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Medicine in China

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In China , the practice of medicine is a mixture of government, charitable, and private institutions, while many people rely on traditional medicine . Until reforms in the late twentieth and early twenty-first century, physicians were quasi-government employees and with little freedom in the choice of the hospital to work with. In addition, decades of planned economic policy discouraged physicians from opening their own clinics, and the practice of medicine was generally under the control of local units , such as factories, government, offices, or communes. The reforms created a largely private practice, and physicians now are encouraged to open private clinics and for-profit hospitals.

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142-552: The Chinese Medical Association is the largest and oldest non-governmental medical organization in China. It was established by a group of medical professionals in 1915 with an aim to uniting medical professionals, upholding medical ethics and advocating social integrity. It currently counts over 430,000 members and 82 specialty societies. It publishes over 70 medical journals WA (including the Chinese Medical Journal ) , as well as

284-813: A donor who wants to see the supported project managed by a person from an industrialized country . The expertise of these employees (or volunteers) may be counterbalanced by several factors, such as ; the cost of foreigners is typically higher, they have no grassroots connections in the country, and local expertise may be undervalued. By the end of 1995, Concern Worldwide (an international anti-poverty NGO) employed 174 foreigners and just over 5,000 local staff in Haiti and ten developing countries in Africa and Asia. On average, employees in NGOs earn 11-12% less compared to employees of for-profit organizations and government workers with

426-610: A hierarchical structure; their headquarters are staffed by professionals who plan projects, create budgets, keep accounts, and report to and communicate with operational fieldworkers on projects. They are most often associated with the delivery of services or environmental issues, emergency relief, and public welfare. Operational NGOs may be subdivided into relief or development organizations, service-delivery or participatory, religious or secular, and public or private. Although operational NGOs may be community-based, many are national or international. The defining activity of an operational NGO

568-494: A low unemployment rate of around 2.6%. Its poverty rate is the second highest among the G7 countries, and exceeds 15.7% of the population. Japan has the highest ratio of public debt to GDP among advanced economies, with a national debt estimated at 248% relative to GDP as of 2022 . The Japanese yen is the world's third-largest reserve currency after the US dollar and the euro. Japan

710-676: A security alliance . The United States is a major market for Japanese exports and a major source of Japanese imports, and is committed to defending the country, with military bases in Japan. In 2016, Japan announced the Free and Open Indo-Pacific vision, which frames its regional policies. Japan is also a member of the Quadrilateral Security Dialogue ("the Quad"), a multilateral security dialogue reformed in 2017 aiming to limit Chinese influence in

852-531: A March 2000 report on United Nations reform priorities, former UN Secretary-General Kofi Annan favored international humanitarian intervention as the responsibility to protect citizens from ethnic cleansing, genocide, and crimes against humanity. After that report, the Canadian government launched its Responsibility to Protect (R2P) project outlining the issue of humanitarian intervention. The R2P project has wide applications, and among its more controversial has been

994-791: A bonus to physicians according to the hospital's operating performance and the physician's contributions. Physicians' salaries vary greatly. For those working at busy and well-known hospitals, their base salaries can be a few times as much as those of physicians working at low-ranking hospitals. Chinese hospitals are classified into three general levels, with level 3 at the top and level 1 at the bottom. Each level has sub-levels of A, B, and C. Some elite hospitals are even rated 3A+. For many physicians, in particular those at big hospitals, specialty hospitals, or hospitals with large reputations, physician incomes can be larger than regular hospitals. Physicians, and in particular, surgeons, can augment their hospital salaries by conducting surgeries at hospitals other than

1136-614: A centrally-planned economy , many hospitals were managed as government agencies rather than medical service organizations. Hospitals did not have competition pressures. The management team usually did not recognize the importance of developing and retaining high skilled physicians. Administrative personnel were more powerful than physicians at a hospital. However, with the reform of the medical sector, Chinese hospitals are facing increasing competition from privately owned and foreign-investment-backed hospitals. Physicians are expected to enjoy higher legal income and better social status. To become

1278-652: A country's commitment to environmental sustainability. Japan is the world's fifth-largest emitter of carbon dioxide . As the host and signatory of the 1997 Kyoto Protocol , Japan is under treaty obligation to reduce its carbon dioxide emissions and to take other steps to curb climate change. In 2020, the government of Japan announced a target of carbon-neutrality by 2050. Environmental issues include urban air pollution ( NOx , suspended particulate matter , and toxics ), waste management , water eutrophication , nature conservation , climate change , chemical management and international co-operation for conservation. Japan

1420-693: A deep understanding of the issues facing people and to tailor their services to meet the specific needs of each community. NGOs vary by method; some are primarily advocacy groups , and others conduct programs and activities. Oxfam , concerned with poverty alleviation, may provide needy people with the equipment and skills to obtain food and drinking water ; the Forum for Fact-finding Documentation and Advocacy (FFDA) helps provide legal assistance to victims of human-rights abuses. The Afghanistan Information Management Services provide specialized technical products and services to support development activities implemented on

1562-461: A different job. The top three reasons that lead many physicians in Beijing to quit include: doctors are not well paid; hospitals are poorly managed; and there are not enough personal development opportunities. For a government-controlled hospital, the hospital is still operated and managed by a management team under the leadership of the president of the hospital, who is usually nominated and appointed by

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1704-444: A government controlled hospital. But with the reforming of the medical service sector, both physicians and hospitals have more freedom in choosing each other. Young physicians usually have an employment contract with the hospital they work with, and a person can quit at will. The hospital can also lay off the individual if it is not satisfied with the employees performance or morality. It is not uncommon for physicians to quit and take

1846-619: A hospital, but support workers are a problem. Some hospitals hire skill-less "underground" labors and after giving them some simple training use them as hospital support workers. These workers, mostly originating from rural areas, are poorly paid by those hospitals. To secure the quality of hospital services, Beijing recently has passed a regulation on training and hiring qualified hospital support workers. In Tianjin, China's third largest city, about 1,000 unemployed people have been trained by local authority and passed hospital support work test. These people returned to work as certified support staff of

1988-570: A hotline has been set up to monitor physicians. In China, physicians are well respected, but as a group they are not at the top of the social structure of the country because their incomes fall in the middle class. According to a Ph.D. candidate at a U.S. Public Health School, who was a physician at a well-known 3A hospital in Beijing, like other junior physicians, she seldom received "red envelopes" from patients, and only senior physicians or physicians with fame would have such opportunities. The student said those senior physicians had become members of

2130-539: A kingdom in central Japan in 660 BC, beginning a continuous imperial line . Japan first appears in written history in the Chinese Book of Han , completed in 111 AD. Buddhism was introduced to Japan from Baekje (a Korean kingdom) in 552, but the development of Japanese Buddhism was primarily influenced by China. Despite early resistance, Buddhism was promoted by the ruling class, including figures like Prince Shōtoku , and gained widespread acceptance beginning in

