The chefs butcher and serve the fish right in front of you, and because it was alive merely seconds ago the meat will still be twitching when you get it. If they also serve the rest of the fish as decoration, the fish might still be gasping for oxygen.
Japanese don't really think much of it, they're used to it and acknowledge the fleeting nature of life and that eating something means you are taking another life to sustain your own.
The same environment will likely leave most westerners squeamish or perhaps even gag simply because the west goes out of its way to hide where food comes from, even though that simply is the reality we all live in.
Personally, I enjoy meats respecting and appreciating the fact that the steak or sashimi or whatever in front of me was a live animal at one point just like me. Salads too, those vegetables were (are?) just as alive as I am.
Isn't this similar to why people unfamiliar with that style of seafood would feel sick -- cultural views on what is and is not normal food -- and not because of their view of mortality?
Imagine that to cook that pork chop, the chef starts by butchering a live pig. Also imagine that he does that in view of everyone in the restaurant rather than in the "backyard" kitchen let alone a separate butchering facility hundreds of miles away.
That's the sushi chef butchering and serving a live fish he grabbed from the tank behind him.
When you can actually see where your food is coming from and what "food" truly even is, that gives you a better grasp on reality and life.
It's also the true meaning behind the often used joke that goes: "You don't want to see how sausages are made."
The issue most people would have with seeing the sausage being made isn't necessarily watching the slaughtering process but with seeing pieces of the animal used for food that they would not want to eat.
The analogy here would be watching a live cow get slaughtered and then butchered from scratch in front of you, which I think most Western audiences (more than a few) might not like.
I think you are doing the same exact thing with the above statement as well.
That you insist on contriving one zany situation after another instead of just admitting that people today are detached from reality illustrates my point rather ironically.
Whether it's butchering animals or mining rare earths or whatever else, there's a lot of disturbing facets to reality that most people are blissfully unaware of. Ignorance is bliss.
Recall that this whole thread started with your proposition that seeing live fish prepared in front of someone "will likely leave most westerners squeamish or perhaps even gag simply because the west goes out of its way to hide where food comes from, even though that simply is the reality we all live in." You had no basis for this as far as I can tell, it's just a random musing by you. A number of folks responded disagreeing with you, but you dismissed their anecdotal comments as being wrong because it doesn't comport with your view of the unwashed masses who are, obviously, feeble minded sheep who couldn't possibly cope with the realities of modern food production in an enlightened way like you have whereby you "enjoy meats respecting and appreciating the fact that the steak or sashimi or whatever in front of me was a live animal at one point just like me." How noble of you. Nobody (and I mean this in the figurative sense not the literal sense) is confused that the slab of meat in front of them was at one point alive.
Then you have the audacity to accuse someone of coming up with "zany" situations? You're the one that started the whole zany discussion in the first place with your own zany musings about how "western" "commons" think!
I am asserting that you could do all of that in front of a random assortment of modern Americans, and then cut steaks off of it and grill them and serve them to half of the crowd, and most of those people would not have an problem eating those steaks.
Then if you were to scoop up all the leftover, non-steak bits from the ground with shovels, throw it all into a giant meat grinder and then take the intestines from a pig, remove the feces from them and fill them with the output of the grinder, cook that and serve it to the other half of the crowd, then a statistically larger proportion of that crowd would not want to eat that compared to the ones who ate the steak.
I am asserting that the majority of western audiences, including Americans, would dislike being present for the slaughtering and butchering portion of the experience you describe.
I probably also wouldn't want to eat that, but more because that steak will taste bad without being aged properly.
Some things just tickle the brain in a bad way. I've killed plenty of fish myself, but I still wouldn't want to eat one that's still moving in my mouth, not because of ickiness or whatever, but just because the concept is unappealing. I don't think this is anywhere near as binary as you make it seem, really.
Not to mention the millions of Americans working in the livestock and agriculture business who see up close every day how food comes to be.
A significant portion of the American population engages directly with their food and the death process. Citing one gimmicky example of Asian culture where squirmy seafood is part of the show doesn't say anything about the culture of entire nations. That is not how the majority of Japanese consume seafood. It's just as anomalous there. You only know about it because it's unusual enough to get reported.
You can pick your lobster out of the tank and eat it at American restaurants too. Oysters and clams on the half-shell are still alive when we eat them.
In case you missed it, you're talking to a Japanese.
Some restaurants go a step further by letting the customers literally fish for their dinner out of a pool. Granted those restaurants are a niche, that's their whole selling point to customers looking for something different.
Most sushi bars have a tank holding live fish and other seafood of the day, though. It's a pretty mundane thing.