この話を聞いてゾッとしました。安芸高田市の石丸市長の真の目的って実は、、、【ひろゆき 切り抜き 論破 ひろゆき切り抜き ひろゆきの控え室 中田敦彦 ひろゆきの部屋 石丸伸二】

Summary

The transcript appears to be a dialogue discussing various topics, including the prevalence of preventive healthcare in Japan compared to overseas, particularly in America, and the business aspects of health check services targeting the elderly in Japan. It touches on the cost of healthcare and insurance, the role of hospitals, and the case of a city in Hiroshima that seems to be taking a proactive approach to preventive healthcare. The dialogue also covers the political landscape, referencing a city mayor's strategies and the public's perception of political figures. Furthermore, it delves into the dynamics of Japanese politics, the influence of political parties, and the concept of direct democracy in mayoral elections. The speaker expresses skepticism about the effectiveness of professional politicians and argues for the potential benefits of non-affiliated candidates. The summary also briefly mentions the impact of political decisions on public health and the importance of considering the long-term effects on society.

Takeaways

• 🍂 The speaker mentions that it is autumn in the city, possibly referring to Aki-shi (秋市), and talks about a person with a 100% success rate, possibly in a political context.
• 🌐 The discussion touches on why preventive healthcare is not as popular in Japan compared to overseas, particularly the United States.
• 💰 The Japanese health insurance system is highlighted as being very affordable, which may contribute to the lack of motivation for preventive healthcare measures.
• 🏥 It is noted that preventive healthcare is not typically covered by health insurance in Japan, leading to higher costs if not pursued.
• 💊 The city of Hiroshima's Aki-shi is mentioned as an example where preventive healthcare measures, such as for diabetes, are taken seriously, with the city hall even calling residents for check-ups.
• 📉 The speaker suggests that applying health insurance to preventive healthcare could reduce overall insurance costs but that hospitals may not support this due to potential loss of revenue.
• 💰 There is a mention of the financial burden of diabetes treatment, especially the costs associated with dialysis, and how it is covered by health insurance with minimal personal burden.
• 🗓️ The impact of regular hospital visits for dialysis on a patient's life, such as planning travel around treatment schedules, is discussed.
• 🧐 The speaker questions the motivation of medical professionals to promote preventive healthcare if it could reduce their income from treating sick patients.
• 🏛️ The political approach of a certain Mayor Ishimaru (石丸市長) from Hiroshima is discussed, with the speaker expressing mixed feelings about his methods and the potential for making enemies.
• 🚖 A comparison is made between the stereotypes of people from different regions in Japan, particularly the perceived aggressiveness of people from Hiroshima and the implications of not making them enemies.

Q & A

Why is preventive medicine not as popular in Japan compared to other countries like the United States?

In Japan, preventive medicine is not covered by health insurance, which makes it more expensive. Additionally, there is less motivation to engage in preventive healthcare since medical services under the health insurance are already quite affordable.

What is the situation with elderly health check services in Japan?

There is a business model in Japan that focuses on health check services for the elderly, which includes managing end-of-life care. However, this approach is questioned in terms of its business ethics and whether it is truly beneficial for the elderly.

How does the health insurance system in Japan affect preventive medicine?

The health insurance system in Japan does not cover preventive medicine, which leads to higher costs for consumers. This can result in people not seeking preventive care and instead relying on the health insurance for treatment when they become sick.

What is the role of the city office in promoting preventive medicine in the case of diabetes in Hiroshima's Aki-Takata?

In Aki-Takata, the city office actively encourages residents who are suspected of having diabetes to visit the hospital. They provide affordable medication for diabetes, which can prevent the onset of the disease if taken regularly.

What are the challenges faced by diabetic patients in Japan regarding regular treatment?

Diabetic patients in Japan may need to undergo regular dialysis treatments, which can be time-consuming and location-dependent. This can affect their ability to travel or plan their daily lives around the required medical appointments.

How does the preventive approach to medicine impact hospital revenues in Japan?

Preventive medicine could potentially reduce hospital revenues, as fewer people would need to visit hospitals for treatment if they engaged in preventive care. This creates a lack of motivation for hospitals to promote preventive medicine.

What is the political stance of Aki-Takata's mayor regarding preventive medicine?

The mayor of Aki-Takata, possibly Shiumaru, is known for promoting preventive medicine, which is seen as a positive approach to healthcare. However, the transcript suggests that there might be some controversy or challenges associated with his methods.

How does the Japanese political landscape influence the selection of the Prime Minister?

The selection of the Prime Minister in Japan is largely determined by the ruling party, such as the Liberal Democratic Party (LDP), rather than a direct vote by the Japanese public. The public does not have the authority to vote for who becomes the Prime Minister.

What is the significance of independent candidates in Japanese politics?

Independent candidates in Japan, such as the former mayor of Akita, can disrupt the traditional political landscape by not relying on established political party support. This can lead to a more diverse and potentially more responsive political leadership.

What are the implications of non-professional politicians taking leadership roles in government?

While non-professional politicians may bring fresh perspectives, there are risks, as seen in the case of the United States with President Trump. The lack of political experience can lead to instability and conflict, as non-professional politicians might not have the necessary skills to navigate complex political situations.

How does the Japanese public perceive the role of political parties in the governance of the country?

The Japanese public may not fully understand the extent to which political parties, particularly the LDP, control the selection of the Prime Minister. There is a general perception that the public has more influence over political decisions than they actually do.

What is the importance of local governance and direct democracy in Japan?

Local governance, such as the election of city mayors and governors, is an example of direct democracy in Japan. The public's vote directly influences the outcome, which can lead to more responsive and accountable leadership at the local level.