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Siemens and the Business of Medicine in Japan, 1900–1945

Published online by Cambridge University Press:  23 July 2013

Abstract

This article focuses on the involvement of Siemens in the market for radiology equipment in Japan between 1900 and 1945. It explores why the German multinational company was unable to keep its dominant position in the Japanese market in the interwar years despite its technological competitiveness. At this time the Japanese medical market was already well structured when the country opened up to the West. In particular, it examines the firm's strategic choices in relation to the changing economic and technological environment, highlighting the importance for foreign multinationals of working together with national trading firms involved in the distribution of drugs and products for doctors.

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Articles
Copyright
Copyright © The President and Fellows of Harvard College 2013 

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References

1 Blume, Stuart S., Insight and Industry: On the Dynamics of Technological Change in Medicine (London, 1992)Google Scholar; Löwy, Ilana, ed., Medicine and Change: Historical and Sociological Studies of Medical Innovation (Paris, 1993)Google Scholar; Stanton, Jennifer, “Making Sense of Technologies in Medicine,” Social History of Medicine 12 (1999): 437–48CrossRefGoogle Scholar; Pickstone, John, Ways of Knowing: A New History of Science, Technology and Medicine (Manchester, 2000)Google Scholar; and Stanton, Jennifer, ed., Innovations in Health and Medicine: Diffusion and Resistance in the Twentieth Century (London, 2002), 118Google Scholar.

2 Rosner, David, A Once Charitable Enterprise: Hospitals and Health Care in Brooklyn and New York, 1885–1915 (Cambridge, UK, 1982)CrossRefGoogle Scholar; and Howell, Joel, Technology in the Hospital: Transforming Patient Care in the Early Twentieth Century (Baltimore, 1995)Google Scholar.

3 About radiology in general, see Kevles, Bettyann Holtzmann, Naked to the Bone: Medical Imaging in the Twentieth Century (New Brunswick, N.J., 1997)Google Scholar; Chandler, Alfred D. Jr., Scale and Scope: The Dynamics of Industrial Capitalism (Cambridge, Mass., 1990), 218–19 and 579Google Scholar; and Boersma, Kees, “Tensions within an Industrial Research Laboratory: The Philips Laboratory's X-Ray Department between the Wars,” Enterprise & Society 4 (Mar. 2003): 6598CrossRefGoogle Scholar.

4 Ikai, Shuhei, Byoin no seiki no riron (Tokyo, 2010)Google Scholar; Sugaya, Akira, Nihon no byoin: Sono ayumi to mondaiten (Tokyo, 1981)Google Scholar.

5 tokei kyokai, Nihon, ed., Nihon choki tokei soran, vol. 5 (Tokyo, 2006), 170–71Google Scholar.

6 Shimadzu Seisakujo shi (Kyoto, 1967)Google Scholar and Donzé, Pierre-Yves, “Making Medicine a Business in Japan: Shimadzu Co. and the Diffusion of Radiology (1900–1960),” Gesnerus: Swiss Journal of the History of Medicine and Sciences 64, no. 2 (2010): 241–62Google Scholar.

7 Mason, Mark, American Multinationals and Japan: The Political Economy of Japanese Capital Controls, 1899–1980 (Cambridge, Mass., 1992), 4899CrossRefGoogle Scholar; Udagawa, Masaru, “Senzen Nihon no kigyo keiei to gaishikei kigyo,” Keiei Shirin 24, no. 1–2 (1987): 1531Google Scholar; Yuzawa, Takeshi and Udagawa, Masaru, eds., Foreign Business in Japan before World War II: Proceedings of The Fuji Conference (Tokyo, 1990)Google Scholar; and tokubetsu shiryobu, Gaimusho, Nihon ni okeru gaikoku shihon (Tokyo, 1948)Google Scholar.

8 On the global expansion of Siemens, see Feldenkirchen, Wilfried, Siemens: From Workshop to Global Player (Munich, 2000)Google Scholar. For a recent article on a contrasting multinational experience, see Fernández-Moya, María, “Creating Knowledge Networks: Spanish Multinational Publishers in Mexico,” Business History Review 86, no. 1 (Spring 2012): 6998CrossRefGoogle Scholar.

9 Imakubo, Sachio, “Ekkyo suru kyodai kigyo—shimensu to AEG,” in Yoroppa no hakken—chiikishi no naka no kokkyo to shijo, ed. Watanabe, Hisashi (Tokyo, 2000), 235–39Google Scholar.

10 Kudo, Akira, Japanese-German Business Relations: Cooperation and Rivalry in the Interwar Period (London, 1998)Google Scholar.

