23-6 Social Security Accounting (F.Y. 2018)(In millions of yen)支出Expenditure#給付BenefitsItem計#疾病・出産#年金TotalSickness and maternityPension医療現金Medical careCash benefits121,540,79039,468,8541,279,03554,846,5651TotalSocial insurance Health insurance6,082,3435,799,400280,960-2 Japan health insurance association-managed health insurance4,377,0694,130,569244,834-3 Managed by association9,355,5199,334,51212,940-4 National health insurance15,153,33315,111,381--5 Medical care system for the elderly in the latter stage of life----6 Health and medical services for the aged 10,179,982---7 Long-term care insurance23,683,072--23,651,0908 Employees' pension insurance987,958--965,6169 Employees' pension fund640--63710 Coal mining pension fund23,384,486--23,381,47411 National pension225,485--211,32512 National pension fund88,348--88,19913 Farmers' pension fund26,67318,5162,002-14 Seamen's insurance20,858--7,89015 Mutual aid association of agriculture, forestry and fishery organisation employees461,157136,5478,531315,31716 Mutual aid association of private school personnel 1,876,221-531,201-17 Employment insurance875,971---18 Industrial accident compensation insuranceFamily allowance2,606,701---19 Child allowancePublic employees1,741,678254,45412,0271,470,89220 Mutual aid association of national government employees67,681--65,79121 Existing associations, etc.5,264,244749,475106,8624,403,73922 Mutual aid association of local government employees, etc.9991345852823 Yahata mutual aid association, etc.11,818---24 Accident compensation for national government employees27,509---25 Accident compensation for local government employees4,206---26 Compensation for the former public corporation staff's7,339--7,33927 National government employee's Onkyu8,569--8,56928 Local government employee's OnkyuPublic health service655,466445,61972,9741,89229 Public healthPublic assistance and social welfare3,631,6401,814,908392-30 Public livelihood assistance6,479,848552,140--31 Social welfareEmployment measures2,483---32 Employment measuresWar victims292,12646-229,94233 Aid for war victims3,959,3661,121,2745,85536,32534Other social security schemes1) The Health and Medical Services for the Aged system has already been abolished and the liquidation process has beencompleted. 2) Including the substitutional portion. 3) Including the welfare pension and the basic pension. 4) For benefits,included are additional portions only. 5) Including compensation for special national public servants in the House ofRepresentatives, House of Councillors, National Diet Library, courts, Ministry of Foreign Affairs, and Ministry of Defense.6) Including publicly supported medical expenses for tuberculosis, etc.Source: National Institute of Population and Social Security Research. See "Social security benefits". This has been calculated in accordance with the standards of the ILO's "The Cost of SocialSecurity 18th International Inquiry".23 Social Security 553
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