In Japan, You Visit A Scary Japanese Doctor 12+ Times A Year

Japanese hospital experiences are known to be a little… wild… but when I saw this chart I thought it had some pretty interesting information in it. The main goal of this chart was to show how ridiculous America’s per person spending on health care is (while still doing pretty mediocre in terms of life), but of course my eyes were immediately drawn to Japan’s data.

If you look at the chart, you’ll see that Japan’s life expectancy is very high (it’s the diet, methinks, though even that seems to be changing with Western influence), and they visit a doctor an average of 12+ times per year! Can you imagine going to the doctor 12 times per year? I can barely imagine going once per year (though I suppose that’s why Americans visit doctors 0 times per year, according to the chart, ouch).

Surprisingly, though, for a country that visits a doctor 12 or more times a year, it isn’t costing people as much. People are spending approximately $2581 a year on health care in Japan, which isn’t chump change, but isn’t all that much either. Still, though, I can’t help but think that with all the horror stories I hear about Japanese doctors (I’ve only had to experience this once, thankfully, and luckily it wasn’t all that bad… unless they were lying about the lack of tumor in my head, which is completely possible) Japanese people are heading to the doctor a little too much. I don’t think the long life expectancy would go down if people went, say, 6 times a year?

Why Japanese Doctors Are Scary

There are plenty of reasons why Japanese doctors are, in general, kind of frightening. Luckily, Japan is an advanced first world country, which makes it less scary than going to a doctor in, say, Canada (just kidding, Canada!), but I’d rather go to a doctor in the U.S. or Canada (love your gravy and fries, Canada!) if I had something serious. If you are in need of a doctor in Japan, it’s generally best to find one that studied outside of Japan. The following list of scary Japanese doctor bullets are a generalization (so don’t take them as 100% true 100% of the time, because that won’t work), but will give you some insight as to why the whole doctor situation can cause a bit of a problem for foreigners in Japan.

  • Doctors get a commission for every bit of prescription they give to you. According to several stories, doctors will take your temperature, listen to your heart beat, look at your throat, and then prescribe something somewhat unrelated to how you’re feeling. Stomach pain? What stomach pain? On top of that, you’ll get several different kinds of prescriptions, too much (or too little) of each, and often times something that doesn’t help you at all.
  • If you have something bad, doctors might not tell you about it. They might tell your family, but the problem with that is the family might not tell you about it either. Whoops. “6 months to live? Who said that? Nah, you’re fine, just eat your wakame.”
  • Japanese medicine comes from German medicine. Nothing wrong with German medicine, but I’d prefer my Japanese doctors learning specifically Japanese medical terms instead of German ones. I’ve also heard about plenty of Japanese doctors who learn medicine in German. Learn your life saving knowledge in your own native language, please!
  • You can’t really question your doctor. Even when things don’t seem to make sense, it’s insulting to ask the doctor for an explanation. Though, as mentioned earlier, Japanese doctors who have studied outside of Japan seem to take this better, from various stories and articles I’ve gone through.
  • In Japan, if you get almost anything, you go to a doctor. I don’t know how many times my host family tried to get me to see a doctor when I had a regular, not-all-that-bad common cold. That’s not something I really need to see a doctor for, thanks for the concern, though! Of course, there’s no data to back this up, but I imagine seeing common cold after common cold in the doctors office can make a doctor feel a bit too relaxed about how they diagnose something. Anyways, it makes me worried.
  • There isn’t really much competition between hospitals. Lots of competition in terms of the folks making the medicine, but not so much in terms of the actual doctors themselves, it seems.
  • You are discouraged from getting a second opinion (this goes back to questioning the doctor’s diagnosis). “How dare you question me! Did you go to Toudai? I think not!”

All that being said, there are plenty of people who have great experiences in Japanese hospitals / with Japanese doctors as well. It’s not all horror (though that could explain Japan’s obsession with hospitals + horror games & movies), and if you find yourself sick in Japan it could be so much worse. More likely than not, you’ll probably have an okay to great experience, and then you can come back here and say “damnit Koichi, why you scare me so?”

On the other hand, if you’ve had a terrible hospital / doctor experience in Japan, share it in the comments below! My own personal experience was fine, though if I find out I have a head tumor three years from now I’ll be really upset.

(chart source)

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P.P.S. TextFugu is 50% off until January 31 now. Get it while it’s hot.