11 Siemens, K.K., 100 Jahre Siemens in Japan (Tokyo, 1987)Google Scholar; Takenaka, Toru, Jiimensu to meiji nihon (Tokyo, 1991)Google Scholar; Takenaka, Toru, “Business Activities of Siemens in Japan: A Case Study of German-Japanese Economic Relationships before the First World War,” in Japan and Germany: Two Latecomers to the World Stage, 1890–1945, vol. 1, ed. Kudo, Akira, Tajima, Nobuo, and Pauer, Erich (Kent, 2009), 114–49Google Scholar, and Chronology of Siemens-Schuckert D.K.K., Tokyo, 1944, Siemens Corporate Archives, Munich (hereafter SCA), 7912Google Scholar.

12 Takenaka, Toni, Siemens in Japan (Frankfurt, 1996), 56Google Scholar.

13 Siemens, K.K., 100 Jahre Siemens in Japan, 17Google Scholar.

14 Chronology of Siemens-Schuckert D.K.K., Tokyo, 1944, SCA, 5, 7912Google Scholar.

15 Watanabe, Hisashi, “A History of the Process Leading to the Formation of Fuji Electric,” Japanese Yearbook on Business History 1 (1984): 4771CrossRefGoogle Scholar.

16 Gaimusho, , Nihon ni okeru gaikoku shihon, 99Google Scholar.

17 Kudo, , Japanese-German Business Relations, 28Google Scholar; and Udagawa, , “Senzen Nihon no kigyo keiei to gaishikei kigyo,” 19Google Scholar.

18 Feldenkirchen, Wilfried, Siemens, 1918–1945 (Columbus, Oh., 1999), 311–15Google Scholar.

19 Goto, Goro, Nihon hoshasen igakushiko, vol. 1 (Tokyo, 1969), 64Google Scholar.

20 Ibid.

21 Ibid., 22.

22 Chronology of Siemens-Schuckert D.K.K., Tokyo, 1944, SCA, 6, 7912Google Scholar.

23 Ibid., 6.

24 Ibid., 7.

25 Goto, , Nihon hoshasen igakushiko, vol. 1, 55Google Scholar.

26 Ibid., 69.

27 Chronology of Siemens-Schuckert D.K.K., Tokyo, 1944, SCA, 7, 7912Google Scholar.

28 Goto, , Nihon hoshasen igakushiko, vol. 1, 75Google Scholar.

29 Die Tätigkeit des Haus Siemens in Japan auf das Gebiet der elektromedizinischen Technik, 31 May 1958, unmarked folder, Med-Archiv Erlangen (hereafter MAE)Google Scholar.

30 Donzé, Pierre-Yves, “Studies Abroad by Japanese Doctors: A Prosopographic Analysis of the Nameless Practitioners, 1862–1912,” Social History of Medicine 23, no. 2 (2010): 244–60CrossRefGoogle Scholar.

31 Tokyo daigaku igakubu hyakunenshi henshuiinkai, Tokyo daigaku igakubu hyakunenshi (Tokyo, 1967), 123–34Google Scholar.

32 Goto, , Nihon hoshasen igakushiko, vol. 1, 22Google Scholar.

33 On the relationships between Japan and Germany, see Kudo, Tajima, and Pauer, Japan and Germany.

34 Goto, , Nihon hoshasen igakushiko, vol. 1, 126Google Scholar.

35 Ibid., 160.

36 Ibid., 126.

37 Momotani, Rokurouta, Future Prospects in Japan with Special Consideration of the Siemens & Halske Business, Nov. 1919, SCA, 15 Ln 376Google Scholar.

38 Goto, , Nihon hoshasen igakushiko, vol. 1, 126Google Scholar.

39 Momotani, Future Prospects in Japan.

40 Goto, , Nihon hoshasen igakushiko, vol. 1, 223–24Google Scholar.

41 Siemens, , History of the House of Siemens, vol. 2, 7980Google Scholar. On the Coolidge tube, see Arns, Robert G., “The High-Vacuum X-Ray Tube: Technological Change in Social Context,” Technology and Culture 38, no. 4 (1997): 852–90CrossRefGoogle Scholar.

42 shibaura denki, Tokyo, Tokyo shibaura denki kabushiki kaisha 85 nen shi (Tokyo, 1963), 474Google Scholar.

43 Goto, , Nihon hoshasen igakushiko, vol. 1–2Google Scholar.

44 Ibid., 148.

45 Shimadzu Seisakujo shi, 45. According to Goto, , Nihon hoshasen igakushiko, vol. 1, 179, the year was 1920Google Scholar.

