Japan centrally controls their health care system, including hospital triage standards.
From the start of the pandemic, Japan ordered their hospitals to refuse admission to
anyone who had not been through 4 days with a 99.5℉ fever, with exceptions only
for the elderly, or those with pre-existing conditions.
This common-sense requirement kept their hospitals from being overwhelmed, and preserved
a sterile environment in which their existing patients could safely receive treatment for
cancer, heart disease, etc.
Japan had a normal cold season for three years with Covid-19, and did not see the extreme
levels of deaths of those who would have been seeking hospital treatment for pre-existing conditions,
as seen in countries with uncontrolled
hospital admissions standards, such as the United States.
Their Practical Maximum Deaths-Per-Case was 2.3%, and is currently
at 0.2%.
Japan has had a fairly steady rate of cases:
They have seen
as many as 621 deaths per day
on as many as 261,252 daily cases,
for a total of 74,694 deaths,
or 18 per 100,000 of their population:
The way Japan handled Covid-19 has resulted in far better results than countries like the United States.
Japan on Wikipedia
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Japan Covid-19 Pandemic on Wikipedia