Stated at the age of 75 and above, “20% above the fixed income” is clearly stated.

In order to realize the all-generation social security system, the government review meeting compiles an interim report, and it is said that it is necessary to review the way of seeking the burden according to income, not age, in order to suppress the burden on the active generation . Regarding the medical system over 75 years old, which was the focus, we clearly stated that the contact burden at hospitals, etc., which is 10% in principle, will be 20% for people over a certain income.

The government's “All-Generation Social Security Review Conference” started discussions in September on how social security systems should be adapted to the times, and compiled an interim report at today's meeting.

According to it, in anticipation of 2022 when the so-called baby boomer generation begins to be 75 years old, while restraining the increase in the burden on active generations, a system that can be relied on by all generations will be built, so it will be charged according to income, not age It is necessary to revise the concept of “compliance burden” that demands

▼ In the medical field, ◇ Regarding the late elderly medical system for 75-year-olds and older, which was the focus, the burden on the counter at hospitals, etc., which is 10% in principle, is "20% for those with a certain income or more" It is stated that income standards will be further examined so that it can be implemented by the beginning of 2022.

In addition, when a patient without a referral letter visits a large hospital, the system that adds more than 5000 yen to the examination fee at the first visit expands the target hospital from 400 beds or more to 200 beds or more. Will also increase.

▼ In the pension field, the scope of application of employees' pensions to short-time workers will be expanded, and the company size, which is a requirement for participation, will be changed from the current “501 or more” to “101 or more” in three years and five years. Later, it will be gradually reduced to “over 51 people”.

▼ In the field of labor, to secure employment opportunities up to the age of 70, we have shown options such as retirement or extension of retirement age, and making it mandatory for companies to take any measures.

Prime Minister Abe said, “In creating a society where healthy and motivated elderly can play an active role throughout their lives, even if they are over 75 years old, for those who are above a certain level of income, We decided to build a system where all generations can rest assured while reducing the burden on active generations.

I would like to proceed with more specific considerations for the final report of next summer. "

Aging and medical expenses increase on the background of the review

Last year's (FY2018) national medical expenses, including self-pay, were approximately 43 trillion yen, of which 16 trillion was 75% or more, accounting for 37.8% of the total.

Looking at each age group, the annual medical cost per person is 460,000 yen for 65 to 69 years, and 620,000 yen for 70 to 74 years, but from 75 to 79 years Is 770,000 yen, ▽ 80 to 84 years old is 920,000 yen, ▽ 85 years old and over is 1.70 million yen. When it is over 75 years old, it tends to increase rapidly.

Six years later, in 2025, the so-called baby boomers will all be over 75 years old, and the number of late elderly is expected to increase rapidly to 21.8 million. About 18% of the population, approximately one in five, is over 75 years old.

As a result, medical expenses are expected to increase further, and it is estimated that it will rise from 54 trillion yen to 55 trillion yen in FY2025 and from 76 trillion yen to 78 trillion yen in FY2040.

Approximately 40% of the financial system for the elderly medical system for the elderly is covered by support money from the active generation, and if this is the case, the insurance premium burden for the active generation may be even heavier.

For this reason, in order to maintain the system while ensuring fairness among generations, there was a voice that elderly people should be asked for a certain burden.

What is the late elderly medical care system?

The latter-stage elderly medical system is a medical system for people over the age of 75, with approximately 17 million people participating. As a general rule, the contact burden at hospitals is 10%.

On the other hand, people over 75 years old earning 3.83 million yen per year are said to have the same level of income as the current service, and like the current service generation, 30% of the burden is required. These people account for 7% of the total.

If this review is realized, people over the age of 75 will be divided into 30%, 10%, 20% and 30% according to their income.

The financial system for the elderly medical care system for the elderly is excluding the patient's window. ▼ The insurance premium paid by people over 75 years old is approximately 10%, the public expenditure is approximately 50%, and the remaining 40% is the working generation such as office workers. Is funded with support from insurance premiums paid.

With the progress of aging, the amount of support money to cover the medical expenses of the elderly has been increasing year by year, and the finances of the health insurance unions to which salaried workers and others are joining have been pressing, and there are calls to reduce the burden on active generations. The

Hiroya Masuda “I was able to sort out the benefits and burdens”

Former Minister of Internal Affairs and Communications Hiroya Masuda, Visiting Professor at the University of Tokyo Graduate School of Public Policy, told reporters, “It was great to be able to organize the benefits and burdens. I would like to have a thorough examination of the scope of the 20% burden, and from the perspective of reducing the burden on the next generation. "

Atsushi Seike “Reform to alleviate the burden on young people”

Mr. Atsushi Seike, former president of Keio University, told reporters, “It was a very good interim report that could clearly show the significance of all-generation social security. In order to alleviate the increase in the burden on young people, not just on the increase in the burden on the elderly, it is necessary to reform the burden on the elderly who have the ability to pay. "

On top of that, “Towards next summer, you can discuss how to promote the trilateral promotion of the regional medical concept, the correction of the uneven distribution of doctors, and the reform of the work style of healthcare workers. "Isn't it?"