Please don't rearrange our shoes when we turn up, paramedics in Japan urge
53 points by high_na_euv 4 days ago | 55 comments

shdon 4 hours ago
In Dutch culture it is far more common to keep shoes on literally everywhere, so perhaps I'm biased, but I would think that in an emergency where every second counts, these people can be forgiven for not adhering to the strictest etiquette?

I'm not surprised the person last mentioned in the article, who suggests exactly that, got 800 likes on their comment. I am surprised that it even needed to be said.

Now I'm suddenly wondering (probably stupidly) whether firefighters also take their shoes off when entering a burning building.

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wodenokoto 3 hours ago
I think we can roughly split paramedic visits into “patient needs to get out ASAP” and patient can’t get out alone or with help of friends and family”, so I would hope they keep their shoes on for the first type.

But ambulances in with full sirens begging over their speaker-system to have pedestrians at Shibuya crossing let the vehicle through, is probably the worst thing about Japan.

As for your second question, I’m reminded of Bob Mortimer in Would I lie To You: “… then the fire brigade came and ruined the whole house” - “Bob, surely the fire was ruining the house” - “No, water damage”. Maybe if those darn firefighters had taken their boots off, there had been a bit more left of Bobs childhood home.

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SapporoChris 37 minutes ago
I suspect that there are several levels of severity in an emergency and that when appropriate the responders forego removal of shoes. It's a low depth article, they didn't go into details.
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cannonpr 3 hours ago
So, I can’t honestly personally understand taking your shoes off in an emergency, however I am sure they have gotten very efficient at it.. I can say that if they didn’t it would cause damage to the home, many Japanese homes, especially traditional but also in general just aren’t built to take shoes. Tatami mats, and even hinoki floors despite being “hard” for a softwood, is still a softwood, so some level of genuine damage would occur. Again of-course versus the emergency in saving a human life, I’m not quite sure I can understand it.
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f33d5173 3 hours ago
Most shoes have rubber soles, to do damage to the floor it would have to be softer than rubber.
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Gigachad 3 hours ago
You can quite easily have small rocks wedged in the tread of your shoes which will scratch floors.
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anigbrowl 4 minutes ago
Firefighters in Japan wear boots and keep them on, but fire is generally cause for demolition anyway due to the way most homes are constructed.

The Japanese shoe taboo is about purity. It's not about protecting the floor but about the idea of cleanliness. Walking in with outdoor shoes is the equivalent of deliberately walking into a western home with dogshit all over your shoes, or (since most Japanese homes have small family altars inside) spiritual desecration.

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Georgelemental 3 hours ago
Here in America, EMS personnel generally wear tall, reinforced boots; they are considered protective/safety equipment. We would never take them off just to enter a home
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eqvinox 3 hours ago
Probably the same in most Western countries. It's self reinforcing though; if you were expecting to take them off you'd never pick those shoes by default, rather leave them in the back of the car (which presumably/hopefully is what they do in Japan, in case they *do* need them? idk…)
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agarwaen163 3 hours ago
if you do need them you're not going to have time to go get them as an Emergency Responder. I think the pragmatic course then is to disregard etiquette and tradition for safety and practicality in a general sense.
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eqvinox 3 hours ago
Everyone except the driver has ample time to swap boots during the drive to the location. (In cases where not, I'd also default to robust safety boots.)

Depending on the boots, you might not want to wear them while "idle"¹ in any case, though that's mostly a non-concern with modern safety shoes.

¹ mandatory note: most emergency responders have tons of work while "idle", I just mean "not actively responding"

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Georgelemental 2 hours ago
You don't always know what the location is like though. You are called to an apartment: maybe it is spotlessly clean, maybe the floor is littered with used needles
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rdmuser 22 hours ago
Got posted a couple times recently. This one got a couple comments: https://news.ycombinator.com/item?id=49474734
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JuniperMesos 4 hours ago
> Another user attracted more than 800 likes for suggesting that strict etiquette could perhaps be forsaken at such times: “It’s an emergency. I would just tell them: ‘Please step inside with your shoes on!’”

This seems like the best policy in an emergency where 30 seconds actually matters. And I actually like the East Asian custom of taking one's shoes off before entering a house and adopt it myself.

