Discussion With CSIS: Health Policy and Restructuring Japan After ‘3.11’

→Japanese

As I have mentioned earlier this year on my web site, we, the Health and Global Policy Institute (HGPI), are collaborating with CSIS, a well known Think Tank of the United States, on health policy issues.

The topics for our collaboration for this time are: 1. Payment System of Hospitals and 2. Application of ICT.

Since we now have drafts of the reports on the two themes, I came to Washington DC to jointly present interim reports and discuss the issues with the invited specialists from outside.

I arrived at Dulles airport from Narita at 10:40am, and headed directly from the airport to CSIS.  We discussed over lunch on the ‘recommendation for the restructuring of Japan’ which CSIS started to develop after ‘3.11’.

This theme is very complicated, to say the least, and there is no end in our discussion.

However, I enjoy discussing. Health care system issue is a huge problem and it takes a tremendous amount of time to achieve any reforms.  We are searching for realistic policies and the ways to apply those policies in order to bring about the desired changes in the existing systems.
 
It seems to me that the key is how to use the ‘3.11’ as a chance agent to restructure current social system.  Of course, we must develop good and deep understanding in the broad range of the public, and the process of how we do this is very important.

Japan has huge burdens; aging society, chronic diseases burden, expansion of income disparity, stagnating economy, and on top of that we are at the brink of bankruptcy.  We have hardly any time left for reforms.  If we do not turn this great crisis of ‘3.11’ to an oppoutunity for big chance , I seriously think that Japan could collapse.

 

The Last Space Shuttle, My America

→Japanese

The last Space Shuttle ‘Endeavor’ was successfully launched.

This is the end of one era.  I suppose that you each have your own different memories related to the Shuttles.

People of my generation would recall Apollo 11.  It landed on the moon on July 20th, 1969.  We watched part of the landing live on television.  It was the scene where Neil Armstrong, a human being, departed from the mother ship on Eagle, landed on the moon and walked on its surface.  These pictures were sent all the way from the moon.  Then they traveled all the way back.  July 16th, Florida 13:32:00 lift off, 20th 20:17:39 Lunar landing.

Such an exciting moment is rarely experienced in life.  Nothing like this ever took place in history.  And everything was on TV.  As I watched this in Japan, I thought of the greatness of America, a nation not afraid to show live this event to the whole world, in spite of the possibility of failure, this great adventure which no other country dared to challenge.

Many people in the world must have watched TV with a sense of awe.  America was in the height of science, technologies and engineering.  Japan, on the other hand, was gradually developing its confidence, having held the Tokyo Olympic game 5 years before.

The exchange rate at that time was 1$=360yen, the limit of carrying out dollars overseas rose from $500 to $700.  The salary of fresh graduates from university typically started from around 30,000 yen/month.

Back then, the Fukushima Dai-ichi (dai-ichi means ‘the 1st’) nuclear power plant was being constructed.  Nuclear fuel was installed in this plant in 1970, one year after the Apollo’s success.

1969 is also 6 years after the assassination of JFK (Nov 1963), 5 years after the Gulf of Tonkin Incident, bombing of the North Vietnam (Aug 1964), and the expansion of the Vietnam war.  Domestically were the assassinations of Martin Ruther King Jr and Robert Kennedy (Apr and June 1968, respectively), the American civil rights movements and riots were at its peak.
 
In July 1969, after having witnessed the Apollo11 lunar landing, I left for the United States to continue my study.  It was my first time to go abroad.  I departed from Haneda airport and arrived at Honolulu airport, Hawaii.  There, I was offered a glass of pineapple juice, and I will never forget how good it tasted.

Same day, July 24th, at 16:50:35, Apollo11 splashed down at the Hawaii off shore, succeeded in return to Earth.  It was truly a great adventure of mankind which was to be marked in the history.  What a timing for me, too.  It was only a coincidence and not planned, but this memory is unforgettable.

It was the start of my 15 years of life in America, but back then, I did not have the slightest idea that this was going to happen.

What comes to your mind when you reflect upon this news of the ‘last space shuttle’?

 

Hot Summer, Town Event, ‘Quiet’ Japanese

→Japanese

It is hot summer now.  In Iwate or Miyagi where tsunami hit, people must be having hard time because of the heat.  Many problems must be solved; such as securing appropriate shelter, maintaining hygiene, or keeping their food safe and edible.  It was March when the Tsunami hit, there were even snowfalls then.  Time passes so quickly.
 
Through this disaster we saw how the ‘strength’ and ‘weakness’ of Japan was exposed to the world by the power of highly developed information technologies.  I have pointed this out repeatedly in this site(Ref.1, 2, 3), as you readers know.