2272-500: A lack of resources. They may be contractors or collaborate with government agencies to reduce the cost of public goods. Capacity-building NGOs affect "culture, structure, projects and daily operations". Advocacy and public-education NGOs aim to modify behavior and ideas through communication, crafting messages to promote social, political, or environmental changes (and as news organisations have cut foreign bureaux, many NGOs have begun to expand into news reporting). Movement NGOs mobilize

2414-479: A large cooperative sector, with three of the world's ten largest cooperatives, including the largest consumer cooperative and the largest agricultural cooperative as of 2018 . It ranks highly for competitiveness and economic freedom . Japan ranked sixth in the Global Competitiveness Report in 2019. It attracted 31.9 million international tourists in 2019, and was ranked eleventh in

2556-479: A major catalyst for further administrative reforms. These reforms culminated with the promulgation of the Taihō Code , which consolidated existing statutes and established the structure of the central and subordinate local governments. These legal reforms created the ritsuryō state, a system of Chinese-style centralized government that remained in place for half a millennium. The Nara period (710–784) marked

2698-708: A medical bulletin and a medical education magazine. The CMA plays a leading and active role in the nation's medical education, training and professional exchanges. From 1957, Peking Union Medical College is merged into the Chinese Academy of Medical Sciences as one single institution directly under the Ministry of Health , now the National Health Commission . At government-controlled hospitals, physicians are salaried employees. Salaries are based on working experience and professional level. Some hospitals also pay

2840-703: A medical doctor, a person needs to study for 5 years at a medical school. For foreign or international students, the person needs to study for 6 years at the medical school, namely because the Chinese version is accelerated. Also, international students have to prepare for and take the Hanyu Shuiping Kaoshi for admission, and during med school, the Medical Chinese Exam. After graduation, the newly minted physician needs to complete 2–3 years of residency training, including training for subspecialty. Upon graduation,

2982-543: A new constitution emphasizing liberal democratic practices. The Allied occupation ended with the Treaty of San Francisco in 1952, and Japan was granted membership in the United Nations in 1956. A period of record growth propelled Japan to become the second-largest economy in the world; this ended in the mid-1990s after the popping of an asset price bubble , beginning the " Lost Decade ". In 2011, Japan suffered one of

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3124-462: A new system of taxation. The true aim of the reforms was to bring about greater centralization and to enhance the power of the imperial court, which was also based on the governmental structure of China. Envoys and students were dispatched to China to learn about Chinese writing, politics, art, and religion. The Jinshin War of 672, a bloody conflict between Prince Ōama and his nephew Prince Ōtomo , became

3266-428: A number of big hospitals. One needs to study at a nursing school for around three years before being eligible to work as a nurse. Most nursing schools enroll middle school graduates (Grade 9) and senior high school graduates (Grade 12), and they run four-year and three-year programs respectively. A bachelor's degree in nursing has been available since late 1980s and early 1990s in China. Many medical schools including

3408-614: A population of nearly 124 million as of 2024, and is the eleventh-most populous country . Its capital and largest city is Tokyo ; the Greater Tokyo Area is the largest metropolitan area in the world, with more than 38 million inhabitants as of 2016. Japan is divided into 47 administrative prefectures and eight traditional regions . About three-quarters of the country's terrain is mountainous and heavily forested, concentrating its agriculture and highly urbanized population along its eastern coastal plains . The country sits on

3550-427: A restriction, and some of them have tried all means to lure away prescription drugs buyer from hospitals. For instance, they offer to pay drug buyers half a dollar for each prescription the buyers brought to the drug stores. Normally a prescription is effective on the day it is issued, but it can be effective within three days of prescription under certain conditions. Physicians used to be hired as full-time employees at

3692-460: A significant shift to urbanization. The early 20th century saw a period of Taishō democracy (1912–1926) overshadowed by increasing expansionism and militarization . World War I allowed Japan, which joined the side of the victorious Allies , to capture German possessions in the Pacific and China in 1920 . The 1920s saw a political shift towards statism , a period of lawlessness following

3834-654: A small percentage of their monthly incomes. By 1901, China was the most popular destination for medical missionaries. The 150 foreign physicians operated 128 hospitals and 245 dispensaries, treating 1.7 million patients. In 1894, male medical missionaries comprised 14 percent of all missionaries; women doctors were four percent. Modern medical education in China started in the early 20th century at hospitals run by international missionaries. Today Universities, colleges and institutes, which make up China's higher educational system, offer four- or five-year undergraduate programs as well as special two- or three-year programs. To control

3976-399: A state-run-enterprise owned AAA hospital (the highest standard), and the acquisition was the first of this kind in China. The investment company plans to buy 10 hospitals in the next three to five years. In Fuzhou , the capital city of Fujian province, four government-owned hospitals have been sold to private investors. Nurses are normally well trained before being eligible for working with

4118-523: Is reclaimed land ( umetatechi ). Lake Biwa is an ancient lake and the country's largest freshwater lake. Japan is substantially prone to earthquakes , tsunami and volcanic eruptions because of its location along the Pacific Ring of Fire. It has the 17th highest natural disaster risk as measured in the 2016 World Risk Index. Japan has 111 active volcanoes. Destructive earthquakes, often resulting in tsunami, occur several times each century;

4260-430: Is 377,975.24 km (145,937.06 sq mi). Japan has the sixth-longest coastline in the world at 29,751 km (18,486 mi). Because of its far-flung outlying islands, Japan's exclusive economic zone is the eighth-largest in the world, covering 4,470,000 km (1,730,000 sq mi). The Japanese archipelago is 67% forests and 14% agricultural . The primarily rugged and mountainous terrain

4402-691: Is a unitary state and constitutional monarchy in which the power of the Emperor is limited to a ceremonial role . Executive power is instead wielded by the Prime Minister of Japan and his Cabinet , whose sovereignty is vested in the Japanese people. Naruhito is the Emperor of Japan, having succeeded his father Akihito upon his accession to the Chrysanthemum Throne in 2019. Japan's legislative organ

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4544-486: Is delivered in a timely and effective manner. NGOs also play a critical role in driving change by advocating for policies and practices that benefit disadvantaged communities. They often work in partnership with other organizations, including government agencies, to address complex challenges that require a collaborative approach. One of the key strengths of NGOs is their ability to work at the grassroots level and to connect with communities directly. This allows them to gain

4686-507: Is divided into 47 prefectures, each overseen by an elected governor and legislature. In the following table, the prefectures are grouped by region : 7.  Fukushima 14.  Kanagawa 23.  Aichi 30.  Wakayama 35.  Yamaguchi 39.  Kōchi 47.  Okinawa A member state of the United Nations since 1956, Japan is one of the G4 countries seeking reform of

4828-637: Is governed by the Ministry of Defense , and primarily consists of the Japan Ground Self-Defense Force , the Japan Maritime Self-Defense Force , and the Japan Air Self-Defense Force . The deployment of troops to Iraq and Afghanistan marked the first overseas use of Japan's military since World War II. The Government of Japan has been making changes to its security policy which include the establishment of

