k223 10/16/2010sat in japan. 介護保険関連の私見です。介護認定は必要で、上限額設定も不可欠。その上で、問題視されている「必要な介護が受けられない。」という利用者の声を反映させる方法を構築する。例えば、ケアマネ４名が地域包括支援センターに集合して、利用者約１００人の介護保険使用状況を相互に譲り合う方法を使う。比較的軽度認定のご家庭では余った保険点数を必要な認定者・利用者に譲る相互扶養の考えを導入する。地域包括は４名のケアマネが扱う介護総点数を管理する。それでも不足する場合は、いきなり十割・全額自己負担・利用者負担に移行せず、段階的な負担割合を応能・支払能力に応じて設定しておく。介護保険料も一律５,０００円ではなく、応能・支払能力に応じて段階的に設定しておく。国は収入を増やし、必要な利用者の選定という第一関門（介護認定）の後に、更に実態に沿った利用限度額の最見直し（上記ケアマネ調整）を経て使う保険料・支払い保険料総額を国の収入に見合った範囲・保険運用として適切な範囲で支払う。 恐らく、買い物支援とか部屋の片付け支援・清掃支援は介護保険適用外へと追いやられて、介護適用項目のスリム化の名のもとに、国は支払額の絞込みに入ります。 住民税納税額を根拠にして、介護保険料ゼロ円負担で利用負担割合ゼロ％世帯を認めて人権を擁護するのを、基本的人権・日本で安心して介護を受けて往生できる姿に持ってゆく事が重要です。 応能者・支払能力がある世帯は、利用負担割合の段階設定に従う国民としての覚悟を問われているように思えます。 ご隠居夫妻の家庭が１,０００万円を越す年間所得があるならば、全額自己負担でも当然と考えますが、現状制度では低所得者と同率負担です。どうか願わくはお金持ちの方々の財布の紐の緩む日・お互い様精神の芽生える日・将来の訪れを待ちわびております。以上、介護保険関連の私見まで。 It is a personal opinion related to the long term care insurance. It is necessary, and the upper bound amount setting is also indispensable to certification of long-term care need. The method of reflecting the voice of the user "Necessary nursing is not received" put in question is constructed on that. For instance, four (Caremane:Manager who manages caring) people gather in the region inclusive support center, and the method of making a mutual concession the long term care insurance usage condition of about 100 users mutually is used. The idea of mutual supporting by the transfer of remaining NHI point to necessary those who recognize it and the user is comparatively introduced in the home of slight recognition. A regional comprising manages the nursing total point that (Caremane:Manager who manages caring) of four people treats. Still, it doesn't shift suddenly to 100 percent, the full amount self-load, and user weight, and a phased load ratio is set according to ("[Ounou]" is to mean responding to the solvency.) and the solvency when running short. The nursing care premium is gradually set according to not uniform 5,000 yen but ("[Ounou]" is to mean responding to the solvency.) and the solvency. The country swells one's income, and pays as a range and insurance operation to look at insurance and the payment insurance total used through the most much review of the line of credit in addition along the realities (the above-mentioned (Caremane:Manager who manages caring) adjustment) because of the income in the country within the appropriate range after the selection first barrier of a necessary user (certification of long-term care need). Perhaps, the putting things in order support and the cleaning support of the shopping support or the room are bundled off outside application of nursing insurance, and the country enters to narrow the amount of payment in the name of the slimming down of the nursing application item. It is important that the amount of the residence tax payment of taxes is made grounds, 0% use load ratio home is admitted by the nursing care premium 0 yen load, and the appearance that it is possible to die by receiving nursing at ease in fundamental human rights and Japan has protecting human rights. The resolution as the people according to the stage setting of the use load ratio seems to be asked to the home where ("[Ounou]" is to mean responding to the solvency.) and the solvency exist. If there is an income during year when Mr. and Mrs.' retire homes exceed 10 million yen, the full amount self-load is a low-income person and the same rate load in a current system though thought it is natural. Please the visit in the day when the day when strings of purses of I pray rich people loosen and the externals each other spirit bud and the future is waited for impatiently. To the personal opinion related to the long term care insurance above.
