23-7 制度区分別国民医療費（平成22～29年度）Estimates of National Medical Care Expenditures by Defrayer (F.Y. 2010 to 2017) 「国民医療費」参照。 See "Estimates of National Medical Care Expenditure".（単位 億円）(In one hundred millions of yen)区分Item平成22年度27年度28年度29年度F.Y. 2010F.Y. 2015F.Y. 2016F.Y. 2017国民医療費Estimates of national medical care expenditures374,202423,644421,381430,710公費負担医療給付分Public funded medical care benefits26,44731,49831,43332,040 # 生活保護法 Public assistance act15,65417,77417,49617,721 障害者総合支援法 Integrated Supports for Persons with Disabilities Act.1)3,1594,3334,3494,482医療保険等給付分Health insurance benefis178,950198,284195,663197,402 医療保険 Health insurance176,132195,244192,614194,271 被用者保険 Employees' insurance84,34896,03997,210100,970 被保険者 Insured persons41,93649,76151,14453,828 被扶養者 Dependents38,10941,18241,14141,700 高齢者 Elderly2)4,3045,0964,9255,442 協会管掌健康保険 Health insurance managed by the Japan Health Insurance Association41,97349,99151,17753,758 組合管掌健康保険 Society-managed employment-based health insurance31,90635,08935,25436,248 船員保険 Seamen's insurance190192195194 国家公務員共済組合 Mutual aid association of national government employees2,2702,4302,3192,441 地方公務員共済組合 Mutual aid associations of local government employees6,9467,1037,0617,052 私立学校教職員共済 Mutual aid association of private school personnel1,0641,2361,2031,278 国民健康保険 National health insurance91,78499,20595,40493,301 高齢者以外 Other than the elderly65,48867,03265,32362,546 高齢者 Elderly2)26,29632,17330,08130,755 退職者医療制度（再掲） Medical care service programme for retired employees (re-grouped)5,9853,9392,4861,333 その他 Other2,8183,0403,0493,131 # 労働者災害補償保険 Industrial accident compensation insurance2,1942,4232,4402,523後期高齢者医療給付分Medical care benefits for the latter-stageelderly3)116,876140,255141,731147,805患者等負担分Patient funded50,10352,04251,43552,750 全額負担 Fully patient funded4,7025,4865,4255,400 公費・保険又は後期高齢者 の一部負担 Cost share of public fund, insurance or latter-stage elderly45,40146,55646,01047,351軽減特例措置Special relief4)1,8261,5651,119713資料 厚生労働省「国民医療費」Source: Ministry of Health, Labour and Welfare.1) 身体障害者福祉法，児童福祉法，精神保健及び精神障害者福祉に関する法律により負担していた医療費の一部が，平成18年４月から障害者自立支援法に組み込まれた。平成25年４月からは障害者総合支援法。 2) 70歳以上3) 平成20年３月に老人保健制度が廃止となり，20年４月から新たに後期高齢者医療制度が創設された。 4) 平成20年４月からの70～74歳の患者の窓口負担の軽減措置に関する国庫負担分。1) Services and Supports for Persons with Disabilities Act. A part of medical expenses formally borne by the Act forWelfare of the Physically Disabled, Children's Welfare Act or by the Act for Mental Health and Welfare of the MentallyDisabled is borne by Services and Supports for Persons with Disabilities Act since April 2006. From April 2013, IntegratedSupports for Persons with Disabilities Act. 2) 70 years of age or older. 3) The "Health and Medical Service for the Aged"was abolished in March 2008, and the "Medical System for the Elderly" was established in April 2008. 4) The amountborne by the Government to cover special reduction measures for partial expense of patients 70 to 74 of age.546 23 社会保障
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