Affiliation:
1. Department of Biomedical Ethics, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan
2. Sanno Medical Center, 8-5-35 Akasaka, Minato-ku, Tokyo 107-0052, Japan
Abstract
Japan, having had the longest isolationist policy in the world, is averse to options, such as migration to increase the population. What kinds of pronatalist policies to increase fertility and lower the population’s age are ethical? Two questions can be raised: is it ethical for the government to intercede, and is it ethical for individuals to exercise this choice? In addition to the gradually decreasing birth rate, Japan is faced with the challenge of a possible sharp decline in the birth rate in 5 years. Astrology and superstition have influenced the sex preference of a child in Japan, and in 1966, there was a 26% drop in the birth rate. It was the year of Hinoeuma, occurring at 60-year intervals, and women born that year are believed to have a potentially dangerous ‘headstrong temperament’ and murder their husbands. Abortion rates spiked that year, and many forged the birth date of their child. The next Hinoeuma is in 2026. Although the bioethical debate about pronatalism exists in the literature, there is no literature addressing the question of sex selection in the context of a decreasing population. This paper argues that even if the Japanese government’s current pronatalist approach is ethically warranted, it should not extend to sex selection since it would promote misogyny and stereotypical gender roles.