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Izkata 3 hours ago
Where I grew up (suburbs in the Midwest in the US) it was common and expected all around that you'd leave your shoes just inside the door and walk around in your socks, at least for family/friends/guests. Can't remember about service workers.
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krupan 3 hours ago
Does everyone in Japan wear slip-on shoes?
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wahnfrieden 56 minutes ago
No
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theonething 3 hours ago
tangential, but I don't understand why keeping your shoes on in your house is a thing. It's so unsanitary. The bottom of your shoes are in contact with things like the floor of public bathrooms, animal feces (when walking on grass), dirt, mud, etc.

And it's so much more comfortable to be in your house barefoot, with socks or with slippers.

So much cleaner. I'm disgusted when people try to walk in my house with their shoes on.

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probably_wrong 21 minutes ago
Coming from a shoes-on culture I can give a couple points.

First, in the rare cases you describe (when was the last time you stepped on feces?) one would indeed leave their shoes outside. But in the day-to-day your shoes have some dust on them and that's it - you won't even notice it's there when compared to the dust that already accumulates daily. If you live in a climate where this assumption doesn't hold (snowy areas come to mind) then the equation changes.

Second, the floor is usually stone and therefore designed for being walked on with shoes. I would feel awkward walking on some polished wood, but if the difference between inside and outside is "this one is less coarse but just as hard" then I wouldn't see a good reason for taking my shoes off. I would probably avoid the rug, but that's me.

As for comfort, keeping your shoes on also means one less thing to do when going in and out. Do not underestimate the path with less friction.

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ivell 2 minutes ago
I have seen in Switzerland that people leave their shoes at the entrance and switch to house shoes. Or they use a shoe cover when they enter house with shoes. Probably because houses are mostly wooden floored.

So shoes on is not universal in the West.

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WD-42 3 hours ago
Plus walking barefoot in your home is a good way to sense when you need to sweep or vacuum.
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lokar 24 minutes ago
I’d say it’s a good way to tell when you should have swept up a few days ago.
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wpm 3 hours ago
I'm the same way but if I pass out in my house I absolutely do not give a shit about any of that and don't want the EMTs wasting time taking their shoes off to save my ass.
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jimjimjim 2 hours ago
Do you have a pet dog or cat?
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bigstrat2003 3 hours ago
There's nothing unsanitary about it. The bottoms of your shoes simply are not that dirty unless you're walking through abnormally dirty situations.
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Gigachad 3 hours ago
That's the whole function of shoes though. If outside was as clean as my floors at home, I wouldn't need shoes.

I have to imagine the person who leaves their shoes on either never goes outside, or just has filthy floors.

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eqvinox 3 hours ago
> That's the whole function of shoes though.

Nah, the main function of shoes is (to support your feet and) prevent injury. Cleanliness is second on the list.

[ed.: added braces]

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Gigachad 3 hours ago
Your feet do not need support, they were evolved over millions of years to support themselves. Someone who habitually wears shoes indoors might lose the muscle strength in their feet in the same way someone who drives everywhere loses leg strength, but this isn't natural or optimal.
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jimmydddd 3 hours ago
Agreed. But you have to go shoeless throughout your youth so that the bones and muscles of the foot grow strong. This is true, for example, with kids in some African countries. There was a trend of barefoot running in the US in the 2010's (see Barefoot Sensei), but most people who tried this ended up quitting it as it's hard to shift to this style in, say, your 40's, after a lifetime of wearing shoes.
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eqvinox 3 hours ago
Sorry, I phrased that poorly. The muscular support is its own thing (and I agree with you) but your soles don't deal well with hot summer asphalt surfaces, glass shards or even small pebbles surfaces.
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Gigachad 3 hours ago
I agree, but those bits of glass shards and pebbles end up wedged in shoes and released indoors. Shoes outdoors are important, but the exact stuff they are protecting you against is the stuff you don't want in your carpets.
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jevogel 3 hours ago
We didn't evolve to walk on concrete and asphalt, though.
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qsera 3 hours ago
> they were evolved over millions of years to support themselves.

But not on hard floor.

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Grombobulous 3 hours ago
That is not the primary function of shoes. The function of shoes is to support your feet, protect them from harsh surfaces, keep them dry.

