start-ver=1.4 cd-journal=joma no-vol=27 cd-vols= no-issue=11 article-no= start-page=1257 end-page=1271 dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=20210220 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=A critical analysis of court decision on mainstream school attendance of a child with medical care needs in Japan: a long way towards inclusive education en-subtitle= kn-subtitle= en-abstract= kn-abstract=This paper begins by providing a history of Japanese law pertaining to special education and its change towards a more inclusive education with the ratification of United Nations Conventions of the Rights of People with Disabilities. With the changes in laws, more children with constant medical care needs in Japan have the opportunity to attend mainstream schools. The recent court case, Kosuge v. Kanagawa prefecture and Kawasaki city, ruled against a child with medical care needs to attend mainstream school and made the judgment that a special needs school (tokubetsushien gakkō) is the appropriate placement for the child based on the child’s disability type and degree of disability rather than needs and regardless of the wishes of the child’s parents. This paper explores the case judgement and discusses where Japanese special education laws fall short similar to that of the US system based on Individuals with Disabilities Education Act. We suggest the need to keep inclusion as the basic human rights aligned with the Article 24 of the UNCRPD rather than focusing on the continuum of education principle in IDEA, and operationalise the law into practice to make integration of children with disabilities, including children with constant medical care needs, into mainstream education schools. en-copyright= kn-copyright= en-aut-name=YoshitoshiMunehisa en-aut-sei=Yoshitoshi en-aut-mei=Munehisa kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=TakahashiKiriko en-aut-sei=Takahashi en-aut-mei=Kiriko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= affil-num=1 en-affil=Faculty of Education, Okayama University kn-affil= affil-num=2 en-affil=Center on Disability Studies, University of Hawaiʻi at Mānoa kn-affil= en-keyword=Inclusive education kn-keyword=Inclusive education en-keyword=medical care kn-keyword=medical care en-keyword=reasonable accommodation kn-keyword=reasonable accommodation en-keyword=court decision kn-keyword=court decision en-keyword=school placement kn-keyword=school placement END