This article is an attempt by Japanese physicians to introduce the practice patterns and moral justification of Japanese critical care to the world. Japanese health care is characterized by the fact that the fee schedule does not reward high technology medicine, such as surgery and critical care. In spite of the low reimbursement, our critical care practice pattern is characterized by continuing futile treatment for terminal patients in the intensive care unit (ICU). This apparently wasteful practice can be explained by (...) fundamental Japanese cultural values, social factors in Japan, the availability of extensive insurance coverage, physicians' psychological factors, lack of cost-benefit considerations and the pragmatic approach the Japanese take to situations. We attempt to make some brief suggestions regarding the improvement of our critical care practices. Although we can not fully present quantitative data to support our argument, this article represents our real-world approaches to the ethical issues in the ICU in Japan. (shrink)
Japanese sociologistsCulture and social consciousnessclass, stratification, and mobilityindustry, labor, and organization’. Overall characteristics of sociological studies of Japanese society in Japan are summarized. The discrepancy between contemporary social phenomena and sociological research is also noted, using an example of freeters and neets, among others.
A milestone in Japan's post-war philosophical thought and a dramatic turning point in Tanabe's own philosophy, _Philosophy as Metanoetics_ calls for nothing less than a complete and radical rethinking of the philosophical task itself. It is a powerful, original work, showing vast erudition in all areas of both Eastern and Western thought.