It is the most important issue in elder society how medical expenditure will be managed. Government has decided the basic policy concerning Fee Schedule System Amendment in March of this year. The basic policy was made by three part, one is appropriate evaluation on medical procedure, second is appropriately reflected hospital cost and third is amendment by patient view. Subcommittee of Cyuikyo had decided to set organizations to survey and research on fee schedule system. Hereinafter, it will be more important to build new and scientifically system based on these data.