The Old and the New |
By
EMMA P VALENCIA, MD
MY
AUNT recently celebrated her 85th year of being a citizen of this
planet earth. I had a small party to celebrate this event.
She
is, by all standards, physically healthy, but she is showing signs of that
dreaded condition, senile dementia.
And
as I watch her cutting her cake, trading jokes with her guests, I could not
help but wonder: how long will she will be able to carry on doing these? I had
taken care of my dad, my mom, my single aunts, will I add her to my list soon?
My
thoughts focus on the phenomenon of aging.
Japan
has the most extreme experience with aging.
It’s
population of 65 years and older has reached 23.1% in 2011. That means roughly
1 in 4 of its citizens is 65 years and above! That’s translates to 29.5 million
Japanese!
Though
the proportion is somewhat less than in Japan, increasing population of those
65 years and over is being experienced by many countries in North America and
Europe. That means in these countries,
there is low birth rate (fertility decline )and low mortality (more people
surviving to old age).
You
see, even if more people survive old age but more babies are being born, the
proportion of older people to the total
population would not increase.
Now,
if the total population is declining due to low birth rate, then the proportion
of the old will increase relative to the total population. That is what is
happening to Japan and to the other western countries.
What
are the societal consequences of rapid population aging? Because of very low
birth rate, Japan has saved much national resources in terms of less expenses
on the education of the young, their health care and their overall maintenance
and welfare.
Ms Remy Pedrajas (right), who recently
celebrated her 85th birthday, with first cousin and best buddy Mrs
Elvira Pedrajas Hernandez, 85. Ms Pedrajas and Mrs Hernandez are both aunts of the
author, Dra Emma P Valencia.
But
these savings have been offset by the huge government outlay to take care of
it’s geriatric population: huge expenses on health care because chronic
diseases need long-term expenditures,
maintenance of functionality such as walking aids, hospital beds, and even
caregiver expenses, most of whom are imported labor, and social security
payments.
And
what does the government get out of this, in the long term? Almost nothing, because
the geriatric population does not contribute very much to the workforce. Unlike
when the government spends for the young, it is protecting its economy by
protecting a potential labor force entrant.
So
while Japan may be enjoying prosperity now, it is projected that to maintain its
current economic standing, it would need to increase its import of labor,
because its local labor force is dwindling.
That
would then be a boon to labor-exporting countries, such as the Philippines.
Let’s
then go to our particular aging experience.
Currently,
our aging population or those 60 years and older (we have a lower cut-off here
than other countries) stands at 6.9%, which means 1 in 14 is a senior citizen.
The
Philippines’ aging population has been described as “low and slow” because
although we have been experiencing fertility decline over the years (or less
children being born), this decline has been slow compared to others, so that
while there is a steady increase in the aging population due to low mortality
rates, the denominator or the total population has not declined
significantly.
The writer, Dra Valencia (center) with
relatives (seated from left) Lucy Pedrajas, Mrs Elvira P Hernandez, Ms Remy
Pedrajas, Samuel Hernandez and Helen Hernandez-Cortes (standing). The picture
was taken during Ms Remy Pedrajas’ 85th birthday party at Malindang St, La
Loma, Quezon City.
At
any rate, bottom line is although the increase in our aging population is slow, it is still inevitable. And serendipity,
because of our particular demographics, we still have time to prepare for its
eventuality.
That
means putting in place at this early policies and programs that would benefit
the elderly, in terms of maintaining their productivity, improving their
health, and tapping their skills and experience to benefit the younger generation, or what I call reverse
intergenerational transfer.
This
means, instead of mostly the young helping
the old, the old also helps the young.
To be able to sustain this relationship, the old should be healthy, happy and productive.
In
the Philippines, the Filipino elderly is still a moving force of society: most children of OFWs are being cared of by their
grandparents, and studies have shown that while in other countries, senior
citizens are mostly recipients of support, the Filipino elderly are three times
more likely than their counterparts to be both recipients and providers of
support.
And
another thing which makes the situation of the elderly in the Philippines
different from the rest is that only 5% of the elderly live alone; majority
live with their children, or with a relative.
So,
I raise my glass to all senior citizens: “Salud”!
I
look forward to more time to listen to beautiful music, and enjoy the beauty of
nature in my senior years.
But
I also look forward to more opportunities to helping and sharing my resources
with others, writing, teaching and
mentoring, more learning years ahead of me. And if I need to look after my
aunt, so be it, I’d gladly do it.
Whatever
life throws at my path, life is to be lived.
And
just like my mother, and God willing, I am not kicking that bucket for the next
30 years.
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