Buddhism by and large left reproductive and family matters to other religions, focusing instead on liberation as the ultimate telos of life. As a result, for Buddhists, each phase of life is characterized by suffering, especially the last phase of old age and dying. The life cycle for Buddhists is being profoundly affected by the development of modern, medical technologies. The impact of Western medicine on Asian countries has escalated in the last half of the twentieth century. There has been transfer not only of the new reproductive technologies and transplantation technologies but also of the ethical and legal issues they have raised. This in turn has sparked discussions of religious, cultural, and regional identities. Much of the Buddhist debate has developed because Buddhism now has a broad movement called socially engaged Buddhism, which is attentive to general ethical issues and has attracted a number of Westerners.