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ix My families in the United States and Japan had to live with me all ­ these years, and in their persevering patience made this proj­ ect pos­ si­ ble: to the entire Armstrong-­Hough-­Nelson-­Edes clan and Remes-­Carliner ­family, thank you. Thank you especially to Drs. Takaaki and Kazue Matsuo, our chosen ­family and the reason Okayama became home. Many guides, mentors, and collaborators made this research pos­si­ble. Thank you especially to Dr. Okamura, Dr. Junichi Nakahara, Dr. Daisaku Dairokuno,Dr.WasaFujii,Dr.AyamiNakatani,Dr.Takahashi,Dr.Megumi Oda, the Suga ­ family, and the Okada ­ family. Thank you to approximately a hundred unnamed physicians, nurse prac­ ti­ tion­ ers, and nurses who took time out of their overwhelming schedules to talk with me about their work. I would not have been able to begin, much less finish, without Dr. Linda George, Dr. Lynn Smith-­ Lovin, Dr. Nan Lin, Dr. Leo Ching, Dr. Anne Allison , Dr. Ed Tiryakian, or Dr. Suzanne Shanahan. Dr. Kazumi Hatasa, Dr. Chie Muramatsu, Dr. Miura, and the rest of the Middlebury Japa­ nese Language School worked their magic two years in a row. Three anonymous reviewers strengthened the first draft of the manuscript with their questions and criticisms. My amazing students and research assistants at Meiji University, especially Yuma Nambu, Manami Hakoda, Shiro Furuya, and Hideaki Tonoike, made the second round of research for this book during three years in Tokyo in­ ter­ est­ ing and productive. Thank you to all members of the Japan Multigenerational Interview Proj­ ect who critiqued early versions of this proj­ ect, contributed to interview guides, worked to recruit participants, and assisted with or carried out interviews: Juichi Suzuki, Shin Yonesaka, Anna Maki, Hiroaki Yamada, Hideaki Tonoike, Sarasa Hayashi, Yutaro Takeuchi, Yasuhisa N., Yuto Oshima, Ayuko Takeda, Tomoka Yamada, Daiki Yanai, Tomoya Abe, Taiga Aoki, Than Htay Aung, Yamato Fujisawa, Satoru Goshi, Yukiko Homma, Mitsuki Imamura, Takayuki Ishikawa, Yuki Ishiyama, Kensuke Matsumoto, Michiko Mitsuta, Ayano Nakagawa, Yuma Nambu, Natsuki ­ Inoue, Jun Ono, Ryu Ru, Junichi Sakata, Yuki Tamatsuka, Toru Taniguchi, Kazuaki Tanikawa, and Takumi Wakimura. This research would not have been pos­ si­ ble without significant financial support from the Asian Pacific Studies Institute at Duke University, the Acknowl­edgments x Acknowl­edgments Foreign Language and Area Studies (FLAS) Fellowship, and the faculty research fund of the School of Po­ liti­ cal Science and Economics at Meiji University in Tokyo. I owe a further debt of gratitude to many friends and colleagues who shared their insights over several years: Mariko Suga, Yuka Nagata, Jill Powers , Jessica Rubenstein, Emily Mills, Shiro Furuya, Teresa Umeki, Yasuaki Umeki, Kieran Rance, Peyton Bowman, Riley Smith, Colette Wiffen, Helen Matsubara, Naomi Sharlin, Fitzalan Crowe, Kim Rogers, Mitch Fraas, Abhijit Mehta, Karen Rembold, Sarah Heilbronner, Ben Hayden, Irene Liu, Matt and Jenny Crowley, Erika Alpert, Yoshinori Hananoi, Toshie Okada, Yuriko Okada, and the wombats (Basuberi-­san, Zaara-­san, Sebura-­san, and Oh-­san). I wish I could thank my dog, Rutherford, but I think his long adolescence prob­ably delayed this book by at least a year. He is a good boy anyway. Fi­nally, thank you to Jacob Remes, who moved to the inaka, braved a languageheneverintendedtolearn ,andendedupfallinginlovewithOkayama (and marrying me). I never would have finished this proj­ect without him. Biomedicalization and the Practice of Culture This page intentionally left blank ...


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