Community visits by the health care providers are common, in an attempt to monitor and correct the most basic health problems of the area. Such problems include malnutrition of children and unsafe water supplies. Although the public sector is by far the major part of the health care system in Honduras, there is a thriving private sector as well. There is no restriction on who can work privately, thus many doctors choose to work both in a government institution and in a private practice. Japan Adapted from Ikegami, N, and Campbell, J. Medical Care in Japan.
Japan provides all citizens with access to primary and tertiary health care.
The government regulates the insurers by requiring mandatory coverage of large groups of the population. The payments are then disbursed to independently operating care providers or hospitals, according to a government set fee schedule which lists prices for individual procedures. Although some of this difference is due to social factors, such as less violence and drug use in Japan, such factors do not provide a sufficient explanation. Japan finances medical care through multiple insurers, with mandatory enrollment based on employment or residence, and premiums proportional to income. Although the Japanese system is most similar to the German one, Japan's is more egalitarian, with government subsidization of plans covering inherently less healthy and poorer populations, and no opportunity for people to opt out by buying private insurance.