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Health experts say ALS woman's death in Kyoto not case of euthanasia

Jul 30, 2020 (Kyodo) - Health experts are calling the case of two doctors arrested last week on suspicion of assisting in the death of a 51-year-old woman with ALS "fundamentally different" from past euthanasia cases that led to other doctors' convictions for murder in Japan, because she allegedly asked them to kill her for money on Twitter.

Yoshikazu Okubo, who operates a clinic in Natori, Miyagi Prefecture, and Naoki Yamamoto, a doctor in Tokyo, allegedly administered a lethal dose of barbiturates to Yuri Hayashi at her home in the western Japan city of Kyoto on Nov. 30 with her consent, investigative sources said.

Short-acting barbiturates, such as pentobarbital, taken in large dosages cause death by respiratory arrest and are known to be used by groups that assist with suicides in Europe and the United States.

Hayashi's disease, amyotrophic lateral sclerosis, also known as Lou Gehrig's disease, causes gradual paralysis with no fundamental treatments established.

According to the sources, neither Okubo, 42, nor Yamamoto, 43, were the woman's attending physician, and the ALS patient and Okubo are believed to have exchanged messages using the social networking service for nearly a year prior to her death.

It was Hayashi who offered 1.3 million yen ($12,400) for the job, nearly the same amount charged by a Swiss group for assisting suicides.

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Japan’s World Cup campaign ended in the cruelest possible fashion on June 29, as Gabriel Martinelli scored in the fifth minute of stoppage time to give Brazil a 2-1 victory over the Samurai Blue in their knockout match in Houston. Japan had led in the first half and were still level at 1-1 in the final moments, but Martinelli’s late strike sent Brazil into the Round of 16 and eliminated Japan from the tournament.

Strong earthquakes have continued to shake parts of Japan in recent weeks, with 11 temblors measuring lower 5 or above on the Japanese seismic intensity scale recorded across the country since April 2026.

A Kintetsu Railway train derailed inside Kyoto Station on the morning of June 29, forcing partial suspensions on the Kintetsu Kyoto Line for the rest of the day and causing long delays that hit commuters, students and tourists.

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Japan advanced to the knockout stage of the World Cup after a 1-1 draw with Sweden on June 25, finishing second in Group F and setting up a Round of 32 clash with Brazil in Houston.

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