Unlike the commenter above you, I don’t really agree that it’s completely sanitary, though. I’m just saying that keeping you clean is actually pretty far down the list.

Another thing about whether the floor is sanitary: that changes a lot based on how you use your floor. If you eat, sleep, or sit on the floor often like in a traditional Japanese home, keeping the floor clean is a lot more important.

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Izkata 3 hours ago
The "support your feet" argument came from the belief that everyone is supposed to have a prominent arch and that shoes could force your feet into that shape, but as far as I knew had been thoroughly refuted over the past 15-20 years. Forcing your feet into having an arch when it's not your natural form can actually cause problems further down the line. Soles not being flexible also changes how you use your ankle and IIRC how you balance while walking, possibly contributing to back problems.

Keeping your feet clean and protecting them from surfaces are the primary purposes of shoes. Some people need them for support after having worn shoes too often (my parents are in this situation and have a separate set of "indoor shoes" just for this), or some sort of disability that needs those super-wide-sole shoes, but in general they are not for supporting your feet.

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Grombobulous 3 hours ago
I’m really not talking about arches, just talking about easing uneven terrain and enhancing grip and things like that.

Hiking boots can significantly enhance stability and of course walking over sharp rocks becomes trivial.

I also forgot to mention steel toed boots, no slip restaurant shoes, and other injury-protective shoes.

Then you’ve got temperature: hot pavement, cold snow.

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jimjimjim 2 hours ago
It depends what you do outside. Historically shoes/boots/foot wraps were to protect your feet from the cold and from sharp things e.g. rocks, stones, spiky plants, spiders, snakes, ticks etc etc. Surely some of these conditions would still exist today even if outside was clean.
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alfg 3 hours ago
Like outside? It's so wild to me how some can step into their living space (or even bedroom) with the same shoes they use outside.
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Balooga 3 hours ago
Having grown up in South Africa, moving to the states was the first time I ever heard of such a thing as a peanut allergy, or shrimp allergy, or gluten allergy, or any kind of allergy that wasn't having to wear a medic-alert bracelet to indicate an allergic reaction to penicillin.

Removing one's shoes before entering a house isn't a thing in South Africa.

Filth can sometimes be a good thing.

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dzhiurgis 3 hours ago
Every country is different. I’m in China right now and while there isn’t much rubbish - it is still pretty dirty. Whereas in New Zealand you can walk barefoot all day and your feet will stay clean (matter of fact thats my kids do literally all the time).

Then sanitation itself is a but of a moot. Bacteria can spread million different ways, it’s mostly futile fight. If you wear flip-flops all day and don’t wash your feet, don’t shower after using public bathrooms, etc - whats the point?

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swingandamiss 4 hours ago
More Japanese obsessed hacker news posts. What's up with this? There's a daily post on HN of various topics, usually something obscure, about Japan. Why?
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Enginerrrd 4 hours ago
I think it’s just that Japanese culture represents a very sophisticated antithesis to many western cultural pillars. Collectivism over individualism, incredible development of the aesthetics of simplicity and emptiness compared to the ostentatious and sometimes baroque western aesthetics, neat and tidy compared to cluttered, the fanatical emphasis on mastery of technique, or things that can’t be produced via shortcuts, etc etc. Overall I think the Japanese are viewed as much more disciplined and conscientious which is valued in the west. And a lot of these things seem like wizardry to Americans because we’re lacking the routines and building blocks that lead to it. In essence the Japanese are very process oriented, and Americans see the results and want them but don’t understand the process side of things as it’s not intrinsic to our culture. Yet the results are admirable… whether or not Americans would actually want to live the process that leads to those results is another story. That’s the gist of it I think.
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rayiner 3 hours ago
Because Japan is amazing. Probably especially so for a crowd that tends towards orderly-minded engineering types like HN.
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alfg 3 hours ago
Cultural differences, especially with increased tourism in Japan lately. There's a lot we can learn from each other and people like to share their experiences. Is it really that surprising these topics come up more often?
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MrDrMcCoy 3 hours ago
I expect the simplicity of the site's design appeals to the Japanese.
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gfrecvh 4 hours ago
[flagged]
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gverrilla 3 hours ago
it's related to fascist ideas of japanese people being unique and people in the west joining that stupid 'philosophy'.
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oliculipolicula 4 hours ago
As I understand it, Japan is seen to be like a parallel universe where the American South successfully seceded but became technologically advanced, even surpassing the North in some areas (by adopting a Meiji type constitutional monarchy)
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eqvinox 4 hours ago
Having been to Japan several times… and actually studying Japanese studies… I can see why you're saying this but it's very superficial. None of the southern "essence" that caused the split & war is there in Japan at this point. Or do you mean it's as if the South seceded, then proceeded to lose anyway due their policies being a natural disadvantage, and then developed, out-northing the North?

