解剖
Posted by Sean at 22:14, May 20th, 2007Wow. Just, wow. Perhaps we’ve found an explanation for Japan’s extraordinarily low murder rate:
Forensic doctors ridicule certain facets of this country’s medical practices, saying, “The living are offered advanced care, but the dead receive Edo-period treatment,” meaning that while sick people receive excellent medical treatment, those who die of unnatural causes are cursorily examined only by sight or touch–a practice not much different from that used during the Edo period (1603-1867).
With a shortage of forensic doctors, equipment and funds, the autopsy rate for unnatural deaths is lower than 10 percent–a figure that continues to fall.
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When someone dies of unnatural causes, doctors working for the police, on a commission basis, are asked to examine the body at the site. But these doctors are private practitioners who lack forensic expertise.
Since they determine the cause of death purely by sight or touch, they cannot determine whether a person died from poisoning or drugs, or whether the person suffered internal bleeding or broken bones.
In a field where even experienced forensic doctors make false diagnoses in 40 percent of cases, police officers–laymen in this area–and private practitioners are entrusted with the job.
A senior police officer experienced in the matter said most people who die unnatural deaths are cremated, and are presumed to have died from causes such as heart failure or stroke after an initial examination, which rules out the possibility that they died at the hands of a criminal.
Of course, it’s not just crimes that it’s helpful to uncover; it’s helpful to know about unnatural causes such as accidental poisonings or reactions to medication, too. One contributor to the worsening situation is that medical school students are staying away from forensic medicine.
Some medical facilities even lack autopsy tables and basic medical equipment.
Administrative rigmarole is also seen as a hurdle to increasing the autopsy rate.
When an initial examination determines that a death may be crime-related, the public prosecutors office is put in charge of the judicial autopsy under the Criminal Procedure Code.
In the case of an unnatural death unrelated to crime, autopsies fall under the supervision of the Health, Labor and Welfare Ministry.
Under the law for conserving cadavers for autopsy, prefectural governments should determine whether an autopsy should be conducted from the standpoint of public hygiene, but bereaved families are usually allowed to have the final say.
I doubt the official murder rate would, like, double if practices were brought more into line with those of other countries. Even so, being offed by a family member (it used to be for life insurance money) is the stock Japanese sort of killing, and the likelihood that it will be discovered is seriously decreased if families get deciding power over whether even an initial autopsy is performed.