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On 9/23/2017 at 9:34 AM, Psychic Gibbon said:

Japan's healthcare system is struggling not because of singlepayer but because of their demographics, as your article pointed out. Japan's population is old and the elderly are much more expensive to care for. This is largely why we have Medicare in our country since private markets cannot or will not adequately care for them. Likewise, they pay for their healthcare system through payroll taxes, which has obvious problems when the economy stagnates or recedes.

That's what I was getting to though.  Everyone gets great care which of course would lead to longer lives, etc. and in the long run, the system becomes hard to sustain as a result.  Not saying that's necessarily a bad thing but is it something that should be considered?

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25 minutes ago, capologist said:

That's what I was getting to though.  Everyone gets great care which of course would lead to longer lives, etc. and in the long run, the system becomes hard to sustain as a result.  Not saying that's necessarily a bad thing but is it something that should be considered?

Japan's age gap isn't due to them having absurdly good healthcare. It is due to them having a population explosion through the 1900s-40s, which played a large role in them trying to create an empire (more land to dump the excess population off on). That tapered off a bit after the war with a fertility rate of only around 3 children per woman throughout the rest of the 40s and 50s. Starting in the 60s it fell to 2 and they have been below replacement levels since the 70s. They also have almost non-existent immigration so they have no real way of bolstering the much smaller younger generations.

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