This is the season of Tanabata (a summer festival in Japan), and it is so hot every day.  In the town where I live, we have a ‘Rio Carnival’ every year, and people paraded gaily again this year too, a view which so matches the hot summer.

It was a very hot Sunday. I found the sides of the streets packed with people.  Many street stalls stood alongside the narrow streets which made us feel the air even more heated.

The parade began.  Music just like in Rio (though the scale of everything is much smaller) starts almost noisily, including the sound of the drums. Men and women dressed up in festival clothes dancing in the parade move along.  This is actually quite a view.  Onlookers are busy taking pictures with their cell phones.  Dancers in brilliant costumes wave hands to the children who are watching on both sides, and many take pictures with the dancers.
 
I came across unexpectedly to my friend, a Korean news reporter, who was there with her child.

When we talked over the phone later that afternoon, she said to me ‘I was surprised by how quiet Japanese people were even at a jolly festival like this.  They don’t make sounds.  I myself shouted ‘bonita’ and such words over and over…. Japanese people are taking photos but…”

Actually, I did not notice this much, but it seems that such behavior gives somewhat an unusual or strange impression to the foreigners.  People in the parade are trying to encourage onlookers to join and stir up the festive mood but their efforts do not seem to be working.  Here again, I might say, the typical Japanese behavioral pattern of ‘follow others, try not to stick out…’ is prominent.

The ‘strength’ or ‘patience’ of the people at Iwate, Miyagi, and Fukushima exist in the behavioral pattern of Japanese as a whole – we act this way in every day life, and although foreigners admired it at time of the tragedy, such character could turn out to be very useful for their (Japanese) leaders.

Iadmit that Japanese have more tendencies to ‘suppress than pour out personal emotions, act in the same way as others’.  However, it is not good to act like this at all time.

I think it is much better to pour out emotions, especially a happy or gay feeling such as in this festival.

In the time of major disaster, being ‘stoic’ is good but not enough. Firm leadership is badly needed.

 

A Nice Email From Tatsuya Honjo

→Japanese

Starting in about April of last year, I became totally exasperated with universities due to their unchanging, unbending and unyielding mindset.  As part of my frustration, I advanced the notion of allowing students to take time off from their university studies for a quasi-sabbatical or gap year.  If you search this site for “Let Us Take a Leave of Absence From School” you will see that ever since my talk at the Keio University Shonan Fujisawa Campus (SFC) on April 8th 2010 that I have strongly encouraged students to take such a break.  You have probably seen many posts (Ref. 1) which talk about this subject since then.

It has been a little while since I posted my opinion in January that students should take a break from their studies and embark on travels overseas to get a taste of the world.  I say this despite the fact that I realize private universities often require a large payment of tuition fees even during such “sabbaticals”.

A number of private universities have greatly reduced the fees for students during this break from studies.  I really must express my appreciation to the university administrations.  So while I do offer my heartfelt thanks, their actions are actually no more than what should be expected.

I have just recently received a very nice email from a Tatsuya Honjo (Ref. 1) who, after hearing my talk, went off to Ghana despite the fact that he was a senior and had to halt his postgraduation job search.

Dear Dr. Kurokawa,

I hope that you are doing well.  I hope that you remember me, I am Tatsuya Honjo of Keio SFC.  I have recently take a break from university and gone to Ghana.

After thoroughly thinking over all the things that I have experienced in Ghana, I have recently decided that I will accept a full-time position in a company.  Thus, I will be working at Nissan Motors beginning next year. 

Nissan truly has a diversified workforce at the highest levels including female employees and foreign employees who have entered mid-career.

I think that in today’s global society that we are in a situation where it is important to study the various philosophies and approaches as part of deciding how we will live our lives in a manner that conforms to our own values.

By leaving Japan and coming into contact with value systems which are not found in Japan, I was able to understand, with all my being, the importance of living based on my own internal measuring stick. 

This was all the result of hearing about your recommendation to take time off from my school studies.

In the same vein, since I will be graduating in September of this year, and I have a whole six months before I have to start working in April of next year, I have decided to make the most of this time as a kind of “gap year.”

                                                                                Tatsuya Honjo

 

He seems like an entirely different person.  I really get a sense of confidence coming through what he has written.  I know that his parents were probably worried and anxious, but I really want to offer my congratulations.  I suspect that his parents were quite displeased with me due to pushing their son into a non-conventional career path.

