Japan's health care system in the past the providing health insurance to the public about the service of the expense care all been approved by the government. For employees of large companies that offer health coverage to their employees on health insurance policies. While the operators of small and medium enterprises (SMEs) are protected by supporting grants from the federal insurance program and others, mostly formed by the Co-Operation of municipalities, etc. In the year 1997 Japan has to amendments to the law on health insurance were performed by the 80% of the expense care that means insurers will be reimbursed regain the money back. Afterwards in the year 2000 the patient and the health insurance rate has increases for the medical care for the elderly including the partnership of public and private management of public hospitals in the form of funding from the private sector. For the constitutes of the health insurance reform and the introduction of a system of medicine has occurred in 2002, with efforts to increase the participation of citizens. Which are insured to participate in the health insurance co-pays. The health insurance from the existing management of 20% of the increase was 30% support Medicare managed to individuals. Later, the Japanese government has canceled the expense of patients on the drug.