## Direction of reform in specific areas (1)

## Support for child and childcare

—Establishment of new system for child and childcare

## ■ Ensuring quality development environments for all children, and support for child and childcare families from all of society

○ Support for all child and childcare families (child allowance, community-based childcare support, etc.)

○ Integration of kindergartens and day-care centers(creation of childcare centers(tentative name))

• Provision of high quality school educations at infancy and unified day-care services

• Reducing wait-listed children via quantitative expansion and diversification of day-care services

Achievement of improved in-home child care support

## ■ Establishment of new unified system

○ Basic local government units (municipalities) shall be the primary implementers

• Municipalities formulate implementation plans according to local needs and provide benefits/services

• The government and prefectures provide multi-layered support to the primary implementers of municipalities

○ Establishment of Child and Childcare conference(tentative name)

• A system in which those actually engaged in childcare can participate in the process of childcare support policies, etc shall be discussed

○ Financial support from all of society(the government, local governments, business operators, and individuals)

• Assumes that permanent financial resources will be secured by the government and local governments

☐ Unified promotion systems/ financial resources of the government

• Unification of promotion systems/financial resources of the government that differ across different systems

## ■ Formation of a participation-oriented society (improving the employment/population ratios)

## Promoting employment

• Prioritized support via a support system for job seekers and human resource development utilizing job-card

• Enhanced functionality of employment support for youth, especially for new graduates and 'freeters', through face-to-face support from job supporters

○ Ensuring stable employment for youth

• Vocational training utilizing the creativity of the private sector, thus leading to human resource development and employment in growth industries, and with prompt responses to any changes in the industrial structure

○ Expanding areas for female employment(elimination of M-shaped curve of the female employment/population ratios)

• Establish of systems that labor-management grasp equity between men and women promote positive action.

• Combined efforts in both a good work-life balance and improved child care services (a new system for children and child rearing)

• Creation of more places to work in support of society and work within communities

• Formation of a comprehensive vision for interdisciplinary efforts in thus ensuring equitable treatment for non-regular workers

## —Working together in a human manner—

• Consideration of employment-related legislation in conformance with a super-aged society (for example employment security measures for elderly people and employment insurance)

• Legislation is being considered that ensures more secure employment and better treatment of fixed-term contract workers

## ■ Realization of decent work (rewarding and humane work)

☐ Promotion of employment for the elderly

## Medical and long-term care

—Consideration for all generations and long-term sustainability—

• Efforts to increase the minimum wage (elimination of reversal phenomenon with public assistance and support for small- and medium-sized enterprises)

## ■ Establishment of more efficient, more prioritized, and more functionally enhanced provision systems for medical and nursing care

○ Ensuring the health and safety of workers

O Ensuring the necessary quantity and quality of doctors and human resources, including nursing staff

• Reformation of the social security systems in making them neutral with regard to choosing work styles, such as social insurance being applicable to non-regular workers

○ Measures for non-regular workers

○ Functional specialization and enhancement of hospitals and beds,

$ f \Rightarrow $ Revision of remuneration for medical

cooperation between specialists, and reconsideration of their roles

○ Enhanced systems for in-home care and nursing care, and the

## ■ Development of a system that promotes policies which facilitate employment (active labor market policies)

## ☑ Prioritized benefits and enhancement of the functionality of the medical and long-term care insurance systems as a safety net via enhancing functionality of the insurer

○ Wider coverage of employees' insurance to include non-regular workers and in order to provide a safety net regardless of a person's work style

i → Comprehensive legislation for use in

treatment and care services

developing the necessary infrastructure

establishment of comprehensive community-based care systems

○ Reducing waiting lists for special nursing homes via improving residential services, such as houses for elderly persons that can provide care services

Reformation of mental health care, enhanced measures for cognitive impairment, more focus on preventive care, and prevention of aggravation

○ Wider sources of finance for the National Health Insurance in municipalities and enhanced measures for anyone with a low income

○ Prevention of lifestyle diseases, preventive care and prevention against aggravation, promotion of ICT utilization, and further promotion of the use of generic drugs

○ Prioritized response to advanced medicine and expensive and long-term medical care

○ Enhancement of functionality of the insurer and a more equitable sharing of the burden between the elderly and the working generation in relation to medical and nursing costs for the elderly

## ☑ Promotion of prevention, and greater efficiency in operation of systems

○ Development of structures for use by Public Employment Security Offices, government's contribution to the employment security system, and a support system for job seekers that will be financed by the treasury

## Medical Innovations

—Towards the stronger international competitiveness of Japanese

made pharmaceuticals and the medical equipment industry—

## ■ Development and commercialization of Japanese made innovative pharmaceuticals and medical equipment

Promotion of research and development of Japanese made innovative pharmaceuticals and medical equipment

• Improving the quantity and quality of clinical research in Japan (for example the establishment of hospitals for core clinical research in enabling clinical research to take place at the ICH-GCP level, efforts in advanced medicine at hospitals positioned for use in core clinical research, a collaboration between PMDA and MHLW, human resource development, and utilization of IT)

• Support for research and development in specific priority areas (for example cancer, regenerative medicine, medical equipment, and personalized medicine)

## ○ Effective setting of official drug prices and development of an infrastructure to feed the results of clinical research into clinical trials and then approval

• Consultations with PMDA on pharmaceutical strategies

• Enhanced structures including PMDA

• Promotion of regulatory science in connection with commercialization

• Enhanced support for development of orphan drugs provided by the National Institute of Biomedical Innovation

• Further study of schemes for use in evaluating innovations from the viewpoint of medical economics in then setting official drug prices

## ☑ Prompt delivery of pharmaceuticals and medical equipment needed by patients (countermeasures against drug lag and device lag)

• Efforts in combatting 'application lag' and 'inspection lag' and in the medical insurance systems (reconsideration of the relevant operation of advanced medical systems in relation to pharmaceuticals that are very much needed and consideration to ensuring the quality of advanced medical data)