Japan's health care system in the past the providing health insurance to the public about the costs of medical care have all been approved by the government majority. 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. It is mainly formed by the actions of municipalities, etc. In 1997, amendments to the law on health insurance were performed by 80% of medical costs. That means insurers will be reimbursed, in 2000, the patient and cost-sharing. The health insurance rate increases for medical care for the elderly. The partnership of public and private management of public hospitals in the form of funding from the private sector. It constitutes a 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.