This document discusses ongoing copyright issues in Japan's medical industry. It provides statistics on the number of physicians, dentists, hospitals, and medical schools in Japan. It also outlines recent amendments to Japan's copyright law regarding photocopies for government uses and submissions for patent examination and pharmaceutical administration. The document discusses how publishers, document suppliers, libraries, and pharmaceutical and other industry users interact regarding document deliveries. Finally, it presents publishers' positions that reasonable library photocopying for non-commercial academic use could be considered fair use, but commercial uses should not be permitted under fair use or Article 31 of Japan's copyright law.