments when medical costs become high, the copayment amount is envisaged to be raised by 4% to 38% depending on patients’ annual income. This will be implemented in two stages through August 2027.
Patients in the annual income bracket of about ¥6.5 million to ¥7.7 million are set to face the maximum 38% increase in their copayments. The monthly cap, which is currently set at about ¥80,000, is planned to be about ¥110,000 in........





















Toi Staff
Sabine Sterk
Penny S. Tee
Gideon Levy
Waka Ikeda
Tarik Cyril Amar
Mark Travers Ph.d
Grant Arthur Gochin
Chester H. Sunde