{"id":4137,"date":"2013-02-22T06:30:24","date_gmt":"2013-02-22T14:30:24","guid":{"rendered":"https:\/\/news.consciencelaws.org\/?p=4137"},"modified":"2023-01-22T17:39:49","modified_gmt":"2023-01-23T01:39:49","slug":"conscience-in-health-care-and-the-definitions-of-death","status":"publish","type":"post","link":"https:\/\/library.consciencelaws.org\/?p=4137","title":{"rendered":"Conscience in health care and the definitions of death"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">Yutaka Kato<\/h4>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"173\" height=\"230\" src=\"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2021\/03\/croatianmedj.jpg\" alt=\"Croatian Medical Journal\" class=\"wp-image-11165\"\/><figcaption class=\"wp-element-caption\">Croatian Medical Journal<\/figcaption><\/figure>\n<\/div>\n\n\n<p><strong>Abstract<\/strong><br>Brain death or neurologic death has gradually become recognized as human death over the past decades worldwide. Nevertheless, in Japan, the New York State, and the State of New Jersey, one can be exempt from death determination based on neurologic criteria even in the state of brain death. In Japan, the 1997 Act on Organ Transplantation legalized brain death determination exclusively when organs were to be procured from brain-dead patients. Even after the 2009 revision, the default definition of death continued to be cardio-pulmonary criteria, despite the criticism.<\/p>\n\n\n\n<p>The cases of Japan and the United States provide a good reference as social experiments of appreciating conscientious or religio-cultural dimensions in health care. This text theoretically examines the 1997 Act on Organ Transplantation of Japan and its 2009 revision, presenting some characteristics of Japan\u2019s case compared to American cases and the implications its approach has for the rest of the world. This is an example in which a foreign idea that did not receive widespread support from Japanese citizens was transformed to fit the religio-cultural landscape.<\/p>\n\n\n\n<p>Hans-Martin Sass argued for \u201ca formula for a global Uniform Determination of Death statute, based on the \u2018entire brain including brain stem\u2019 criteria as a default position, but allowing competent adults by means of advance directives to choose other criteria for determining death during the process of dying.\u201d These cases provide a good reference as social experiments in order to evaluate this formula.<\/p>\n\n\n\n<p>In the text, the term \u201cconscience\u201d or its adjective form is chosen as a superordinate concept to moral\/religious belief according to conventional usage. Conscience might appear universal whereas religio-cultural dimension differs among nations. In this text, conscience is considered to manifest itself within different societal traditions.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p>Kato Y. <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23444250\">Conscience in health care and the definitions of death<\/a>. Croat Med J. 2013&nbsp; Feb;54(1):75-7. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Yutaka Kato AbstractBrain death or neurologic death has gradually become recognized as human death over the past decades worldwide. Nevertheless, in Japan, the New York State, and the State of New Jersey, one can be exempt from death determination based on neurologic criteria even in the state of brain death. In Japan, the 1997 Act &hellip; <a href=\"https:\/\/library.consciencelaws.org\/?p=4137\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Conscience in health care and the definitions of death&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[554,2],"tags":[653,74],"post_folder":[],"class_list":["post-4137","post","type-post","status-publish","format-standard","hentry","category-ethics","category-journal-article","tag-definition-of-death","tag-yutaka-kato"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\r\n<title>Conscience in health care and the definitions of death - Protection of Conscience Project Library<\/title>\r\n<meta name=\"description\" content=\"In conventional usage, \u201cconscience\u201d and its 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