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Medicine, Politics, Economy and Society : In 2025, when the baby-boom generation will become old-old, Japanese medical expenses will exceed 60,000,000,000,000 yen. In order to reduce the enormous burden, it is necessary to carry out "early rehabilitation" to restore the ability of hospitalized elderly people to live at home, and "reduction of hospital beds in the acute stage" where excessive medical expenses are incurred. Physicians who are familiar with geriatric care and hospital management propose revolutionary etiological reforms.