

Reflections on Home-Based End-of-Life Care in an Aging Society
OneVoice OneAction Across the nation, young physicians are bringing a new energy to the field. What sparks their resolve, and where is their journey leading them? Here, we pause to capture the heart and soul behind their mission. Physician, Orange Home Care Clinic Currently Director, Kokoiruyo Clinic (“I’m Here With You” Clinic) Feeling the Pulse of Our Aging Society in Home Care I am currently in my fourth year as a physician, working at the Orange Home Care Clinic(herei
2 days ago


Observing "Home Medical Treatment Innovations" that are rooted in the local community
Akihiko Ozaki, M.D., Ph.D. Physician at the Medical Governance Research Institute Visit to the Higashi Osaka Clinic On September 6th, I visited Okamoto Internal Medicine Clinic in Higashiosaka City. The clinic's director, Dr. Masayuki Okamoto, graduated from Nada High School and went on to Kyoto Prefectural University of Medicine. After working at his alma mater, he opened a clinic in his hometown of Higashi-Osaka. Dr. Okamoto was a senior at high school of Dr. Masahiro Kam
Jul 11


Why was a post-disaster reconstruction tax successfully introduced in Japan, a country known for strong resistance to taxation, following the Great East Japan Earthquake?
Takashi Miyaji, internal medicine Clinical Education and Training Center, Akita University Hospital 【Key points 】 •Key concepts emphasized by the Reconstruction Design Council included “solidarity” and the “responsibility of the working generation.” •Income tax, which allows for contributions based on individuals’ ability to pay, served as the main source of funding. •Policies should be aligned with public values and provide a clear direction for society as a whole. While tax
Jun 21


Article on the Experience of Evacuating Dialysis Patients
Akihiko Ozaki, M.D., Ph.D. Physician at the Medical Governance Research Institute This year, we mark another 3.11. A full 14 years have passed since the 2011 Great East Japan Earthquake and the subsequent nuclear power plant accident. Since 2012, I have spent the majority of my time in Fukushima. Thanks to various connections, I have been fortunate enough to continuously be involved in both clinical practice and research to convey the health impacts and lessons learned from t
Jun 13


THE 20TH SYMPOSIUM OF THE FIELD-DRIVEN HEALTHCARE REFORM PROMOTION COUNCILCutting-Edge Clinical Research and DevelopmentIslet Transplantation for the Radical Cure of Diabetes
Shinichi Matsumoto Visiting Professor, Department of Surgery Graduate School of Medicine, Kobe University At the 20th Symposium of the Field-Driven Healthcare Reform Promotion Council, I was given the opportunity to deliver a lecture for the first time in quite some time. I spoke about islet transplantation, a curative treatment for diabetes. I would like to share the content of that lecture through MRIC. THE ROAD TO TRANSPLANTATION RESEARCH When I was in the second yea
Apr 10


A Discussion on Drug CostsThe Trump Administration’s Efforts to Lower Drug Prices140th
Tetsuya Tanimoto, MD. Chairman of Accessible Railway Medical Services Tetsuikai Medical Corporation. Director of Navitas Clinic Kawasaki In May, the drug-pricing policy announced by the Trump administration went beyond a simple reduction in U.S. drug prices and took on the nature of a global political and economic strategy. Its impact is expected to ripple across the entire global pharmaceutical system. Behind the policy, which aims to align U.S. drug prices with those of cou
Mar 13


Some people might think, "The 'Chokubi' problem? Why now?"
Akihiko Ozaki, M.D., Ph.D. Physician at the Medical Governance Research Institute To explain it again, "Chokubi" is a term for doctors who go "straight" or “direct” (choku) into aesthetic medicine (bi) immediately after finishing their initial clinical residency, without first passing through a university medical department or a general hospital. Reports last year indicated that several hundred doctors annually are choosing this path. I (the author) have been interested in th
Mar 1


The U.S.-based doping-approved competition “Enhanced Games” is nothing more than a human experiment that leads athletes to destruction — the fear as told by an Olympic silver medalist and a physician
Masahiro Kami, M.D., Ph.D. President, Medical Governance Research Institute, Tokyo, Japan Recently, it was announced that the “Enhanced Games” will be held in Las Vegas, USA, in May 2026. Participants may take part as subjects in clinical trials. Events such as sprinting, swimming, and weightlifting will be held, but what is particularly noteworthy is that athletes can choose from three options: 1. participating naturally without using any drugs, 2. participating unde
Feb 15


