How Japan takes care of its elderly (and what the GCC can learn from it)


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Owing to the tremendous advancements in science and modern medicine, average life expectancy has increased significantly over the past decades. According to the World Bank, Oman has seen a dramatic surge from 42.67 years in 1960 to 77.39 years in 2017. Similarly, Japan has registered a rise in life expectancy from 67.67 years to 84.10 years in the same time period.

Undoubtedly, this is a remarkable achievement for humanity in the 21st century. We must, however, take into consideration some other facts and figures to understand the full extent of the impact a higher life expectancy may have on society as a whole.

Along with an increase in life expectancy, we are also witnessing a drastic decline in birth rates across the globe. Oman has experienced a drop from 7.25 births per woman in 1960 to 2.92 in 2017, according to the World Bank, and Japan has seen a decline from 2.00 births per woman to 1.43 in the same time period.

The implications of an ageing population include a spike in healthcare costs, rising care-giving expenditure, a decline in the percentage of working individuals and subsequently lower rates of economic growth. In addition, there is a strain on social insurance programmes and pension systems that support the elderly.

Japan is currently the "oldest" country in the world. In 2019, approximately 28 per cent of Japan’s population was over the age of 65, with this demographic group forecasted to account for 40 per cent of the country’s population by 2060. However, the government and private sector have been working relentlessly for several decades now to overcome the effects this ageing population has on the economy.

In the year 2000, the Japanese government rolled out Long-Term Care Insurance (LTCI), a public programme that supports senior citizens aged 65 and above. The scheme is funded through charging a premium from citizens that are 40 years and above, who contribute a percentage that is determined by their income. LTCI provides senior citizens a range of benefits including institutional, home and community-based services that are delivered through a care manager.

Citizens registered with the programme can access services through care managers or service providers for a small co-payment fee. Municipalities are responsible for running the programmes in their respective districts, and engage with providers from both public and private sectors in doing so. At the same time, the federal government is in charge of stipulating the fees levied to ensure fair charges.

Of course, this system is not perfect and brings forth a series of challenges such as long waiting lists and a shortfall in the number of workers in the healthcare industry. However, it has taken the country forward in the right direction and continues to successfully deliver a myriad essential resources to elderly members of the community.

In addition, the government has also incentivised women, who either chose not to enter the workforce, or took breaks from their professional lives, to re-enter the workforce and contribute towards economic progress.

Organisations in the private sector have also offered opportunities to this ageing population and created suitable roles to integrate them into workplaces. For example, Lawson Inc, a convenience store chain in Tokyo has created a hybrid store that it has branded a "seniors’ salon". A section of the store is fitted out with a blood pressure monitor, and a team of social workers to support the elderly, and also to distribute leaflets and information on relevant healthcare services. The store also features a dedicated section of specialist products targeting the needs of senior citizens.

Furthermore, Lawson has also increased the maximum age limit for its franchisees and is offering part-time jobs for senior citizens, who can work limited hours as their health permits.

Given the decline in global birth rates and the advancements in health care, ageing populations are a concern for most nations. While Japan has set some excellent benchmarks for the rest of the world, the GCC region would do well to look inwards and see how we can utilise our individual strengths and provide creative solutions to reduce the strain of an ageing population on our regional economies.

Engaging senior citizens in roles tailored to their capabilities can add a new stream of talent for any organisation

Formal government programmes such as LTCI are undoubtedly very effective in delivering essential services and support to seniors. However, I believe the private sector has a wealth of opportunities that can be explored.

Engaging senior citizens in roles tailored to their capabilities can add a new stream of talent for any organisation. Products and services can be customised to suit the needs of the elderly, and designed to empower them to become active contributors to society.

Ageing populations are a pressing issue and we must follow Japan’s example and plan ahead for the upcoming decades. With the right resources and a clear blueprint, we will be able to care for our citizens across all ages while also maintaining steady economic growth.

Mohammed Alardhi is executive chairman of Investcorp and chairman of Bank Sohar, and was the longest-serving Omani head of the Royal Air Force of Oman

 

 

The specs

AT4 Ultimate, as tested

Engine: 6.2-litre V8

Power: 420hp

Torque: 623Nm

Transmission: 10-speed automatic

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On sale: Now

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*Annual tuition fees covering the 2024/2025 academic year

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Rating: 4/5

 

Directed by: Joseph Kosinski

 

Starring: Tom Cruise, Val Kilmer, Jennifer Connelly, Jon Hamm, Miles Teller, Glen Powell, Ed Harris

 
UAE currency: the story behind the money in your pockets
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Types of policy

Term life insurance: this is the cheapest and most-popular form of life cover. You pay a regular monthly premium for a pre-agreed period, typically anything between five and 25 years, or possibly longer. If you die within that time, the policy will pay a cash lump sum, which is typically tax-free even outside the UAE. If you die after the policy ends, you do not get anything in return. There is no cash-in value at any time. Once you stop paying premiums, cover stops.

Whole-of-life insurance: as its name suggests, this type of life cover is designed to run for the rest of your life. You pay regular monthly premiums and in return, get a guaranteed cash lump sum whenever you die. As a result, premiums are typically much higher than one term life insurance, although they do not usually increase with age. In some cases, you have to keep up premiums for as long as you live, although there may be a cut-off period, say, at age 80 but it can go as high as 95. There are penalties if you don’t last the course and you may get a lot less than you paid in.

Critical illness cover: this pays a cash lump sum if you suffer from a serious illness such as cancer, heart disease or stroke. Some policies cover as many as 50 different illnesses, although cancer triggers by far the most claims. The payout is designed to cover major financial responsibilities such as a mortgage or children’s education fees if you fall ill and are unable to work. It is cost effective to combine it with life insurance, with the policy paying out once if you either die or suffer a serious illness.

Income protection: this pays a replacement income if you fall ill and are unable to continue working. On the best policies, this will continue either until you recover, or reach retirement age. Unlike critical illness cover, policies will typically pay out for stress and musculoskeletal problems such as back trouble.

The specs

Engine: 4.0-litre V8 twin-turbocharged and three electric motors

Power: Combined output 920hp

Torque: 730Nm at 4,000-7,000rpm

Transmission: 8-speed dual-clutch automatic

Fuel consumption: 11.2L/100km

On sale: Now, deliveries expected later in 2025

Price: expected to start at Dh1,432,000