["Medical Anthropology Quarterly, Volume 40, Issue 1, March 2026. ", "\n\n\n\n\n\n\n\n\n\nAbstract\nHow do public health metrics of “good death” shape care and everyday life? Concerns over dying alone has become prevalent worldwide. In Japan, social anxieties over solitary deaths (kodokushi) have intensified in a rapidly aging society. In response, care practices have emerged to keep people social in life and death. Through ethnographic fieldwork in a tsunami‐affected town in Miyagi, I examine how post‐disaster care has been reorganized in response to fears of kodokushi. Care workers improvised their activities to reconcile bureaucratic demands for “statistics of sociality” with survivors’ shifting needs and desires. These activities demonstrate the impact of standardized scripts of “good death” on the quality of life and care of those they aim to protect. At the same time, they reveal the potential for care that embraces the indeterminacy and situatedness of what constitutes a good death, allowing for diverse ways of living and dying well.\n\n要約\n本研究は、孤独死・孤立死防止をめぐる公衆衛生指標が、ケア実践と日常生活をいかに形成するのかを検討する。孤独死への懸念は世界的に高まっており、日本でも急速な高齢化に伴いその社会的不安が顕著である。本稿は、宮城県の津波被災地における人類学的調査にもとづき、災害後のケアが孤独死への懸念に沿ってどのように再編されてきたのかを明らかにする。支援員たちは、行政が求める指標と被災者の変化するニーズとのあいだで葛藤しつつ、日々の実践を柔軟に調整していた。これらの取り組みは、「望ましい死のあり方」を標準化する枠組みが生活とケアに及ぼす影響を示すとともに、その不確定性を受容し、多様な生と死のあり方を可能にするケアの潜在力を示唆する。\n"]