
japaanlo aarogya samrakshana vyavastha

japaanlooni aarogya samrakshana vyavastha screening pareekshalu, prenatal cair mariyu antu vyaadhula niyanthranatho sahaa vividha rakaala sevalanu andistundi, eee kharchulalo 30 saatam roogi baadhyatanu angeekarinchagaa, migilina 70 saatam prabhutvam chellistundi. vyaktigata vaidya sevalaku chellimpunu saarvatrika aarogya samrakshana beema vyavastha andistundi, idhi prabhutva kamitee nirnayinchina rusumulatho saapeksha samaanatvaanni andistundi. japan nivaasitulandarikii chattam prakaram aarogya beema coverage undaali. yajamaanula nundi beema laeni vyaktulu sthaanika prabhutvaalachae nirvahinchabadutunna jaateeya aarogya beema kaaryakramamlo paalgonavacchu. rogulu tamaku nacchina vaidyulu ledhaa soukaryaalanu enchukoovadaaniki swechchagaa untaaru mariyu kavarejeeni tiraskarinchaleru. chatta prakaram, aasupatrulanu labhapekshaleniviga nirvahinchaali mariyu vaidyulache nirvahinchabadaali.
vaidya rusumulanu sarasamaina dharalaku andinchadaaniki prabhutvam vaatini khachitamgaa niyantristundi. kutumba aadaayam mariyu beema chesina vyakti vayassunu batti, rogulu vaidya rusumulo 10 saatam, 20 saatam ledhaa 30 saatam chellinchaalsi untundi, migilina rusumunu prabhutvam chellistundi. alaage, prati intiki nelawari parimitulu nirnayinchabadataayi, mallii aadaayam mariyu vayassunu batti, mariyu parimitini minchina vaidya rusumulanu prabhutvam maafee chestundi ledhaa tirigi chellistundi.
beema cheyani rogulu vaari vaidya rusumulo 100% chellinchadaaniki baadhyata vahistaaru, ayithe prabhutva subsidini pondhe takkuva aadaaya kutumbaalaku rusumulu maafee cheyabadataayi.
charitra.
paaschaatya vaidyaanni pravesapettadamto meejee punaruddharana tarvaata aadhunika japanese aarogya samrakshana vyavastha abhivruddhi chendadam praarambhinchindi. ayithe, 1927loe modati udyogi aarogya beema pathakam roopondinchabade varaku chattabaddhamaina beema erpaatu kaaledu.
1961loe japan saarvatrika aarogya beema kavarejeeni saadhinchindi, daadaapu prati okkaroo beema cheyinchukunnaru. ayithe, saha chellimpu raetlu chaalaa bhinnamgaa undevi. udyogula aarogya beema loe namodu chesukunna vaaru modati vaidyudi sandarsana samayamlo naamamaatrapu mottaanni matrame chellinchaalsi undagaa, vaari aasritulu mariyu jaateeya aarogya beema loe namodu chesukunna vaaru anni sevalu mariyu aushadhaala kosam feezu schedule dharalo 50 saatam chellinchaalsi untundi. 1961 nundi 1982 varaku, saha chellimpu raetu kramamga 30 saataaniki tagginchabadindi.
1983 nundi, vruddhulandaruu prabhutva praayojita beema paridhiloki vacchaaru.
1980la chivaralo, prabhutvam mariyu vruttiparamaina vargaalu eee vyavasthanu marchadanni pariseelistunnaayi, tadwara prati bhougolika praantamloo praathamika, dviteeya mariyu trutheeya sthaayila samrakshana spashtamgaa vaeru cheyabadutundi. inca, samrakshana sthaayi dwara soukaryaalu ketaayinchabadataayi mariyu marinta sanklishtamaina samrakshana pondadaaniki sifaarsulu avasaram avtayi. vividha beema vyavasthalanu ekikrutam cheyavalasina avasaranni, kharchulanu niyantrinchaalsina avasaranni kooda vidhana roopakartalu, nirvaahakulu gurtinchaaru.
