Retainer-based direct primary care is exploding around the country providing an alternative for primary care physicians to the insurance bureaucracy laden model most practice in.
With some early adopters (institutional) already signed up, it is yet to be seen how this model of education can penetrate the US school districts and maneuver the accompanying silos and bureaucracy.
In 2009 the DPJ ran on a quasi-populist and anti-establishment platform, promising on domestic policy to change the central government bureaucracy dominated, wasteful public works project spending driven, and big business and agricultural lobby favoring model of governance that basically described LDP government that had already backtracked on reforms made during the tenure of Koizumi Junichiro (2001-2006).