Life expectancy in Japan is the highest in the world, at 84. This is good news for its people, but means that an ever-higher share of the population is elderly. Fully 28% of Japanese are older than 65, compared with 15% of Americans and 21% of Germans. More o ld people, in turn, means higher health-care costs. Last year the government budgeted ￥15trn ($138bn, or 15% of its total expenditure) for health care and nursing, excluding the charges it levies for the public health-insurance scheme. With public debt at 250% of GDP, and debt service consuming a further 24% of spending, the government is looking desperately for ways to cut costs. It reckons caring for people at home is one of its best options.调

　　译文：日本人的预期寿命是84岁，为世界最高。这对其国民来说是个好消息，但也意味着老年人在总人口中的比重越来越高。日本65岁以上的老年人足足占了总人口的28%，而美国和德国的这一比例分别为15%和21%。老年人越多，相应的医疗保健支出也越高。去年，除去公共医疗保险费用支出，政府在医疗保健和护理上的预算达15万亿日元(约合1380亿美元，占政府总支出的15%)。由于公共债务达到GDP的250%，偿债支出又占了总支出的24%，政府正在想方设法削减成本。政府认为居家照护是最好的选择之一。

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