Chapter VI. Social Security System. 1 Subject of Japan s Social Security System

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1 Cht VI Sil Sity Syt 1 Sbjt f J Sil Sity Syt Dwidlig Bitht d Agig Plti Th il ity yt dw tx d il i f it v, d i yt tht i t il wlf g t with th vi ik i lif fd by l h th wh hlth h b dgd by ill dibility, d th wh hv b divd f thi f i lt f jb l tit. J il ity yt i iil t th i E d th U.S. i tht, t tify h tg f l liv, it i d f h lt dil i, bli hlth vi, il wlf vi, i it, d lyt ( VI-1). Of th, dil i, hlth g f th ldly, lg-t i d i yt, wll lyt i d idtil idt ti i th il i tht ily fid by il i i d tly bidizd by th gvt v. I tt, wlf f th hild, f igl th d widw, f th ldly, f with dibiliti, d f th wll bli hlth vi ll bli lii vidd with fd dw f tx. Ittilly kig, th htiti f lg-t i d hlth g f th ldly i J i tht thy hlf fdd t bli x t f tx v lthgh thy ildd i il i. Th Bfit d Ct Bd f Sil Sity I d t k ittil i th td f il ity, th Ogiti f Ei C-ti d Dvlt (OECD) i dilig ifti idi f il xdit tht ild i fd, dil d wlf f th, hild llw tht gt tfd, il ity bfit f xdit wlf vi d xdit h x f fility dvlt tht d t gt tfd ditly t idividl (OECD Sil Exdit Dtb 2001). Lkig t th tg f il xdit yig th til i, J ti i lw th E ti, bt high th th U.S. ( ti f VI-2). Fth, bd th fig i lly ltd y, th tg f til i id by il ity t i lw wh d with tht i Gy, F, d Swd, bt high th th U.S. d th U.K. ( lw ti f VI-2). J xdit il ity bfit i iig th bitht dli d th lti g. I 2008, th ttl lti w illi, f wh illi w gd t lt 65 (dig t til lti tit by th Sttiti B f th Miity f Itl Affi d Citi). Th gig t (lti gd 65 v / ttl lti) f 9.1% i 1980 t 12.1% i 1990 d 14.6% i 2000, d hd 22% i Lb Sitti i J d Alyi: Gl Ovviw 2009/2010

2 Cht VI Sil Sity Syt VI-1 Sil Sity Syt by Lif Stg Bith g 6 g 15 g 18 g 20 g 40 g 60 g 70 P-hl y Shl y Childig d wkig y Pttit Hlth d Mdil Phyil hk, t/hild hlth x tbk Phyil x d dil f t bbi, vttiv viti, t. Phyil x vidd by ly Hlth f th ldly (hlth t) Ctig wll, hyil xiti, ttt f ill, ti Mdil i (dil x gtd) Mdil yt f ti Hlth f th ldly (dil t) Sil Wlf, t. Child wlf, wlf f igl th d widw Wlf f th ldly (Child wlf) Dy t Whl dti vi Child llw g 10 Child' ft hl lb Child t llw g 65 Lg-t i Wlf f th hyilly dibld, wlf f th tlly dibld, tl hlth wlf, t. (Wlf f th with dibility) Pvidig filiti th vi f hild qiig il At-h vi (viitig h, lg-t t fility, ht-t ditt, ly f tiv t, t.) Itittil vi (fility f dibld hild, ttiv fility, hbilitti filiti, t filiti, t) Pti f tiiti i ity (ti f t, t) Pyt f llw (il llw f th dibld, t) I Sity Pi yt Pbli it Sviv' i Dibility i Pi f th ldly Gt f ii tdd f livig f th wh hv diffilty itiig thi livhd d t h ibility t wk bght by ill Pbli Hlth Pbli d vitl hygi, wt ly, t. Ivt f bli hlth tdd, ly f f d gd qlity wt, i f tdd f fd d dil gd Elyt M Adjtt f th lb kt Idtil idt i, lyt i Jb itdti, jb ltti Child lv Elyt f th ldly Wh ivlvd i idt t wk, lig ' jb, t. Dvlt f Wkig Ability Pbli vtil tiig, t f idividl wk' vlty kill dvlt Wkig Cditi M f fty d hlth f wk S: Miity, f Hlth, Lb d Wlf, Al Rt Hlth, Lb d wlf, Fig 3-1-1, 2001 Lb Sitti i J d Alyi: Gl Ovviw 2009/

