Abstract
Each process of solution to the problem over “purpose setting - decision making – act” is accomplished by asking oneself at one's own situation for the behavioral change of top managements and subordinates. This study focuses on the function of Middle Voice which shows that the subject of action is possibly changed by oneself based on 5 patterns of 7 viewpoints about Meta Prevention (the purpose setting, the seesaw model, the prevention, the culture for safety, the rule for safety) and the East-West philosophical and ethical thought. Furthermore, the attitude based on Middle Voice is essential for reforming inspection-medical system by DX (Digital Transformation) highlighted at the time of spreading COVID-19 and preventing problems in the Era of the Fourth Industrial Revolution.