Improvements and more efficient and prioritized operation

## Road map

Formation of a participation-oriented society †	- Continued promotion of employment
· Ensuring stable employment for youth utilizing Job-Card· Elimination of M-shaped curve of the female employment/population ratios· Creation of a society where anyone can work regardless of their age via consideration of employment-related legislation in conformance with a super-aged society· Promoting employment of persons with disabilities via the transition from welfare to employment· Comprehensive implementation of measures for promoting employment with coordination between related organizations in accordance with regional circumstances	· Employment rate (Youth: (Females (aged 25-44): (Elderly: · Job card acquirers: 300 million (2020) · Actual employment rate of persons with disabilities: 1.8% (2020)
- Realization of decent work (rewarding and humane work)· Formation of a comprehensive vision for interdisciplinary efforts in thus ensuring equitable treatment for non-regular workers· Legislation being considered that ensures more secure employment and better treatment of fixed-term contract workers· Ensuring the health and safety of workers via reduction of working long hours and measures for mental health· Consideration of financing employment insurance and a support system for job seekers	- Overall vision will be established in 2011- Development of legislation: the required reconsiderations will take place after conclusion of the Labour Policy Council in 2011- Revision of the Industrial Safety and Health Act will be considered with the aim of early submission to the Diet- Consideration will be based on provisions of the Employment Insurance Act and Act on Support for Job Seekers (see Note 3)
- Development of service infrastructure· Construction of a structure for providing ideal medical and nursing care services and the development of the infrastructure required to achieve service objectives such as children's parks, childcare services, and clubs for after school activities for children	- Planned and intensive development of infrastructure
- Promotion of medical innovations †· Establishment of hospitals for core clinical research at an internationally comparable level· Consultation services for commercialization of technologies originating in Japan· Structural enhancement of the Pharmaceuticals and Medical Devices Agency (PMDA)· Further study of schemes for use in evaluating innovations from the point of view of medical economics in then setting official drug prices	- Establishment of hospitals for core clinical research: around 15 institutions will be established over three years from 2011 on- Prioritized and continuous allocation of research funds to hospitals for core clinical research- Enhanced staffing of reviewers: the number of full-time reviewers will be increased to 751 by the end of FY 2013 (compared to 648 as of April 1, 2011). Further enhancement measures will be considered in continuous efforts to ensure more streamlined and efficient operations- More efficient application and review process for advanced medical systems: consideration is taking place with the aim of implementation within FY 2011
- Construction of a secondary layer of the safety net· Establishment of a support system for job seekers· Seamless coordinating measures for the secondary layer of the safety net, including a support system for job seekers· Employment assistance for persons receiving public assistance (promotion of social inclusion via personal support and one-stop services)	- A support system for job seekers will be created in FY 2011- Continuous efforts in comprehensive improvement- Operations being continuously implemented- Establishment of dedicated organizations that provide one-stop and accompanying support, with municipalities taking the leadership role (Step-by-step implementation)
- Reconsideration of public assistance· Enhanced support and improved menus for self-support and employment assistance for anyone receiving public assistance but having earning capacity· Prevention of children being impacted by poverty· Optimization of medical assistance and thorough measures against dishonest receipt· Consideration of criteria for public assistance based on objective data	- Consideration will take place in connection with reformation of related institutions- Criteria for public assistance: verification will be made by a standards subcommittee (commenced in April 2011) by the end of 2011- Other than standards for public assistance: discussions between national and local governments (commenced in May 2011) → Bill will be submitted as required
- Measures for persons with disabilities· The study group for reformation of systems for persons with disabilities is taking into consideration providing support without gaps between systems, as well as a transition into communities and support for living in communities for persons with disabilities	- A bill on the 'Act on Comprehensive Welfare for Persons with Disabilities' (tentative name) will be submitted in 2012, and be based on discussions of the study group for reformation of systems for persons with disabilities
- Measures for intractable diseases· Consideration of ideal support for medical expenses for intractable diseases, including reconsideration of expensive medical care expenses for long-term expensive medical care (represented again)	- Continuous efforts in interdisciplinary measures
- Resurgence from the Great Earthquake· Presentation of a new peaceful community model	- Efforts being made in consideration of resurgence from the Great Earthquake
- Raising children and youth who will be responsible as the next generation· Development of an educational environment for skills and experience that lead to employment in response to mobilization of employment· Ensuring equal opportunity and the quality of education (particularly enhanced support for students with good results despite having livelihood difficulties)	- Continuous efforts in comprehensive improvement

Note 1: The estimated cost was routinely calculated using the 'direction and concrete measures in reforming the social security systems' (May 12, 2011) and related estimations of medical and nursing care, as well as suggestions presented by the Intensive Study Commission on Social Security Reform.

Note 2: One-half the contribution to the basic pension program to be borne by the national government will be financed by the fundamental tax reform. The budget will be allocated with appropriate measures every fiscal year until the fundamental tax reform has been implemented.

Note 3: With regard to the Employment Insurance Act, consideration will be continuously given to the share of the contribution borne by the national government; upon stable sources of finance being secured as soon as possible, the provisional measures for government's contribution will be abolished. With regard to the Act on Support for Job Seekers, consideration will take place without delay as to who should bear the cost of implementing support measures, along with consideration as to what support measures should be implemented for specific job seekers until enforcement of the Act.