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  • Clara

    Some of you are pretty lucky with your experiences. You should read an on-going discussion about another person's experience with the healthcare system in Japan here

    http://tokyorave.wordpress.com/2010/02/15/very-

    It is sad when physicians lack proper communication skills. I feel for those who cannot get the proper care when needed.

  • http://tobidasu.wordpress.com/ Katherine

    I have had some terrible experiences with the Japanese medical system. I have all my stories over at my blog: http://tobidasu.wordpress.com/2010/03/10/sick-i
    Stories include a nurse using a regular old tissue and no gloves to wipe some blood from a table and other fun tid bits.

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    I don't like my country's health care system but what to… it saved my life!!!

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  • http://www.facebook.com/people/Michael-Robson/543560150 Michael Robson

    Bronchitis?.. You should just go to a clinic and see the doctor that same day. The Hospital is just for serious stuff ( lost limbs, childbirth, death, cancer) … Ya?

  • Kai

    I know what hospitals are for. lern 2 read carefully; I said nothing about going to a hospital for bronchitis.

  • http://worldwithinsight.com/ Kyle Greggory

    LOL Thanks. When I travel, I get sick a lot. My body doesn’t like foreign contaminants, I guess (think Wall-E). By a lot, I mean like one really bad sickness every week or two. And guess where I’m headed next?? :P

  • http://www.tofugu.com koichi

    Well… at least Japan’s pretty clean, and people wear masks to keep others
    from catching their colds and such. Hopefully this is your luckiest and
    sick-free-est trip :) Have fun!

  • Anonymous

    In the US, health insurance doesn’t cover major problems nowadays. Insurance companies will try to kick you out in the cold if they see that your treatment is costing them too much. So, I prefer Japan.

  • http://worldwithinsight.com/ Kyle Greggory

    Lol, that’d be great. I had to wear those masks both in Vietnam and Thailand… Oh I was so popular, you have no idea. ;)

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  • Anonymous

    Why don’t you just go to India, Pirfenidone is produced and sold as PIRFENEX there, and they have plenty of English speaking doctors. Medical tourism is a growth industry in India, whole resorts are dedicated to treating Western “health tourists”.Oh, and your “people are dying of this in Europe” is not correct. The rarity of the condition is extreme. And the drug was approved by the European Medicines Agency in 2004 (EU/3/04/241). The US is still in clinical trials since 2004.

  • renata

    wow, they (doctors) are actually sounds familiar to me since doctors here in Indonesia used to do almost exactly the same, i.e prescription’s commission, discouraged second opinion, go to doctor if almost “anything” occur, sometimes i even visit the doctor only to check on a simple itch for the fear of allergy. reading your post now it seems kinda silly :p

  • American

    Perhaps they dont graduate in debt either or pay severe malpractice fees.

  • Amanda

    I’ve lived in Japan for about two and a half years as an ALT and I’ve have one pretty bad horror story. We have to go in for medical tests once a year (required by law for government employees). Every year my white blood cell count comes in as slightly too high on their scale. Which requires a reexamination. My first year we went to the hospital in the city, had my blood redrawn, twice, and was told I was fine. The next year they took me to the tiny hospital on the island I live on. This hospital can only run the test to see how high my blood cell count is, not what kind of white blood cells they are. So, after drawing more blood and the number,surprise, still being high,my doctor told me I might have leukemia. He told me I needed to go see a specialist . I didn’t believe a word he said, but it was pretty traumatic to be told something like that by a doctor. This year my count was high again (but no higher than previous years) and no one has asked me to go in again, and that is fine with me. It still boggles my mind that the doctors do not take into account that I have a far different body type than the average Japanese woman. From what I’ve researched my numbers would not be flagged as high if I was still in America.

    My fellow teachers also don’t understand why I don’t want to go to the hospital for every little thing, and I’m constanly asked if I need to go to the hospital anytime I get a slight cold or even just look tired. One of my principals pretty much forces me to go to the hospital once a year because he seems to think I am carrying some horrible foreign illness and will infect all the students (when its far more likly that whatever I got, I got from the kids). One of my teachers even went to the doctor because he had a really itchy mosquito bite.

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  • Chronisspam

    I work at a military health care facility. Ever time we receive a patient from a japanese hospital, there aqre several commonalities
    1. High MRSA (methicillin resistant staphylococcus aureaes) infection rates
    2. The nurses there don’t do much “nursing care” it’s up to the family to do cleaning and other basic tasks, YES THIS INCLUDES INTUBATED/BEDRIDDEN/SEDATED PATIENTS
    3. They don’t care too fondly for foreigners

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  • Emily

    It’s not the placebo effect… green tea has many benefits and is a very effective herb for settling the stomach, rather like thyme.