1990la praarambhamlo, 1,000 kante ekkuva manasika aasupatrulu, 8,700 saadhaarana aasupatrulu mariyu mottam 15 laksala padakala saamardhyamtho 1,000 samagra aasupatrulu unnaayi. aasupatrulu out patient mariyu inn patient samrakshana rendintinee andinchaayi. adanamgaa, 79,000 kliniklu pradhanamgaa out patient sevalanu andinchaayi, mariyu 48,000 dantha kliniklu unnaayi. chaalaa mandhi vaidyulu mariyu aasupatrulu neerugaa rogulaku mandulanu vikrayinchevi, conny rogulu synthetic ledhaa mulika mandulanu konugolu cheyagala 36,000 mandula dukaanaalu undevi.
jaateeya aarogya kharchulu 1965loe sumaru 1 trillion yenla nundi 1989loe daadaapu 20 trillion yenlaku ledhaa japan jaateeya aadaayamlo 5 saatam kante konchem ekkuva nundi 6 saataaniki perigayi.
aarogya sibbandi asamaana pampinhee oka samasya, graameena praantaalu nagaraala kante anukuulamgaa unnaayi.
1990la praarambhamlo, daadaapu 191,400 mandhi vaidyulu, 66,800 mandhi dantavaidyulu mariyu 333,000 mandhi narsulu, alaage 200,000 mandiki paiga masaz, acupuncture, moxibusion mariyu itara thoorpu asea chikitsa paddhatulanu abhyasinchadaaniki licenses pondinavaaru unnaaru.
kharchu.
2008loe, japan desham yokka sthuula jatiyotpatti (zii. dii. pii) loe 8.2% ledhaa talasari US $2,859.7 aarogyampai kharchu chesindi, aardhika sahakaram mariyu abhivruddhi (oo. sii. dii) deshaala samsthalo 20va sthaanamlo undhi. sthuula desheeya utpattula vataa 2008loe oisidi raashtraala sagatutho samanamga undhi. 2018 dayta prakaram, sthuula desheeya utpattula vataa gdplo 8.8% sagatunu adhigaminchi, 10.9% kuu perigindi.
tirigi chellimpu kosam jaateeya ekareeti rusumu schedulenu upayoginchi prabhutvam dasabdaluga kharchunu niyantrinchindi. aardhika vyavastha stabdamgaa unnappudu prabhutvam kooda rusumulanu tagginchagalugutundi. aneka paarisraamika deshaala maadirigaane 1980laloe aarogya samrakshana kharchu vaegamgaa perugutondi. ayithe yuu vanti konni deshaalu.ess. kharchulu peragadaaniki anumatinchina japan, kharchulanu niyantrinchadaaniki aarogya parisramanu kathinamgaa niyantrinchindi. aarogya mantritva saakha mariyu vaidyula madhya charchala dwara prati rendu samvatsaraalaku okasari anni aarogya samrakshana sevalaku rusumu nirnayinchabadutundi. eee charchalu prati vaidya prakriya mariyu mandulaku rusumu nirnayistaayi mariyu desavyaaptamgaa rusumu okela untundi. vaidyulu aadaayaanni aarjinchadaaniki marinni vidhaanaalanu aadesinchadam dwara vyavasthanu aadataaniki prayatniste, tadupari round feezu settinglo prabhutvam aaa vidhaanaalaku pheejulanu tagginchavachhu. 2002loe prabhutvam mri feezunu 35 saatam tagginchina sandarbham idhe. aaa vidhamgaa, 2009 natiki, yuu.ess. meda praantam yokka oka mriki $1,500 kharchu kaavacchu, conny japaanlo dheeniki maaku $98 kharchu avutundi. 
roogi yokka nelawari saha chellimpu parimitini cherukunna tarvaata, tadupari saha chellimpu avasaram ledhu. nelawari saha chellimpu mottaaniki parimiti aadaayam mariyu vayassu prakaram moodu sthayilagaa vibhajinchabadindi.
kharchulanu tagginchadaaniki, japan generic aushadhaalanu upayogistundi. 2010 natiki, japan jaateeya aarogya beema jaabitaalo marinni aushadhaalanu chaerchaalani lakshyamgaa pettukundi. vayassu sambandhita paristhitulu atipedda aandolanalalo okatigaa unnaayi. aushadha companylu janabhalo aaa bhaagam vaipu marketing mariyu parisoedhanapai drushti pedataayi.
nibandhana.
japaanlooni prajalu prapanchamlooni yea desamloonainaa puttina vaari kante ekkuva ayurdayam kaligi untaaru. 2009loe janana samayamlo ayurdayam 83 samvatsaraalu (purushulu 79.6 samvatsaraalu, streelu 86.4 samvatsaraalu). 1950la nundi 1960la prarambham varaku sankraminche vyaadhulaku dviteeya maranaala retunu vaegamgaa tagginchadam dwara, taruvaata 60la madhyakaalam tarvaata stroke maranaala retulo pedda taggimpu dwara idhi chaalaa takkuva samayamlo saadhinchabadindi.
