Gallery: Disability Japan 2005-02 |
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Shienpi System and the Grand Design The Ministry has been pushing for a drastic modification (the so-called Grand Design) of the shienpi seido system of providing attendant care for people with severe disabilities. Under the previous shienpi system of individual coverage, people with disabilities do not have to pay a premium or co-payment as attendant care is provided a social welfare benefit. The shienpi system worked too well and too many people with disabilities enrolled, straining the government's coffers. The Ministry has pushed a bill through the Lower House to have the attendant care changed so that it more closely mirrors an insurance plan rather than a social welfare benefit: i.e., the institution of premiums and co-payments. |
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