The guide
Japan or Georgia?
The same questions asked of both, in the same order, with what each one costs you level with what it gives you. Neither column is a recommendation — the last row is the one to read twice.
First
Japan
Second
Georgia
In one line
Far cheaper than its reputation, with government scholarships that cover everything — and a job market that does not open without the language.
The most accessible route in this region into an English-taught medical degree, at a cost no European medical school comes close to.
What only this place gives you
National universities charge international students exactly what they charge Japanese students, and the MEXT government scholarship removes even that while adding travel and a monthly allowance.
Medicine taught entirely in English, admitting on school results rather than on a national examination no foreigner can sit, and priced far below any European or American equivalent.
What is good here
- National university fees are set nationally and are identical for international students — there is no separate international price at all.
- The government scholarship covers tuition, flights and a monthly allowance, and it takes undergraduates as well as researchers.
- Research groups in materials, robotics, electronics and the basic sciences are world-class and take students seriously.
- It is safe, orderly and superbly connected, and student life is manageable without a car or a large budget.
- An ageing population means the country now actively wants skilled foreign graduates, which was not true a decade ago.
- English-taught medicine admits on school results and an English certificate, with no national entrance examination for international applicants.
- Entry and residence are unusually simple for citizens of this region, and the cost of living is among the lowest here.
- Tuition for a full degree can total less than a single year in Western Europe.
- The country is small enough that a student network reaches real employers quickly, and the technology and outsourcing scene is growing.
What it costs you
- Business-level Japanese is the real entry requirement for work, and English-track degrees postpone that problem rather than solving it.
- Graduate hiring runs on a rigid annual calendar that begins more than a year before graduation; missing it means waiting a year.
- Workplace culture expects long hours and deference, and international graduates leave over that more often than over the work itself.
- Undergraduate entrance examinations at national universities are demanding and conducted in Japanese.
- Being foreign stays visible in a way it does not in Canada or the Netherlands, socially and especially in housing.
- Moving in is expensive — deposits, key money and guarantor requirements front-load the cost of the first year.
- A medical degree is only the first step: practising anywhere else means passing that country's own licensing examinations, and the pass rate depends on how hard you worked, not on the certificate.
- Quality between medical schools varies sharply, and the agencies that recruit for them push the weakest hardest.
- Clinical exposure can be thin, and it is the part of a medical education that cannot be made up afterwards.
- Outside medicine and technology the graduate market is small and salaries are low.
- Georgian is needed for daily life and for patient contact, and it is unrelated to any language you are likely to already have.
Money — how paying for it works
Cheaper than almost anyone expects: national university fees are identical for international and domestic students, private universities cost more but not Western amounts, and the government scholarship removes fees entirely while paying an allowance. The genuine costs are the move-in expenses and Tokyo rent — Osaka and Kyoto are materially cheaper for the same quality of teaching.
Tuition for English-taught medicine sits far below any European or American equivalent and living costs are low, which is the entire proposition; there are no meaningful need-based scholarships, so a family pays, but the total for a whole degree can come to less than one year elsewhere. Budget for the licensing examinations afterwards — they are the real second cost and students routinely forget them.
Getting in — what they weigh
For undergraduate places, an examination for international students plus the university's own test and often an interview, largely in Japanese. For research and scholarship routes, a supervisor's acceptance matters more than anything else — you find the laboratory first and apply through it.
School results and an English qualification, with an interview at some institutions. There is no national entrance examination for international applicants and no essay culture, which is exactly what makes it reachable for a student whose record is solid but unpolished.
After you graduate
A designated-activities status lets graduates stay to look for work, and routes for skilled graduates have widened as the workforce shrinks. It is one of the more predictable systems here — provided you have the language, which is the condition attached to everything in Japan.
A residence permit tied to study and a straightforward route to staying while you work — but after a medical degree the real question is where you sit your licensing examinations, because that decides where you can practise, not where you studied.
Post-study work rules are set by politics and change. Check the rule for your own graduation year before you plan around it.
Strongest fields here
- Engineering
- Natural Sciences
- Computer Science
- Arts & Design
- Business & Economics
- Medicine & Health
- Business & Economics
- Computer Science
- Humanities & Social Sciences
This suits you if…
You want funded research or engineering at a high level, you will commit to Japanese seriously, and you value order and safety over a fast, informal career start.
You want to study medicine in English at a cost your family can carry, and you are prepared to sit the licensing examinations of the country you eventually want to practise in.
Look elsewhere if…
You want an English-speaking career, a flexible hiring calendar, or a quick route into a job market. Japan rewards patience and the language and punishes the absence of either.
You want a research career, a strong domestic market outside medicine, or a degree that opens doors on its name — this one opens them on what you do with it afterwards.