There are a number of companies that hire this type of youth who have finally opened their eyes to their surroundings and the rest of the world.  Students should not focus all their energies and attention on just trying to secure employment, but also give some thought to the possibility of taking a leave of absence through organizations such as AIESEC

We should spread the word about the existence of companies that view these activities as a matter of course in their potential employees.  These companies have a value system which should be respected and are actually nothing out of the ordinary in the global world.

Companies also need to think about approaches other than simply interviewing and hiring university juniors and seniors en masse.  Society at large looks at corporation evaluations including actions such as rescinding of job offers.  This is one of the important points of CSR.  An impact is slowly being felt on evaluations. 

Work opportunities for the youth of today are not limited to Japan.  Thus, everyone should at least consider taking a leave of absence and taking on the challenges of going overseas, if even for a short period of time.

 

Will the University of Tokyo Change? The Social Responsibility of the University of Tokyo

→Japanese

It has recently been reported that the University of Tokyo has been looking into the idea of starting fall entrance and summer graduation, a norm of college/university academic year of many countries.

What is the meaning of such a move?  Of course, it would be significant because it would bring the academic year of the University of Tokyo into line with major universities in most of the countries around the world.  It would have a ripple effect in so many ways including the promotion of international exchange between universities and making it possible to transfer between universities that are in different countries; enhance the mobility of faculty and students between Japan and the rest of the world.

This experiment has also yet to actually be approved overall by the authorities, Ministry of Education, but it would be possible to introduce the semester system and also thus have summer graduation (as well as fall entrance).  Some of the students at some universities do graduate in the summer (with a full-fledged graduation ceremony) and enter university in the fall, but these universities do not really hold much impact over Japanese society at large.  Moreover, since almost all major Japanese companies, civil service and other branches of Japanese society only hire new college graduate in the spring, what do the students who graduate in the summer do about trying to find a job?

Universities can do little to challenge major corporations which are set in their ways and resistant to change such as the long-standing practice of hiring of new graduates in one fell swoop.  At the very least, those students who have put off graduation for a year and not yet accepted a job within a company should still be considered new graduates.  Finding employment is difficult for university students regardless of the schedule (to say nothing of the difficulty that high school students are having trying to enter the job market), particularly at the time of economic difficulties like today.  Universities thus have no incentive to look seriously into the idea of a summer graduation.

Japanese society, at large, runs on a schedule of “start school in April and graduate in March” which makes it impossible to even really discuss the matter despite the growing need for internationalization.  Thus, Japanese universities and international society are inherently mismatched.

Thus, the fact that the University of Tokyo has begun to consider the idea of a fall graduation could be characterized as a challenge to this mismatch between globalization and the Japanese society with the summer graduation.  The real reason behind this move may actually be different, I just do not know, but this has been its ultimate impact.

The individual who brought up these points is Shigeyuki Jo (in Japanese).  I have followed Jo-san with his spirit of a maverick and his support of the youth, thus have been supporting him from behind.  It came as no surprise that this thoughtful opinion came from Shigeyuki Jo (in Japanese).

Moreover, it is hugely important that the University of Tokyo be the first university to put pressure on Japanese universities and the university system as well as society at large to change.  Such actions would not have much of value if they were taken up by another university, because the idea would not be picked up by the media and they would have almost no impact on society.

Thus, if the Japanese social system is ever going to adapt to the global schedule, everyone has to do their part. If the most influential university in Japan does not take action, then nothing will happen. This is the responsibility that comes with being a leader in the society of ‘Japan Inc.’  That is why I often refer to the leading role that the University of Tokyo should exercise often in my lecturings and speeches.

The same logical argument can be made for the role of the university hospital in the restructuring the ‘medical’ care system (or better characterized as the structuring of the ‘health’ care system) and I made this argument in a book I authored entitled The University Hospital Revolution (published in Japanese). I am not sure how much this book has attracted attention . . .

So what will happen?  Will the University of Tokyo lead the way for the restructuring of Japan?

 

 

New Research Graduate School in Okinawa

→Japanese

I have previously introduced in this blog, OIST, (Ref. 1, 2) a research institute which was established in Okinawa and is designed to take on the challenges of the new global world. 

The plan is to make this research institute into a full-fledged graduate school, and I am part of the group which is responsible for making this happen.  In a previous column, I talked about sitting in on a board of governor’s meeting via teleconference from Kuala Lumpur, but unfortunately was unable to fully participate due to a bad connection.

This board of governors did, however, succeed in moving this project a further step ahead.

The possibility of becoming a groundbreaking graduate school has catch the attention of the world at large with many questioning whether something like this on this scale is really happening in Japan.  Two articles have been published in Nature entitled “Okinawa goes Recruiting” and “Made in Japan” in the wake of the executive committee meeting. I look forward to more of these types of articles appearing in the future.

