Japan’s health system toward 2040: structural challenges and a renewed social contract

By afschroeder • August 18, 2026

Yamasaki L, Sakamoto H, Hashimoto H, Kondo N, Kunii O, Tsugawa Y, Abe SK, Ezoe S, Egawa S, Guinto RR, Igarashi A, Lekagul A, Lwin KS, Mukaigawara M, Namkoong H, Nishino Y, Rauniyar SK, Saito E, Shibuya K, Takemi K, Tang K, Tabuchi T, Tomoi H, Suzuki T, Nomura S. Japan's health system toward 2040: structural challenges and a renewed social contract. Lancet Reg Health West Pac. 2026 Jul 15;72:101920. doi: 10.1016/j.lanwpc.2026.101920. PMID: 42609530; PMCID: PMC13478816.

Tags: Demographic ageing, General Internal Medicine, Governance, health coverage, health equity, Health system reform, Japan, Publications, Universal, Value-based care, Western Pacific

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