A new 5 years Plan opening up the prospects to the 21st century.

To establish medical care consumers cooperative that is aimed at realization of healthy community.

1995 - 1999 : Medical Co-op Commitee of Japanese Consumers,
Cooperative Union 1995. 2

1. The result that a former 5 years Plan arrived at.

Medical coop commitee is to decide a new 5 years plan in a general assembly of June 1995. The plan started from 1988 for the first 5 years, and it came to an end in 1992, and this plan let whole country 4 objects advance greatly, and this plan pursued the formation of medical care consumers cooperative which seemed to be medical care consumers cooperative thoroughly and brought various kinds of progress to the medical care consumers cooperative movement whole. Tentative administrative reform investigation commitee was established before 7 year of this plan , and this plan was established by the time when so-called "Rintyou=Gyoukaku" lines began to hasten a tempo of medical care destruction. The old 5 years plan aimed medical coop got a subjective ability that made medical care consumers cooperative abble to advance constantly. This ability was established by a development of health medical care activities and social security movement of members of coops, who did it based on han-group prositively.
During this 5 years we could go forward most in two fields. One of them was the various activities that members of medical coops tackied subjectively, and this activities practiced whole country 4 objectives. Another one was to improve and reinforce medical care activity by practice of "charter of patients, right of medical care consumers cooperative". The members of medical coops considered medical care consumers cooperative as the means that their own demands were realised.
They realised their health-medical demands through various activities that were carried out byparticipating in an activity of han-group and branch and brought up selh-govemment ability. On the other hand, the spread of "charter of patients, right" let members and patients participate in health-medical care activity on leap , and raised cooperation with person whom medicalcare engaged in to the stage that was more high. The spread of "Charter of patients, right" made possible to grow up patient as subject person in medical care , to grow up the person whom medical care engaged in so to answer demands of patient , and this result gave big possibility to our movement based on the idea of "independence , participation and cooperation". We increased a member of coops more than 100, 000 households each year , and it gave the prospects cutting situation around medical care subjectively that an activity to increase the number of member and participation in various kinds of activities. Medical care consumers cooperative carries out an enterprise for cooperative usage. The crucial issue for medical care consumers cooperative,s development in 21 st century is "cooperation and self-government based on participation of members". The development of this movement really too bring the new members and person whom medical care engaged in , and they carry a democratic change in Japanese medical care.

2 An aim and a point of new 5 years plan

New 5 years plan aims to reinforce the ability opening up the situation subjectively on leap for a purpose , and this concrete contents for the purpose is to display the advantage of cooperative social system of medical care consumers cooperative built till now both in movement and the spot of medical service production. Firstly the new plan makes clear contemporary social role of medical care consumers cooperative in the next three field.

1 Step up of so-called medical care administration reform line and the role of medical care consumers cooperative. So-called medical care administration reform line reduces expenditure of central government to social security further and is going to get social security to structure of mutual aid of people. It put welfare service and medical care service to profitmaking enterprise. The government reinforces control for medical care and capital reinforces rule for medical care , and we are going to pursue better health-medical care under such condition. We regard that medical care consumers cooperative are going to pursue self-government and paticipation and cooperation, and can contribute to progress of democracy in medical care.

2 Role of medical care consumers cooperative coping changes in region and family and daily life , seeking improvement of health power and daily life power. The family changes , and individualization of life moves , and as a result, a fall of ability of mother protecting family member,s health , caring child goes along. And it becomes little that region inhabitant assists mutually. People seeks new cooperative relationship. Medical care consumers cooperative can carry big role in case of healt activity , cooperation of daily life and formation of communit community in peace and prosperity. Medical coop can do them because it makes activities based on han-groups, on branches as an unit.

3 Role of medical care consumers cooperatives in making whole community healthy, to solve subjects of current health and public health activity inhabitants first. The medical institution in the region is required to takes a role as the center of health and live so that the person whole living in a region becomes healthy. It is important that medical care service being provided comprehensively. In the medical care institutes of medical coop, members and persons whom medical care engage in cooperate to play this function. It is neccesary to accumulate knowledge and skill about health, to increase members and develope various medical care activities in order to make a region more healthy.

"Organization activity"

Medical Co-op Committe of JCCU has 1,8 million households members. Many medical care consumers cooperatives organize household of 20 - 30 % of their chatchment areas, and some go over 50 % . In eight prefectures, whole medical care consumers cooperatives in its prefecture organize more than 10 % of total household.
With regard to such arrival point , new 5 years plan aims that all medical coop organize over 50 % households in their catchment areas, branches should be set up each unit area , by 2000 all medical care consumers cooperative organize 3 million household whole countru. It is required to achieve this goal that we reinforce an activity at a han-group and a branch, continue an activity as before, and develope various works which give charm to broad resident and correspond to needs of them.

We must increase members at a tempo of 2 times of result as before to achieve a goal. We regard the 4 national objects as a most important and tackles it . (The 4 national objects are increasing members , increasing han-groups , educating active members and increasing investment) . It becomes more and more important to cheek eating habits and whole life style through 6. 9. 2. movement (han-group meeting to be held in June , September and February) and han-groups in case of a fall of protect power of region and family. We aim to increase frequencyof han-group meeting , to get over 50% member participate a han-group meeting. Increasing active members who have conviction at a contemporary activity and arrival point of medical care consumers cooperative to several times too is required to achieve these objectives. We examine and enforce school system like health university, social and consumers cooperative school which have been giving a place of learning of members. And, we establish correspondence education for members too and magnify an opportunity to learn. We make much of a pleasant plans such as culture, recreation and sports that reflect true demand of inhabitant with the aim of an inhabitant of majority participating in medical care consumers cooperative too , and these events make the opportunity to touch charm of medical care consumers cooperative increasing. We develope small scale enterprises to support of home living such as taking a bath, the supply of food, housework and dining rooms. We make use of a network of members and participation too of volunteer.

