In the latest developments, approximately 11,610 individuals spread across 38 Japanese companies have been caught avoiding participation in the national health insurance scheme, commonly known as 'Kokumin Kenko Hoken'. This evasion has been identified through recent audits and inspections. The reasons behind their avoidance and the potential implications are currently under investigation.

Health insurance in Japan is mandatory, with the national health insurance (Kokumin Kenko Hoken) being a key part of social security. It offers basic medical services to all citizens, and evasion may result in non-coverage of health-related expenses. Japanese society values social security, compliance, and shared responsibility, hence the news has caused significant discussion and concern domestically.

In the U.S or EU, the approach to health insurance differs by country. Some, like the U.K and Canada, offer universal health care funded by taxation. Others, like the U.S, have a mix of private insurance and public programs. Non-compliance with health insurance requirements, when present, would similarly result in penalties or denial of coverage.