Soliloquy of the President [senior housing] vol. 110
Home medical service fees "75 percent subtraction"! !
Oh oh, the management of Gold Age “nurse care home” is in the crisis again.
The ministry has been announced to implement it from April 1st 2016.
Enormous subtraction in the point system, medical service fees been reduced
1/4, that means that we received 40,000 Yen until now, from now only 10,000
Yen. Now all the doctors in the country will have deficit. What to do now?
There been two articles in the “Nikkei Health news paper” about Gold Age’sExcellent home (Yokkaich, Mie prefecture) as the best of end of life carefacility. Excellent worked out a new “end of life care” and “life support”
procedure for elderly people housing. That is possible because of the doctor
generous health care. If the health care cost is reduced by 1/4 then the
personal expenses is not covered of nurses and medical billing clerk who are
helping the doctor. Then from now we will be not able to provide medical andnursing care for the elderly. What to do from now?
My principle assertion (assertion of youth) is to “support elderly housing
service is saving Japan”. The employees and me are not looking for theshort-term profit. Why elderly housing service saves Japan? In a nutshell,caring for elderly people in elderly housing service facility is much cheaper
than in the country’s facilities all over Japan (recuperation, nursing homesand elderly health) and in private facilities (nursing home for fee). It is
helpful because the tax and the user’s self-payment are cheaper.
But it requires tremendous effort from elderly housing service companies.
The per capital compensation is 80,000 Yen in a month in elderly housing
service. That includes end-of life care, dementia, nursing care and nursing.
There is a huge difference from other care service facilities.

A specialized

medical service care receives one 200,000 Yen per person, elderly health careservice receives 280,000 Yen, nursing home care service receives 300,000 Yen,and special nursing home care receives 450,000 Yen for their claims of thereward. My extreme opinion is that eliminate the entire private “facilities”
from Japan and all care for elderly should be done by elderly housing service

this would “save Japan”. But the reward should be raised to 130,000 Yen
instead the current 80,000 Yen.
Do you know the social security cost in 2025 fiscal year? Whopping “151trillion Yen”. How to get it when the tax revenue is now 50 trillion Yen? The
burden of medical care will increase by 10%, the fee for the doctor homediagnosis steadily lowered. (Even thought this should reduce more and more
the fees of existing facilities but no sign of that), “medical care is 60 trillion
Yen” and “nursing is 21 trillion Yen” from the 151 trillion. The remaining 70trillion Yen will be used for pensions, welfares and child care support. We areas an “elderly housing service company” working hard with the “claim ofyouth” however it would be good if we get the compensation raised a littlemore.
Gold Age will have 25 buildings this year all over Japan. The total amount ofland and buildings is about 130 billion Yen. There are own properties weguarantee the rent in which the responsibility is significant. With 130 billion
Yen worth of assets, 800 employees working hard but the yearly ordinary
profit is only 100 million or 200 million Yen, It is silly. Take 200 million Yen
however half of that paid as tax the remaining is just 100 million. Afterpaying debt of the capital (interest payments are added to running costs)
from that 100 million Yen, not even 1 Yen left over.
The reality is tough even doing a serious management of an “elderly housingservice company”. Assertion of youth is also important, the youth must live
also. I ask the understanding of the government and cooperation of thetenant’s family. What will do the government?