2008loe mottam 1000 janaabhaaku 8.1 teevramaina samrakshana padakala sankhya undhi, idhi yuu. sii. dii. sii vanti itara deshaalatho poliste ekkuva.ess. (2.7). ayithe, 34 saatam mandhi rogulu teevramaina samrakshanagaa vargeekarinchabadina padakalalo kooda 30 rojulaku paiga aasupatrulalo cherinanduna, eee sankhya aadhaaramgaa poolikalu cheyadam kashtam kaavacchu. prati manchaaniki sibbandi chaalaa takkuvagaa untaaru. sagatu european nibandhanatho poliste, talaku naalugu retlu ekkuva mri scannerlu mariyu siti scannerla sankhya aaru retlu ekkuva. sagatu roogi samvatsaraaniki 13 saarlu vaidyudini sandarsistaadu-idhi oeda deshaalalo sagatu kante rettimpu.
2008loe prati 1000 janaabhaaku, practies chese vaidyula sankhya 2.2gaa undhi, idhi dadapuga uslo unna daanitoe samanamga undhi.ess. (2.4), mariyu practies chese narsula sankhya 9.5, idhi yuu loe kante konchem takkuvagaa undhi.ess. (10.8), mariyu dadapuga UK (9.5) ledhaa kenadaalo (9.2) maadirigaane untundi. vaidyulu mariyu narsulu licenses punaruddharana, vaidya ledhaa nursing vidyanu konasaginchadam mariyu peer ledhaa viniyoga sameeksha avasaram lekunda jeevitaantam licenses pondutaaru. eee rendoo adhikarikamga vaeru cheyabadananduna oecd dayta japan kosam nipunulu mariyu saamaanyavaadulanu kalisi jabita chestundi. saampradayakamgaa, vaidyulu sub specialistlu kaavadaaniki sikshana pondaaru, conny vaaru tama sikshananu puurti chesina tarvaata, koddimandi matrame sub specialistulugaa practies cheyadam konasaaginchaaru. migilina vaaru pedda aasupatrulanu vadili chinna community aasupatrulalo practies cheyadaaniki ledhaa saadhaarana abhyasakulaga etuvanti adhikaarika tirigi sikshana lekunda tama sonta kliniklanu teravadaaniki vellaaru. aneka deshaala maadirigaa kakunda, japaanlo saadhaarana abhyaasakula vyavastha ledhu, badulugaa rogulu neerugaa nipunula vaddaku velataaru, tarachugaa cliniclalo panicheestaaru.
naanhyata.
saareeraka aarogyam yokka unnata sthaayi vaidya chikitsa kosam japanese phalitaalu saadhaaranamgaa americatho potipadatayi. nyuu ingland journal off medicine" loe mcdonald mariyu itarulu raasina rendu nivedikala poolika. (2001) mariyu sakuramoto mariyu itarulu.(2007) shastrachikitsa mariyu shastrachikitsa taruvaata chemotherapytho chikitsa pondina rogulalo gastro-esophagial cancer phalitaalu united states kante japaanlo merugga unnayani suuchistumdi. american association off oncology nivedika mariyu japan foundation pharr dhi promotion off cancer research yokka maroka nivedika poolika aadhaaramgaa peddapregu cancer, oopiritittula cancer, pancreatic cancer mariyu kaaleya cancer yokka aidella manugada raetlaloo japan raaninchindi. adhe poolika mala cancer, rommu cancer, prostate cancer mariyu praanaantaka lymphoma yokka aidella manugadalo us raninchindani choopistundi. chaalaa cancerla kosam japaanlo shastrachikitsa phalitaalu merugga untaayi, ayithe chivari dasha cancerlalo chemotherapyni marinta teevramgaa upayoginchadam valla samyukta rashtraallo mottam manugada ekkuva kaalam untundi. united states renal dayta system (usrds) 2009 mariyu japan renology society 2009 nundi vacchina daetaanu polchinappudu, japaanlo dialysis cheyinchukuntunna rogula vaarshika maranaala raetu uslo unna 22.4% thoo poliste 13 saatamgaa undani choopistundi. dialysis kinda unna rogula aidella manugada japaanlo 59.9% mariyu USloe 38 saatam.