3 Cht VI Sil Sity Syt Thi lti gig i ig th b f i t gw, d i l ft bhid iig hlth xdit d t th ft tht dil bfit d fiv ti high f ld th l f illy tiv g. Whil th t f i i hlth xdit h b lwd by th itdti f lg-t i, th wd td ti fld by lti gig. A lti gig i l ldig t i i th b f ld i d f d t th i i b f ld ld, xdit i lg-t i bfit i l iig. A q, th i i xdit il ity bfit, ildig i, hlth, d lg-t i bfit, ti. VI-2 Ittil Ci f Sil Exdit d Ntil Bd Rti Uitd Uitd J Gy F Swd Stt Kigd Sil xdit (% f til i) Sil i (% f GDP) Ntil bd ti (% f til i) Pttil til bd ti (% f GDP) S: 2006 Sil Sity Bfit (Ntil Ititt f Plti d Sil Sity Rh). Dt th il xdit f h ty bd OECD tdd. Nt: 1) (Pttil) til bd ti ild t th th il ity. 2) Dt f ti th th J f OECD Sil Exdit Dtb, 2008 diti. Sttiti f J til i d GDP f Cbit Offi Ei d Sil Rh Ititt, 2008 Ntil At. Fig f (ttil) til bd ti w lltd by th Miity f Fi. VI-3 Chg i Sil Sity Bfit by Ctgy (Tilli y) Pi tilli y (53.1 %) Mdil bfit tilli y (31.5 %) Oth bfit tilli y (15.4 %) (FY) 2005 S: Sil Sity Bfit Ct, 2006, Ntil Ititt f Plti d Sil Sity Rh 150 Lb Sitti i J d Alyi: Gl Ovviw 2009/2010

4 Cht VI Sil Sity Syt Whil xdit bfit (illy f ld l) h i i t lti gig, xdit wlf-ltd bfit, ildig hild wlf, ti t t f ll ti f J xdit il ity bfit d t th iffiit xi f hild-ltd bfit d with Sdivi d F, f xl, dit th it tthd t vig th dli f th bitht. Th dli i J bitht, whih fft td i il ity bfit x, i ft t ti. Adig t th Ntil Ititt f Plti d Sil Sity Rh Db 2006 Ft Plti Pjti, th ti f th ttl lti gd 65 v will ti t gw, hig 25.2% i 2013 d xitly 33% i It i th ft tht i th f th J lti will b gd 65 v. T it th Sil Sity Cil i it dlibti, th Miity f Hlth, Lb d Wlf dd ft f il ity bfit d t id td i il ity f d i ft i 2005 ( ti f VI-4). Th qti f hw t djt thi gwth i il ity bfit d t bd d bl J i gwth d th il ity yt i th ft th ltiv iz f th illy tiv lti dli h b liy. Th Ntil Cil Sil Sity w thf tblihd i th Pi Miit Offi i Jy 2008 t id wht diti th f f i, hlth, lg-t, hild t, d hld tk d th fdig f il ity i d t th yt tibility. Rgdig i til hlth d lg-t, whih jtd t gw th lti g, tit f ft xdit w lltd f th Ntil Cil Sil Sity (lw ti f VI-4). VI-4 Otlk Sil Sity Bfit d Ct Bd Miity f Hlth, Lb d Wlf, Otlk Sil Sity Bfit d Ct Bd (titd My 2006) % f GDP Pi Mdil vi Lg-t Mdil/lg-t b-ttl Pi/dil/lg-t ttl Fil Rt f Ntil Cil Sil Sity Mdil/lg-t (w) (ft f) 12.0 Nt: 1) Th tg i d t th til i. At th il t f th tiv y. (Th ft vl t hw i th t i.) 2) Th bli x lltd bd th ti tht th ti f th bi i fdd f tx v will b id t 50% i FY Sil Sity Ct Bd Bd th I i I Diff d Bd City Lkig t th td i th Gii idx, th idx f ig i iqlity bd th I Rditibti Svy, Miity f Hlth, Lb d Wlf, d t th i i i diity i th 1990 ( Gii idx f iitil i i VI-5), th d t i i diti- Lb Sitti i J d Alyi: Gl Ovviw 2009/

