Kusakabe, a former geriatric specialist from Osaka, explained to AFP the thinking behind his shocking proposition, saying removing paralysed limbs would make patients lighter and reduce the burden on caregivers in case the care industry reaches crisis point.


In many cases it’s worse than dead weight. Those limbs are prone to cause further issues - if you can’t move and feel the limb, it is not rare to hurt it badly simply by not realizing that the way the limb currently is positioned causes blood flow issues or outright injury, making them susceptible to infections.
But i don’t think - with the scale of demographic issues in mind - that this is something that can reduce japans problems in a meaningful way. A radical rethinking of how much pressure work and economic needs can be allowed to be inflicted on their population, in combination with a strategic campaign to reduce misogyny and xenophobia, and increases in lifetime income of mothers (by acknowledging that child rearing is a full time job) to the same level as everyone else are needed.