151. War and the Health of the State: The Critical War Years for National Health Insurance in 20th Century Japan and the United States.
- Author
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Yamagishi, Takakazu
- Subjects
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NATIONAL health insurance , *HEALTH insurance , *PUBLIC health , *INSURANCE policies , *WAR casualties , *WORLD War II - Abstract
The Second World War killed approximately fifty million people, while it led policies and institutions to improve people’s health. This paper will ask why and how these events occur ironically at the same time, and rethink the development of health insurance policies. Scholars explain welfare state development by focusing on industrialization, labor power, culture, and policy and institutional path dependence. When they do study the impact of war, they tend to treat war as a simple and identical exogenous shock and do not address how variations in war experiences affect policies and institutions. This paper contrasts ‘Japanese’ war with ‘American’ war in terms of a war’s duration, depth of mobilization, casualties, battle sequence, and war-fighting regime. It also examines how war mobilization formed and consolidated the Japanese national health insurance policies in the 1930s and the 1940s. This paper has three contributions. First, theoretically, it shows the difficulties of existing studies to take variations in war experiences into their analyses, and suggests a necessity of further studies to understand the relationship between war and health insurance policy. Second, empirically, it examines origins and development of the Japanese health insurance that political scientists have not sufficiently addressed. Third, it sheds a new light on a frequently asked question: Why does the United States not have the comprehensive national health insurance system? [ABSTRACT FROM AUTHOR]
- Published
- 2003
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