If you are 75 or older and have substantial assets, there is no choice but to accept? Policy validity and counterarguments: fairness correction or double dipping

Of course, it may increase the burden for those targeted. Especially those who are late-stage elderly and enrolled in the late-stage elderly medical care system aged 75 and over.

In the case of pension 1,000,000 yen + financial income 100 million yen, before the revision financial income was ignored and the minimum-rate premium with a 10% burden applied, but after the revision it is judged by total income, and at most the premium could be the assessment limit plus a 30% burden.

The revision bill was approved in the House of Representatives plenary session in April 2026, enacted and promulgated on May 29. Implementation will be within five years of promulgation by government ordinance. Because system construction (online reporting obligation for financial institutions, linkage with My Number) will take 2–3 years, full-scale start is expected from 2029–2032.

?Policy validity and counterarguments: fairness correction or double taxation

The government emphasizes “collect fairly from assets owners with financial income over 75” and “unfair for high income to bear only 10%.”A typical example is: with 5 million yen in dividends and no declaration → insurance premium 15,000 yen vs with declaration → 520,000 yen.

Meanwhile, criticisms include “already paying 20.315% tax, adding insurance premium is double burden,” “effort vs revenue (on the order of hundreds of billions of yen) is tiny,” and “could this be a move to expand to working generations in the future?”

There are concerns about reduced investment motivation and negative impacts on the market.

Although targeting only a subset of high-income elderly and specialized traders using specific accounts, some view it as a policy with strong political appeal because it signals “a decision that provokes resistance from the rich.”