It has been a long hard journey to get this far.  I would like to offer my sincere and heartfelt thanks to everyone involved in this endeavor including Drs. Sydney Brenner, Jonathan Dorfan and Torsent Wiesel, and all other preeminent supporters and organizations representing a variety of fields from around the world, and within Japan.

The real challenges lie ahead of us.  We will need the help and support of everyone to ensure that scientists around the world recognize OIST as a graduate research facility in an opening and welcoming Japan.  In many ways, I think that intentions of Japan as a country and the confidence of researchers are intertwined. 

I am extremely pleased with the progress that is being made and I humbly ask everyone here and of the world for their support.

 

Dialogue with Ikujiro Nonaka: An Event at a Gathering of the UCB-UCLA Alumni Association

→Japanese

Ikujiro Nonaka is one of Japan’s most influential ‘gurus’ on innovation.  He is a highly regarded international scholar and someone I also greatly respect.  Professor Nonaka has written many wonderful books (in Japanese and in English), and among them are some of my favorites.  Included among these books are “The Essence of Defeat”, “The Essence of Innovation”, “The Etiquette of Innovation” and “Virtuous-Based Management”.  His ability to conduct research and analysis, and then find the “essence” of a thing is truly amazing.

Moreover, Professor Nonaka does not just look, in his books and talks, at the analysis and know-how that forms the foundation of the average business school, but rather he strives to delve into the essence of a thing as well as delve into “leadership” and shared philosophy which exposes the humanity at the root of all. Specifically, Professor Nonaka looks at the importance of phronesis as proposed by Aristotle.  He could even be characterized as Japan’s Peter Drucker.  And in reality, he is the First Distinguished Drucker Scholar in Residence at the Drucker School of Management, Claremont Graduate University.

We had previously had some discussions, and we have worked together on various projects in his role as the head of the University of California at Berkeley (UCB) Japan Alumni Association and mine as the head of the UCLA Japan Alumni Association (in Japanese).

One of our projects that came to fruition is our dialogue on “Japanese Innovation in the Aftermath of the 3.11 Disaster ? What Will It Take?” which was held on July 1st.  This event was well attended by a lively audience.  The event started from 6:30 in the evening and the reception continued on until 10:00 pm.  Unfortunately Professor Nonaka had to leave early because he had to leave for Dalian the next day. 

The Hitotsubashi Business Review has recently put out a special feature entitled Thoughts on Ikujiro Nonaka: Frontiers of Knowledge Management (in Japanese) in its Summer Issue.

I started out by setting the tone for the first 30 minutes and reiterated the themes that I have talked about on this site at length.  For example, how both the strengths and the weaknesses of Japan have been laid open to the world in the aftermath of the events of 3.11 (Ref. 1, 2) .

Professor Nonaka has also coauthored a paper The Wise Leader with Hirotaka Takeuchi that was just published in the May issue of the Harvard Business Review.  (Professor Takeuchi launched the Graduate School of International Corporate Strategy at Hitotsubashi University 10 years ago and last year returned to Harvard.)  Anyway we launched into our dialogue for 30 minutes which was followed by a 60-minute Q&A session.  All in all, it was a hugely intellectually stimulating evening.

Professor Nonaka and myself both strongly stressed the importance of, not knowledge, but rather the spirit that one can garner from liberal arts, philosophical and communal values as well as wisdom and experience gained through practical application, actions and evaluations.

At the same time, the July issue of Voice (in Japanese) had a special feature on “The Kan Administration, the Essence of Defeat”, and Professor Nonaka lead off with an article entitled “Non-Reality-Based Politicians are Destroying Our Country”.  Professor Nonaka noted during the talk that sales of his book The Essence of Defeat have jumped since 3.11.

Our dialogue should eventually be available for all to see via video and I will let you all know when it is posted.

I received a number of messages via Twitter and email from participants, and someone also talked about this event in their blog (in Japanese).

Afterwards, I was able to enjoy drinks with Mr. Kobayashi who is the originator of “This is Liberal Arts: Summer Course 2011” that was conceived in Boston last year, and his friend Mr. Kano, Mr. Yasui and Mr. Yokoyama who is a UCLA alumni.

After spending several fulfilling hours with everyone, a truly productive day came to an end.

 

 

Message of Support to Female University Students and an Email from a Student

→Japanese

Those of you who visit my site are probably aware that I am a proud supporter of the empowerment of women (in Japanese).   I have often talked in public on this theme (in Japanese).

