Japan has a universal healthcare system that focuses on providing coverage to all citizens. The system is paid for through taxes, payroll deductions, and co-payments. This approach aims to provide equitable access to care regardless of economic status. While Japan has lower costs, longer lifespans and better health outcomes than the U.S., its system also faces challenges around overuse of services and lack of long-term care options. The U.S. system provides high-quality care to those who can pay but leaves many uninsured and has higher costs than other countries with less effective outcomes. Both countries could improve their systems by adopting some policies from each other to increase access and reduce costs.