4970-636: Is located in the Pacific Ocean off the northeast coast of the Asian mainland , and is bordered on the west by the Sea of Japan and extends from the Sea of Okhotsk in the north to the East China Sea in the south. The Japanese archipelago consists of four major islands— Hokkaido , Honshu , Shikoku , and Kyushu —and thousands of smaller islands , covering 377,975 square kilometres (145,937 sq mi). Japan has

5112-461: Is not founded by an international treaty". The role of NGOs and other "major groups" in sustainable development was recognized in Chapter 27 of Agenda 21 . The rise and fall of international NGOs matches contemporary events, waxing in periods of growth and waning in times of crisis. The United Nations gave non-governmental organizations observer status at its assemblies and some meetings. According to

5254-487: Is not heavy, but the islands usually develop deep snowbanks in the winter. In the Sea of Japan region on Honshu's west coast, northwest winter winds bring heavy snowfall during winter. In the summer, the region sometimes experiences extremely hot temperatures because of the Foehn . The Central Highland has a typical inland humid continental climate, with large temperature differences between summer and winter. The mountains of

5396-687: Is observed annually on 27 February, was recognised on 17 April 2010 by 12 countries of the IX Baltic Sea NGO Forum at the eighth Summit of the Baltic Sea States in Vilnius , Lithuania. It was internationally recognised on 28 February 2014 in Helsinki , Finland by United Nations Development Programme administrator and former Prime Minister of New Zealand Helen Clark . In the context of NGOs (Non-Governmental Organizations), diplomacy refers to

5538-764: Is often used to judge it; less than four percent is considered good. According to the World Association of Non-Governmental Organizations, more than 86 percent should be spent on programs (less than 20 percent on overhead). The Global Fund to Fight AIDS, Tuberculosis and Malaria has guidelines of five to seven percent overhead to receive funding; the World Bank typically allows 37 percent. A high percentage of overhead relative to total expenditures can make it more difficult to generate funds. High overhead costs may also generate public criticism. A sole focus on overhead, however, can be counterproductive. Research published by

5680-439: Is restricted for habitation. Thus the habitable zones, mainly in the coastal areas, have very high population densities: Japan is the 40th most densely populated country even without considering that local concentration. Honshu has the highest population density at 450 persons/km (1200/sq mi) as of 2010 , while Hokkaido has the lowest density of 64.5 persons/km as of 2016 . As of 2014 , approximately 0.5% of Japan's total area

5822-475: Is the National Diet , a bicameral parliament . It consists of a lower House of Representatives with 465 seats, elected by popular vote every four years or when dissolved, and an upper House of Councillors with 245 seats, whose popularly-elected members serve six-year terms. There is universal suffrage for adults over 18 years of age, with a secret ballot for all elected offices. The prime minister as

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5964-536: Is the implementation of projects. Advocacy NGOs or campaigning NGOs seek to "achieve large-scale change promoted indirectly through the influence of the political system". They require an active, efficient group of professional members who can keep supporters informed and motivated. Campaigning NGOs must plan and host demonstrations and events which will attract media, their defining activity. Campaigning NGOs often deal with issues related to human rights, women's rights, and children's rights, and their primary purpose

6106-576: Is the oldest unamended constitution in the world. Statutory law originates in the legislature, and the constitution requires that the emperor promulgate legislation passed by the Diet without giving him the power to oppose legislation. The main body of Japanese statutory law is called the Six Codes . Japan's court system is divided into four basic tiers: the Supreme Court and three levels of lower courts. Japan

6248-465: Is to communicate with NGOs about areas of mutual interest. Department of Defense Directive 3000.05, in 2005, required the US Defense Department to regard stability-enhancing activities as equally important as combat. In compliance with international law , the department has developed a capacity to improve essential services in areas of conflict (such as Iraq ) where customary lead agencies like

6390-695: Is to defend (or promote) a specific cause. Non-governmental organisations need healthy public relations in order to meet their goals, and use sophisticated public-relations campaigns to raise funds and deal with governments. Interest groups may be politically important, influencing social and political outcomes. A code of ethics was established in 2002 by the World Association of Non-Governmental Organizations . Some NGOs rely on paid staff while others are based on volunteers . Although many NGOs use international staff in developing countries, others rely on local employees or volunteers. Foreign staff may satisfy

6532-484: Is transnational coordination by non-official members of the government, including epistemic communities and former policymakers or analysts. It aims to help policymakers and policy analysts reach a common solution through unofficial discussions. Unlike official diplomacy, conducted by government officials, diplomats, and elected leaders, Track II diplomacy involves experts, scientists, professors and other figures who are not part of government affairs. World NGO Day, which

6674-560: Is typically used in everyday speech and reflects shifts in Japanese phonology during the Edo period . The characters 日本 mean "sun origin", which is the source of the popular Western epithet "Land of the Rising Sun". The name "Japan" is based on Min or Wu Chinese pronunciations of 日本 and was introduced to European languages through early trade. In the 13th century, Marco Polo recorded

6816-557: Is very heavy, especially during the rainy season. The main rainy season begins in early May in Okinawa, and the rain front gradually moves north. In late summer and early autumn, typhoons often bring heavy rain. According to the Environment Ministry, heavy rainfall and increasing temperatures have caused problems in the agricultural industry and elsewhere. The highest temperature ever measured in Japan, 41.1 °C (106.0 °F),

6958-431: Is written using the kanji 日本 and is pronounced Nihon or Nippon . Before 日本 was adopted in the early 8th century, the country was known in China as Wa ( 倭 , changed in Japan around 757 to 和 ) and in Japan by the endonym Yamato . Nippon , the original Sino-Japanese reading of the characters, is favored for official uses, including on Japanese banknotes and postage stamps. Nihon

7100-850: The shōgun led to the Boshin War and the establishment of a centralized state nominally unified under the emperor (the Meiji Restoration ). Adopting Western political, judicial, and military institutions, the Cabinet organized the Privy Council , introduced the Meiji Constitution (November 29, 1890), and assembled the Imperial Diet . During the Meiji period (1868–1912), the Empire of Japan emerged as

7242-416: The 1923 Tokyo earthquake killed over 140,000 people. More recent major quakes are the 1995 Great Hanshin earthquake and the 2011 Tōhoku earthquake, which triggered a large tsunami. The climate of Japan is predominantly temperate but varies greatly from north to south. The northernmost region, Hokkaido, has a humid continental climate with long, cold winters and very warm to cool summers. Precipitation

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7384-459: The Asuka period (592–710). In 645, the government led by Prince Naka no Ōe and Fujiwara no Kamatari devised and implemented the far-reaching Taika Reforms . The Reform began with land reform, based on Confucian ideas and philosophies from China . It nationalized all land in Japan, to be distributed equally among cultivators, and ordered the compilation of a household registry as the basis for

