Translation research articles Japan was able to establish a universal health insurance system in 1961 because of several advantageous
conditions. That existed at this time. Furthermore this was, precisely the right time for Japan to implement a
universal health insurance. System due to, the convergence of these conditions. There were at least three such
conditions when Japan established this. System.In addition to a strong political will and an incremental approach
toward universal coverage. First the costs, of health. Care were low. Second Japan was, achieving high economic
growth. Third the people, shared a sense of solidarity during this. Difficult post-war period. All these conditions
facilitated the smooth implementation of universal health insurance in, Japan. At present however,,Conditions
have changed; health care expenditures are large and, still growing the population is aging and economic, growth
is. Currently stagnant and uncertain going forward. Moreover people are, becoming, diversified income disparities
are, increasing. And their sense of solidarity may be deteriorating. This paper examines the conditions that
.Enabled the establishment of universal health insurance coverage about five decades ago and discusses the
conditions that. Sustain the system under the current changing conditions in Japan. These analyses will not only
facilitate informed decisions. For future reforms, in Japan they will also provide insights for those countries that are
interested in such a system.
Key. Words, Universal coverageHealth insurance Economic growth Access Solidarity,,,,
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