Yoshiyuki Nagaya was a registered nurse in Japan. At present, he is an assistant professor at Kansai University of Social welfare. Previously, he completed a Master of Health Services Management and planning at the University of Technology Sydney, Australia. He is concerned about health care for elderly people in rural Japan and the impact of this could have on the delivery of quality health care in Japan. This has led him to research the various issues contributing to difficulties in quality health care for elderly people in Japan.