What is characteristic of "the American South" here?

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jankcorn 3 hours ago
When I lived in Japan and was asked "Why are you interested in Japan?", I used to respond "It is the only non-Western country(at the time) where I have seen an extremely high level of technical/economic development and it is interesting to see similiarities/differences". (This is of course, long long before the rise of modern China)

The society is based so strongly on group cohesion and de-emphasis of the individual, the experience of living there is very, very different than the West.

I think that this "deep cultural difference" is what the original comment was trying to get at. Sadly the reference point of "American South" ended up triggering a different (less useful) trajectory for the responses.

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eqvinox 3 hours ago
Does the American South actually have that kind of group cohesion?
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LPisGood 4 hours ago
Presumably the characteristic being referred to is superficial politeness mixed with racism or xenophobia.
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eqvinox 3 hours ago
That does actually kinda make sense, but it works very differently... the politeness is anything but superficial (even counters the racism and xenophobia to a limited degree, but also hides it, coming out to ±0), and the latter two are indeed present but coded as to be ashamed of rather than proud… (unfortunately the coding of shame is also different and doesn't spurn action).

It actually makes it harder to tackle the discrimination, since it's not openly admitted. Glass walls and ceiling.

(Recommended read: https://en.wikipedia.org/wiki/Burakumin

'There is a "virtual taboo" in the Japanese media against discussing the topic, leading to widespread public ignorance.')

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rayiner 3 hours ago
You may think that because of the nationalism, but that's a superficial similarity. Outside western europeans, almost everyone is nationalistic, so that's not a useful characteristic in comparing societies. Aside from that, the American south is more like the Arab world/India--disorderly, combative, face-saving culture, and food-, family-, and faith-centric. The Japanese are much more like Mormons.
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Grombobulous 3 hours ago
The “became technologically advanced” part of this hypothetical is doing a lot of heavy lifting.
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kmeisthax 3 hours ago
Yes and no.

The biggest historical commonality between the American South and Japan - or, at least, the Tokugawa shogunate that was ruling around the same time as the South - was that both of them were at one point ruled by a cabal of essentially feudal lords. There is a lot of convergent social evolution that happens when your country's economic elite all make their money by owning land - lots of strange social titles, honorifics start floating around, people start talking around problems, and the like. However, this comparison is only skin deep, and there's plenty of things the Tokugawas did that have no parallel, or even worked backwards, to what happened in the historically contemporaneous American south:

- Sakoku (the policy of keeping Japan completely closed to trade and immigration).

- While America generally has had a long streak of veneration of the police, they never reinvented anything close to the samurai in terms of being a hereditary warrior class with a tax stipend.

- Likewise, the American South did not have a caste system; Japan did (and so did France?!?)

This makes more sense when you remember that the Tokugawa shogunate itself is the time reversal of the American South: the Tokugawas were born out of a long civil war and ended with a foreign invasion (from America) while the American South was born from foreign invasion (of Americans) and ended with a civil war.

The American South is also, interestingly enough, a mirror of Japan in other dimensions as well. The reason why the Tokugawas shut the country's borders for hundreds of years was because they understood that Christian missionaries were a front for a larger invasion force that would pillage the country's resources and abduct people to become slaves in other countries. Of course, the South was buying slaves abducted in other countries in massive quantities.

Going back to the convergent social evolution I mentioned before, you can see some of this in Japan today. Kyoto is notorious for doing exactly the same kind of backhanded compliment bullshit the South loves doing. But even then, that's one part of Japan, that was formerly the capital city. One stop on the Shinkansen takes you to Osaka where people are about as open and outgoing as Americans are.

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