Regional differences in nursing care insurance premiums and high factors in Osaka City

Nursing care insurance premiums will be revised from April 2027. With the period of review every three years, the movement to decide on a new amount will begin in earnest from autumn onwards. Monthly insurance premiums for people aged 65 and over vary by municipality, with the difference between the highest in Osaka at 9,249 yen and the lowest in Ogasawara in Tokyo at 3,374 yen, 2.7 times (FY 2014-2026). How is the amount determined and why are there regional differences?

Why is it expensive? Osaka City nursing care certification rate

"The burden is putting pressure on citizens' lives, and urgent measures are needed." In March 2016, a voice arose at the Osaka City Council asking about the causes of high insurance premiums and how to deal with them. Similar questions have been asked repeatedly.

Why does Osaka City have a heavier burden than other local governments? What the city determines is the high rate of nursing care certification.

Nursing care insurance services can be used by people who are certified as requiring nursing care or support. The percentage of certified persons in the population aged 65 and over (Category 1 insured persons) was 28.6% in Osaka City, compared to the national average of 20.2% as of the end of March 2016, which is a big difference.

Why is the certification rate so high?

The city has many elderly people living alone...