    Drinking cold water isn’t bad for you, but I personally don’t do it. I get brain freeze too easily! It’s quite painful.

  • Emily

    You’re still sexist even though you’re a woman. Sorry. White people that hate white people are racist; women that hate women are sexist.

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  • FinalRest78

    Really this doesn’t sound much worse than U.S. doctors.  They are all about prescribing drugs before knowing what’s wrong with you and you can’t ask for explanations or question them or suggest anything you might have leardned on your own through research.  I think medicine is pretty German everywhere here too.  We don’t use German terms but use German methods.  At least Japanese medicine is cheaper!

  • Flowerpower016

    My mom’s herb specialist said the same thing about cold water being bad. But she didnt say to stop drinking it entirly. She said you need a balance of cold and hot drinks. She also said its better to drink room temperture water. In fact I find that after so long of only drinking room temperture water it feels cold when its just room temperture. And when I drink cold water now that its summer, it is too cold.

  • Anon.

    How long were you waiting for an appointment?!? Because acute bronchitis usually lasts for at least three weeks. It sounds like you had chronic bronchitis so you could have gone to your doctor at ANY time and described what was happening. He would have given you stuff to help with next time.

  • Bimotarich

    I have pretty much had good experiences with the doctors here in Japan… my only complaint is that they often give you medication is very small amounts so you have to go back again to get more and I dont always have time… but they will usually give you more if you ask.  And people go for common colds because it is cheaper than buying over the counter medicine which is VERY expensive here…

  • Cooiching

    I am a Japanese who works in Ayouustria as a nurse. i like Japanese hospitals and health system. You need to find a doctor that you can get along with. but it’s the same in any country. at least nurses are lovely and politer in Japan.

  • Juli

    this totally scares me. poor japanese.
    and why do they learn german medicine? and what does that mean? they use german books? do they learn the language first or do they just guess what is written next to the pictures? and why german?? i wouldn’t be too scared because of the medical terms, because they are latin in germany, so they are exactly the same as in english. and i am sure there are also japanese words for anatomical structures and body parts and illnesses.   probably?

  • http://twitter.com/bahiaportfolio Bahia

    I had a positive experience in Japan when I sprained my ankle.  After living in the USA I couldn’t believe how cheap it was!  I didn’t much like Japanese dentists, however.  They don’t see you in a private room – you’re right next to the other guy being drilled.. I also had a bad crown put on there that my US dentist later had to fix.

    Anyway, what I’m interested in from the graph is the number of doctor’s visits.  When I worked in Japan you generally had to provide a doctor’s note to take sick leave so I wonder if that contributes to the high number of doctor’s visits (though generally my coworkers would take their vacation days if they were sick and never take their sick days because that was more socially acceptable).

  • Cheru

    I had a cold, once. It was pretty bad. To the point where I didn’t know if I was gonna be able to go to work on Monday. I went to the doctor. My main symptom was coughing, and wanted something to stop my cough, so I could actually get a little sleep. The doctor prescribed me an expectorant – something to -make- you cough. I was up for hours, dying to get some sleep because my cough wouldn’t stop. I didn’t find out until later that it was due to the medicine. I was so annoyed. I went back on my OTC cold medicine. It worked so much better than the crap the doctor gave me.