46 Siemens, Georg, History of the House of Siemens, vol. 2 (Freiburg, 1957), 8185Google Scholar; Feldenkirchen, , Siemens, 312–13Google Scholar; and Chronology of Siemens-Schuckert D.K.K., Tokyo, 1944, SCA, 4Google Scholar.

47 Siemens, , History of the House of Siemens, vol. 1, 280Google Scholar.

48 Momotani, Future Prospects in Japan.

49 Chronology of Siemens-Schuckert D.K.K., Tokyo, 1944, SCA, 2Google Scholar.

50 Fuji denki shashi (Tokyo, 1957), 281Google Scholar.

51 Die Tätigkeit des Hauses Siemens in Japan auf das Gebiet der elektromedizinischen Technik, 31 May 1958, unmarked folder, MAEGoogle Scholar.

52 Momotani, Rokurouta, Nihon ni okeru shimensu no jigyo to sono keiken reki (Tokyo, 1955), 42Google Scholar.

53 See, for example, Shimadzu Seisakujo shi.

54 Hoshimi, Uchida, “Western Big Business and the Adoption of New Technologies in Japan: The Electrical Equipment and Chemical Industries, 1890–1920,” in Development and Diffusion of Technology: Electrical and Chemical Industries. Proceedings of the Fuji Conference, ed. Okochi, Akio and Uchida, Hoshimi (Tokyo, 1980), 145–72Google Scholar.

55 Shimadzu Seisakujo shi.

56 Donzé, “Making Medicine a Business in Japan.”

57 Shimadzu Seisakujo shi, 353 and 356.

58 Unser Export nach Japan und unsere zukünftigen Aussichten, 20 Oct. 1934, 770–2, MAEGoogle Scholar.

59 Goto, , Nihon hoshasen igakushiko, vol. 1, 42Google Scholar.

60 Goto, Setuzo, Surgical Instruments and Appliances (Tokyo, 1906)Google Scholar.

61 Goto, , Nihon hoshasen igakushiko, vol. 1, 64Google Scholar.

62 Lieferübersichten, 8 June 1935, SCA, 7912.

63 Goto, , Nihon hoshasen igakushiko, vol. 1, 64Google Scholar.

64 Ibid., 128.

65 Fuundo, Goto, Eigyo hokokusho (Tokyo, 1950)Google Scholar.

66 kogyo shimbun, Nikkan, Nihon gijutsuka soran (Tokyo, 1934), 201Google Scholar; Goto, , Nihon hoshasen igakushiko, vol. 1, 194Google Scholar.

67 Goto, , Nihon hoshasen igakushiko, vol. 1, 160Google Scholar.

68 Ibid.; Iseki, Kuro, ed., Dainihon hakushi roku, vol. 5 (Tokyo, 1930), 250Google Scholar.

69 Nihon kogyo yokan, 1936, 127Google Scholar.

70 Contracts between Goto Fuundo and various foreign firms, unmarked folder, MAE.

71 Ibid.

72 “Vertretung des UB Med und seiner Vorgänger in Japan, 1887–1979,” 1979, SCA, 4, 7912.

73 Contracts between SRW and Goto Fuundo, 12 Nov. 1931 and 1 Jan. 1934, 770-2, MAE.

74 Momotani, , Nihon ni okeru shimensu no jigyo, 5354Google Scholar.

75 Memo, 2 Oct. 1946, CPC 41470, National Diet Library, Tokyo, Archives of the Supreme Commander of the Allied Powers (hereafter SCAP).

76 Contract between SRW and Goto Fuundo, 1926, unmarked folder, MAE.

77 Gegenwärtiger Stand des SRW-Geschäfts in Japan, 4 Jan. 1939, unmarked folder, MAE.

78 Ibid.

79 Dividendenzahlungen von Goto, 174, MAE.

80 Electric, General, The Story of X-Ray (Milwaukee, 1963), 6Google Scholar.

81 Siemens, , History of the House of Siemens, vol. 2, 80Google Scholar.

82 Kees, , “Tensions within an Industrial Research Laboratory,” 82Google Scholar.

83 Siemens, , History of the House of Siemens, vol. 2, 85Google Scholar.

84 Verträge auf dem Arbeitsgebiet der Siemens-Reiniger-Werke AG, around 1932, 753, MAE.

85 Letter received from an anonymous correspondent in Berlin by Otto Kresta, 28 July 1934, 770-2, MAE.

86 For the case of telephone equipment, see Kudo, , Japanese-German Business Relations, 165217Google Scholar.

87 Shimadzu Seisakujo shi, 378.

88 Ibid., 45. Goto, , Nihon hoshasen igakushiko, vol. 1, 179, cites 1920Google Scholar.

89 shibaura denki, Tokyo, Tokyo shibaura denki kabushiki kaisha 85 nen shi (Tokyo, 1963), 708Google Scholar.

