## Social Security-Related Expenditure (National Budget)

## Overview

Changes in Social Security-Related Expenditure in National Budget

(Unit: ¥100 million, %)

Category	1980	85	90	95	2000	05	Category	2009	10	11	12	13
Social security-related	82,124 (100.0)	95,740 (100.0)	116,154 (100.0)	139,244 (100.0)	167,666 (100.0)	203,808 (100.0)	Social security-related	248,344 (100.0)	272,686 (100.0)	287,079 (100.0)	263,901 (100.0)	291,224 (100.0)
Public assistance	9,559 (11.6)	10,816 (11.3)	11,087 (9.5)	10,532 (7.6)	12,306 (7.3)	19,230 (9.4)	Pension/health care/long-term care	196,004 (78.9)	203,363 (74.6)	210,366 (73.3)	190,845 (72.3)	218,475 (75.0)
Social welfare	13,698 (16.7)	20,042 (20.9)	24,056 (20.7)	34,728 (24.9)	36,580 (21.8)	16,443 (8.1)	Public assistance	20,969 (8.4)	22,388 (8.2)	26,065 (9.1)	28,319 (10.7)	28,614 (9.8)
Social insurance	51,095 (62.2)	56,587 (59.1)	71,953 (61.9)	84,700 (60.8)	109,551 (65.3)	158,638 (77.8)	Social welfare	25,091 (10.1)	39,305 (14.4)	44,194 (15.4)	38,746 (14.7)	38,610 (13.3)
Public health services	3,981 (4.8)	4,621 (4.8)	5,587 (4.8)	6,348 (4.6)	5,434 (3.2)	4,832 (2.4)	Public health services	4,346 (1.8)	4,262 (1.6)	3,905 (1.4)	3,788 (1.4)	3,539 (1.2)
Unemployment measures	3,791 (4.6)	3,674 (3.8)	3,471 (3.0)	2,936 (2.1)	3,795 (2.3)	4,664 (2.3)	Employment and industrial accident	1,934 (0.8)	3,367 (1.2)	2,549 (0.9)	2,204 (0.8)	1,986 (0.7)
MHLW budget	86,416 (7.5)	99,920 (2.6)	120,521 (6.4)	144,766 (2.9)	174,251 (3.9)	208,178 (3.1)	MHLW budget	251,568 (13.7)	275,561 (9.5)	289,638 (5.1)	266,873 (△7.9)	294,321 (10.3)
General expenditures	307,332 (10.3)	325,854 (△0.0)	353,731 (3.8)	421,417 (3.1)	480,914 (2.6)	472,829 (△0.7)	General expenditures	517,310 (9.4)	534,542 (3.3)	540,780 (1.2)	512,450 (△5.2)	527,312 (2.9)

Source: Finance Division, Minister's Secretariat, MHLW

(Note) 1. The sums in the breakdown may not equal the total due to rounding.

2. The figures in parentheses indicate the percentage distribution, except for figures for the MHLW budget and general expenditures that indicate the rate of increase from the previous year. $ \Delta $ indicates a decrease.

3. The figures for MHLW budget up to FY2001 were calculated as the sum of the budget of the former Ministry of Health and Welfare and that of the Ministry of Labour.

4. Categories of social security-related expenses were reviewed in FY2009 budget.

5. The FY2012 pension difference portion (i.e. the difference between the state subsidy rate for basic pension of 1/2 and 36.5% (*)) was originally intended to be financed by government bonds for pension funds but was then changed to stop-gap public bonds (special bonds for covering public pension funding). It was increased in the FY2012 supplementary budget.

Detailed Data Changes in the General Account Expenditure Budget Classified by Expense Item Allocated for MHLW

(Unit: ¥ million)

