But obesity explains only a modest portion of the spending gap between Japan and the U.S.:https://www.theatlantic.com/national/archive/2012/04/206-us-health-care-costs-are-caused-obesity/329327/ …
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So how does this magical Japanese health care system work? Here's a comprehensive rundown: http://international.commonwealthfund.org/countries/japan/ …
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Basically, Japan has govt pay 70% of everything (or more, for poor or chronically ill people). And private insurance pays the other 30%.pic.twitter.com/JW0QsCXOvl
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The U.S. could approximate this system by simply extending Medicare - the current Medicare system, not Bernie's thing - to all Americans.pic.twitter.com/9KdF4l7MaI
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Japan caps health care prices. But even without price caps, govt can do much the same thing using monopsony bargaining power.pic.twitter.com/9OMPmzRnB7
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Meanwhile, high copays - especially a percentage system like Japan's - give the government a fiscal escape route.pic.twitter.com/70JZyBy7FN
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Replying to @Noahpinion
Maybe an acceptable cost but I feel like this ends in Republicans pushing to raise copays and lower taxes every time they're in power.
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Replying to @csilverandgold
They will! And sometimes that *might* even be the best thing for the country. In Japan they do this as well.
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Replying to @Noahpinion
Maybe for the country as a whole, but I assume some would fall in an income gap where copays are onerous but they can't get subsidized care?
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Replying to @csilverandgold
They also have supplemental insurance for the copays, which is both mandated and subsidized (like Obamacare).
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Oh I see. I misunderstood the system I guess. The copay (coinsurance) is where the private companies come in, not something separate.
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