II. Summary of Social Security Expenditure, FY 2003


1.
Social Security Expenditure in fiscal year 2003 was 84,266.8 billion yen.

( i ) Of the three categories, Medical care was estimated at 26,615.4 billion yen, accounting for 31.6 percent of the total; Pensions was 44,784.5 billion yen for a total share of 53.1 percent. Welfare & Others was 12,866.9 billion yen for a total share of 15.3 percent.
( ii ) Social Security Expenditure increased by 0.8 percent in fiscal year 2003. The percentage share of the National Income was 22.86 percent.
( iii ) Social Security Expenditure per head of population was estimated at 660,300 yen, and the average expenditure per household was 1,819,300 yen.


Table 1 Social Security Expenditure by category, fiscal years 2002 and 2003
Table1 Social Security Expenditure by category, fiscal years 2002 and 2003
Note: ( ) The ratio to the total is expressed as a percentage.

Table 2 Social Security Expenditure by category as a percentage of National Income
Table2 Social Security Expenditure by category as a percentage of National Income

Table 3 Social Security Expenditure per head of population and per household, fiscal years 2002 and 2003
Table3 Social Security Expenditure per head of population and per household, fiscal years 2002 and 2003
Notes:
Social Security Expenditure per household = (Total number of people in households/Total number of households) × Social Security Expenditure per head of population.

Figure 1 Social Security Expenditure by category, fiscal years 1970-2003
Figure1 Social Security Expenditure by category, fiscal years 1970-2003

2.
As can be seen in Table 4 below showing Social Security Expenditure by functional category, “Old age” heads the list with 49.9% of the total, followed by “Sickness and health” at 31.0%. These two functional categories make up approximately 80.9% of the entire Social Security Expenditure. The other functional categories and their percentages of the total are “Survivors” (7.3%), “Family benefits” (3.2%), “Social assistance and others” (2.5%), “Invalidity benefits” (2.3%), “Unemployment” (2.3%), “Employment injury” (1.2%) and “Housing” (0.3%).

Table 4 Social Security Expenditure by functional category, fiscal years 2002 and 2003
Table4 Social Security Expenditure by functional category, fiscal years 2002 and 2003
Notes:
1. ( ) The ratio to the total is expressed as a percentage.
2. Refer to ‘Reference’ for more details about functional classifications.

Table 5 Social Security Expenditure by functional category as a percentage of National Income
Table5 Social Security Expenditure by functional category as a percentage of National Income

Figure 2 Social Security Expenditure by functional category, fiscal years 1999-2003
Figure2 Social Security Expenditure by functional category, fiscal years 1999-2003
3.
Social Security Expenditure for the elderly (i.e., retirement pensions, medical care for the aged, welfare services for the aged) was 59,317.8 billion yen. Its share of Social Security Expenditure was 70.4 percent.

Table 6 Social Security Expenditure for the elderly, fiscal years 2002 and 2003
Table6 Social Security Expenditure for the elderly, fiscal years 2002 and 2003
Notes:
1.
The ratio to the total Social Security Expenditure is expressed as a percentage.
2.
Health and medical services expenditure for the aged consists of expenditures concerning measures for care control, the in-home welfare service expense not covered by long-term care insurance, etc.
 
3.
Elderly employment maintenance benefits provide those over 60 who, from the time of reaching 60 years of age, are to continue working with a pay cut of more than 25%, with the equivalent of 15% of their pay until they reach 65 years of age, with the aim of promoting the maintenance of employment and reemployment among people aged between 60 and 65.
 
4.
The applicable age group for the healthcare system for the elderly was in October 2002 raised by five years from the over-70s to the over 75s; thus it is necessary to bear in mind that the above figures for elderly healthcare (medical areas) benefits in 2002 and 2003 differ in terms of their applicable age range. That the rate of increase compared with the previous year is a minus figure is a reflection of this. According to the “2003 National Medical Care Expenditure (Ministry of Health, Labor and Welfare),” the national medical expenses for the over-75s in 2003 rose by 3.8% compared with the previous year.

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