5 Cht VI Sil Sity Syt bti thgh il ity i t thi h b hightig ( Rditibti Efft by Sil Sity i VI-5). Adig t th OECD ittil tiv tdy gdig i diity, ig th Gii idx f th hhld qivlt dibl i, ft-tx d il ity (dibl) i ( VI-6), J Gii idx i lg th Wt E ti, d ll th th U.S. d U.K. Si th i ity t t i diity th il ity t bd i, th ii t by th Adviy Cil Sil Sity (J 2003) it t tht th diiti i i d ty btw h d vy itiz, d fl bd h diiti i y, d it t bd hld b v xtd f ldly if thy hv i d ty. VI-5 Clig f I G thgh I Rditibti (Gii Cffiit f Eqivlt I) Gii ffiit Rt f ivt i Gii ffiit (%) Y f vy Eqivlt iitil i (1) + il ity bfit - il ity tibti Eqivlt dil i [(2) tx] Eqivlt i ft ditibti [(3) + bfit i kid] Rt f ivt d t ditibti Rt f ivt d t il ity Rt f ivt d t txti (1) (2) (3) (4) *1 *2 * S: Sy Fidig f th 2005 I Rditibti Svy (Miity f Hlth, Lb d Wlf). *1. Rt f ivt d t ditibti = 1 - (4) / (1) *2. Rt f ivt d t il ity = 1 - (2) / (1) x (4) / (3) *3. Rt f ivt d t txti = 1 - (3) / (2) Nt: Bfit i kid f dil ly t 1999, d f dil, lg-t, d hild f Lb Sitti i J d Alyi: Gl Ovviw 2009/2010

6 Cht VI Sil Sity Syt VI-6 Ittil Ci f I Diiti (Gii Cffiit f Eqivlt Dibl I) Ci f I Diiti g OECD Cti f Mid 2000 t i fi i i G D k Lx b g B lgi F i ld S l v k R bli Il d S wi thld A tli K G S i N w Z ld Itly S U itd tt T ky g) v O ECD( S: Gii ffiit f id 2000: "Gwig ql?" OECD ELSA, 2008 Lb Sitti i J d Alyi: Gl Ovviw 2009/

7 Cht VI Sil Sity Syt 2 I Sity Syt (Pi, Pbli Ait, d Child Allw) Pi Syt: J i, hlth, d lg-t i yt vid ivl vg t ll itiz, wh iv dil vi dig ik d i bfit ft tit, d lg-t i bfit wh lg-t bfit qid. Withi J i yt ( VI-7) i bi i; ll itiz ( gd 20 t 59) b b f thi bi i l d iv i bfit hig th g f yt f bfit t bgi (g 60 t t, g 65 f f 2013, d g 65 f w f 2018). F lid wk d gvt ly, tivly, th ly i d tl id i t vid i bfit tit t li i dditi t th bi i. VI-7 Pi Syt d F i l ti N Dfid tibti i (idividl) Dfid tibti i (t) Ely i fd (A ti f th i fd i id t f) (Th ti id t) Ely i Dfid tibti i (t) Dfid bfit t i (Otil) Mtl id i Ntil Pi Fd (bi i) Ddt f lid wk *Cl 3 id f th til i Slf-lyd wk, t. *Cl 1 id f th til i Ely (lid wk) *Cl 2 id f th til i = Id f th ly i, t illi illi illi illi * A f th d f 2002 S: Miity f Hlth, Lb d Wlf, Rvid Pit f th Pi Syt Pi B, Lb Sitti i J d Alyi: Gl Ovviw 2009/2010