Let's discuss the cost of medicine. Are Japan's top-selling drugs really worth it?No. 139
Akihiko Ozaki, M.D., Ph.D. Physician at the Medical Governance Research Institute In recent years, the breast cancer field, which the author is responsible for, has seen a continuous succession of new drug developments. In 2024, capivasertib ("Truqap") for hormone receptor-positive breast cancer with specific gene mutations (PIK3CA, AKT1, PTEN) was approved in March, sacituzumab govitecan ("Trodelvy") for triple-negative breast cancer in November, and datopotamab deruxtecan (
Feb 2


Japan’s Entertainment Scandals and Breaking the Silence: Misconduct, #MeToo, and Generational Shift
Tetsuya Tanimoto, MD. Chairman of Accessible Railway Medical Services Tetsuikai Medical Corporation. Director of Navitas Clinic Kawasaki The controversy surrounding Masahiro Nakai, a 52-year-old former media personality, has led to significant developments within Japan's entertainment and broadcasting industries. Nakai, previously a member of the boy band SMAP, was accused of sexually assaulting a female Fuji Television Network employee in her 20s during a dinner in June 2023
Jan 17


Vol.25004 Visiting the Noto Peninsula Earthquake Disaster Area
Morihito Takita, MD. Chairman of Accessible Railway Medical Services Tetsuikai Medical Corporation. Director of Navitas Clinic Tachikawa January 8, 2025, MRIC published by Medical Governance Research Institute http://medg.jp “Since the sewer system isn't connected yet, please wrap waste in litter or newspaper and dispose of it in a trash bag after use.” I once participated in recovery efforts for the Great East Japan Earthquake from Texas (1). That experience flashed thro
Jan 4


JOURNAL OF PHARMACEUTICAL BUSINESS on THE WEB.Let's discuss the money for medicinesCancer drugs recommended in Japan despite being ineffective in the United States. No. 133
Akihiko Ozaki, M.D., Ph.D. Physician at the Medical Governance Research Institute "We are taking this drug off the market because we cannot prove its effectiveness." Cancer treatment drugs that were deemed this way in the United States are still used as "recommended treatments" in Japan. At least seven cases have been confirmed as of July 2023. This surprising fact was revealed by the authors' latest research, accepted for publication in “Investigational New Drugs” and is due
Dec 21, 2025


Why the Ministry of Health, Labour and Welfare’s Regulations on Opening “Aesthetic Clinics” Will Not Help Solve the Maldistribution of Doctors
Masahiro Kami, M.D., Ph.D. President, Medical Governance Research Institute, Tokyo, Japan Keywords: #Ministry of Health, Labour and Welfare, #National Medical Licensing Examination, #Doctor Shortage, #Aesthetic Clinics, #Doctor Maldistribution, #Cosmetic Surgery As the maldistribution of doctors exacerbates shortages in rural areas and certain specialties, the government has proposed measures to regulate the outflow of doctors to aesthetic clinics, which has been cited as o
Nov 24, 2025


Worried about being chubby, developed an eating disorder in her first year of high school,A female doctor who was hospitalized with a weight of 35kg speaks outWhat is important for weight management
Kana Yamamoto, M.D., Ph.D Physician, Medical Governance Research Institute "A Little Iken(Medical Opinion) Notebook" is a column in...
Oct 13, 2025


中国的社会保障制度与日本完全不同
东京大学 第一学期 理科 3 班,第一年 清水圭太 中国没有“保险”概念的情况 说白了,中国的社会保障制度落后于日本。在日本,如果你生病或感觉不适,通常可以以合理的费用接受医疗。 这得益于作为国家机构而建立的社会保障制度,该制度适用于日本的任何地方。 但在中国,此类社会保障制度的发展却比较滞后。尽管中国的目标是实现全民健康保险制度,但城市学生和农村所有人均可选择购买公共医疗保险。 特别是在农村地区,“保险”这个概念并不为民众所熟悉,花钱预防疾病或受伤的想法似乎很难理解。 然而,由于中国的特殊国情,患病人数不断增加。 访问中国评估大学现状 今年3月9日,我有幸访问了中国复旦大学公共卫生学院,并与姜庆五教授会面。 我随姜教授会见了王和兴教授和王继伟副教授,并在与他们指导的研究生交流时,听取了他们对中国面临的各种公共卫生挑战的看法。 因为我考虑今后当一名医生,所以想认识一位中国的医生,经医疗管理所上昌广教授介绍,我认识了姜教授。 目前东京大学有大量中国留学生,研究生的数量远远多于本科生。他们一般都很优秀。有“在中国剧烈竞争的入学考试中脱颖而出的
Sep 7, 2025




















