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JOI Online Japanese School Community News June 11, 2007

Hello Community Members,

This week's topic is Japanese hospitals and the national health insurance system. Thinking of traveling to Japan? Wondering what to do if you get sick? Where to go? Well, read on ...

Is There a Doctor in the House?

There is quite a variety of hospitals in Japan, ranging from small private clinics to expansive national hospitals. Most of the large national or university hospitals do not see patients who walk in off the streets (unless, of course, they are brought in on an ambulance!). You will probably need a recommendation from a smaller clinic, and for that you'll need to have a serious health problem.

The Fukuoka University Hospital: Big and Imposing. Unless you have cancer or some unknown disease, don't go here—you'll have to wait for at least 2 hours to see a doctor.

If you get sick, the best place to start is local. This is another reason why I recommend the smaller clinics in Japan. My clinic selection criteria are pretty similar to my how-to-choose-a-dentist criteria: small practice, modern facility, nearby and family-owned business.

Japanese medical practice is separated into two main general areas: internal medicine and external medicine. These distinctions can be confusing—external medicine deals with your bones or external injuries (cuts, broken bones, and so on), whereas internal medicine takes care of anything that may ail your internal organs (including a common cold).

If you've got something really serious or beyond the doctor's expertise, you will be referred to a larger hospital. Often (especially in the smaller clinics with only one doctor), the doctor will call the large hospital and make an appointment for you while you are in the room. There are also an incredible number of specialized clinics, so if you have a bellyache of unknown origin, your choices are wide open.

Pick Your Specialty

Here's a signboard near my workplace; all the billboards point to different private clinics.
眼科gankaophthalmology
胃腸科ichoukagastroenterology (stomach and intestinal diseases)
内科naikainternal medicine
産婦人科sanfujinkagynecology and obstetrics
脳神経外科noushinkei gekaneurology

So, let's say you've picked the specialist most suited for your ailment. Then what?

The first thing to do when you enter is to go to reception and fill out a new patient form. The forms are usually in Japanese and have some really complicated Kanji.

In all my years in Japan, I have never managed to complete one of these forms without the receptionist's help. In a larger, busy clinic, this can be stressful for both parties, but in a smaller clinic, it's a great opportunity to flirt with the lovely lady who was hired mainly for her smile.

Expressions for the Doctor's Office
熱 が ある netsu ga aru I have a fever.
目まい が する memai ga suru I feel dizzy.
・・・・が 痛い ・・・・ga itai ・・・・ hurts.
お腹 onaka Stomach
atama Head
me Eyes
mimi Ears
鼻水 が 出る hanamizu-ga deru I have a runny nose.
くしゃみ が 出る kushami-ga deru I'm sneezing.
せき が 出る seki-ga deru I have a cough.
戻した modoshita I vomited.
吐気 が する hakike-ga suru I feel nauseated.
食欲が無い shokuyoku-ga nai I have no appetite.
焼けど yakedo A burn
骨折 kossetsu A broken or fractured bone
アレルギー arerugii An allergy

As with everything else, medical and hospital services are very expensive in Japan. Before treating a foreigner, medical caregivers often insist upon payment in full at the time of treatment or concrete proof of ability to pay. So before your next visit, make sure your health insurance policy covers trips to Japan.

National health insurance is compulsory in Japan for nationals and residents. Visiting foreigners without insurance are usually ignored by the system—and you usually get charged the full price of the service.

On my first trip to Japan, I skimped on health and travel insurance, and then when I got a cold I ended up shelling out 60 bucks for some cold medicines that didn't work! (Still, it was cheaper than the health and travel insurance, so I felt I'd gotten a bargain).

Had I had participated in the Japanese National Health Insurance system, I would have been responsible for just 30% of my health-care costs; the remaining 70% is paid for by the government. The patient's copay, so to speak, varies depending on age:

Ages 0 to 220% copay
Ages 3 to 6930% copay
Ages 70 and over10% copay

Meals served during hospitalization are calculated separately, and you may have to pay an additional charge depending on the kind and quantity of medication prescribed. What's more, medicine is probably not quite as strong as the medicine you take at home.

The insurance system's eligibility rules are pretty simple: You are eligible if you are registered as a foreign resident and have a valid visa to stay in Japan for at least a year. If you have a shorter-term visa, you may still be eligible, depending on your purpose of entry.

Ahhh, getting sick is a pain (no pun intended) no matter how you look at it. A little understanding of the system and upfront preparation go a long way toward a speedy recovery.

Support Tips

About the Alternate Rooms: Every JOI classroom has an alternate room, which is used in case of problems or maintenance with the original classroom.
Occasionally during class, there may be a problem with the classroom servers. In this case, the teacher will instruct you to change to the alternate room. You can find the URL for each classroom's alternate room at the top of the text chat. If the teacher instructs you to change classes click on the URL, and go to the new room.
Note: The alternate room URL is also shown on your Current Reservations page next to the classroom name.
In other cases, your class time may coincide with the regular (but randomly timed) maintenance routine. During the maintenance routine, the classrooms are emptied with a message like:
"This is room is about to be rebooted : You will be ejected from this room"
Don't panic—just go to the Alternate Room. If you don't have enough time to click on the alternate room URL before being ejected, you can find the URL on your Current Reservations page next to the classroom name.
Are you having problems hearing in the classroom? Have you checked that your headphone volume is turned up and that the jack is in the correct plug-in of your computer? For more info, please read this FAQ.
Is your classroom exhibiting strange behavior (clicking noises, delays, and so on)? If McAfee anti-virus or other security software is installed on your computer, it may be interfering with the classroom software. Please read more here.
The classroom software is not Unicode-compatible. To be able to type and see Japanese in the text chat area of the classroom, you need to install a simple utility application from Microsoft. For details, please check here.
A hint to make sure you're heard in the classroom: After finishing what you have to say, keep the button pressed for just a second longer. If you release the button too soon, your last word or two gets clipped off.
Don't be shy! Take a minute and add your comment to the Message Board. Other JOI students would definitely like to hear your take on Japanese culture and language.

Thanks, everyone, for helping make JOI a great online Japanese school! I hope you're having fun learning Japanese online. And don't forget about the lesson blog (login required)—take a look and post a comment in English or Japanese.

If you have other questions, be sure to check out the FAQs, or if you don't find an answer there, write me at support@japonin.com.

Regards,
 
Moses
JOI Support