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The triple disaster at Fukushima did not have a simple beginning, middle or end. Tensions, misunderstandings, and lack of consensus between political, economic, scientific, and social interests began long before the disaster and continue unabated almost 3 years later. Populations in, around and far beyond Fukushima continue to struggle for resolution and understanding balanced between belief and fear, suspicion and science. Using the frame of health and human rights, this presentation explores the boundaries of medical science and social responsibility as circumstances unfold for Japan and the world within an increasingly unstable climate and degraded global environment. For more information on the Foreign Relations Council visit their website.