"Social security peace democracy"

"Social security"

Role of local authority has become important than before. Because central government forces "decentralization" only of name and push responsibility of government for health, medical, and welfare sarvices in local authority without financial security. Medical care consumers cooperative encourages to formation of community in peace and prosperity" till now too and get many results. This reason is that medeical care consumers cooperative is constituted of members who live and act in a region and it makes branches and han-groups, and it can catch demahds of region precisely.

We make use of this characteristic of medical care consumers cooperative and will proceed an activity of region as a pioner. The government is trying to change an idea of social security into "mutual aid of people" , and this not one in a constitution , and decrease a burden of government , and is going to make a social security system only a burgen of people including the private insurance too. In particular we make much of learning of social security so that we are not defeated by public opinion instruction of government and grasp situation around social securityprecisely and advance a movement with conviction. We make the big "public opinion" which keep and expand social security in a region , and make result in "formation of community in place and prosperity", and with power fed in this movement, we promote "movement seeking for defense of the constitution, expansion of social security".
We make an effort to participate many members with residents, increase new members in these movements as medical careconsumers cooperative. We tackle environment problems positively too , and environment problems are significant to promotion and protection of health.

"Peace democracy"

Wartime experience person decreased, and the generation that did not know war came to hold the many numbers now. Under this circumstance it becomes more important than before that medical care consumers cooperative tackle "peace movement from grass-root", such as transmission war time expeiences from generation to generation. We continue and develope these "peace movement grass-root". The problem of peace is wish of many people which exceeds thought and creed , from children to elderlies. We develope the peace cultural activities in what many people from children to elderlies can participate and sympathized , such as movies , the plays which had been carried out till now too. We seek for the election system that a wish of people is reflected and develop the timely objection movement against a change for the worse that threatens a democracy in order to keep a constitution , to carry out politics reflecting a wish and a demand of people. We make much of constitution learning based on a branch and a han-group to proceed this movement.

And , we make much efforts to keep a democracy with many people.

"Health medical care activity"

We aim to get rich and full results in the field of health-medical care activity being handed down from varios activities till now. There are 4 important points to get results.
First , we make self sovereignty of health a basis , and aim at principal objective to what we protect a right living in health of members , and develop practice of "charter of patients, right".
Second , we reinforce activities to form healthy life and community. We rise aiming at development of activities put mainly on health medical care activity worthy of medical care consumers cooperative.
Third , we reinforce outpatient medical care on leap and raise ability to cope with energency case in shape suitablefor each hospital and clinic. At the same time, our organization do best to prevent and control chronic diseases holding central position in the future in daily life. We extensively make use of health checkups that are property of medical care consumers cooperative, and "han-group based health university patient society, meeting" as place of learning. Patient society will educate a lot of "honor student of self control" who are to be expert of illness of oneself. At the same time , patient society is usefull for pleasant treatment life.
Fourth , we let medical care for the aged which has done by medical care consumers fill up, and tackle related programmes including 4 ones on the basis of "Health and Medical Service Law for the Aged". We try to establish network of safety using network of members of medical coop, connecting support activities for residential care. We strengthen inhabitants, participation in medical care further. We also rise aiming at activity standard which can demonstrate "the effectiveness of members, participation to medical care". For this aim we make use of accumulation of practice.

"Management activity"

Management of medical care consumers cooperative is required to repond a demand of member , to realize it through an buisness and movement. To do so, all staff required to participate at the same time to open participation of members.

In order to operate buisnesses corresponding new demand of members , it is indespensable to secure a stable income and surplus balancing with reproduction.
Under the circumstance of steady retreat of social security system, demand for medical care means a conprehensive provision of health, medical and welfare services. We make much of primary medical care, especialy we strengthen outpatient care , at the same time we improve inpatient care including institution improvement. We strengthen a movement leting local authority, health checkups, and raise specific gravity as the cooperative utilization buisness that is most easy to participate for members. We develope many buisness like the 4 programmes based on the "Health and Medical Service for the Aged law". We also tackle a formation of network of safety for the aged, develope institutional care.
From now on, we examine new buisness in which volunteers participate and rise aiming at management activity respondihg new demand for medical services. We make clear the importance of management improvement , we strengthen healthy management activity and financial constitution through budgetting in each section, prime cost management, 5% surplus , realization of investment ratio 20%. We are going to aim at the management activity that "institution expansion institution preparation receiving a period in advance" can realize from "institution plan pressed for embodiment grieved at stopping with deterioration".

"Education activity"

We rise aiming at establishment of systematic education system of members with a prospect for 21 century. In the various kinds of activities that it is "learned and educate each other" , we guarantee learning of members systematicaly. In addition to a place of education as before, we spread the "correspondence education" that aimed at a activ member on a large scale. In both place of activity and the medical care spot, display of members, right to learning is a key word of development of medical care consumers cooperative advance.
On the other hand , we develope staff education too. In this case, based on independent learning we push a human development through work and medical care consumers cooperative movement.

Through the estabilishment of "work place with vitslity" based on the pursue of the "charter of patients, right", we tackle to organize a relationship in which staff and member can grow up jointly , and feed individual ability to achieve organization aim constructing of relation that can be met and raise an ability as a group.

"International activity"

We participate in the World Summit for Social Development and NGO Forum held in Copenhagen in March, 1995. We also attend to the second international health medical cooperative forum in September. We plan for systematic reinforcement of international activity during we accumulate various forms of exchanges. We plan for reinforcement of Medical Co-op Committee and administrative council and special committee. And, we magnify suporting function that offer useful know-how to develope joint purchase buisness of each medical coop and Medical Co-op Committee.