8 Cht VI Sil Sity Syt J i yt i vid vy 5 y bd llti f i fiig. I th i f f 2004, it h b didd t djt th bfit tdd lg with th i itti d th g f gig ity (hwv, it i id tht th tdd hld t g blw 50% f th i f th wkig gti), itd f fixig th ft i bd t ti lvl (18.3% ft 2025, i th f ly i), dwig f Swd i f f 2001, t. Th bi i i f th lf-lyd fixd t (14,410 y th i 2008). O th th hd, th i i f lid wk d gvt ly vd qlly by th lb d gt, d i 15.35% f th ttl ti biig th li d b (i 2008). Th i viv i f th bvd f th bib d bfiiy f th i yt, d i th bib h b hyilly dibld, dibility i i vidd d ifi diti. Th td f th b f bfiii f th i d th t f bfit id b i VI-8. A f 2008, th bfit f th bi i h b 792,100y y, d th t f ld-g i f ly i w 230,700 y wh biig th id l bi i d th hbd ig-ltd t. Th til viw f 2009 idit tht it will b ibl t iti i fi biig ld-g i, viv i, d dibility i til 2100 fllwig th bv hdl f tibti. VI-8 Al Td f th Nb f Pbli Pi Sbib d th Nb f Pbli Pi Bfiii (1,000 ) Id Mb f Bfiii Bi Pi Bi Pi Bi (Slf- i by FY lyd (Fll- Ely' Mtl id Bi til Ely' Mtl id Ttl Ttl wk, ti h i iti i i i iti t.: Cl 1 id wif: Cl3) bf ,105 15,823 9,268 28,216 5,299 22,523 1,118 8,959 8,910 2, ,313 17,579 11,956 31,493 5,285 25,001 1,905 9,096 10,647 2, ,952 19,104 12,201 33,275 5,372 32,363 6,898 7,853 14,254 2, ,491 21,537 11,531 32,192 5,231 40,906 13,070 6,234 13,070 3, ,870 24,337 8,488 33,022 5,023 41,632 17,908 3,019 16,828 3,554 S: Miity f Hlth, Lb d Wlf, Al Rt Hlth, Lb d Wlf-Rf, 2008 Th t i tht lt th bli i it f dfid bfit d dfid tibti t i (gt f whih w itittd i 2001 t tt bfiii d th tbility f v) d ly i fd, whih w tblihd i t F th lf-lyd d fil, th i l til i fd f ltig th bi i. Th htiti f J i yt ltig t th lb kt i th it tht it t with lyt Lb Sitti i J d Alyi: Gl Ovviw 2009/

9 Cht VI Sil Sity Syt I. I th f ld wk gd btw 60 d 64, thf, ldly lyt titi bfit d ldly lyt bfit vidd wh wg fll blw 85% f th lvl iditly i t tit t 60. Fth, t t fl wk biig f hildig d wk tiviti, yt f ly i i i i xd f bth th wk d ly dig th id f hild lv (F th Ait M t Bl Wk d Fily d f th Gd Eql Elyt Plii, Cht V ). Pbli Ait: Th bli it yt i digd t gt ii tdd f livig by vidig bfit i kid dig t d. Th vidd by th Gvt thgh ll gvt wh fll it vty, dit lyt, vig, t, i, d llw, t., d t it h ik, tl/hyil dibility, f idt bd th iil f ltity. I ti, th lvl f bli it i dtid bd th ii t f livig lltd dig t tdd lid dw by th Gvt d ltiv t th i f th hhld d, th htfll big vd by th vii f bfit i h i kid (h dil bfit). A f Db 2008, th b f l ivig bli it hd gw t 1.60 illi, qivlt t 1% f th lti. Exdit bli it i gwig by th y d t th t i i d gwig i g, d h hd 2 tilli 70 billi y i FY2009. Child Allw: Th bjtiv f th hild llw yt i t tibt twd tbl fily lif d ivt i bth qlity ivt d th iig f hild thgh th vii f h bfit, fdd t bli x by th Gvt d id t by ll gvt, t hhld with hild. Child llw i ttd, d id t lit wh hv hild f lty hl g yg. Th thly hild llw i if 10,000 y f hild d th g f 3, 5,000 y f th fit d d hild gd 3 v, d 10,000 f h bqt hild. 156 Lb Sitti i J d Alyi: Gl Ovviw 2009/2010

