No Second Opinions?

I was interested to see this hospital scene. That any doctor's opinion in highly vertical socially structured Japan is even questioned is a sign that, perhaps, things are changing a bit.

The Second Opinion window, however, is obviously not getting much business. After hours? Shut down by the doctor's union? Shut down for lack of inquiries? Japanese patients embarrassed to appear so brazen? Perhaps some combination of all of the above. Some things change more slowly in Japan. Somehow I doubt this will catch on fast.