sad news? It is 20:28 on August 23 that hay fever medicine is not covered by insurance

“If you go to the hospital, you should pay all the hay fever medicines that you can pay 30%.”
These recommendations have been finalized.
Rough voices on the internet ...
"It's already a national illness but the burden of 100% is harsh"
"After managing the cedar"
What does that mean?
(Reporter, Network Press / Yohei Kato, Aya Noda, Maki Miyawaki)

Combining the recommendations of impact

The recommendations were compiled by the Health Insurance Federation, which is a health insurance association created by employees of large corporations. On the 23rd, a press conference was held and recommendations were announced.

Currently, if insurance is applied, out of 10 to 30% of self-paid hay fever treatments, those with the same efficacy as over-the-counter drugs should not be covered by insurance and all costs should be borne by the patient That's it.

The reason behind the exciting proposal is the insurance crisis that is “critical”.
This is because medical costs increase due to further aging, while the population of active generations who are in a position to pay insurance premiums is decreasing.

Kenporen estimates that if this proposal is realized, it will have the effect of reducing medical costs by up to approximately 60 billion yen per year.

Mr. Shoji Kono, director of Kenpo Ren, asked for an understanding at the interview that “several painful reforms are needed in the face of severe financial conditions”.

Say it's a lie!

In response to this recommendation, SNS is full of violent voices.

On the other hand, some opinions were taken positively.

Not all drugs

However, there are various hay fever treatments, and the proposal suggests that there are still 30% of drugs.

“Wait, what happens if I get hay fever all year round if I am not covered by hay fever insurance?”

A man in his twenties who murmured after receiving this news tweeted, “Is it safe because I am taking medicine stronger than Allegra?”

What do you mean?

The man was diagnosed with hay fever from an early age, and allergic tests tested positive for all species.

The doctor was diagnosed with symptoms all year round.

Men regularly visit otolaryngologists, and each time they pay 30% of the cost of medical expenses and medicines, and still pay about 5,000 yen.

The drugs prescribed there are currently stronger drugs that are not on the market, and according to the recommendations, such drugs are still burdened by 30%.
For this reason, the man murmured, "Is it safe?"

Aim for the best work?

On the other hand, some people on the SNS have expressed resentment that “hay fever is a lot of work”.

“Although the active generation rarely takes care of the hospital, the insurance premium increases and even the hay fever medicine is fully paid. Let me apply hay fever.”

I muttered a woman in her 20s who is taking medicine every year during the spring hay fever season.

This woman visits the hospital only during hay fever.
I feel that the burden will be increased only for the active generation if even the drug fee will be fully paid.

“I can't be convinced by a suggestion that wrestles with the current generation while keeping other issues such as the cost of medical care for the elderly.

I asked Kenpo Ren

In fact, the KOSEN staff member who said that he had mild hay fever explained that he said, “I understand that the general public opposes the opposition.”

▽ Even if the hay fever treatment is not covered by insurance, there are many types of over-the-counter medicines that are available and are widely available on TV commercials.

▽ There is a certain demand for hay fever treatments compared to other drugs such as diseases, so the effect of reducing medical expenses is great

How did the doctor on the scene see it?

How do doctors in the field view this proposal?

A SNS post caught my eye.

Posted by Assistant Professor Hirohashi Takahashi of Juntendo University School of Medicine.

“Why do you agree with taking off-the-counter medicines out of insurance practice?”

(Assistant Professor Takahashi)
“The over-the-counter drugs often have no side effects, so I do n’t think it ’s necessary to visit a medical institution to prescribe the drugs. ”And you may feel that you are visiting for the purpose of getting drugs cheaply, because the hospital wants you to visit if you really need medical intervention.”

“Why is it the opposite of targeting hay fever?”

(Assistant Professor Takahashi)
“Some people do not have a medical checkup when they need to use over-the-counter drugs. Some people have severe symptoms of hay fever. There are various types of drugs, so there are cases where over-the-counter drugs are not enough. In addition to that, there is a need for medical examination, and in addition, hay fever patients are relatively young, working generations, and I think it is necessary to treat hay fever in order to secure the workforce in Japan. Will reduce your concentration. "

Mr. Takahashi also points out that “the cold medicine should be excluded from insurance”.

“It is common sense for Japanese people to go to the hospital after catching a cold, but overseas people know that it is best to sleep at home after catching a cold, so they do not go to the hospital. `` Since the medicine only has the effect of suppressing the symptoms, there is no need to take the medicine in the first place.

From now on?

This proposal is expected to be discussed at Chuo Medical Association = Central Social Insurance Medical Council.

By the way, the Japan Medical Association has shown a willingness to oppose this proposal.

The 60 billion yen reduction in medical expenses that can be obtained by paying the hay fever treatment is at the same time as the suffering of hay fever patients.

It is necessary to pay attention to whether or not the discussion based on that will be conducted properly.