PRE-STG
Partner hospital exterior

Trust & safety

Why you can trust Arbitra Health

Why we built this, who is behind it, and how support actually works — laid out plainly below.

The problem

Needing care and affording it have become two different problems

Most Americans don’t think about the gap between the two — until they’re the ones facing the bill. Even with insurance, the math often doesn’t work out.

Medical staff on a hospital rooftop

51%

of U.S. adults worry they won’t be able to afford care they need — the highest level on record

West Health-Gallup, 2026

19%

of in-network insurance claims on ACA marketplace plans were denied in 2024

KFF analysis of CMS data, 2024

~68M

working-age Americans are uninsured or underinsured

CDC NHIS + Commonwealth Fund, 2024

Our story

Arbitra is a service of
Doctors Inc.

Doctors Inc. is a Japan-based healthcare technology company founded by Dr. Takao Yanagawa, a neurosurgeon who spent his career performing brain surgery in regional hospitals — the kind of hospitals that keep entire communities running on too few doctors. Early in his career, he witnessed a tragedy that convinced him a single surgeon, however skilled, could only save so many lives — that the system itself needed to change. That conviction took him from the operating room into building Doctors Inc.

Over the years since, Doctors Inc. has built a network of more than 700 physicians, primarily board-certified specialists, and digital health platforms adopted by 400 companies. Its online care services have reached 250,000 users in Japan, and it has helped 34 medical facilities through the kind of operational overhaul Japan’s healthcare system needed.

Network size and the figures above for companies, users, and medical facilities are per Doctors Inc. public materials.

Dr. Takao Yanagawa

Founder & CEO, Doctors Inc.
Neurosurgeon · 2,500+ brain surgeries

Portrait of Dr. Takao Yanagawa

Along the way, we kept hearing about a different problem, this one in the United States — people delaying surgery they needed, not because Japan lacked the answer, but because paying for care in America had become unpredictable, and often unaffordable even with insurance.

We asked what a real solution would require: hospitals we could vouch for, not just list; a price agreed before anyone travels, not after; and support in English at every step. We already had the first part, built over years of working directly with Japanese hospitals. Arbitra Health is what we built with the rest.

Before building Arbitra Health, we spoke with Americans across the country about the cost of healthcare and their openness to care abroad. What we heard shaped every part of this membership.

Family together outdoors
“However many surgeries one surgeon performs, the number of lives they can save is limited. Society doesn’t truly change unless the system itself does — that conviction is where everything starts.”

— Dr. Takao Yanagawa, Founder & CEO, Doctors Inc.

Language & communication

English, every step of the way

Every member works with an English-speaking care coordinator — not a call center, not a translation app. Your coordinator guides you from your first questions through treatment planning. Once you arrive in Japan, a coordinator on Japan time takes over for transfers, admission, and hospital contact.

Before you travel

Your coordinator explains the process, the costs, and the logistics in plain English before you commit to anything. Medical questions go to the hospital, and their answer is passed back to you as written.

During treatment

Your coordinator stays in contact throughout your time in Japan, relaying questions to your care team and confirming you understand what’s happening.

After you return

Your Japanese physician prepares a medical summary of your treatment.

English-speaking care coordinator

Ready to get started?

You shouldn’t have to think about the cost of care every day. Start with membership, and take that question off your mind.

Join Arbitra Health

Available to residents of Texas, Florida, and Arizona who are 18 or older.