May 27, 2025
Today was a truly memorable day during our study abroad program in Japan. We had the distinct honor of meeting Governor Yuji Kuroiwa and some of his staff of Kanagawa Prefecture, the very architect of the Me-Byo concept that brought us here in the first place. It’s not every day that a leader takes time out of his schedule to personally engage with a group of international students.
Governor Kuroiwa gave a presentation that outlined his vision for public health using the Me-Byo concept. Me-Byo is a uniquely Japanese approach to understanding health as a continuum of ups and downs rather than a single state of “sick” or “well.” The Governor emphasized the importance of proactive, preventive care, particularly in an aging society like Japan’s. He highlighted three pillars of Me-Byo for older adults: maintaining physical activity, eating nutritious foods, and staying socially engaged in one’s community.
What stood out most was the Governor’s emphasis on empowerment. Rather than treating aging or chronic conditions as inevitable decline, Me-Byo encourages people to actively shape their health trajectory. It’s a holistic, forward-thinking model that challenges many of the Western models in our own healthcare systems.
After his presentation, Governor Kuroiwa graciously took time to answer our questions. It was inspiring to engage with those working in this space who are stepping outside of the box to increase the health and wellbeing of their community. They are extremely creative in their approach, which is truly progressive. For example, the multi-generational approach of E-sports, teaching older adults to play video games by partnering with younger people who are their teachers!
To top off the visit, our hosts took us to the rooftop of the prefectural building, where we were treated to a panoramic view of the city. This visit was more than just a photo opportunity. It was a rare chance to engage directly with a thought leader who is redefining public health at the policy level. We left feeling inspired, informed, and eager to explore how the Me-Byo concept might be adapted or translated into our own healthcare systems back home.
Alicia Schaal, MS, BSN, RN, PHN
Master of Science Medical Cannabis Science and Therapeutics Student
UM School of Pharmacy