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Divergence in the development of public health insurance in Japan and the Republic of Korea: A multiple‐payer versus a single‐payer system

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  • Hyoung‐Sun Jeong
  • Ryu Niki

Abstract

Japan and the Republic of Korea achieved universal health insurance coverage for their populations in 1961 and 1989, respectively. At present, Japan continues to operate a multiple‐payer social health insurance system, while the Republic of Korea has moved to an integrated single‐payer national health insurance structure. This article analyzes the influence of political economy in shaping the policy divergence found between these two Bismarckian health insurance systems. Issues addressed include differences in political power, the policy influence of business, the extent to which regional autonomy has developed and regional traits have been preserved, the level of political democratization, the form of political leadership, and the scale of development of the health insurance system. The article offers policy lessons derived from the two countries' experiences.

Suggested Citation

  • Hyoung‐Sun Jeong & Ryu Niki, 2012. "Divergence in the development of public health insurance in Japan and the Republic of Korea: A multiple‐payer versus a single‐payer system," International Social Security Review, John Wiley & Sons, vol. 65(2), pages 51-73, April.
    • Handle: RePEc:wly:intssr:v:65:y:2012:i:2:p:51-73
    DOI: 10.1111/j.1468-246X.2012.01428.x
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    Cited by:

    1. Masayoshi Hayashi, 2013. "Regional Equalization and Stabilization in the Japanese System of National Health Insurance," Public Policy Review, Policy Research Institute, Ministry of Finance Japan, vol. 9(1), pages 33-50, January.
    2. He, Wen, 2023. "Social medical insurance integration and health care disparities in China: Evidence from an administrative claim dataset," Economic Analysis and Policy, Elsevier, vol. 79(C), pages 20-39.

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