The Amami Islands, located southwest of Japan's main island, consist of eight main islands, some of which lack hospitals and resident doctors. In cases of sudden illness or venomous snakebites, common in the region, emergency medical care is typically provided via doctor helicopters. However, due to frequent typhoons, air or sea transport is not always possible, making access to medical services uncertain and dependent on weather conditions.
　　In contrast to Japan's mainland and other developed countries, where death due to lack of medical access is rare, the situation in the Amami Islands presents a stark difference. Interestingly, many residents choose to remain on these remote islands despite the risks. This suggests a unique perspective on life and death—one that accepts death as a natural part of life rather than something to be avoided at all costs.
　　This study conducted interviews with residents of the Amami Islands to explore their views on life and death. The findings reveal a prevailing attitude: while people wish to live their lives meaningfully, they do not seek aggressive life-prolonging treatments. Many expressed a desire to spend their final days with family and to maintain a lifestyle that reflects their personal values, even when facing serious illness.
　　In the context of modern medicine, where living wills and DNAR (Do Not Attempt Resuscitation) orders are increasingly respected, the death-related values held by the people of the Amami Islands offer valuable insights. Their perspective encourages a reconsideration of what it means to live—and die—with dignity, particularly in settings where medical resources are limited.