section_path: Demographics/Health
section_name: Health
paragraph_text: Health
  
  Health care in Japan is provided by national and local governments. Payment for personal medical services is offered through a universal health insurance system that provides relative equality of access, with fees set by a government committee. People without insurance through employers can participate in a national health insurance program administered by local governments. Since 1973, all elderly persons have been covered by government-sponsored insurance.
  
  Japan spent 10.82% of its total GDP on healthcare in 2021. In 2020, the overall life expectancy in Japan at birth was 85 years (82 years for men and 88 years for women), the highest in the world; while it had a very low infant mortality rate (2 per 1,000 live births). Since 1981, the principal cause of death in Japan is cancer, which accounted for 27% of the total deaths in 2018—followed by cardiovascular diseases, which led to 15% of the deaths. Japan has one of the world's highest suicide rates, which is considered a major social issue. Another significant public health issue is smoking among Japanese men. However, Japan has the lowest rate of heart disease in the OECD, and the lowest level of dementia among developed countries.