japanese coronary artary baipas grafting prapancha nayakudiga arhata saadhistundaa?" anae sheershikato oka vyaasamlo."nippon vaidya paatasaalaku chendina masami ochi japanese coronary baipas shastrachikitsalu bahula pramaanaalalo itara deshaalanu adhigaminchaayani etthi chuupaaru. international association off haart und lung transplantation prakaram, 1992 mariyu 2009 madhya gunde marpidi chesukunna prapanchavyaaptamgaa gunde marpidi graheetala aidu samvatsaraala manugada 71.9% (eshlt 2011.6) kaga, japanese gunde marpidi graheetala aidu samvatsaraala manugada 96.2% anie osaka vishwavidyaalayam nivedika telipindi. ayithe, daatala korata kaaranamgaa 2011 natiki desheeyamgaa 120 gunde marpidi matrame jarigaayi.
saareeraka aarogya samrakshanaku viruddhamgaa, japaanlo manasika aarogya samrakshana naanhyata chaalaa itara abhivruddhi chendina deshaalatho poliste chaalaa takkuvagaa undhi. samskaranalu unnappatikee, japan yokka manasika aasupatrulu ekkuvagaa roogi niyantrana yokka paatha paddhatulapai aadharapadatam konasagistunnayi, vaati tappanisari mandulu, isolation (ekanta nirbandham) mariyu saareeraka parimitulu (rogulanu padakalaku kattadam) itara deshaalatho poliste chaalaa ekkuvagaa unnaayi. japaanlo nirbandhinchabadina rogulalo adhika sthaayi lothaina sira raktam gaddakattadam kanugonabadindi, idhi vaikalyam mariyu maranaaniki daariteestundi. aneka itara deshaalalo chesinatlugaa parimitula vadakanni tagginche badulu, japanese aasupatrulalo vaidya parimitula vadakam sambhavam 2003 nundi (5,109 niyantrita rogulu) 2014 (10,682) varaku daadaapu padeellaloo rettimpu ayyindi.
aarogya samrakshana naanhyatanu paryavekshinche baadhyata 47 sthaanika prabhutva prefecturelapy undhi, ayithe chikitsa ledhaa phalitaala dayta yokka kramabaddhamaina sekarana ledhu. vaaru vaarshika aasupatri tanikheelanu paryaveekshistaaru. naanhyamaina aarogya samrakshana kosam japan council sumaru 25 saatam aasupatrulaku gurtimpu istundi. japanese vaidya samrakshana naanhyathatho oka samasya emitante vaidya lopaalu sambhavinchinappudu paaradarsakata lekapovadam. 2015loe japan, edainaa oohinchani maranaalaku roogi samrakshanapai sameekshalu nirvahinchadaaniki mariyu tadupari bandhuvulaku mariyu moodava paksha samsthaku nivedikalanu andinchadaaniki aasupatrulanu koorutuu oka chattanni pravesapettindi. ayithe, maranam oohinchanidi kaadaa anedi aaspatri nirnayistundi. rogulu ledhaa rogula kutumbaalu sameekshalanu abhyardhinchadaaniki anumatinchabadaru, idhi vyavasthanu asamarthamgaa chestundi. intalo, japanese aarogya samrakshana pradaatalu bahiranga samacharanni andinchadaaniki ishtapadaru endukante japanese vaidya paatrikeyulu vaidya vyatiraeka vimarsalanu alankaristaaru, sanchalanaatmakamgaa chestaaru mariyu konni sandarbhaallo vaidya pradaatalaku tappudu vaadanalu chesina tarvaata vaatini saricheyadaaniki takkuva sahayam chestaaru. ayithe, itara deshaalatho poliste talasari aasupatri sandarsanala sankhya peragadam mariyu saadhaaranamgaa manchi mottam phalitam pratikuula vaidya sanghatanala raetu itara deshaala kante ekkuvagaa ledani suuchistumdi.
