Did you know that Japan is quietly repeating a familiar pattern of silence?
Certain problems are not confronted directly.
Instead, they are often postponed, blurred, or left undefined—sometimes for years.

These cultural patterns of silence and institutional ambiguity are explored in Who Diagnosed You? Vol.1, and the issue we confront is one of them.

This time, it is “Shadow MD” — false diagnostic authority masked with the aura of legitimacy.

Unlike earlier cases, however, this problem is no longer contained within Japan.

Because in the age of AI—
technology may identify disease,
but if no one is accountable for that diagnosis,
have we truly advanced—or merely automated the silence?

The challenges of diagnostic authority and accountability will likely spread silently across borders.

In fact, the world has already received a warning sign—often without even realizing it.
A Shadow MD born in Japan is quietly spreading across borders,
undermining research integrity and potentially compromising patient care.

Before super AI fully arrives, there is much we can learn from Japan.