Running on No Sleep: A Health Checkup in Japan, a Free Monster Energy, Then City Hall

Where this applies: This article explains how things work in Japan. Rules, amounts and procedures may be different where you live.

Spot the anomalies
How reading tools work

Listen reads the article aloud. Speed read shows phrases in sequence at your chosen pace. Language practice compares available translations. Save keeps a bookmark in this browser; find it in the player’s bookmarks. Play this article as Breakout turns its own words into bricks for you to knock out.

Share this article
Advertisement
Advertisement

By mid-morning my brain was already fried. An online government form had made me scan my ID card over and over, and at the health checkup I had to explain things I'd already told them in advance. And the checkup wasn't even over yet. City hall was still to come. Officially, my role today was "customer." Somewhere along the way it turned into a product rolling down an inspection line, plus an unpaid debugger for the government's systems.

1. The checkup takes about 1.5 hours, and it drags without your phone

Each test is quick. The waiting is the problem. Check-in, height and weight, blood draw, eye test, hearing test, ECG, chest X-ray, a talk with the doctor: between every short step there's a stretch of "wait until they call you." At work checkups I'd done before, the staff sat in a row and you shuffled sideways from one to the next. This time the rooms stayed put and you walked around the building. Thank god I had my phone. Without it, I'd have spent 1.5 hours going full Anya: "Is it... still not my turn...?"

2. Front-opening gown, quiet halls: wait, is this a spa?

You change into a gown that opens in the front, plus shorts. Quiet hallways, sofas, someone calling numbers, walk to a room, sit down again. Honestly, very Japanese-hot-stone-spa. Even the staff had weirdly soothing voices. For a moment it felt less like a medical checkup and more like a wellness retreat. Except what waits in the next room isn't a warm stone bed. It's the ECG. Lie down, stay quiet, don't move. Give those instructions to someone running on no sleep and you've basically started a nap. I almost dozed off. For real.

3. The veteran nurse and my "same batch" buddies

The person doing the blood draw had serious pro energy, and it was so reassuring. I barely felt the needle. I said, "That didn't hurt at all," and she replied, "Oh good. Okay, next..." Compliment processed in 0.5 seconds, straight on to the next step. To me it was a miracle. To her, I was probably just one of hundreds that day.

Also, people who checked in around the same time keep ending up next to you at every station. The same name gets called right before the eye test, right before the ECG, right before the X-ray. You never say a word to each other, but you learn their name. Before long I was tracking their progress: "Oh, my batch-mate's already done with the ECG." A weird sense of being in the same class, at a health checkup of all places.

4. Eyesight 1.5 and 1.2, and the hearing test is a hard-mode mini-game

The eye test felt harder than usual. My results were 1.5 in one eye and 1.2 in the other (that's Japan's decimal scale). "Oh, they test all the way up to 1.5?" I was a little surprised. The hearing test is even more of a game. "Was that a beep?" "Is that just the machine?" "Press now? Not yet?" It's basically a yes-or-no quiz on sounds you can barely hear.

Under Japanese law, the hearing check in a new-hire health exam covers hearing at 1,000 Hz and 4,000 Hz.[1] Health ministry material describes it as checking whether you can hear tones at a set loudness.[2] All I can say is it felt like I was barely scraping by, and I didn't get results on the spot. So I'm not diagnosing myself with hearing loss. As a game, though, it was definitely hard mode.

5. Checkup cleared. Reward: 1 vending machine coin. Equip Monster, head to city hall

After about 1.5 hours on the inspection line, they handed me a coin good for one free drink from the vending machine. So, what to pick? Not water. Not tea. The Monster, because it looked like the most expensive thing in there. Short on sleep, beaten up by an online government form, re-explaining my info at the checkup, nearly passing out during the ECG, and now equipping an energy drink. In an RPG, that clearly means there's another dungeon ahead. There was. City hall.