FY1980	85	90	95	2000	05
Expenditure for public assistance	955,926	1,081,537	1,108,748	1,053,180	1,230,558	1,922,972
Expenditure for social welfare	1,369,775	2,004,211	2,405,589	3,472,812	3,657,991	1,644,326
Miscellaneous social welfare expenses	24,282	33,908	78,263	204,096	209,719	165,895
Development of social welfare facilities	122,196	82,298	112,702	166,044	155,674	115,425
Protection for children	482,936	484,079	439,994	589,129	763,606	724,410
Miscellaneous expenses for child rearing allowance	149,021	265,189	219,851	231,040	262,889	325,244
Welfare for fatherless families	3,950	4,800	3,600	3,400	5,490	5,110
Rehabilitation protective care for women	2,181	1,565	1,285	1,552	1,617	2,082
Protection for persons disabilities	38,844	51,732	52,470	79,135	108,360	117,693
Miscellaneous expenses for benefits, including special child rearing allowance	63,580	90,250	86,883	102,173	110,949	123,963
Welfare for elderly	476,119	984,113	1,402,738	2,085,439	2,028,696	3,887
Operation of the Welfare And Medical Service Agency	-	-	-	-	-	4,765
Operation of the National Center for Persons with Severe Intellectual Disabilities, Nozominosono	-	-	-	-	-	2,701
Development of the National Center for Persons with Severe Intellectual Disabilities, Nozominosono	-	-	-	-	-	101
Miscellaneous expenses for services and supports for persons with disabilities	-	-	-	-	-	41,923
National rehabilitation facilities	6,126	6,275	7,802	10,804	10,992	11,127
Expenditure for social insurance	5,060,215	5,569,386	7,090,824	8,312,699	10,863,311	15,708,833
State subsidy for child allowance	79,771	64,750	28,485	14,391	128,453	317,475
Promotion for Long-Term Care Insurance	-	-	-	-	-	11,442
Miscellaneous expenses for medical care for elderly and Long-Term Care Insurance	-	-	-	-	-	4,286,754
Long-Term Care Insurance subsidies	-	-	-	-	1,010,482	-
Health Insurance Society subsidies	5,188	5,431	9,739	23,479	26,785	13,339
National Health Insurance subsidies	2,123,107	2,018,870	2,549,031	2,819,398	3,354,675	3,739,112
Implementation of Farmers Pension	776	1,020	1,245	1,616	1,173	-
Pension Fund Association subsidies	-	-	-	-	-	-
National Pension Fund subsidies, etc.	-	-	-	1,420	3,319	1,802
State subsidy for social insurance	1,157,085	681,774	934,626	1,103,844	1,070,755	989,220
State subsidy for Employees' Pension Insurance	-	913,528	2,144,172	2,829,544	3,720,886	4,539,450
State subsidy for National Pension	1,689,611	1,868,721	1,422,989	1,518,306	1,546,105	1,799,637
State subsidy for special disability benefits	-	-	-	-	-	10,101
Expenditure for public health services	396,968	461,207	557,679	634,187	542,101	481,909
Miscellaneous expenses for public health services	66,303	99,885	122,432	109,620	81,414	78,999
Development of public health facilities	10,036	8,670	18,891	34,922	46,372	19,986
Measures for atomic bomb casualties	82,317	100,995	121,535	145,602	156,035	152,417
Facilities of National Peace Memorial Hall for the Atomic Bomb Victims	-	-	-	33	1,993	-
Medical care for tuberculosis	50,683	33,138	26,298	16,135	8,411	6,864
Management of national hospitals and clinics	71,370	118,358	173,979	233,780	130,785	-
Facilities of national hospitals and clinics	5,527	3,755	7,650	14,825	9,591	-
Management of National Centers for Advanced and Specialized Medical Care	-	-	-	-	-	46,922
Facilities of National Centers for Advanced and Specialized Medical Care	-	-	-	-	-	673
Operation of the National Hospital Organization	-	-	-	-	-	51,353
Development of the National Hospital Organization facilities	-	-	-	-	-	3,658
Facilities of the National Hansen's Disease Museum	-	-	-	-	-	925
Mental health care	83,499	63,796	48,717	31,771	57,659	62,896
Implementation of medical care and treatment, etc.	-	-	-	-	-	7,798
Quarantine stations	3,822	4,440	5,303	7,799	8,369	8,624
National Hansen's Disease Sanatoria	23,411	28,170	32,874	39,702	41,470	40,794
Expenditure for unemployment measures	377,106	367,139	345,867	293,434	378,661	465,959
Projects for employment in specialized area development	6,933	6,063	6,158	6,798	6,985	5,373
Projects for job conversion measures	102,297	67,954	45,384	31,627	35,397	34,447
State subsidy for employment insurance	267,876	293,122	294,325	255,009	336,279	426,139
Others	481,585	508,506	534,428	710,246	752,480	593,827
Total amount of the General Account budget allocated for MHLW	8,641,575	9,991,987	12,052,135	14,476,558	17,425,100	20,817,827
Total amount of the General Account budget	42,588,843	52,499,643	66,236,791	70,987,120	84,987,053	82,182,918