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War and the Health of the State: The Critical War Years for National Health Insurance in 20th Century Japan and the United States

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Abstract:

The Second World War killed approximately fifty million people, while it led policies and institutions to improve people’s health. This paper will ask why and how these events occur ironically at the same time, and rethink the development of health insurance policies. Scholars explain welfare state development by focusing on industrialization, labor power, culture, and policy and institutional path dependence. When they do study the impact of war, they tend to treat war as a simple and identical exogenous shock and do not address how variations in war experiences affect policies and institutions. This paper contrasts “Japanese” war with “American” war in terms of a war’s duration, depth of mobilization, casualties, battle sequence, and war-fighting regime. It also examines how war mobilization formed and consolidated the Japanese national health insurance policies in the 1930s and the 1940s. This paper has three contributions. First, theoretically, it shows the difficulties of existing studies to take variations in war experiences into their analyses, and suggests a necessity of further studies to understand the relationship between war and health insurance policy. Second, empirically, it examines origins and development of the Japanese health insurance that political scientists have not sufficiently addressed. Third, it sheds a new light on a frequently asked question: Why does the United States not have the comprehensive national health insurance system?

Most Common Document Word Stems:

health (207), insur (197), war (192), nation (119), state (104), polici (101), ministri (89), medic (88), japanes (80), welfar (75), social (74), japan (60), unit (52), develop (52), institut (52), peopl (51), polit (49), govern (47), new (45), system (45), establish (44),

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war, national health insurance, Japan and the United States
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MLA Citation:

Yamagishi, Takakazu. "War and the Health of the State: The Critical War Years for National Health Insurance in 20th Century Japan and the United States" Paper presented at the annual meeting of the American Political Science Association, Philadelphia Marriott Hotel, Philadelphia, PA, Aug 18, 2003 <Not Available>. 2009-05-26 <http://www.allacademic.com/meta/p63877_index.html>

APA Citation:

Yamagishi, T. , 2003-08-18 "War and the Health of the State: The Critical War Years for National Health Insurance in 20th Century Japan and the United States" Paper presented at the annual meeting of the American Political Science Association, Philadelphia Marriott Hotel, Philadelphia, PA Online <.PDF>. 2009-05-26 from http://www.allacademic.com/meta/p63877_index.html

Publication Type: Conference Paper/Unpublished Manuscript
Review Method: Peer Reviewed
Abstract: The Second World War killed approximately fifty million people, while it led policies and institutions to improve people’s health. This paper will ask why and how these events occur ironically at the same time, and rethink the development of health insurance policies. Scholars explain welfare state development by focusing on industrialization, labor power, culture, and policy and institutional path dependence. When they do study the impact of war, they tend to treat war as a simple and identical exogenous shock and do not address how variations in war experiences affect policies and institutions. This paper contrasts “Japanese” war with “American” war in terms of a war’s duration, depth of mobilization, casualties, battle sequence, and war-fighting regime. It also examines how war mobilization formed and consolidated the Japanese national health insurance policies in the 1930s and the 1940s. This paper has three contributions. First, theoretically, it shows the difficulties of existing studies to take variations in war experiences into their analyses, and suggests a necessity of further studies to understand the relationship between war and health insurance policy. Second, empirically, it examines origins and development of the Japanese health insurance that political scientists have not sufficiently addressed. Third, it sheds a new light on a frequently asked question: Why does the United States not have the comprehensive national health insurance system?

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Document Type: .PDF
Page count: 33
Word count: 13129
Text sample:
War and the Health of the State: The Critical War Years for National Health Insurance in 20th Century Japan and the United States Takakazu Yamagishi Department of Political Science Johns Hopkins University 3400 N. Charles Street Baltimore MD 21210 USA Paper prepared for delivery at the 2003 Annual Meeting of the American Political Association August 28 - August 31 2003. Copyright by the American Political Science Association Please do not cite this version without permission. Comment would be warmly
This perspective will give a fresh perspective to students in American Political Development (APD). Ira Katznelson writes “APD has continued to pay nearly exclusive attention to domestic institutions.”114 War is tragedy for all human beings but it is also a reality that a state’s involvement in war promotes the development of health policies and institutions. 113 Poen Harry S. Truman Versus the Medical Lobby 49-50. 114 Ira Katznelson “Rewriting the Epic of America ” in Ira Katznelson and Martin


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