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  • Verbose biochemist

    Not quite a doctor, but a dentist-related story. I was in Japan on my honeymoon, and had an annoying toothache that I was planning on getting sorted out after I got back. Unfortunately, it got worse exponentially, so that by the time we were getting on the plane, I couldn’t go for more than 4 hours without over-the-counter pain killers. As you can imagine, sleeping wasn’t easy. I had tried to schedule an appointment with a dentist before I left, to no avail. So off we flew with a bag full of ibuprofin and paracetamol and anything else I could get my hands on.
    I couldn’t eat with my teeth, of course, and resorted to eating soups and foods I could sort of chew up with my tongue against the roof of my mouth. By the second night, it got to the point that the painkillers only dulled the throbbing headache slightly, and did nothing for the toothache. I spent several hours, from maybe 2am to 7am, sitting on the hotel bathroom floor pulling at the damn tooth in a sleep-deprived effort to get it out of my head.
    As soon as things were open, I was off. I googled the nearest dentist, looked up a few dental words in my dictionary, and walked 4 blocks hoping somehow to survive on my school-learnt Japanese in a situation I was completely unprepared for. Visiting a local dentist is big enough, let alone one don’t speak the same language with.
    I walked into the reception area, put on the slippers that everyone else seemed to be wearing, and approached the receptionist lady. I explained in pigeon-Japanese that I couldn’t eat or sleep due to the toothache, and that standard pain killers weren’t effective anymore. She got the dentist, whose name I never leant (I just called him “Haisha-sensei” and he didn’t disagree), who first asked how good my Japanese was. I said it was pretty poor. So he said, patiently and using nice simple grammar, that my situation could be considered an ‘emergency’ so I could come right through.
    After looking at my tooth for a few minutes, he commented that I’d obviously had orthodontic work in the past (how do you even see that? It was over 10 years ago anyway!) and that my tooth was in stage 3 or 4 (I forgot which) decay. He repeated anything I had trouble understanding and used lots of diagrams and charts to show me what was going on with my tooth. So he sent me to the next room to get an X-ray.
    The assistant lady mimed me biting down on a plastic film thing, and said, “please wait and don’t move”. I did so and she left the room, closed the door, and opened it again in under a second. Her hand never left the doorknob. “All done.” Wow, that was fast.
    Back in the dentist’s room, he looked at the X-ray and explained that I had two options: a filling, or tooth removal. I wanted it gone, so asked for a removal. He fired up the drill (and helped me remember why dentists are so scary), and said if I felt pain, to raise my hand. He also asked if I’d had anaesthetics before, and I said I had, but they’d never fully dulled the pain. So he weighed me and gave me the maximum safe dose just to be sure, waited the 5 minutes for it to be effective (how many times has a Western dentist not done teh crucial waiting step and gone right in, pain and all, only for the maimed part of my mouth to go numb after the fact? Too many), and began drilling.
    At first I felt nothing. But then, right at the root, intense pain shot out and I could see veins in my eyes. Hand raised. He stopped immediately, checked I was okay, and carried on. It happened again. Hand up again. Haisha-sensei put the drill away and explained that due to all the pain the tooth has been in the past month, the root was hyper-sensitive and anaesthetics would be useless. A filling was the only way to go. When the tooth had a few days to calm down, then it would be safe to remove.
    The filling was painless and took about 20 seconds. It looked like wall plaster that he smeared on, and it set within seconds. I still have it all this time later. More importantly, for the first time in what felt to be an eternity, I had no throbbing tooth pain. I couldn’t stop thanking him.
    Right. Time to sort out the paperwork and pay up. I’d withdrawn 50,000Y (about $500), not knowing how much it would cost, and took my bank card in case it was more. The dentist asked if I was a student–how was this relevant? No, sorry, honeymoon. “Are you a student in your own country, perhaps?” “No, I work full-time, sorry.” He tried a few more lines. Then the dentist apologised profusely, quite unexpectedly. It turns out all Japanese citizens get 70% off health and dental care without having to join any healthcare stuff–you just have to be Japanese. The same goes for students. He was trying to find a way to give me a discount, it turns out. Since it wasn’t possible, I had to pay the full price. Here we go…
    2 anaesthetics (maximum dose and all that), 1 molar filling, 1 X-ray, on-the-spot treatment (costs a bit more if you haven’t got an appointment, apparently): 5000Y. As in, $50. I asked if they’d forgotten a few zeroes. Nope. The receptionist kept aplogising for how expensive it was, and that it would be only Y1500 ($15) if I were a student of some kind. I was blown away. Talk about cheap. To compare, I later checked local dentists, and for the same treatment, they’d be over $1000 here. And I’d need an appointment. And it would take longer than the 6 minutes I spent at haisha-sensei.
    To top it off, they gave me a bunch of pain-killers and a perscription for free (about $30 worth just for the drugs). They kept apologising for the cost. It was the best day of the entire honeymoon.
    I have healthcare and have visited dentists in 4 states (dozens of visits too…). Not one has been as cheap, nor has provided an effective anaesthetic (despite often protesting that I need more than average and pointing out that my phd in biochemistry dicates the anaesthetics are ineffective unless they wait before they drill).
    If I ever need serious dental work, it’ll be cheaper to fly to Japan and get it done than go to a dentist here. And the level of care is second to none. After talking with other people, it seems the dentist was quite average in Japan. Now that is a real developed country (at least as far as dentistry).

  • Koichinist

    damnit, Koichi, why you scare me so much?

