In Japan, death from old age— rousui —is officially recognized on death certificates and is now the third leading cause of death. Rousui des
"I still remember the first woman whose death I certified as rousui. After she passed away peacefully, I sat with her family in a quiet circle. We spoke not about her illness, but about her life—her gentleness, her years, and how she had simply grown older. In that moment, I began to understand what it means to witness someone dying from aging itself."

















