In Japan, where the 1997 Organ Transplant Law admits it, a significant proportion of people reject it and do not think that “the essence of humans lies in self-consciousness and rationality” (Morioka 2001, 44). Thus, as the medical anthropologist Margaret Lock (2002, 8) explains, in Japan “the cognitive status of the patient is of secondary importance to most people,” and even if an individual suffers from irreversible brain damage and loss of consciousness, many people do not recognize him or her as dead.
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