I gave a talk at Showa Women’s University whose president is Mariko Bando.  President Bando is also widely known as the author of numerous books including a best-selling book, The Dignity of a Woman.  The lecture at the Hitomi Memorial Hall was open to the general public and approximately 2,000 were in attendance, most of whom were students.

As I have reiterated numerous times on this site, (Ref. 1, 2, 3) the disaster of 3.11 has made the weakness of the Japanese male-centric hierarchical social structure apparent to the rest of the world and has, in turn, prompted talk about this state of affairs.  This demonstrates the almost frightening power of the information age.  My talk focused on these topics as well as the great expectations for women in the modern age.

The discussion moved onto topics such as “students should take time off during their school years”, the direction that women are moving into in the global world and actual examples of their activities.  I truly hope that each and every one of them is able to find a career that allows them to have a wonderful life.

I also made a request to the president and the Chairman of the board that students not be required to pay tuition when they take a leave from school.

I received a number of messages via Twitter, and also emails such as this one:

“My name is “M” and I am a fourth year student in the Department of Psychology in the Social Science Faculty at Showa Women’s University.  I attended your lecture today at Showa Women’s University and I wanted to thank you for your very interesting and thoughtful talk.  I am sending this mail, because I really wanted to convey what I took away from today’s lecture.

I listened to what you had to say, I came to realize that what we need to do is first give ourselves permission to take on challenges and strive to maintain our drive and passion as we tackle these challenges.

I also think that if we look at our homeland of Japan from the outside, we would gain a new and different perspective on things in comparison with our current perspective.

Since the events of 3.11, I have come to doubt much of what I had hitherto accepted without question.

However, I now strongly feel that it is our job to change what Japan has become.

Nothing will happen unless people like myself do something.  I just wanted to let you know that I have taken your exhortations to heart and will try my best to do whatever I can to help achieve change. . . .

Thank you so much for your efforts of today.”

It always pleases me when I get such a response from students that holds the promise of the beginning of something new and becoming connected.

 

 

 

“This is Liberal Arts: Summer Course 2011” by Harvard College students

Japanese

I noted in previous blog articles (Ref 1 in Japanese) that the number of students from Japanese going to top universities in the United States is dropping which caused quite a stir. This drop is a fact but it is different from the problem that the youth of today do not want to venture into the outside world. 

I have pointed this out a countless number of times (Ref. 1 2) and explained the reasons why. I look forward to picking up this topic for further discussion at a later time. 

I think you all know from the contents of this site that I make as much effort as possible to interact with the Japanese youth when I go abroad.  As you know, I get together with a lot of youth who are engaged in research in Boston, primarily in Harvard and MIT. 

The planning of this summer course on the liberal arts started as part of these interactions when Ryosuke Kobayashi, who was a sophomore at Harvard College last year came to the realization that liberal arts education is extremely important and he felt the need to convey this importance to Japanese high school students.

We discussed how to concretely get this message across in the course of emails and meetings when he visited Japan, and finally an actual course entitled “This is Liberal Arts: Summer School 2011” will be offered for one week at the end of August from the 20th to the 27th.

The main sponsor is Impact Japan which was launched last year.  The Summer Camp receives support from many individuals and groups. This Summer Camp will be attended by 25 students from Harvard, 30 students from Japanese universities and target approximately 80 high school students.  You can take a look here for more information. 

We are looking for highly motivated high school students to join us.

The Camp is scheduled to be held at GRIPS which I am affiliated with and other locations around Roppongi.

We are currently putting together what promises to be a great curriculum that will address the questions such as “why the liberal arts?” and “what are the liberal arts?” and more.

All in all, it should be a very enjoyable experience.

 

An Interview with NBR

Japanese

My opinions on the response of Japan to the 3.11 Tohoku Earthquake and Tsunami Disaster and the Fukushima nuclear disaster have been posted on the NBR website. This interview is entitled “Moving Forward: Relief Efforts, Health System Reforms, and Japan’s Role in Global Aid”.

Among the things that I discuss in the this interview is the establishment of an independent, international task force, to examine Fukushima nuclear disaster, which also serves to halt the loss of confidence and damaging rumor mongering in Japan.  The establishment of such task force is critically important, thus the government must take immediate action, and adopt a stance designed to learn from the mistakes of the past and share those lessons learned with the rest of the world.

I just want to ask you, dear readers, what message did you take away from this interview?

Interviews of a number of other friends (ref.1)and acquaintance have also been posted, and I encourage you to take a look.  Not an awful lot of news in English gets out of Japan, so many in the general public overseas look upon Japan with uncertainty because they are unsure of what is going on. 

However, we are in an age of new tools and venues for communication.  I, myself, have decided to try to send out at least half of my messages on Twitter in English.