7526-530: The Battle of Sekigahara in 1600. He was appointed shōgun by Emperor Go-Yōzei in 1603 and established the Tokugawa shogunate at Edo (modern Tokyo). The shogunate enacted measures including buke shohatto , as a code of conduct to control the autonomous daimyō , and in 1639 the isolationist sakoku ("closed country") policy that spanned the two and a half centuries of tenuous political unity known as

7668-512: The Chūgoku and Shikoku regions shelter the Seto Inland Sea from seasonal winds, bringing mild weather year-round. The Pacific coast features a humid subtropical climate that experiences milder winters with occasional snowfall and hot, humid summers because of the southeast seasonal wind. The Ryukyu and Nanpō Islands have a subtropical climate , with warm winters and hot summers. Precipitation

7810-579: The Early Mandarin Chinese pronunciation of the characters 日本國 as Cipangu . The old Malay name for Japan, Japang or Japun , was borrowed from a southern coastal Chinese dialect and encountered by Portuguese traders in Southeast Asia , who brought the word to Europe in the early 16th century. The first version of the name in English appears in a book published in 1577, which spelled

7952-575: The Edo period (1603–1868). Modern Japan's economic growth began in this period, resulting in roads and water transportation routes, as well as financial instruments such as futures contracts , banking and insurance of the Osaka rice brokers . The study of Western sciences ( rangaku ) continued through contact with the Dutch enclave in Nagasaki . The Edo period gave rise to kokugaku ("national studies"),

8094-661: The European Convention on the Recognition of the Legal Personality of International Non-Governmental Organisations in Strasbourg in 1986, creating a common legal basis for European NGOs. Article 11 of the European Convention on Human Rights protects the right to associate, which is fundamental for NGOs. The question whether a public project should be owned by an NGO or by the government has been studied in economics using

8236-720: The Indo-Pacific region, along with the United States, Australia, and India. Japan is engaged in several territorial disputes with its neighbors. Japan contests Russia's control of the Southern Kuril Islands , which were occupied by the Soviet Union in 1945. South Korea's control of the Liancourt Rocks is acknowledged but not accepted as they are claimed by Japan. Japan has strained relations with China and Taiwan over

8378-719: The Kurils . The Allies (led by the United States) repatriated millions of Japanese settlers from their former colonies and military camps throughout Asia, largely eliminating the Japanese Empire and its influence over the territories it conquered. The Allies convened the International Military Tribunal for the Far East to prosecute Japanese leaders except the Emperor for Japanese war crimes . In 1947, Japan adopted

8520-634: The National Security Council , the adoption of the National Security Strategy, and the development of the National Defense Program Guidelines. In May 2014, Prime Minister Shinzo Abe said Japan wanted to shed the passiveness it has maintained since the end of World War II and take more responsibility for regional security. In December 2022, Prime Minister Fumio Kishida further confirmed this trend, instructing

8662-550: The Pacific War and two atomic bombings , Japan surrendered in 1945 and came under Allied occupation . After the war, the country underwent rapid economic growth , although its economy has stagnated since 1990 . Japan is a constitutional monarchy with a bicameral legislature, the National Diet . A great power and the only Asian member of the G7 , Japan has constitutionally renounced its right to declare war , but maintains one of

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8804-406: The Sea of Okhotsk to the East China Sea . The country's five main islands, from north to south, are Hokkaido , Honshu , Shikoku , Kyushu and Okinawa . The Ryukyu Islands , which include Okinawa, are a chain to the south of Kyushu. The Nanpō Islands are south and east of the main islands of Japan. Together they are often known as the Japanese archipelago . As of 2019 , Japan's territory

8946-418: The Security Council . Japan is a member of the G7 , APEC , and " ASEAN Plus Three ", and is a participant in the East Asia Summit . It is the world's fifth-largest donor of official development assistance , donating US$ 9.2 billion in 2014. In 2024, Japan had the fourth-largest diplomatic network in the world. Japan has close economic and military relations with the United States, with which it maintains

9088-504: The Senkaku Islands and the status of Okinotorishima . Japan is the third highest-ranked Asian country in the 2024 Global Peace Index . It spent 1.1% of its total GDP on its defence budget in 2022, and maintained the tenth-largest military budget in the world in 2022. The country's military (the Japan Self-Defense Forces) is restricted by Article 9 of the Japanese Constitution , which renounces Japan's right to declare war or use military force in international disputes. The military

9230-463: The State Department and USAID have difficulty operating. International Health cultivates collaborative, arm's-length relationships with NGOs, recognizing their independence, expertise, and honest-broker status. International non-governmental organizations date back to at least the late 18th century, and there were an estimated 1,083 NGOs by 1914. International NGOs were important to the anti-slavery and women's suffrage movements, and peaked at

9372-580: The UN Department of Global Communications , an NGO is "a not-for profit , voluntary citizen's group that is organized on a local, national or international level to address issues in support of the public good". The term NGO is used inconsistently, and is sometimes used synonymously with civil society organization (CSO), which is any association founded by citizens. In some countries, NGOs are known as nonprofit organizations while political parties and trade unions are sometimes considered NGOs as well. NGOs are classified by (1) orientation- entailing

9514-441: The Urban Institute and Stanford University 's Center for Social Innovation have shown that rating agencies create incentives for NGOs to lower (and hide) overhead costs, which may reduce organizational effectiveness by starving organizations of infrastructure to deliver services. An alternative rating system would provide, in addition to financial data, a qualitative evaluation of an organization's transparency and governance: In

9656-540: The Washington Consensus . Twentieth-century globalization increased the importance of NGOs. International treaties and organizations, such as the World Trade Organization , focused on capitalist interests. To counterbalance this trend, NGOs emphasize humanitarian issues , development aid , and sustainable development . An example is the World Social Forum , a rival convention of the World Economic Forum held each January in Davos , Switzerland. The fifth World Social Forum, in Porto Alegre , Brazil in January 2005,

9798-401: The end of the shogunate and the restoration of imperial power in 1868. In the Meiji period , the Empire of Japan pursued rapid industrialization and modernization , as well as militarism and overseas colonization . In 1937, Japan invaded China , and in 1941 attacked the United States and European colonial powers, entering World War II as an Axis power . After suffering defeat in

9940-411: The head of government has the power to appoint and dismiss Ministers of State , and is appointed by the emperor after being designated from among the members of the Diet. Shigeru Ishiba is Japan's prime minister; he took office after winning the 2024 Liberal Democratic Party leadership election . The broadly conservative Liberal Democratic Party has been the dominant party in the country since

10082-453: The healthcare department of a province , a city or a county . But for a private hospital or a publicly traded hospital, the ownership is the same as that of a private company or a public company. There are two types of hospitals in China – for-profit and non-profit . Profit-oriented hospitals may distribute their profit. Non-profit hospitals are government-owned, and will turn earnings into additional infrastructure or hand them back to

