@article{oai:reitaku.repo.nii.ac.jp:00000390,
 author = {南淵, 明宏 and Nabuchi, Akihiro},
 journal = {比較文明研究, Journal for the Comparative Study of Civilizations},
 month = {Jun},
 note = {Having more than 20 years of experience as an independent cardiac surgeon,so far,I have no chance to see any of patients to refuse their surgical treatment because of suffer in poverty. That phenomenon is owing the government-organized insurance system. That system is concluded as the best one among ever made in all kinds and all period of human societies.
In daily circumstances in Japanese medical institute, nobody cares about the cost. For example,to perform heart valve surgery,it will cost more than 30 thousands USD per each patient, to buy an artificial heart valve and disposable unit parts for heart-lung machine. However,patient doesn’t care, doesn’t want to know, nor doesn’t show any interest, neither do doctors nor nursing staff. That phenomenon is never observed in any country on this planet.
Since 1958, all of Japanese citizen are covered by government-organized
insurance system and even in case of cardiac surgery, they may pay a very small amount of money and have a position to receive the first class medical care in view of medical equipment and expendable supplies.
Those environment has created two special attitude for medicine in Japanese social culture.
The first one is, people stop to think “cost”and “efficiency”in medicine, and blindly believe anything should be done in any situation for dying people.
They strongly and distinctively desire any possible treatment, even in a hopeless situation, for high aged and weakened, and nobody talks about efficiency on cost, or possibility that would be sacrificing medical infrastructural resource and human resource.
That kind of thinking is strictly “Taboo”.
The other is, also, people stop to think “quality”of individual medical expertise,ex.Surgeon. All medicine is provided by something governmental,
means formal,sometimes sounds “noble”. This aspect has created a competition-less society of medical practitioners, in which they never discuss about quality of medicine. All doctors are fed by this insurance systems, with definite stability.
Recent financial aspect gives us a lot of pressure to built-up more efficient one because of limited and non-promising budget.
In conclusion, it is the best distinctive character of Japanese society that people never concern “we all are going to another place someday,definitely”.
It can be said “very much immatured”in a meaning.},
 pages = {131--145},
 title = {独自に進化発達した国民皆保険制度に囚われた我が国特有の医療文化に関する考察},
 volume = {18},
 year = {2013},
 yomi = {ナブチ, アキヒロ}
}