The Journal of Medical Ethics published an article by Ivo K., et al. on end of life attitudes in Korea, China and Japan. It concluded : Patients in Far-Eastern countries gave various responses regarding end-of-life care decisions. Although familial input is still influential, most patients think of themselves as the major decision maker and accept the necessity of advance directives with Westernization of the society. Artificial ventilation withdrawal and even active euthanasia may be acceptable to them.