6. At city hall: "It's on my phone, can you type it in?" The human help desk wins

That morning online, I'd typed everything myself and scanned my card over and over. So at city hall I switched strategies. I showed my new address on my phone: "It's right here." Then the clerk typed it in for me. So, so easy. All I had to do was hand over the info. I even got to vent about how the online form refused to go through all morning.

Online, I was the data entry person, the ID check person and the tech support person, all at once. At the counter, a real human types it in for you. The human help desk is undefeated.

7. "Why does it say National Health Insurance?" A total amateur works out the timeline

Halfway through, the clerk looked at an old record and went, "Huh, why is this showing National Health Insurance?" I'm no expert on the system either. But I looked at the dates. The info was from when I'd moved out of my parents' place and started living alone, before I had a job. So I said, "I don't really know how this works, but is it because this was filed before I started working?"

According to Japan's Ministry of Health, Labour and Welfare, National Health Insurance generally covers people who live in Japan and aren't on another plan, like health insurance through an employer.[3] If that record really was from before I got a job and joined my company's plan, then seeing National Health Insurance there makes total sense. I wasn't claiming to know the rules. I just read the dates and went, "Could it be this?" Today's customer has now moved on to troubleshooting city hall's records. Still not getting paid.

8. You register your new address after you move, and people show up early anyway

You don't file your moving-in notice before you move. The official Mynaportal guide says to file it within 14 days of the day you actually start living at your new address.[4] So I didn't do it this time.

But according to the counter staff, a surprising number of people come in to register before they've even moved. I guess "let's just get it all done today" wins out. I get it. But your resident registration isn't a reservation for the future.

9. Moving-out notice 15 days early: "If you're busy, we can take it" / "Let's say I'm busy, lol"

I also asked when to file my moving-out notice. The counter said they usually tell people to come about 1 to 2 weeks before the move. My schedule put me at 15 days. One day too early. Then the clerk said, more or less, that if I was busy and had a reason, they could accept it.

So I said, "Okay, then let's say I'm busy, lol." The clerk laughed: "Sure, we'll go with that." And just like that, it was done.

To be clear, this isn't some nationwide "15 days before" rule. That particular counter was just being flexible with me. Online, no matter how many times I scanned my card, the door stayed shut. At the counter, a quick chat between two humans bought me a one-day pass. The gap between systems and people is wild.

10. Bottom line: I've been doing free bug reports all day. Pay me

Morning: reproducing bugs in an online government form. Checkup: re-explaining info I'd already sent. Spa gown, inspection line. Almost falling asleep during the ECG. The veteran nurse's lightning-fast blood draw. Memorizing the names of my batch-mates. Hard-mode eye and hearing mini-games. Reward: a vending machine coin. Monster equipped, off to city hall. Letting the clerk do the typing, working out from the timeline why an old record said National Health Insurance, and checking the timing for the moving-in and moving-out paperwork.

If I wrote today up like a résumé: cross-agency user experience testing for government and medical services, bug reproduction, requirements checking, data consistency checks and timeline-based root cause analysis.

Pay: 1 Monster.

Something's not right.

Pay me.


Go one step deeper: It’s 5 a.m.: the body says “sleep,” the brain says “still open”

If this article helped you, you can support the site. Support

Advertisement
Advertisement
Advertisement

One more? Anything fun?

Since you're done reading: a couple of nearby stories and some totally different, fun ones.

  1. NearbyAccidentally Slept for 30 MinutesDid That Reset Your Sleep Pressure?
  2. Totally different, but funWhy are kids so energetic?How "bored, so run" shifts with age
  3. Is 6 million yen a high salary?Why "all my friends earn it" misleads
  4. Why Is Everyone in Chiikawa Always Eating?Food, Weeds, Monsters, Work and the 10+ Rating
  5. Why Akita's Forest Doesn't Look Like JapanPostwar Cedar Plantations

Read this today

Each one answers a question readers of this article tend to ask next.

Browse all articlesMore on Sleep and dreams

Find other articles

All articles

Mendoi-chan

Who runs this site

Mendoi-chan

She turns friction at work and in everyday life into clear structure and practical next steps.