That helps keep premiums to around $280 a month for the average Japanese family.
Shrinking the coverage, as the Administration proposes, would probably keep premiums from rising.
Mr. Clinton's proposal would keep premiums at 25 percent of costs.
The Republican concept of an appeals board for health care disputes makes much more sense because it would help keep premiums and costs down.
Encouraging private cover tempts new entries in to the market and the large number of insurers helps keep premiums down.
The fund is well managed: claims have soared but the fund has kept premiums low with interest earned from its reserves.
The goal, they say, is to keep premiums down to keep customers from going to competitors, and sometimes even a few dollars can make a difference.
The theory is that competition would force private insurance companies to keep premiums down and tailor policies to individual needs.
Pension firms and Member States do not need this report; they need help to keep premiums down.
Nor have warnings helped keep premiums down.