Regarding the Feb. 5 article "Crash victim refused by 14 hospitals dies": The emergency medical service in Japan is not failing; it failed a long time ago and is basically beyond death's door. Japan needs to set up a system of regional trauma centers, each serving several hundred thousand people, with rapid vehicular and helicopter ambulance service to get patients to a trauma center immediately. This is one of the biggest holes in Japan's much vaunted universal health care system.

wayne root