10 Cht VI Sil Sity Syt 3 Mdil I d Lg-t C I Mdil I: Withi J dil i th i iti-gd hlth i f ly (d thi fili) f wkl f fiv wk, gvt-gd hlth i f ly (d thi fili) f wkl with fw th fiv wk, til hlth i f th lf-lyd, t., d dil i vidd by tl id iti f til gvt ly d ll gvt ly ( VI-9). Sbib i dil i g y th i i thlv, bt th bib thlv d thi fili y iv dil vi t th dil ititti f thi hi by yig ly ti f th dil x. Mv, til Mh 2008, th hlth i iti, gvt-gd hlth i iti, d til hlth i hd ldly i yt f ldly gd 65 v qiig lg-t d f ll ldly gd 70 v. I thi yt ( VI-9, lw t), th dil t bd b by th ldly i itigtd by tibti f th tiv i iti, dig t th b f ldly bib t h yt; th fw th ldly bib, th gt th tibti. (Thi yt w vid i 2008 t f wht i w lld th Mdil Aid Syt f th Eldly, whih i dibd i th xt ti.) A i Fig VI-3, lthgh dil x id i th 1990, th i h b dt i t y d t tht ti (th ti f til dil x t til i h b hiftig btw 8.0%-8.9% i 2003). Hwv, b f th d t thik - tiig t f gwth i xdit hlth f th ldly th lti g t f til hlth i d hlth i iti tibti d bli fd i viw f dliig gwth i v f i tibti d t J hikig i gwth t d th d t itgtil qity btw th illy tiv d th ldly, th Mdil Aid Syt f th Eldly (Mdil Aid Syt f Old-Old) w itdd i Ail Ud thi yt, i tibti id by ld l, t, dig t bility t y, d, i th f th Mdil C Syt f th Eldly, dti d xti f yt f tibti vidd f ld l lw i. Lg-t i: Lg-t i h b i ti i Ail 2000 t vid bli it t light th bd f lg-t iit fili. Thi it k it i f bdidd ldly d th ldly qiig lg-t t iv thi t h, d f th t iv lg-t t fility tid f h. Ud th lg-t i yt, itiz gd 40 d ld y lg-t i i. I t, 65 d ld wh d lg-t y iv ifi lg-t vi, h th dith f h hl, dig t th t f itt tblihd llly t v th ity f lg-t. Whil th i i d tdd f vl f lg-t ity dtid ifly by th til gvt, th bv-tid ll itt d th vig bd th tdd. Lb Sitti i J d Alyi: Gl Ovviw 2009/

11 Cht VI Sil Sity Syt VI-9 Mdil I Syt Pl I (A f 31 Mh, 2008) Sbib (A f Mh 31, 2008) d bib' ddt (Uit:1,000 ) Pyt i t I Bfit Mdil Bfit High-Ct Mdil C Bfit, d th High-Ct Mdil C & Nig C Bfit Cbiti Syt i lth H y l y i d O Kyki K Aiti- gd Id ti, tiltd i Atil 3, P.2, Hlth I Lw S' i i id l t M i lth h l ti N Ntil gvt ly Ll gvt ly Pivt hl itt F, lf-lyd t. Rtid wk ligibl f ly i bfit J Hlth I Aiti Hlth i iti 1,518 J Hlth I Aiti Ntil gvt Mtl id iti (21) Mtl id iti (55) Mtl id iti (1) Miiliti 1,804 Hlth i iti 165 Miiliti 1,804 36,294 19,871 16,488 30,860 15,871 14, ,374 4,397 4,977 50,724 Miiliti 46,881 Hlth i iti 3,843 Aft th t f ly dti t th 69 y f g: 30% Pi t th t f ly dti: 20% 70 t 74 y ld: 20% (*) (P with i bl with th f tiv wk: 30%) (*) F th 70 t 74 y f g, th t will b kt t 10% f Ail 2008 t Mh High-Ct Mdil C Bfit Mxi t id by th tit Ud 70 y f g: High i : 150,000 y+(dil t-500,000 y) 1% Avg i : 80,100 y+(dil t-267,000 y) 1% Lw i : 35,400 y F 70 t 74 y f g: With i tiv with th f tiv wk: 80,100 y + (dil t-267,000 y) 1%, Ottit Ttt (f h tit): 44,400 y Avg i (*): 62,100 y, Ottit ttt (f h tit) 24,600 y Lw-i : 24,600 y, Ottit ttt (f h tit) 8,000 y Lw-i with illy lw i: 15,000 y. Ottit ttt (f h tit) 8,000 y Stdd t f gggti f hhld: F th d 70 y f g, if th ltil yt f th 21,000 y i th th, ibt i lltd th bi f thi. Bd dti f th with ltil : If hhld h b ligibl f ibt th ti withi 12- th id, th t f yt i t f th fth ti will b: Ud 70 y f g: High-i : 83,400 y Stdd-i : 44,400 y Lw-i : 24,600 y 70 y f g ld with i tiv with th f tiv wk d tdd i (*): 44,400 y Bd dti f tit ffig f lg-t d high-t ill Slf-y liit f th tit ffig f hhili hi l fil qiig tifiil dilyi: 10,000 y Slf-y liit f high-i ivig tifiil dilyi: 20,000 y (*) Bd dti f ltil i t libl t f 70 t 74 y f g lifid tdd i l th lf-y liit will b kt hgd t 44,000 y (12,000 y f ttit ttt) f Ail 2008 thgh Mh High-t dil d high-t ig bfit biti yt: Bd dti yt libl i th it wh th ttl f th lf-y bd d th dil i d ig i id i y (f Agt t Jly xt y) b xtly high. Slf-y liit will b fixd i high dtil dig t th i d g f th tit. Lg lif dil yt (Mdil yt f th ltt-tg ldly l) Mgt bdy: Extdd iti f dil f th ltt-tg ldly l 13,075 (A f th d f Ail, 2008) 10% (P with i tiv with th f tiv wk 30%) Mxi t f Ottit yt i t ( ) (P with i bl 80,100 y+(dil t- 44,400 y t tht f tiv wk) 267,000 y) 1% (I f fqt ibt) 44,400 y (Avg i ) 44,400 y 12,000 y (Lw i ) 24,600 y 8,000 y (Vy lw i g lw i ) 15,000 y 8,000 y 158 Lb Sitti i J d Alyi: Gl Ovviw 2009/2010

