Japan uses post offices to address rural healthcare shortages

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In Japan, the city of Shunan in Yamaguchi Prefecture began piloting a program in July 2024 to offer medical care at local post offices. Doctors travel to the Takase Post Office in the mountainous Wada district to provide in-person and online consultations, serving a region where the nearest hospital is a 30-minute drive away.
The initiative aims to combat a growing healthcare gap in rural areas caused by declining populations and aging communities.
Across Japan, approximately 24,000 post offices are being considered as potential healthcare hubs due to their accessibility and familiarity to residents. Patients can pay for consultations at the post office and receive prescriptions through the mail. Other municipalities, like Doba City in Mie Prefecture and Omu Town in Hokkaido, are also testing or implementing similar online and in-person care models at post offices, with some considering expanding services to include ophthalmology.
The Japanese Ministry of Health, Labour and Welfare reports that 575 areas nationwide lacked medical institutions as of October 2025, an increase of 18 from 2022. The government recently revised medical laws in April to legalize online consultations and intends to support these new healthcare delivery systems, though experts caution that post office clinics cannot fully replace in-person care and require a broader range of medical professionals.


