Key Facts
• Survey conducted by Kyodo News in June–July 2025.
• 97% of local leaders expressed concern over long-term care insurance sustainability.
• 85% supported increasing financial contributions from the government or users.
• 1,723 responses were collected, representing 96% of surveyed officials.
• 40% reported “serious concern,” while 57% had “some concern.”
• Top reasons: workforce shortages (72%) and rising care costs due to aging (60%).
• Long-term care costs are funded by user fees (1%), insurance premiums (40+), and public funds.
• The system, introduced in 2000, faces challenges as baby boomers turn 75+.
Summary
A Kyodo News survey revealed that 97% of local government leaders in Japan are concerned about the sustainability of the long-term care insurance system, citing workforce shortages and rising costs as primary issues. Conducted in mid-2025, the survey gathered responses from 1,723 officials, representing 96% of those contacted. With Japan’s aging population, particularly baby boomers entering late seniority, 85% of respondents suggested increasing financial contributions from the government or users. The system, established in 2000, is funded by user fees, insurance premiums, and public funds, but faces mounting pressure for reform to ensure its viability.
