This may have been true in the past, but it is definitely not true at this time. I'm currently shopping for homes in Tokyo, and the current generation of homes being built are high quality, insulated, with double pane windows, heated wood floors, incredible bathrooms (fully floodable, giant tubs, air conditioning/heating/24 hour ventilation), separated toilets with heated seats and bidets, and generally at least one nice balcony.
There's no central heat, but that's because it's wasteful. Each room has one or more air conditioners (which are heat pumps). I heat (or cool) whichever room I'm currently in, and don't need to waste energy on the entire residence.