Education and health
Primary, secondary schools and universities were introduced into Japan in 1872 as a result of the Meiji Restoration. Since 1947, compulsory education in Japan consists of elementary school and middle school, which lasts for nine years (from age 6 to age 15). Almost all children continue their education at a three-year senior high school, and, according to the MEXT, about 75.9% of high school graduates attend a university, junior college, trade school, or other post-secondary institution in 2005.? Japan's education is very competitive, especially for entrance to institutions of higher education. The two top-ranking universities in Japan are the University of Tokyo and Kyoto University. The Programme for International Student Assessment coordinated by the OECD, currently ranks Japanese knowledge and skills of 15-year-olds as the 6th best in the world.
In Japan, healthcare services are provided by national and local governments. Payment for personal medical services is offered through a universal health care insurance system that provides relative equality of access, with fees set by a government committee. People without insurance through employers can participate in a national health insurance program administered by local governments. Since 1973, all elderly persons have been covered by government-sponsored insurance. Patients are free to select physicians or facilities of their choice.