|  |  |  | 
										
											| Vol.14
											
											Narrowing the regional disparities 
											in medical service. |  
											|  |  
										| 
											
												|  | The collapse of regional 
												 medical services has become a 
												 concern in the recent years, 
												 and the lack of paediatricians, 
												 obstetricians and 
												 gynaecologists nationwide has 
												 also become an issue. 
 From time to time, doctors who 
												 devote themselves to providing 
												 medical care in underpopulated 
												 regions and “genkai shuraku” 
												 (super-depopulated communities 
												 where residents of 65years and 
												 older comprise more than half 
												 the population) are reported on 
												 the television or in 
												 newspapers. Every time I see 
												 them, I am impressed by them 
												 and am filled with respect for 
												 them. However, I must say that 
												 such reports themselves are 
												 unnatural.
 
 Here is an 
												 idea.
 
 Among the 
												 applicants for medical 
												 faculties of national and 
												 public universities across 
												 Japan, those who desire to work 
												 in regional areas are exempt to 
												 pay all entrance or tuition 
												 fees. In return, they are 
												 obliged to work in hospitals 
												 and clinics in regional areas 
												 for at least 15 years after 
												 graduation, and failure to do 
												 so will result in repaying the 
												 university fees. In addition, 
												 the entrance and tuition fees 
												 of students who apply for 
												 paediatric or obstetrics and 
												 gynaecology departments will be 
												 halved, and this will need to 
												 be paid back if these 
												 conditions are not met.
 
 Once this system is 
												 implemented, the number of 
												 exempt students can be altered 
												 accordingly, as this unbalanced 
												 situation is gradually 
												 improved.
 
 Even an 
												 outsider like me can understand 
												 that it costs a considerable 
												 amount of money in order to 
												 train somebody to become a 
												 full-fledged doctor. This is 
												 why the central or local 
												 governments should prepare the 
												 path to become a doctor for 
												 those who are highly talented 
												 and enthusiastic, but do not 
												 have the financial support, and 
												 provide in-depth education of 
												 not only medical knowledge, but 
												 also emphasising the 
												 humanitarian aspect of medical 
												 care.
 
 Is such a system 
												 too good to be true?
 
 |  |  |  |  |