Social Benefit Administration(Leistungsverwaltung) and Publicity(Öffentlichkeit) - Focus on a Comparative Study of Public Health Legal Institutions between Korea and Japan -
The social benefit administration(Leistungsverwaltung) is directly related to the lives of the people, such as social security, electricity, and water, and seeks high publicity. In the 1980s, privatization(Privatisierung) led to the deterioration of public service quality, which led to problems of publicity(Öffentlichkeit) in social benefit administration. It is the public health sector that has recently become more problematic. Contrary to our perception, damage caused by COVID-19 is serious in developed countries with well-equipped medical environments. According to a report published by the Lancet commission on February 2021, the reduction of public health care was cited as the reason for the most damage caused by COVID-19.
This article aims to draw discussions on the publicity of public health care from the paradoxical situation where damage caused by COVID-19 is significant in U.S. and advanced medical countries of Europe. Public health care system includes Public health insurance and Public health agencies, and among them, discussions in Korea will be centered on public health agencies. Because Korea has a universal public health insurance system unlike the U.S., there seems to be little need for discussion. On the other hand, public health agency system has experienced the closure of Jinju Medical Center in 2013 and the resulting medical vacuum in Korea. Therefore, among legal institutions of public health, public health agencies will be discussed mainly, and more specifically, local medical centers that function as local central hospitals will be discussed.
In order to do a more timely research, we would also discuss the relationship between the reform of local medical centers and countermeasure to the COVID-19. The main method of reforming local medical centers were the reduction of public health care through privatization(Privatisierung), which, as seen in the U.S. case, is related to countermeasure to the COVID-19.
In order to develop the discussion, the writer would like to compare the legal institution of local medical center and the reform of local medical centers in Korea and Japan. The reason why Japan is a target country is because it has legal institution of local medical center that is very similar to that of Korea and experienced the most active local medical center reformation among East Asian countries.
The aim of comparing legal institution of local medical center between Korea & Japan; and comparing the reform of local medical center between Korea & Japan is, in the midst of COVID-19 Pandemic, to find ways how local medical center in Korea can function as the main institution to countermeasure to COVID-19 Pandemic in Korea