takkuva sibbandi samasya unnanduna rogulanu saraina vaidya pradaesaaniki pampadamlo saamarthyam kaligi undatam mukhyam. japaanlooni 92 saatam aasupatrulalo taginanta mandhi vaidyulu laenappatikee, taginanta mandhi narsulu unnaaru. kevalam 10 saatam aasupatrulalo matrame taginanta sankhyalo vaidyulu mariyu taginanta sankhyalo narsulu laeru.
cerebral paalseetho janminchina pillala kesulaku noo-falt vidhananni 2009loe pravesapettaaru. idhi vyaajyaala taggudalaku daariteesindi mariyu eee paristhithitho janminchina pillala sankhya 25 saatam taggindi.
access.
japaanlo, praantiiya/jaateeya prabhutva aasupatrula dwara ledhaa private aasupatrulu/clinicla dwara sevalu andinchabadataayi, mariyu rogulaku yea sadupayanikaina saarvatrika praapyata untundi, ayinappatikee aasupatrulu aaa rogulaku referral lekunda ekkuva vasoolu chestaayi. paina paerkonnatlugaa, itara abhivruddhi chendina deshaalatho poliste japaanlo kharchulu chaalaa takkuvagaa untaayi, conny viniyoga raetlu chaalaa ekkuvagaa untaayi. chaalaa varaku oka vaidya klinikku reservationlu avasaram ledhu mariyu adhe roeju appointmentlu minahaayimpu kakunda niyamam. japanese rogulu siti skaanlu mariyu miss vanti vaidya saanketika parignaanaanni ishtapadataaru, mariyu vaaru talasari raetu vadda british kante 8 retlu ekkuva mariyu americanla kante rendu retlu ekkuva misnu andukuntaaru. chaalaa sandarbhaallo, siti skaanlu, ms mariyu aneka itara pareekshalaku vechi unde kaalam avasaram ledhu. japan loe america kante talasari moodu retlu ekkuva aasupatrulu unnaayi mariyu sagatuna, japan prajalu sagatu american kante naalugu retlu ekkuva tarachugaa aasupatrini sandarsistaaru.
vaidya soukaryaala labhyata konnisaarlu durviniyogam cheyabadutundi. telikapati anaarogyamtho badhapaduthunna kondaru rogulu marinta tagina praathamika samrakshana sevalanu pondadam kante neerugaa aasupatri atyavasara vibhaagaalaku velataaru. idhi aasupatri vaataavaranamloo chikitsa cheyalsina marinta atyavasara mariyu teevramaina paristhitulu unna vyaktulaku sahayam cheyadamlo aalasyaaniki kaaranamavutundi. ambulance sevalanu durviniyogam cheyadamlo kooda samasya undhi, chaalaa mandhi prajalu ambulance avasaram laeni chinna samasyalatho ambulenslanu aasupatrulaku teesukuvelataaru. idhi teevramaina atyavasara paristhitulaku ambulancelu raavadamlo jaapyaaniki kaaranamavutundi. 2014loe ambulance prayaanaalalo daadaapu 50 saatam chinna paristhitulu, pourulu chikitsa pondadaaniki ambulensku badulugaa taxini teesukovachhu.
saapekshamgaa chinna samasyala kosam pedda sankhyalo prajalu aasupatrulanu sandarsinche samasya kaaranamgaa, konni praantaalalo vaidya vanarula korata oka samasyaga undavacchu. japaanlo, mukhyamgaa tokyolo eee samasya vistruta aandolanagaa maarindi. japaanlooni aasupatrulu chikitsa pondadaaniki mundu kaneesam moodu saarlu 14,000 mandiki paiga atyavasara rogulanu tiraskarinchaayani oka nivedika choopinchindi. 2009loe vidudalainappudu chaalaa shraddha pondina 2007 prabhutva survey, tokyo praantamloo ituvanti aneka sanghatanalanu udaharinchindi, veetilo oka vruddhudu chivaraku cherchabadina 90 nimishala tarvaata chanipoye mundu 14 aasupatrula dwara tippikottabadina kesu, mariyu edu tokyo aasupatrulalo pravesam niraakarinchabadindani, taruvaata janmanicchina tarvaata gurtinchabadani medadu raktasraavam kaaranamgaa maranistunnatlu firyadu chesina garbhinii stree kesu unnaayi. taray mavashi" (atyavasara rogini cherchukune mundu bahula aasupatrulu ambulenslanu tiraskarinchadam) anie pilavabade aneka kaaranaalaku kaaranamani cheppavacchu, vaidya pampinheelu chaalaa takkuvagaa undataaniki aasupatrulu chaalaa ekkuva occupancy retlanu nirvahinchaalsina avasaram undhi, takkuva kharchutho kuudina hotels kante aasupatrilo undatam rogiki choukagaa untundi, nipunulaina vaidyula korata mariyu takkuva pramaadam unna rogulaku chikitsa avasaram unna vyavasthanu munchettutundi.
