One-Minute Book Reviews

September 30, 2009

Going to the Doctor in Japan – Please Don’t Tip the Proctologist – From T. R. Reid’s ‘The Healing of America’

Filed under: News,Quotes of the Day — 1minutebookreviewswordpresscom @ 9:53 pm
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Another memorable quote from T. R. Reid’s elegant indictment of health care in the U.S., The Healing of America (Penguin, 277 pp., $25.95), this one dealing with the high regard that the Japanese have for doctors:

“The high esteem for doctors is reflected in a traditional cultural practice in Japan that is officially frowned on these days but still seems to exist: Patients tend to bring a present for their doctor, ranging from a box of golf balls to a magnum of sake to a tasteful white envelope with the physician’s name brushed on the outside and a packet of cash inside. In the better stationery stores, you can buy a special envelope for this purpose, in soft, thick paper the color of heavy cream with ‘the honorable physician’ written on them in elaborate calligraphy. The tradition dates back to premodern times, when a physician in China or Japan had a Confucian obligation to use his skills to treat people and was not expected to demand a fee. To express their gratitude, patients provided a more-or-less voluntary gratuity. …

“In my doctor’s office in Tokyo, there was a sign on the wall clearly stating that the doctor’s fee for each treatment, and the share of the fee that I had to co-pay, were set by law: HONORABLE PATIENTS ARE RESPECTFULLY REQUESTED TO PAY NO MORE THAN THE FEE, it said. But I sometimes did see a patient, particularly an older one, carrying one of those cream-colored envelopes into the doctor’s office.”

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