90 21 seiki he no kakehashi (Tokyo, 1998), 8Google Scholar.

91 Shimadzu Seisakujo shi, 378.

92 Letter from SRW to Otto Kresta, 4 Nov. 1930, unmarked folder, MAE.

93 Ibid.

94 In the case of telephone equipment, this push factor was the intervention of the Ministry of Communications, which decided at that point to give priority to products made in Japan rather than imports. Kudo, , Japanese-German Business Relations, 215–17Google Scholar.

95 Agreement between Goto Fuundo and SRW, 30 June 1932–25 Nov. 1933, unmarked folder, MAE. The agreement was signed in 1932 in Japan and countersigned in Germany in 1933.

96 Various financial statistics on Goto, 1935–1943 and Verzinsung des Darlehns, 1935–1944, 174, MAE.

97 Agreement between Goto Fuundo and SRW, 30 June 1932–25 Nov. 1933, art. 3.

98 Ibid., art. 4.

99 Ibid., art. 12.

100 Ibid., art. 11.

101 Ibid., art. 16.

102 Letter from Goto Fuundo to an unknown recipient, 13 June 1949, CPC 41476, SCAP.

103 Protokoll über eine Besprechung—Fabrikation in Japan, 7 Dec. 1933, unmarked folder, MAE.

104 Letter from Sehmer (SRW Berlin) to Otto Kresta, 9 May 1934, 770-2, MAE.

105 Letter from unknown correspondent (Berlin) to Otto Kresta, 28 July 1934, 770-2, MAE.

106 Letter from Otto Kresta to SRW, 28 July 1934, 770-2, MAE.

107 Letter from unknown correspondent to SRW, 28 Aug. 1934, 770-2, MAE.

108 Udagawa, , “Senzen Nihon no kigyo keiei to gaishikei kigyo,” 25Google Scholar. See also Watanabe, “A History of the Process Leading to the Formation of Fuji Electric.”

109 Gegenwärtiger Stand des SRW-Geschäfts in Japan, 4 Jan. 1939, unmarked folder, MAE.

110 Database of the Industrial Property Digital Library, www.ipdl.inpit.go.jp/homepg.ipdl (accessed Feb. and Mar. 2010) and Japan Patent Office 1958.

111 Boch, Rudolf, ed., Patentschutz und Innovation in Geschichte und Gegenwart (Frankfurt am Main, 1999)Google Scholar.

112 Disposition of vested interests formerly owned by Siemens-Reiniger-Werk AG under license agreement with K.K. Goto Fuundo, 5 Mar. 1954, CPC 34029, SCAP.

113 Letter from Goto Fuundo to the Minister of Finance, 5 Feb. 1954, CPC 34029, SCAP.

114 This can also be observed in the chemical industry, for example. Kudo, Japanese-German Business Relations.

115 Letter from Goto Fuundo to an unknown recipient, 13 June 1949, CPC 41476, SCAP.

116 Letter from Goto Fuundo to the Minister of Finance, 5 Feb. 1954.

117 Kudo, Tajima, and Pauer, eds., Japan and Germany.

118 Dividendenzahlungen von Goto, 1927–1943, 174, MAE.

119 Interview with Shimadzu Manufacturing Co. Ltd, 26 Oct. 1945, USB-12, M1654-7, SCAP; Gegenwärtiger Stand des SRW-Geschäfts in Japan, 4 Jan. 1939, unmarked folder, MAE.

120 Dividendenzahlungen von Goto, 1927–1943, MAE.

121 Interview with Shimadzu Manufacturing Co. Ltd., 26 Oct. 1945.

122 Kudo, , Japanese-German Business Relations, 218Google Scholar.

123 Umsatz und Bestelleingang (Mappe 1), SCA, 18500.

124 Ikai, Byoin no seiki no riron.

125 Sugaya, Akira, Nihon no byoin: Sono ayumi to mondaiten (Tokyo, 1981)Google Scholar. According to the definition established in 1948 by the Ministry of Health, hospitals (byoin) are health centers with twenty or more beds, while clinics (shinryojo) have fewer than twenty beds.

126 Ministry of Health, Iryo setsubi chosa (Tokyo, 1960)Google Scholar.

127 Onishi, Masao, Hoshasen iryo: CT shindan kara kanwa kea made (Tokyo, 2009), 35Google Scholar.

128 Mason, , American Multinationals and Japan, 1992.CrossRefGoogle Scholar

129 Kikkawa, Takeo, Senzen nihon no sekiyu kobosen (Tokyo, 2012).Google Scholar