10224-734: The samurai . In 1185, following the defeat of the Taira clan by the Minamoto clan in the Genpei War , samurai Minamoto no Yoritomo established a military government at Kamakura . After Yoritomo's death, the Hōjō clan came to power as regents for the shōgun . The Zen school of Buddhism was introduced from China in the Kamakura period (1185–1333) and became popular among the samurai class. The Kamakura shogunate repelled Mongol invasions in 1274 and 1281 but

10366-509: The 1923 Great Tokyo Earthquake , the passing of laws against political dissent , and a series of attempted coups . This process accelerated during the 1930s, spawning several radical nationalist groups that shared a hostility to liberal democracy and a dedication to expansion in Asia. In 1931, Japan invaded China and occupied Manchuria , which led to the establishment of puppet state of Manchukuo in 1932; following international condemnation of

10508-649: The 1950s, often called the 1955 System . Historically influenced by Chinese law , the Japanese legal system developed independently during the Edo period through texts such as Kujikata Osadamegaki . Since the late 19th century, the judicial system has been largely based on the civil law of Europe, notably Germany. In 1896, Japan established a civil code based on the German Bürgerliches Gesetzbuch , which remains in effect with post–World War II modifications. The Constitution of Japan , adopted in 1947,

10650-545: The Basic Medical Insurance System. Only about 120 million to 180 million workers have some form of healthcare coverage that will pay for Western pharmaceuticals, according to industry analysts. Farmers, who make up the vast majority of Chinese, have no real coverage at all. The Chinese government used to cover up to 100% of medical fees for employees working with government agencies, state-owned enterprises, or educational organizations, but peasants didn't enjoy

10792-649: The Canadian government's use of R2P to justify its intervention in the coup in Haiti. Large corporations have increased their corporate social responsibility departments to preempt NGO campaigns against corporate practices. Collaboration between corporations and NGOs risks co-option of the weaker partner, typically the NGO. In December 2007, Assistant Secretary of Defense for Health Affairs S. Ward Casscells established an International Health Division of Force Health Protection & Readiness. Part of International Health's mission

10934-738: The National Police Agency is administered by the National Public Safety Commission . The Special Assault Team comprises national-level counter-terrorism tactical units that cooperate with territorial-level Anti-Firearms Squads and Counter-NBC Terrorism Squads . The Japan Coast Guard guards territorial waters surrounding Japan and uses surveillance and control countermeasures against smuggling, marine environmental crime , poaching, piracy, spy ships, unauthorized foreign fishing vessels, and illegal immigration. The Firearm and Sword Possession Control Law strictly regulates

11076-559: The Office of Refugee Resettlement uses to help integrate immigrants to America. Government funding sometimes accounts for the vast majority of overall funding for these NGOs, for example Global Refuge received 180 million dollars of its 207 million dollar budget from federal funding. In recent years, government contracts to non-profits have exploded both in number and size. The Budget for the Office of Refugee Resettlement has increased from 1.8 billion in 2018 to 6.3 billion in 2022. Critics point to

11218-571: The Pacific Ring of Fire , making its islands prone to destructive earthquakes and tsunamis . The first known habitation of the archipelago dates to the Upper Paleolithic , with the beginning Japanese Paleolithic dating to c.  36,000 BC . Between the fourth and sixth centuries, its kingdoms were united under an emperor in Nara , and later Heian-kyō . From the 12th century, actual power

11360-615: The Pacific . Throughout areas occupied by Japan during the war, numerous abuses were committed against local inhabitants, with many forced into sexual slavery . After Allied victories during the next four years, which culminated in the Soviet invasion of Manchuria and the atomic bombings of Hiroshima and Nagasaki in 1945, Japan agreed to an unconditional surrender . The war cost Japan millions of lives and its colonies , including de jure parts of Japan such as Korea , Taiwan , Karafuto , and

11502-465: The School of Medicine of Beijing University offer five-year programs in nursing. Most hospitals are located at downtown areas due to people's reliance on public transportation in China. More than 80% of Chinese medical resources are concentrated in urban areas, and the rest in rural areas. The government, employers, and individuals pay for healthcare. In December 1998, a national medical insurance scheme

11644-803: The State-owned enterprise (SOE) and collective insurance. This system has reimbursed 100 percent of employees' medical costs, and 50 percent of family members' costs. The system has been funded, in name at least, by the enterprises. Hoping to reduce enterprise subsidies of all types, the State Council launched pilot reforms in 1994 of the two health insurance systems under its control. Begun in two midsize cities, Jiujiang, Jiangxi Province , and Zhenjiang , Jiangsu Province, and expanded to over 60 cities in 1997, this experiment has become national policy, applicable to domestic and foreign-invested firms. The two State health insurance systems would later be consolidated to be

11786-498: The UN, an NGO is a private, not-for-profit organization which is independent of government control and is not merely an opposition political party . The rapid development of the non-governmental sector occurred in Western countries as a result of the restructuring of the welfare state . Globalization of that process occurred after the fall of the communist system, and was an important part of

11928-417: The United States (9.9 percent), and Australia (9.8 percent). Japan's main imports are machinery and equipment, fossil fuels, foodstuffs, chemicals, and raw materials for its industries. The Japanese variant of capitalism has many distinct features: keiretsu enterprises are influential, and lifetime employment and seniority-based career advancement are common in the Japanese work environment . Japan has

12070-669: The World Economic Forum, may also act as lobby groups for corporations. Unlike international organizations (IOs), which directly interact with sovereign states and governments, NGOs are independent from them. The term as it is used today was first introduced in Article 71 of the newly formed United Nations' Charter in 1945. While there is no fixed or formal definition for what NGOs are, they are generally defined as nonprofit entities that are independent of governmental influence—although they may receive government funding . According to

12212-551: The World NGO Day, we celebrate the key civil society's contribution to public space and their unique ability to give voice to those who would have went [sic] otherwise unheard. European Commission Vice-President Federica Mogherini , commemorating the 2017 World NGO Day in Brussels Service-delivery NGOs provide public goods and services which governments of developing countries are unable to provide due to

12354-490: The basic medical insurance drug list, the State Scheme Drug List for Basic Medical Insurance, which is based on clinical need, safety and efficacy, reasonable pricing, ease of use, and the desire to maintain a balance between Western and TCM products. The basic medical insurance and at-work injury insurance of 2004 cover 832 traditional Chinese medicines, up from 415 of 2000; the number of chemical medicines covered by

12496-470: The basic medical scheme, which aims to control expenses on drugs, specifies drugs that are covered by the scheme and eligible for reimbursement. As the government-driven drug price regulation mechanism and the centralized tendering drug procurement program are only applicable to the drugs covered by the scheme, the scheme undoubtedly plays a crucial role in the development of the drug industry. The basic insurance plan does not reimburse expenses for drugs not on

12638-492: The basic plan. For example, for employees of foreign enterprises in Beijing hired through Foreign Enterprises Service Corp. (FESCO), foreign enterprises pay FESCO, and FESCO then buys insurance policies for these employees. The government also allows commercial health insurers to operate in China. In 2004, 119.41 million people had basic medical insurance. Revenues of basic medical insurance funds reached $ 91 billion, and payments were $ 74 billion. The qualified drug catalogue under

