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Japan Moves to Make Standard Childbirth Free Under Public Insurance by 2026

An expert panel has recommended eliminating out-of-pocket childbirth costs to address Japan's record-low birth rate, with the Health Ministry beginning implementation studies.

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Parents hold their babies before participating in a baby crying contest in Tokyo. Photo: EPA-EFE

Overview

  • An expert panel has proposed that standard childbirth expenses be fully covered by public health insurance starting in fiscal 2026, pending Health Ministry implementation plans.
  • Currently, normal childbirth is not covered by Japan's national health insurance, with costs often exceeding the ¥500,000 government subsidy.
  • In 2024, Japan recorded a record-low 720,988 births, marking the ninth consecutive year of decline as the nation faces a demographic crisis.
  • Epidurals are expected to remain excluded from public insurance coverage under the proposed plan, raising questions about equitable access to pain management options.
  • Obstetricians have expressed concerns about potential financial strain on medical institutions due to standardized nationwide pricing under the new system.