beema.
japan nivaasitulaku aarogya beema suutrapraayamgaa tappanisari, conny paatinchakuudadani nirnayinchukune 10 saatam mandiki jarimana ledhu, aacharanalo idhi aichhikam. saampradaaya paaschaatya vaidyam mariyu aarogya samrakshanhatho paatu, japan beema acupuncture mariyu aarogya masaz modalaina saampradaaya aarogya chikitsalanu kooda andistundi., licenses pondina chikitsakulu nundi. japaanlo mottam enimidi aarogya beema vyavasthalu unnaayi, sumaru 3,500 aarogya beema samsthalu unnaayi. maark britnell prakaram, chaalaa chinna beema samsthalu unnayani vistrutamgaa gurtinchabadindi. vaatini rendu vargaluga vibhajinchavachhu, mariyu. udyogula aarogya beema eee krindi vyavasthalugaa vibhajinchabadindih
jaateeya aarogya beema saadhaaranamgaa swayam upaadhi vyaktulu mariyu vidyaarthulaku ketayinchabadutundi, mariyu saamaajika beema saadhaaranamgaa corporate udyogulaku ketayinchabadutundi. jaateeya aarogya beema rendu vargaalanu kaligi undih
prajaarogya beema chaalaa mandhi pourulu/nivaasitulaku vartistundi mariyu eee vyavastha vaidya mariyu prescription aushadha kharchulalo 70 saatam ledhaa anthakante ekkuva chellistundi, migilina mottaanni roogi cover chestaaru (garishta parimitulu vartistaayi). nelawari beema premium prati intiki chellinchabadutundi mariyu vaarshika aadaayaaniki scale cheyabadutundi. anubandha private aarogya beema saha chellimpulu ledhaa cover cheyani kharchulanu cover cheyadaaniki matrame andubaatulo untundi mariyu vaastava kharchulaku badulugaa aasupatrilo ledhaa nirvahinchina shastrachikitsaku rojuku oka sthira chellimpu untundi.
purapalaka prabhutvaalachae nirvahinchabadutunna deerghakaalika samrakshana kosam pratyeka beema vyavastha (kaigo hoken) undhi. 40 ellu daatina vaari aadaayamlo 2 saatam vatanu kaligi untaaru.
vyaktula beema kosam udyogulu mariyu yajamaanulu iddaroo chellistaaru. idhi vyaktula coveragelo 95 saatam vatanu kaligi untundi. japaanlo rogulu vaidya kharchulalo 30 saatam chellinchaali. chaalaa ekkuva kharchu chellinchaalsina avasaram unte, vaariki 80-90% varaku tirigi chellinchabadutundi. sss (senior insurance) paridhiloki vachhe seeniyarlu kevalam 10 saatam matrame jebu nundi chellistaaru. 2016 natiki, aarogya samrakshana pradaatalu inpatient cair mariyu out patient cair kosam billionla koddi kharchu chestaaru. inpatient cair kosam 152 billion dollarlu, out patient cair kosam 147 billion dollarlu kharchu chestunnaru. deerghakaalikamgaa 41 billion dollarlu kharchu avutundi.
nedu, japan perugutunna vaidya kharchulu, oka vyakti nundi marokariki samanamga laeni prayojanaalu mariyu desamloni prati aarogya beema karyakramalapai bhaaram kooda chellinche teevramaina samasyanu kaligi undhi. paarisraamika pootiitatvaanni penche kaaryaacharana pranaalikanu aamodinchadam japan iteevala thana aarogya samrakshananu meruguparichina margalalo okati. prajalu ekkuva kaalam jeevinchelaa vyaadhulanu nivaarinchadamlo sahayapadatame dheeni lakshyam. nivaarinchagala vyaadhulanu nivaaristhe, japan itara kharchula kosam antagaa kharchu cheyalsina avasaram undadu. kaaryaacharana pranaalika adhika naanhyata gala vaidya mariyu aarogya samrakshananu kooda andistundi.