Because they take care of their parents even when they get old they move in with them and care medically and financially. They support them until they die(parents). The people in the U.S. dont do that, they are selfish. Sorry to differ.
They do not care for them financially. They needn't that care. They neither need medical care from parents. Japanese complain about doing what they do, but it is not financial or medical. It is social.
I think your answer is good. You say that the Japanese care for their aging parents. This they do, but that is all they know.
You said Americans are selfish. Please we are getting off course, but the truth is. So I will tell you and whoever that the Japanese are some of the most selfish people I have ever seen.
It is also a natural consequence of 129,000,000 people trying to make the best of it in a place the size of California. People don't say hello and more do than don't, dislike their neighbor.
They do complain ( not every single person) and they do not support financially. Fallacy of generalization will eat us up, so it is important to acknowledge that their are all kinds of people in a lot of places.
Japanese are better protected throughout their lives by a closed and punitive market.
Americans are challenged with the worlds goods, and that same world does not want your goods; they are selfish. Now to answer the question.
Everybody works and pays their share. Money makes the system work. The answer is
money. There are other factors, but the most important is the system itself and the receivers of these goods and services ability to pay. And they pay, of course, with money.
Damned if you do, damned if you don't. If it is not taxed, it's a health reimbursement arrangement that likely runs afoul of the nondiscrimination rules and ACA requirement that there be no annual limits beginning in 2014. If it is taxed, it may increase the regular rate of pay for FLSA purposes.
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