Private nursing home
Most of Japan’s medical expenses are covered by universal medical insurance.
I think this is a wonderful system that can be proud of around the world.
However, you can receive some medical treatment at your own expense.
This is the case when using compulsory automobile liability insurance for cases such as traffic accidents.
Cosmetic surgery, medical checkups, and medical examinations are not covered by medical insurance.
There is a market price for the self-pay price, but it is a free price.
When it comes to dentists, most of the dentists in Ginza pay their own expenses.
However, many medical clinics in Ginza offer insurance treatment.
Now, the nursing home, which was supposed to be in stable business, has been in jeopardy for the past few years.
Due to the coronavirus, the number of day and short-term users has decreased.
Living in a private room is not possible.
The availability of cheap housing for the elderly has increased.
Rising electricity bills.
Rising labor costs.
Increase in recruitment fees and dispatch fees.
There are various reasons for this, but the problem is that the revenue usage fees are subject to administrative approval and cannot be determined freely by the facility.
In a country with a liberal economy, service prices are subject to state control.
If that is the case, I would like the government to take responsibility in determining prices so that they are profitable.
Currently, 62% of nursing homes are in the red.
I think there are many facilities that are being maintained through the Corona Loan System.
It is said that next year’s nursing care insurance reform will further reduce the unit price of nursing care insurance.
I believe that nursing homes are the basis of Japan’s social security system, but are they okay?
If private corporations are to be forced to make self-help efforts, they should also be given the right to decide prices.
Like hotels and private schools.
But that won’t happen.
If things continue as they are, nursing homes operated by social welfare corporations will become exhausted from a management standpoint.
The country is telling all industries to raise wages.
At the very least, I would like to see an increase in the salaries of those involved in the nursing care business.
What if we made it possible to decide on a facility based on the room rate alone, like in hospitals?
I think competition in regulated industries is contradictory.
Paid nursing homes run by corporations with expensive lifetime usage rights, and special nursing homes run by social welfare corporations that receive subsidies.
Both are the basis of long-term care insurance.
Is it a well-developed system, or is there a lack of consistency?
As the manager of Koyama G, which operates both, it is difficult for me to respond.
I think both companies are now at a turning point in their management.
It is the role of managers to find a new, correct path.
Pulse oximeter 96/98/99
Body temperature 36.3 Blood sugar 153
Liberal Socialist
CEO Yasunari Koyama