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Japan Eyes Cuts to Health Checkups
5 Nov
Summary
- Japan proposes cutting health checkups with limited cost-reduction effects.
- Over 30 billion yen spent annually on ineffective health programs.
- Ministry seeks shift to cost-effective preventive measures.

Japan's Finance Ministry is proposing a significant review of administrative support for specific health checkups and guidance programs, potentially leading to their termination. These programs, established in fiscal 2008, aim to prevent lifestyle-related diseases and metabolic syndrome.
Ministry data indicates that national financial support for these initiatives totals 17.5 billion yen for fiscal 2026, reaching 30.7 billion yen with local government costs. However, the estimated medical cost reduction effect is only around 12 billion yen annually, showing a public burden far exceeding the benefits.
The ministry argues that empirical evidence supporting these programs' effectiveness in reducing medical costs is insufficient. It advocates for a strategic shift towards measures demonstrating higher cost-effectiveness in disease prevention and health promotion.
Separately, the Finance Ministry also proposed requiring welfare recipients without registered My Number cards for medical institutions to pay a fee, citing digitalization challenges and administrative costs.