As of 2024, around **** percent of primary insured people in the long-term care insurance (LTCI) system in Japan required nursing care or support for daily activities. The primary insured people under the system are those aged 65 years and older. Recently, there were around ** million people in this category in the nation. This indicates that about **** percent of those people were healthy and not bedridden.
The Long-term Care Insurance System
The LTCI system in Japan was established in 2000 to provide benefits and services for people who require long-term care. Japanese central and prefectural governments, as well as municipalities, cover half of the system’s cost. As the other half of the budget is financed by insurance premiums, all people in Japan aged 40 and older must join the LTCI system and contribute to the premium.
Healthy seniors
Japan’s population is aging and shrinking at the same time. Therefore, healthy and not bedridden people aged 65 years and older are gaining importance in its society. The age cohort is anticipated to, for example, offset the labor shortage in the nation. Since households with senior members generally have higher net savings than households with younger members, the Japanese economy will depend increasingly more on the spending power of the senior citizens.
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MHLW (Japan). (August 28, 2025). Ratio of primary insured people in the long-term care insurance system requiring nursing care or support in Japan from 2015 to 2024 [Graph]. In ÌÇÐÄÆÆ½â°æ. Retrieved July 26, 2026, from /statistics/1214998/japan-share-primary-insured-people-long-term-care/
MHLW (Japan). "Ratio of primary insured people in the long-term care insurance system requiring nursing care or support in Japan from 2015 to 2024." Chart. August 28, 2025. ÌÇÐÄÆÆ½â°æ. Accessed July 26, 2026. /statistics/1214998/japan-share-primary-insured-people-long-term-care/
MHLW (Japan). (2025). Ratio of primary insured people in the long-term care insurance system requiring nursing care or support in Japan from 2015 to 2024. ÌÇÐÄÆÆ½â°æ. ÌÇÐÄÆÆ½â°æ Inc.. Accessed: July 26, 2026. /statistics/1214998/japan-share-primary-insured-people-long-term-care/
MHLW (Japan). "Ratio of Primary Insured People in The Long-term Care Insurance System Requiring Nursing Care or Support in Japan from 2015 to 2024." ÌÇÐÄÆÆ½â°æ, ÌÇÐÄÆÆ½â°æ Inc., 28 Aug 2025, /statistics/1214998/japan-share-primary-insured-people-long-term-care/
MHLW (Japan), Ratio of primary insured people in the long-term care insurance system requiring nursing care or support in Japan from 2015 to 2024 ÌÇÐÄÆÆ½â°æ, /statistics/1214998/japan-share-primary-insured-people-long-term-care/ (last visited July 26, 2026)
Ratio of primary insured people in the long-term care insurance system requiring nursing care or support in Japan from 2015 to 2024 [Graph], MHLW (Japan), August 28, 2025. [Online]. Available: /statistics/1214998/japan-share-primary-insured-people-long-term-care/