12 Cht VI Sil Sity Syt I Bfit Fiil Pl Mdil Bfit Hitl Ml Chg Hitlizd livig Bfit x bfit Ch Bfit I i Gvt bidi i lth H y l y i d O Kyki K Aiti- gd (Stdd yt t f th livig i hitl) Stdd i (I) 460 y l d 320 y dy Sik bfit L- yt f hildbith, hild t. S bv (ildig dditil Bfit) 8.2% 13.0% f bfit (tibti f ltt-tg ldly l 16.4 %) Rt vy f kid f hlth i t Fixd t (Bdgty id) th. Id ti, tiltd i Atil 3, P.2, Hlth I Lw S' i - i id l t M Ntil gvt ly Ll gvt ly Pivt hl itt Stdd yt t f dity thy: Stdd-i 260 y l Lw-i U t th fit 90th dy 210 y l F th 91t dy 160 y l Stdd i (II) 420 y l d 320 y dy Lw i 210 y l d 320 y dy Lw i with illy lw i 130 y l d 320 y dy Sik bfit L- yt f hildbith, hild t. S bv S bv (ildig dditil bfit) Dily t (l 1) 150 y (l 13) 3,010 y 9.1% (-fil) % f bfit (tibti f th ltt-tg ldly l 16.4 %) Fixd t N i lth h l ti N F, lf-lyd t. Rtid wk ligibl f ly i bfit Lw-i with illy lw i 00 y l Alibl t 65 y f g ld hitlizd i th vlt wd * F tit with gt d f ihitl ttt d t big btit th di, th yt t will b th tdd yt L- yt f hildbith, hild Fl vi x Eh hhld i d fixd t d t bd bility t y Cllti vy wht dig t i 43% f bfit t. 43% f bfit t. N t f dity thy. Rt fixd bd I i 10% Lg lif dil yt (Mdil yt f th ltt-tg ldly l) S bv S bv. P i wlf i 100 y l d 0 y dy Fl vi x t. th ql t id d th tg f thi i dtid by th tiv x- Ctibti Axitly 40% Pbli Axitly 50% (Bkdw f bli x) Ntil : Pft : Miil tdd iti. 4 : 1 : 1 S: Miity, f Hlth, Lb d Wlf, Al Rt Hlth, Lb d wlf, 2006 Nt: 1) Th id by th lg-lif dil yt (dil yt f th ltt-tg ldly l) i f 75 y f g ld d th 2) f 65 t 74 y f g tifid by xtdd iti t hv ti dg f hdi. 2) P with i tiv with th f tiv wk thi txbl i i 1.45 illi y (0.28 illi y f thly i) d l i i th 5.2 illi y [fily ildig ldly ()] 3.83 illi y (igl-ldly hhld). 3) Th ti f gvt bidy vidd t th bib d thi fili thgh th til hlth i iti will b th tht f gvt-gd hlth i if thy hv btid vl f hlth i ligibility xti d -bibd w 1 Stb 1997 wd. 4) Th bhi qik titi, with th xti f th tl id iti, d th b f d Mh 2008 ild th hdld t b tfd t th lg-lif (th ltt-tg ldly l) dil yt i d ft Ail D t dig ff, th bkdw fig d t lwy dd t th ttl. Lb Sitti i J d Alyi: Gl Ovviw 2009/

