特集名 | 介護保険と透析医療 | |
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題名 | 総論:高齢者と社会保障制度 | |
発刊年月 | 2001年 12月 | |
著者 | 松田 鈴夫 | 社団法人日本透析医会理事 |
【 要旨 】 | 1960年代から1970年代前半に及ぶ高度経済成長が社会保障需要の急増をもたらし,引き続き少子高齢化が同需要を押し上げている. 一方,高度経済成長は4半世紀前に構造的に終焉し,また,少子高齢化は担税力,保険料支払能力の弱体化を加速させて,社会保障を支える財源は不足,需給ギャップは拡大の一途にある. とくに急増を続ける高齢者医療費の見直しは,社会保障制度改革の最重点項目とされている. 社会保障制度改革にはフォーマルサービスの見直しに加え,インフォーマルサービスの再構築が不可欠である.また,高齢者の負担増は避けられないが,医療費の優先配分から高齢者を排除することは許されない. |
Theme | Curent Status and Problem of Long Term Care Insurance System for Dialyzed Patients | |
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Title | Aged people and social security system | |
Author | Suzuo Matsuda | Japan In-corporated Medical Association for Hemodialysis, Board direction |
[ Summary ] | High economic growth between 1960 to 1975 brought about a rapid increase in the demand of social security service. This demand increased even more as result of an aging population combined with falling birth rates. While high economic growth ended over a quater of a century ago, an aging continues to exist. This has accelerated the lack of tax revenue and premium contribution solvency. Ultimately, this has resulted in a shortage of social security funds as the financial gap of supply and demand expands due to increase in demand and a decrease in "supply". One of the most important issues is the revision sharply increasing medical expenditures for the aged. It is also indispensable to innovate the formal service system, as well as to reconstruct the informal service of the social security system. The aged beneficiary must burden the up rated cost of social security. But, exclusion of priority distribution to medical expenditures for the aged, should not be permitted. |