Political and Cultural Foundations of Long-term Care Reform; Comment on “Financing Long-term Care: Lessons From Japan”

<span class="fontstyle0">This paper comments on Naoki Ikegami’s editorial entitled “Financing long-term care: lessons from Japan.” Adding to the editorial, this paper focuses on analyzing the political and cultural foundations of long-term care (LTC) reform. Intergenerational solidar...

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Main Author: Ming-Jui Yeh
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2020-02-01
Series:International Journal of Health Policy and Management
Subjects:
Online Access:https://www.ijhpm.com/article_3678_577a5eae3de3c47daf87b696f307df5b.pdf
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author Ming-Jui Yeh
author_facet Ming-Jui Yeh
author_sort Ming-Jui Yeh
collection DOAJ
description <span class="fontstyle0">This paper comments on Naoki Ikegami’s editorial entitled “Financing long-term care: lessons from Japan.” Adding to the editorial, this paper focuses on analyzing the political and cultural foundations of long-term care (LTC) reform. Intergenerational solidarity and inclusive, prudential public deliberation are needed for the establishment or reform of LTC systems. Among various lines of ethical reasoning related to LTC, Confucian ethics and other familist ethics are specifically important in the societies that share these values. The core issue in the debates around LTC reform is how to (re-)define the scope of social entitlements and accordingly to allocate the responsibility for care between states and families, between social groups, and between generations with limited resources.</span>
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spelling doaj.art-3ce2cb42995840589ad1e53ca6fbc27b2022-12-21T18:53:56ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392322-59392020-02-0192838610.15171/ijhpm.2019.903678Political and Cultural Foundations of Long-term Care Reform; Comment on “Financing Long-term Care: Lessons From Japan”Ming-Jui Yeh0Department of Health Policy and Management, Emory University, Atlanta, GA, USA<span class="fontstyle0">This paper comments on Naoki Ikegami’s editorial entitled “Financing long-term care: lessons from Japan.” Adding to the editorial, this paper focuses on analyzing the political and cultural foundations of long-term care (LTC) reform. Intergenerational solidarity and inclusive, prudential public deliberation are needed for the establishment or reform of LTC systems. Among various lines of ethical reasoning related to LTC, Confucian ethics and other familist ethics are specifically important in the societies that share these values. The core issue in the debates around LTC reform is how to (re-)define the scope of social entitlements and accordingly to allocate the responsibility for care between states and families, between social groups, and between generations with limited resources.</span>https://www.ijhpm.com/article_3678_577a5eae3de3c47daf87b696f307df5b.pdfdemocracyintergenerational solidarityconfucian ethicsresponsibility for careeast asia
spellingShingle Ming-Jui Yeh
Political and Cultural Foundations of Long-term Care Reform; Comment on “Financing Long-term Care: Lessons From Japan”
International Journal of Health Policy and Management
democracy
intergenerational solidarity
confucian ethics
responsibility for care
east asia
title Political and Cultural Foundations of Long-term Care Reform; Comment on “Financing Long-term Care: Lessons From Japan”
title_full Political and Cultural Foundations of Long-term Care Reform; Comment on “Financing Long-term Care: Lessons From Japan”
title_fullStr Political and Cultural Foundations of Long-term Care Reform; Comment on “Financing Long-term Care: Lessons From Japan”
title_full_unstemmed Political and Cultural Foundations of Long-term Care Reform; Comment on “Financing Long-term Care: Lessons From Japan”
title_short Political and Cultural Foundations of Long-term Care Reform; Comment on “Financing Long-term Care: Lessons From Japan”
title_sort political and cultural foundations of long term care reform comment on financing long term care lessons from japan
topic democracy
intergenerational solidarity
confucian ethics
responsibility for care
east asia
url https://www.ijhpm.com/article_3678_577a5eae3de3c47daf87b696f307df5b.pdf
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