John Creighton Campbell is emeritus professor of political science, University of Michigan. His BA and PhD are from Columbia. He specializes in Japanese politics in general, organizational decision-making, and social policy, including the books Contemporary Japanese Budget Politics, How Policies Change: The Japanese Government and the Aging Society, and, with Naoki Ikegami, The Art of Balance in Health Policy: Maintaining Japan’s Egalitarian, Low-Cost System. These books and many articles and chapters were published in Japanese as well as English. He served as Director of the Center for Japanese Studies at Michigan, and Secretary-Treasurer of the Association for Asian Studies. He has visited at several universities: Hebrew, Doshisha, Toyo, Tokyo, Yokohama National, Keio, Free University of Berlin, Duisburg-Essen, Singapore, and Hamburg. His main research interests are Japanese and comparative policy for the elderly, particularly long-term care, and broader welfare state concerns.
Aging populations mean that long-term care is a crucial question for all advanced nations, and all are trying to find ways to provide decent care outside of expensive institutions. That requires providing both health care and social services in the community, but everywhere such efforts are hampered by conflict among providers over resources, power, status, and ways of thinking. Such problems are particularly acute with the proposal for public long-term care insurance in Japan, and the growth of managed care for the elderly in America, the focus for the study; the much longer Dutch experience with community long-term care provides perspective. Typical conflicts and more or less successful resolution will be studied at the local level of developing and running programs (e.g. "care management"), and the national level of making policy. The findings will have practical import and will contribute to understanding cross-national differences in social politics and policy.