  • Jess

    I had an a very good experience with the Japanese heath system actually. Not that i have a lot to compare with as i’ve been lucky to have been healthy most of my life. When i was living in Japan last year something got into my eye. I thought it was an eyelash and so i just kept trying to flush it out with water. But the pain was consistent and my eye started to get quite blood shot. That night about 5 hours after the ‘object’ got into my eye my host Mum took me to the emergency department where we waiting about 20mins, this was a Friday night at about 9pm which absolutely blew my mind as the waiting times in Australia for a Friday night can be horrendous.

    The doctor gave me some anesthetic for the pain and looked at my eye, he had an intern with him, i had about intermediate level japanese at the time and both the doctor and my host mother knew some english so communication wasnt a problem. He ended up telling me that he couldnt see anything however he did think there was something causing the issue and that i needed to see a specialist so he advised i keep washing my eye and see a specialist ASAP, he really didn’t withhold any information from me at all, he was just straight up honest. So i had to wait the weekend out until the specialist clinic opened, which meant that by the time i got there i had a very nicely bloodshot and swollen eye.

    And this is what blew my mind, i waited 30 mins, they walked into the specialists office, she dropped anesthetic in my eye so i couldnt feel anything. She lifted up my eyelid to check if she could find the problem. She then plucked something from under my eyelid then showed my the small splinter which had been embedded quite far into the back underneath side of my eyelid and had be scratching against my eye when it moved. I should note that before she did anything she told me what she was going to do.

    I was then taken into a room where they gave me an eye patch and a cream to put on my eye which stopped the pain and caused the blood shot part to heal within a week ( it actually only took my 2 days to completely heal).

    All of the medication and two doctors visits cost me a total of about 3000 yen. Or $30 ish Australian Dollars. I did have a student card though. From my own experience, i think the Health System in Japan is pretty amazing.

  • caro_7

    I really agree. I’m from Canada and it’s hard to find a family doctor here because the population is increasing. Family doctors have a limited amount of patients you can see. It was hell for a while but I recently found an amazing doctor who is friendly, patient and willing to explain everything to me. So, yes, I think being able to find a doctor that matches what you want is very important.

  • Ramya Iyer

    i was going to a local doctor and getting treated for pcos and was trying to get pregnant. he asked me to come every week to check on follicle size, when it was apparent that it will take at least 2 weeks for the follicle to grow. extra money in his pocket. i had a procedure done wherein he flushed the fallopian tube with saline and i started profusely bleeding from then for a full 3 months, all the while him telling that this is normal. one fine day, after cycling to the local mall, my tummy started to hurt. so much so that i couldnt move or stand or do anything. that pain was the worst in my life (worse than my delivery). my hub took me to st. luke’s emergency room where the doctor there did a quick check and a urine pregnancy test and told me and hub that i had ectopic pregnancy and there might be a chance that it could be lethal. they did a blood test and told me that i have already started to miscarry because they couldnt see the fetus in the ultra sonogram. he kept telling me to come back to monitor hcg levels until it dropped to zero. all this time, he never gave me any pain meds in spite of me begging him. when my husband went back to my local doctor to tell him this, he kept saying that it’s next to impossible for me to be pregnant and kept saying no as if he was lying. terrible experience. dont want to ever experience this again.

  • Saimu-san

    I’ve had a TONNE of bad luck with doctors here in the UK so what I hear about Japan doesn’t really bother me (Except for the cancer thing… DAMN).
    The worst was definitely with my local mental health practice when I lived in Scotland.

    The doctors tried to force anti-psychotics on me when I was actually severely B12 and Iron anemic, causing me to hallucinate.

    When the facility’s doctors figured out my hearing voices wasn’t schizophrenia, they dropped me like a hot rock and told me to ask about my blood results (which I practically had to BEG them to do) the next time I saw my family GP because my “Vitamin B levels were a bit low”. Ten months later I was passing out and constantly dizzy and HAD to go to the doctor. I lost some sensation in my fingertips and was getting jaundiced to the point where everybody I regularly met started asking me if I’d been tanning. My red blood cell count was so low for so long that when I finally started getting treatment (after the move) I was getting bruises from the increased supply. It took three years for me to get to decent enough levels and I’m still having regular blood checks to keep me on track.

    Thank Christ the NHS is there, though. My case was rare but it would’ve been a whole lot worse if my parents had to pay.

  • Lava Yuki

    Thats pretty interesting, since me and my family are all medical. But healthcare in Japan is so cheap, at least compared to the UK and US. I went once and when my dad got the insurance claim, he was shocked at how cheap it was that he wondered if doctors make much money there!