"In 1988, the Japan Association for Bioethics was founded and I was founding Chairman. The first stages of its activity were generally guided by the principles of Euro-American bioethics. In the course of later activity, we encountered many peculiar events which we can attribute to a keen influence of ethical mood and traditional way of thinking. The typical example is shown in the debate on the notion of brain death. I think the Japanese ethical mood does not accept the redefinition of death to include brain death, and heart transplantation from brain dead donors has not been done for twenty five years. The Japanese government set up a Prime Minister's ad hoc Committee specially on this issue. But it failed to reach to an effective agreement [EEIN 2 (1992),12; See Lancet 338 (1991) 1063-4;Nature 359 (1992), 770; Bioethics 7 (1993), 234-8 ]. Other aspects that may be peculiar to the Japanese continued to be disclosed and discussed afterward. Through these discussions, some of us began to doubt the applicability of Euro-American bioethics to Japanese climate."
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