jueves, junio 30, 2005

New Info.

Disculpemen a todos, por si no he actualizado la pagina de Manga Club Tijuana (ya que la escuela no me lo permite siempre), he desidido que voy a estar publicando informacion sobre japon (en ingles), por medio de J-List, su informacion es muy util e interesante, espero que les guste.

Edgar Vera
Coordinador Del Manga Club Tijuana.

Japan's medical system is generally effective at safeguarding the health of the Japanese people, from its network of small clinics and large hospitals and many trained health professionals. All in all, Japan's system works pretty well, with a good balance of nationally imposed controls that keep medical costs from rising too fast but still allow new technology to help make people well. Especially useful is the "kokumin hoken" ("citizens insurance") system that covers employees of small companies as well as self-employed and unemployed individuals, a convenient national system that the U.S. lacks. Another insurance system, "shakai hoken," the oddly named "social insurance," covers employees of traditional companies. Both systems charge premiums based on a persons income and cover 70% of medical costs. Whenever health care is discussed in the U.S., I'm saddened that the model that Japan uses is seldom brought up and examined.

This isn't to say that Japan's medical world is perfect. Doctors are highly respected in Japan, and the honorific title of "sensei" (which means "teacher" and is applied to anyone you want to brown-nose, from your doctor to the manga artist you worship to your local city councilman) can apparently go to their heads quite easily. No other profession is more concerned with face-saving than Japanese doctors, and great pains are taken to cover up any accidental complication or death caused by doctor error, such as one incident in which a Japanese young man spent years in pain after an operation, only to find that a ball of gauze had been left inside his body after an operation he had as a child (the hospital tried to cover it up). Japan's network of medical schools are very hierarchical and guard their reputations carefully, and the politics of which famous doctor is employed as a tenured resident at which hospital can literally decide your fate if you develop a serious illness.

There are other problems with Japan's medical world. The same bureaucratic slowness and desire for uniformity throughout the nation that keeps wires and power transformers strung high above Japan's cities rather than buried in the ground where they belong also keeps the pace of change in Japanese medicine slow. It took Japan until 1999 to legalize organ transplants from brain dead individuals, decades after most Western nations, and transplants from minors under the age of 15 are still unrecognized, meaning that any child looking for an organ donor must usually fly overseas or face certain death. For years Japan has lacked a paramedic program, partially due to doctors being unwilling to have medicine practiced by anyone other than a licensed doctor, and as a result Japan's DOA rate at hospitals is extremely high. Similarly, there are barriers to foreign medicines entering Japan which has a negative effect on the seriously ill.

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