Regional disparities and public/private disparities
The unit price for medical insurance and long-term care insurance is almost uniform throughout the country.
But I think this is unfair.
It’s not fair.
Transportation expenses for Ginza employees commuting by train are estimated to be around 20,000 yen per person.
If you live in a rural area, I don’t think it will cost you more than 10,000 yen for gas.
Housing allowance is also different by tens of thousands of yen.
The cost of company housing also differs by more than 50,000 yen.
I would like to see a comparison in a hospital facility with 100 employees.
Basic expenses vary by several million dollars every month.
The reality is that the difference in annual labor costs cannot be covered by management efforts.
In fact, electricity, gas, water, and sewerage bills are expensive in Tokyo.
And finally, the cost of the land.
Medical and nursing care facilities are large-scale facilities.
The cost difference between buying land and building or renting a building is huge.
There’s no comparison.
There is no way to make up for that difference with room charges or the number of guests.
No one would think that the products, restaurants, and hotel services in Ginza would be the same as they are throughout the country.
However, medical nursing care earns almost the same income.
I think this is unfair and unfair.
Regional disparities will now be corrected in the salary system for civil servants.
Salaries for general staff are higher in civil servants than in private hospital facilities.
Retirement benefits and pensions cannot be compared.
However, public hospital facilities receive huge subsidies through taxes.
Isn’t this unfair?
There are also public and private schools.
Tuition fees vary widely.
It would be a good idea to force tuition fees at private schools to be the same as those at national schools.
Private schools are not viable.
However, why do you think medical welfare will work?
I would like to ask the people more than politics or administration.
Don’t you find it strange?
I would like to see more consideration given to regional disparities in the revision of medical and nursing care scores.
It is meaningless to evaluate whether scores go up or down across the country.
I understand this from the perspective of the fiscal authorities, but the actual management situation on the ground varies.
If it is not a free price system, I would like it to be able to operate in any region and guarantee income comparable to other industries.
Medical and nursing care also needs diversity.
Under each specialist system, there are no doctors like Black Jack or Red Beard.
Rural areas may seek a family doctor system, but urban patients may refuse.
This is because we use a number of specialized medical institutions.
I would understand if it was your family’s emergency general hospital.
Additionally, there are some patients who doctors would like to refrain from using.
I think freedom of choice for both doctors and patients is more important.
I think the reality of the family doctor system also differs depending on the region.
Is Japan a small island nation, or is it a country with a wide range of diversity?
I don’t know.
Don’t blame the politicians.
The people should choose.
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CEO Yasunari Koyama