本文将阐述近年来日本政府为控制医疗费用以及为社会保险制度建立坚实的基础而制定政策及作出的努力。政府从调节医疗需求着手,而且目前正在把计划手段运用于医疗供给部门,控制医疗费用的政府干预将从供需二方面进行。但是,采取措施控制费用的同时,需要致力于改善国民的健康状况,并保持健康保险制度的公正合理性。 This article will describe the efforts made by the Japanese government in recent years to formulate policies and make efforts to control medical expenses and establish a solid foundation for the social insurance system. The government has started to regulate medical needs and is currently applying planning measures to the medical supply sector. The government intervention to control medical expenses will proceed from supply and demand. However, while taking measures to control costs, it is necessary to work hard to improve the health status of the people and to maintain the fairness and reasonableness of the health insurance system.