Four years in the past, Japan celebrated 50 years of accomplishment of excellent well being at low value and growing equity for its inhabitants. 1 In 1961, initially of a interval of rapid economic improvement, whereas the nation was still comparatively poor (with a gross home product GDP half the dimensions of Britain’s), Japan reached full medical insurance coverage of its inhabitants. In the next half-century, it continued to develop its well being system and improve equity, even applying this precept of universal well being coverage in its global health diplomacy. 1 Now, however, Japan faces critical fiscal strain as a consequence of a sluggish economic system and the rapid getting older and low birth charge of its inhabitants — but it is striving to sustain its health system in the face of these challenges.

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