13 Cht VI Sil Sity Syt F th vii f lg-t vi bfit i kid, lti by th qiig lg-t hll b gdd highly; vi will b id t by vid h by th iit f th f lit f llly vd lg-t vi vid ( VI-10). U with tifiti f lg-t d ibl f 10% f th vi x. Hwv, th liit t th - t f whih th hld ibl tht th bd d t b igifit t, d f t xdig thi liit, th high lg-t vi t i vidd by th iiliti, thi i. Th b f id f th lgt i f th d f FY2002 w illi f th gd 40 t 64, d illi f th gd 65 d bv. A f th d f FY2002, th b f iit f lg-t (t) vi t h w 2.32 illi, d tht f lg-t vi t ititti w 750,000. Si th, hwv, thy hv id t 31.5 illi d 9.83 illi tivly f FY2007. Whil lg-t i h th gw, th dtiti f lg-t i fi i iiliti with high ti f ld l td th vii f th Lg-t C I At i A lt, vtig l f qiig d tig th vii f ity-bd vi thgh th tbliht f gil hiv t t w itd it th fwk f lg-t i. I d t bl ld l t iv vi whil iig i thi w iti, th City C Dvlt Iititiv w d i Thi ll f th f div twk ivlvd i th dlivy f, h th ivlvt f NPO wll ll dil ititti d th thiti i itig l i d f, d w big iltd i d with th iititiv i idividl iiliti. 160 Lb Sitti i J d Alyi: Gl Ovviw 2009/2010

14 Cht VI Sil Sity Syt VI-10 Lg-T C I Syt Etbliht f vidig vi H vi Nig vti H hl vi vi H-viit bthig vi Nig vti H-viit ig h-hld vi (h H-viit hbilitti hl) Dy hbilitti vi Nig vti Mgt gid f h-viit bthig vi i-h Nig vti Dy vi h-viit vi Sht-ty dily-lif vi Nig vti Sht-ty dil vi h-viit hbilitti Dily-lif vi i Nig vti ifid filiti dy hbilitti vi Sl f ifid itiv (dy--vi) dvi Nig vti Rtl vi f itiv gt gid f dvi i-h- Nig vti Fility vi dy vi Wlf filiti f th Nig vti ldly qiig ht-ty dily-lif vi (il ldly ig h) Nig vti Hlth vi filiti f ht-ty dil vi th ldly qiig Nig vti (hlth fility f th dily-lif vi i ldly) ifid filiti Sti ty dil Nig vti filiti f th ldly llw f hig qiig itiv dvi Rtl vi f ig City-itd vti itiv vi dvi H hl vi t ight Dy vi f th ldly City-itd with dti ig vti Sll-l d ltiftil i-h Nig vti vi Dily-lif g f th dy vi f th ldly ldly with dti with dti City-itd Nig vti dily-lif vi i ll-l d ltiftil i-h ifid filiti City-itd Nig vti dily-lif vi i dily-lif g f th wlf filiti f th ldly with dti ldly qiig Oth Oth Allw f h Allw f th h vti vti Uig vi U -yt Ctifiti lg-t d Ilt i iiliti Ctifiti f lg t d y b iltd v wid tt t ft Ctig lg-t vi l St ld f vi Id Piy id (Ag 65+) illi l Sdy id (Ag 40 t 64) illi l i I Stdd llti Miiliti llt i f idividl I i Miiliti llt i f idividl Sil llti * I i f - ldly l b by bi d th Ntil Ty i th wy f dil i. Mdil I Hlth I Sity Ntil Hlth L- yt (t b ld thght th ty) Sil i dil f yt fd f % 0 2 ly t i x A f % 0 8 ly t i x A d t g t ti l th d t g t ti l th t y P ) % 0 (2 ly ld f i I ) % 0 (3 ly ld - f i I Miiliti/ Sil wd liti i i f )] t %.5 2 (1 S liti i i M * ) %.5 2 (1 t f P. t, t * ) y % 5 P, (2 l ti ti l v [N E ) % 0 (5 it d x li b P * 5% f t hig by th til gvt whih i djtig bidy i dig t th b f t 75 y-ld d v, d th i lvl f th ldly. * Bfit f filiti (3 ldy i ltd filiti d ifid filiti) dtk 20% by th til gvt d 17.5 % by ft. * Th b f fit id i bd Rt f lg-t i (ty), Ail, * Th b f d id i bd th t f dil id t fix th t f lg-t yt f by Sil I Mdil F Pyt Fd d vg i t f P ti i A lth H l ti N th ti d F Lb Sitti i J d Alyi: Gl Ovviw 2009/

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