各种医疗保险的财政状况正在恶化。例如,政附所管的日本雇用劳动者健康保险,拥有高额的累积赤字。加入保险的8.3%为70多以上的老年人,被保险者的所得水平较低。所以靠保险费使得收支平衡很困难,在国库给予高额补助下,才能维持收支平衡。很明显今后人口构成急速向老年化演进,不得不采取某些措施来改变保除财政的恶化(表 The financial situation of various medical insurance is deteriorating. For example, Japan’s government-employed laborer’s health insurance, which is attached to the government, has a high cumulative deficit. 8.3% of the people who joined the insurance accounted for more than 70 elderly people, and the level of income of the insured was relatively low. Therefore, relying on insurance premiums makes it difficult to balance the balance of payments. Under the high subsidies provided by the Treasury, it is possible to maintain balance between revenue and expenditure. It is clear that in the future, the composition of the population will rapidly evolve toward old age and some measures must be taken to change the deterioration of the fiscal protection (Table