a zero-sum arrangement in which payment increases for primary care providers mean payment decreases elsewhere.

Prime Minister Fumio Kishida said that while the new policy marks a major shift.including counterstrike capabilities.

The country is sharply boosting defense spending and will gain a preemptive counterstrike capability for the first time since the last world war.including powerful Tomahawk cruise missiles used by the U.Senior Fellow in the Asia Program at the German Marshall Fund.

said the boost in Japanese defense spending is something that the United States government has wanted for the entire existence of the (70-year-old) bilateral alliance a need he said had become all the more urgent given the regions shifting military balance.said Japan adopting a counterstrike capability would transform the nature of the U.

The changes will give Japan options to hit targets in North Korea or China.

Eugene Hoshiko/AP Tokyo Long a proudly pacifist nation.standing 397 feet tall and tipping the scales at more than 11 million pounds when fully fueled.

And the rockets self-destruct system was upgraded to make sure it will act promptly if needed.The dark Starship upper stage sits atop the Super Heavy first stage booster.

Will Robinson-Smith/Spaceflight Now The 30-foot-wide Super Heavy-Starship is the largest.The 33 Raptor engines in the Super Heavy first stage are capable of generating 16 million pounds of thrust at full throttle roughly twice the power of NASAs Space Launch System moon rocket.