12780-526: The benefits of this scheme, which is considered a shortcoming of the social medical insurance scheme. The National Basic Medical Insurance Scheme ensures basic medical access by the public under the social security system. Individuals pay an annual insurance premium for their basic medical treatment entitlements. This scheme has replaced the previous government-funded labor insurance medical system. Foreign-invested enterprises are required to provide health insurance benefits, but are not required to participate in

12922-472: The capital, settling on Heian-kyō (modern-day Kyoto ) in 794. This marked the beginning of the Heian period (794–1185), during which a distinctly indigenous Japanese culture emerged. Murasaki Shikibu 's The Tale of Genji and the lyrics of Japan's national anthem " Kimigayo " were written during this time. Japan's feudal era was characterized by the emergence and dominance of a ruling class of warriors,

13064-493: The civilian ownership of guns, swords, and other weaponry. According to the United Nations Office on Drugs and Crime , among the member states of the UN that report statistics as of 2018 , the incidence rates of violent crimes such as murder, abduction, sexual violence, and robbery are very low in Japan. Japanese society traditionally places a strong emphasis on collective harmony and conformity , which has led to

13206-617: The emergence of a Japanese state centered on the Imperial Court in Heijō-kyō (modern Nara ). The period is characterized by the appearance of a nascent literary culture with the completion of the Kojiki (712) and Nihon Shoki (720), as well as the development of Buddhist-inspired artwork and architecture . A smallpox epidemic in 735–737 is believed to have killed as much as one-third of Japan's population. In 784, Emperor Kanmu moved

13348-456: The fields of humanitarian assistance and poverty alleviation. Funding sources include membership dues, the sale of goods and services, grants from international institutions or national governments, corporate social responsibility (CSR) funds and private donations. Although the term "non-governmental organization" implies independence from governments, many NGOs depend on government funding; one-fourth of Oxfam 's US$ 162 million 1998 income

13490-544: The fifth largest market following Japan . AstraZeneca now ranks as the No. 1 foreign brand in terms of prescription sales in the Chinese market. Physicians control the distribution of prescription drugs. Some hospitals and clinics stipulate patients must buy prescription drugs from the hospitals or directly from the physicians who make the prescriptions. Such a restriction aims to prevent the loss of sales on prescription drugs to retailers, but retailing drug stores are unhappy with such

13632-757: The first time, initiating direct commercial and cultural exchange between Japan and the West. Oda Nobunaga used European technology and firearms to conquer many other daimyō ; his consolidation of power began what was known as the Azuchi–Momoyama period . After the death of Nobunaga in 1582, his successor, Toyotomi Hideyoshi , unified the nation in the early 1590s and launched two unsuccessful invasions of Korea in 1592 and 1597 . Tokugawa Ieyasu served as regent for Hideyoshi's son Toyotomi Hideyori and used his position to gain political and military support. When open war broke out, Ieyasu defeated rival clans in

13774-475: The following ways;: Similar terms include third-sector organization (TSO), nonprofit organization (NPO), voluntary organization (VO), civil society organization (CSO), grassroots organization (GO), social movement organization (SMO), private voluntary organization (PVO), self-help organization (SHO), and non-state actors (NSAs). Numerous variations exist for the NGO acronym, either due to language, region, or specificity. Some Romance languages use

13916-477: The forces that controlled them, whatever the governments concerned might think about the matter." Some NGOs, such as Greenpeace , do not accept funding from governments or intergovernmental organizations. The 1999 budget of the American Association of Retired Persons ( AARP ) was over $ 540 million. In America, government funding of NGOs relating to immigration is common, and is one of the stated methods

14058-465: The good intentions of NGO leaders and activists, he is critical of the "objective effects of actions, regardless of their intentions". According to Shivji, the rise of NGOs is part of a neoliberal paradigm and not motivated purely by altruism; NGOs want to change the world without understanding it, continuing an imperial relationship. Japan Japan is an island country in East Asia . It

14200-415: The government and industrial corporations; as a result, environmental pollution was widespread in the 1950s and 1960s. Responding to rising concerns, the government introduced environmental protection laws in 1970. The oil crisis in 1973 also encouraged the efficient use of energy because of Japan's lack of natural resources. Japan ranks 20th in the 2018 Environmental Performance Index , which measures

14342-607: The government to increase spending by 65% until 2027. Recent tensions, particularly with North Korea and China, have reignited the debate over the status of the JSDF and its relation to Japanese society. Domestic security in Japan is provided mainly by the prefectural police departments , under the oversight of the National Police Agency . As the central coordinating body for the Prefectural Police Departments,

14484-761: The graduate must work as a resident physician for few years to be eligible to take a National Medical Licensing Examination (NMLE) for physician certification. This examination is conducted by the National Medical Examination Center (NMEC). Without approval of registration by the Ministry of Health one can not practice medicine in China as a physician or assistant physician. American type of residency training has not been implemented nationwide in Chinese hospitals though almost all hospitals require their physicians to be trained as resident for few years before promotion to attending. American type of residency program

14626-824: The ground by other organizations. Management techniques are crucial to project success. The World Bank classifies NGO activity into two general categories: NGOs may also conduct both activities: operational NGOs will use campaigning techniques if they face issues in the field, which could be remedied by policy change, and campaigning NGOs (such as human-rights organizations ) often have programs which assist individual victims for whom they are trying to advocate. Operational NGOs seek to "achieve small-scale change directly through projects", mobilizing financial resources, materials, and volunteers to create local programs. They hold large-scale fundraising events and may apply to governments and organizations for grants or contracts to raise money for projects. Operational NGOs often have

14768-505: The high-income class. Like the student, many physicians, went abroad to study because they were not satisfied with their status. According to a 2002 statistics from Beijing Physicians Association, between 2000 and 2001, in Beijing about 2300 physicians resigned, and most of them went to work as sales representatives of drug companies. Some still practice medicine but work with privately owned hospitals rather than public hospitals. Influenced by

14910-475: The insurance systems increase from 725 to 1031 from year 2000 to 2004, some of which are patent-protected drugs of Western companies. Sino-Generali Life Insurance, a joint venture between China and Italy companies, offers a commercial medical insurance that reimburses 80% of prescription drugs, with an annual maximum reimbursement of $ 1000 per policy. Before the reform of healthcare system, roughly 140 million workers and 60 million family members were covered under

15052-566: The largest earthquakes in its recorded history - the Tōhoku earthquake - triggering the Fukushima Daiichi nuclear disaster . On May 1, 2019, after the historic abdication of Emperor Akihito , his son Naruhito became Emperor, beginning the Reiwa era. Japan comprises 14,125 islands extending along the Pacific coast of Asia. It stretches over 3000 km (1900 mi) northeast–southwest from

15194-506: The medical education standard the Chinese ministry of education set up a quality control regulation on medical education, this regulation specially for English medium undergraduate medical education. Non-governmental A non-governmental organization (NGO) is an independent, typically nonprofit organization that operates outside government control. NGOs often focus on humanitarian or social issues but can also include clubs and associations offering services to members. Some NGOs, like

