This article, using data from the first author's research, presents selecte
d issues in long-term care (LTC) of the elderly in Japan. A brief discussio
n of historical and cultural factors frame the current realities of LTC. Th
ese realities include the vast numbers of elderly people in Japan, changing
definitions of the relationship of the individual to the group, and enactm
ent of the new Care Insurance Law for the Elderly to be implemented in the
year 2000. Some of the work underway for this implementation is detailed.