the prevalence of smoking is more than twice as high among those with the lowest level of education more dramatically the level of obesity among the population with the lowest level of education is nearly three times higher than those with the highest level of education on top of this cns is also responsible for the financing of longterm care insurance the ministry of social security and the ministry of health are jointly responsible for health system governance the ministry of health develops health policy and legislation organises the delivery of care authorises large hospital investments and directly cofinances public health programmes