15336-467: The million-dollar salaries of CEOS and the use of funds for "music therapy" and "pet therapy" as a worrying sign that the money might not be appropriated to help the migrant crisis, but rather as a political move to keep wealthy backers loyal. Overhead is the amount of money spent on running an NGO, rather than on projects. It includes office expenses, salaries, and banking and bookkeeping costs. An NGO's percentage of its overall budget spent on overhead

15478-603: The most developed state in Asia and as an industrialized world power that pursued military conflict to expand its sphere of influence. After victories in the First Sino-Japanese War (1894–1895) and the Russo-Japanese War (1904–1905), Japan gained control of Taiwan, Korea and the southern half of Sakhalin , and annexed Korea in 1910. The Japanese population doubled from 35 million in 1873 to 70 million by 1935, with

15620-537: The name as Giapan in a translation of a 1565 Portuguese letter. Modern humans arrived in Japan around 38,000 years ago (~36,000 BC), marking the beginning of the Japanese Paleolithic . This was followed from around 14,500 BC (the start of the Jōmon period ) by a Mesolithic to Neolithic semi-sedentary hunter-gatherer culture characterized by pit dwelling and rudimentary agriculture. Clay vessels from

15762-554: The northern islands. Japan has over 90,000 species of wildlife as of 2019 , including the brown bear , the Japanese macaque , the Japanese raccoon dog , the small Japanese field mouse , and the Japanese giant salamander . There are 53 Ramsar wetland sites in Japan. Five sites have been inscribed on the UNESCO World Heritage List for their outstanding natural value. In the period of rapid economic growth after World War II, environmental policies were downplayed by

15904-500: The number of the country's primary schools and health centers. The United States, by comparison, has approximately 1.5 million NGOs. NGOs further the social goals of their members (or founders): improving the natural environment , encouraging the observance of human rights , improving the welfare of the disadvantaged, or representing a corporate agenda. Their goals cover a wide range of issues. They may fund local NGOs, institutions and projects, and implement projects. NGOs can be in

16046-947: The occupation , it resigned from the League of Nations in 1933. In 1936, Japan signed the Anti-Comintern Pact with Nazi Germany ; the 1940 Tripartite Pact made it one of the Axis powers . The Empire of Japan invaded other parts of China in 1937, precipitating the Second Sino-Japanese War (1937–1945). In 1940, the Empire invaded French Indochina , after which the United States placed an oil embargo on Japan. On December 7–8, 1941, Japanese forces carried out surprise attacks on Pearl Harbor , as well as on British forces in Malaya , Singapore , and Hong Kong , among others, beginning World War II in

16188-506: The ones in which they are employed. Many physicians also receive commissions from prescribing prescription drugs and get " red envelopes " from patients (patients give money or gifts to their physicians for receiving treatment) or from sales representatives of drug companies. New regulations issued by the Health Ministry, however, remove physicians from the practice of medicine if they are found to have taken "red envelopes" from patients, and

16330-455: The party with the larger valuation need not be optimal when the public good is partially excludable, when both NGO and government may be indispensable, or when the NGO and the government have different bargaining powers. Moreover, the investment technology can matter for the optimal ownership structure when there are bargaining frictions, when the parties interact repeatedly or when the parties are asymmetrically informed. Today we celebrate

16472-478: The party with the more important investment task should be owner. Yet, Besley and Ghatak have argued that in the context of public projects the investment technology does not matter. Specifically, even when the government is the key investor, ownership by an NGO is optimal if and only if the NGO has a larger valuation of the project than the government. However, the general validity of this argument has been questioned by follow-up research. In particular, ownership by

16614-516: The period are among the oldest surviving examples of pottery. The Japonic -speaking Yayoi people entered the archipelago from the Korean Peninsula, intermingling with the Jōmon ; the Yayoi period saw the introduction of practices including wet-rice farming , a new style of pottery , and metallurgy from China and Korea. According to legend, Emperor Jimmu (descendant of Amaterasu ) founded

16756-474: The plan. According to a news report, 44.8% of urban residents and 79.1% of rural residents have no medical insurance.} Many of people are private payers. They either cannot afford to buy medical insurance, or do not understand the value of medical insurance. In contrast to rural residents, urban residents have much better situation. Many employers have bought for their employees group or supplementary medical insurance, and employers deduct from employees' payrolls

16898-461: The policy. Starting from 2001, a new medical coverage plan took effect, marking the government's withdrawal from shouldering whole medical insurance burden. Under the policy, urban residents must join a government managed basic insurance coverage plan for urban residents and pay a certain amount of monthly fees based on their income levels, and up to 70% of their medical expenses can be reimbursed. So far around 100 million urban residents are covered by

17040-1192: The practice of building and maintaining partnerships with other organizations, stakeholders, and governments to achieve common objectives related to social or environmental issues. NGOs often work in complex environments, where multiple stakeholders have different interests and goals. Diplomacy allows NGOs to navigate these complex environments and engage in constructive dialogue with different actors to promote understanding, build consensus, and facilitate cooperation. Effective NGO diplomacy involves building trust, fostering dialogue, and promoting transparency and accountability. NGOs may engage in diplomacy through various means such as including advocacy, lobbying, partnerships, and negotiations. By working collaboratively with other organizations and stakeholders, NGOs can achieve greater impact and reach their goals more effectively. Tanzanian author and academic Issa G. Shivji has criticised NGOs in two essays: "Silences in NGO discourse: The role and future of NGOs in Africa" and "Reflections on NGOs in Tanzania: What we are, what we are not and what we ought to be". Shivji writes that despite

17182-497: The public and coordinate large-scale collective activities to advance an activist agenda. Since the end of the Cold War , more NGOs in developed countries have pursued international outreach. By being involved in local and national social resistance, they have influenced domestic policy change in the developing world. Specialized NGOs have forged partnerships, built networks, and found policy niches. Track II diplomacy (or dialogue)

17324-583: The remaining 15% going to drug stores. Stripping out the government's subsidies , all government-subsidized hospitals would have been in the red. This poor operating performance can be partially due to that non-profit hospitals have little incentive to control costs, given the government's subsidies. In 2000, a reform started to occur in the Chinese hospital system. Government owned hospitals are being restructured, some of them being sold to individual investors, and more and more private hospitals are founded. In 2004, Beijing Aikang Medical Investment Company bought

17466-613: The respective government authorities. Non-profit hospitals also enjoy preferential tax treatment and several government subsidies. They also get low-cost financing from the government for their capital investment. By the end of 2002, China has 306,000 healthcare and medical organizations, 63,858 of which are hospitals and clinics, 219,907 of which are nursing homes and 22,270 fall into other categories. Among them, only 1% are for profit, although all non-profit hospitals and clinics also rely on profits of selling drugs and treatments. Drug sales from hospitals account for 85% of total drug sales, with

