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The long-term care insurance (LTCI) of Japan was introduced in year 2000. While the restrictions on the entry on the home—care suppliers have been removed, the supply of institutional care service is still limited to social welfare corporations, medical corporations, and municipal government agents. In contrast to the surge in the demand for institutional care, following the introduction of LTCI, only limited increases in the supply capacity have been realized. This has resulted in overwhelming excessdemand and long waiting-list for admission. Reflecting this severe constraint on the supply of institutional care, the fastest growth the in LTCI benefits is currently observed in such quasi—institutional services as group homes or care-houses, which are relatively its close substitutes in the home—care menu. This double standard between two kinds of institutions causes problems such as inequities between the aged, a failure of quality control.

Problems of the long-term care insurance (LTCI) of Japan in senior care institution and housing market