Like many East Asian countries, Japan’s high Economic Competitiveness rank is counterbalanced by a far lower level of Comparative Liveability. Many of the country’s liveability fundamentals are good. Incomes are high, limiting the burden of poverty to a small minority. According to the OECD, Japan spends modestly on healthcare -- 6.6% of GDP in 2007 -- and yet enjoys good health outcomes. Japan has one of the highest longevity rates in the world, at 81.4 years, and health-adjusted life expectancy is similarly high. Japan’s delivery of services and execution of policies are evidently good with high scores for government effectiveness.
Still, these results set expectations high, and satisfaction with personal health is surprisingly low. This is perhaps partly a function of demographics: Japan’s population is rapidly ageing. According to government projections, the ratio of people of working age supporting each pensioner will decrease from 5 in 1990 to 2.3 by 2025. This will cause Japan great difficulties in meeting the fiscal strain of pensions and social services without expanding the labour pool or raising the retirement age.
The WHO ranks Japan as having the tenth-highest suicide rate in the world, reaching 24 out of every 100,000 in recent years. . Another surprising indicator is the low proportion of Japanese who say that anyone can get ahead through hard work. This may be due to the limited role played by women in both politics and the economy, resulting in a low opportunity score overall for Japan. Other soft issues to address are dissatisfaction with environmental protection and air quality, which is especially worrying given the country’s limited land area devoted to nature.