17608-478: The same number of qualifications . However, in many cases NGOs employees receive more fringe benefits. NGOs are usually funded by donations, but some avoid formal funding and are run by volunteers. NGOs may have charitable status, or may be tax-exempt in recognition of their social purposes. Others may be fronts for political, religious, or other interests. Since the end of World War II , NGOs have had an increased role in international development , particularly in

17750-555: The study of Japan by the Japanese. The United States Navy sent Commodore Matthew C. Perry to force the opening of Japan to the outside world. Arriving at Uraga with four " Black Ships " in July 1853, the Perry Expedition resulted in the March 1854 Convention of Kanagawa . Subsequent similar treaties with other Western countries brought economic and political crises. The resignation of

17892-578: The suppression of individual rights . Japan's constitution prohibits racial and religious discrimination, and the country is a signatory to numerous international human rights treaties. However, it lacks any laws against discrimination based on race, ethnicity, religion, sexual orientation, or gender identity and does not have a national human rights institution. Japan has faced criticism for its gender inequality , not allowing same-sex marriages , use of racial profiling by police, and allowing capital punishment . Other human rights issues include

18034-499: The synonymous abbreviation ONG ; for example: Other acronyms that are typically used to describe non-governmental organizations include: Non-governmental organizations (NGOs) play a vital role in improving the lives of people who have been affected by natural disasters or are facing other challenges. NGOs can act as implementers, catalysts, and partners to provide essential goods and services to those in need. They work to mobilize resources, both financial and human, to ensure that aid

18176-582: The time of the 1932–1934 World Disarmament Conference . The term became popular with the 1945 founding of the United Nations in 1945; Article 71 in Chapter X of its charter stipulated consultative status for organizations which are neither governments nor member states. An international NGO was first defined in resolution 288 (X) of the United Nations Economic and Social Council (ECOSOC) on February 27, 1950, as "any international organization that

18318-449: The tools of the incomplete contracting theory. According to this theory, not every detail of a relationship between decision makers can be contractually specified. Hence, in the future, the parties will bargain with each other to adapt their relationship to changing circumstances. Ownership matters because it determines the parties' willingness to make non-contractible investments. In the context of private firms, Oliver Hart has shown that

18460-440: The training process in a specialty hospital or in a subspecialty at a general hospital. Some medical experts have called for a standardized training and testing system for specialty physicians in accordance to American system. The classification of specialties at a Chinese hospital is similar to that at a U.S. hospital. According to BCG's prediction in 2002, China's prescription drug market is expected to reach $ 24 billion and become

18602-403: The treatment of marginalized groups, such as ethnic minorities , refugees and asylum seekers . Japan has the world's fourth-largest economy by nominal GDP , after that of the United States, China and Germany; and the fifth-largest economy by PPP-adjusted GDP . As of 2021 , Japan's labor force is the world's eighth-largest , consisting of over 68.6 million workers. As of 2022 , Japan has

18744-441: The type of activities an NGO undertakes, such as activities involving human rights , consumer protection , environmentalism , health , or development; and (2) level of operation, which indicates the scale at which an organization works: local, regional, national, or international. Russia had about 277,000 NGOs in 2008. India is estimated to have had about 2 million NGOs in 2009 (approximately one per 600 Indians), many more than

18886-416: The world in 2019 for inbound tourism . The 2021 Travel and Tourism Competitiveness Report ranked Japan first in the world out of 117 countries. Its international tourism receipts in 2019 amounted to $ 46.1 billion. The Japanese agricultural sector accounts for about 1.2% of the country's total GDP as of 2018 . Only 11.5% of Japan's land is suitable for cultivation. Because of this lack of arable land,

19028-569: The world's strongest militaries . A developed country with one of the world's largest economies by nominal GDP , Japan is a global leader in science and technology and the automotive , robotics , and electronics industries . It has one of the world's highest life expectancies , though it is undergoing a population decline . Japan's culture is well known around the world, including its art , cuisine , film , music , and popular culture , which includes prominent comics , animation , and video game industries. The name for Japan in Japanese

19170-485: Was attended by representatives of over 1,000 NGOs. The 1992 Earth Summit in Rio de Janeiro , attended by about 2,400 representatives, was the first to demonstrate the power of international NGOs in environmental issues and sustainable development. Transnational NGO networking has become extensive. Although NGOs are subject to national laws and practices, four main groups may be found worldwide: The Council of Europe drafted

19312-635: Was donated by the British government and the EU, and World Vision United States collected $ 55 million worth of goods in 1998 from the American government. Several EU grants provide funds accessible to NGOs. Government funding of NGOs is controversial, since "the whole point of humanitarian intervention was precise that NGOs and civil society had both a right and an obligation to respond with acts of aid and solidarity to people in need or being subjected to repression or want by

19454-476: Was eventually overthrown by Emperor Go-Daigo . Go-Daigo was defeated by Ashikaga Takauji in 1336, beginning the Muromachi period (1336–1573). The succeeding Ashikaga shogunate failed to control the feudal warlords ( daimyō ) and a civil war began in 1467 , opening the century-long Sengoku period ("Warring States"). During the 16th century, Portuguese traders and Jesuit missionaries reached Japan for

19596-413: Was held by military dictators ( shōgun ) and feudal lords ( daimyō ), and enforced by warrior nobility ( samurai ). After rule by the Kamakura and Ashikaga shogunates and a century of warring states , Japan was unified in 1600 by the Tokugawa shogunate , which implemented an isolationist foreign policy . In 1853, a United States fleet forced Japan to open trade to the West , which led to

19738-441: Was launched by the State Council. By end of 2002, most of the county or above level cities had joined the scheme and covered a population of about 100 million. Social Insurance Fund Administration Centre, a department of the Ministry of Labor and Social Security, oversees this insurance system. Currently, this system only focuses on employees of enterprises at or above township level. Those in remote or less developed areas cannot enjoy

19880-469: Was launched in some University affiliated hospitals. These students will complete their MD study and have to pass the national certification test during the residency. There are general hospitals and specialty hospitals. A medical graduate rotates through several departments and then assigned to a specialty department according to his or her strengths and the hospital's needs. Specialty physician usually are attendings who specialized in certain specialty during

20022-503: Was recorded on July 23, 2018, and repeated on August 17, 2020. Japan has nine forest ecoregions which reflect the climate and geography of the islands. They range from subtropical moist broadleaf forests in the Ryūkyū and Bonin Islands , to temperate broadleaf and mixed forests in the mild climate regions of the main islands, to temperate coniferous forests in the cold, winter portions of

20164-431: Was the world's fifth-largest exporter and fourth-largest importer in 2022. Its exports amounted to 18.2% of its total GDP in 2021. As of 2022 , Japan's main export markets were China (23.9 percent, including Hong Kong) and the United States (18.5 percent). Its main exports are motor vehicles, iron and steel products, semiconductors, and auto parts. Japan's main import markets as of 2022 were China (21.1 percent),

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