Photo by Justin Peralta on Unsplash
An octogenarian woman in Japan, Akiyo, has underscored the nation’s pressing dilemma of an aging populace. She, at the age of 81, intentionally engages in criminal activities to secure her incarceration, thereby alleviating her solitude and attaining a semblance of stability in her life. Her initial foray into criminality occurred in her sixties when she pilfered sustenance. However, faced with the harsh reality of subsisting on a paltry pension, she resolved to willfully repeat her transgressions to ensure her return to prison.
Japan has the world’s oldest population, with nearly 30% of its citizens aged 65 or older. This rapid aging, combined with a low birth rate, presents significant economic challenges for the country. As the elderly population continues to grow, the economic burden on younger generations increases, particularly in terms of healthcare, pensions, and eldercare. In fact, the country’s working-age population is shrinking, leading to a severe labor shortage that exacerbates these challenges.
In the context of economic struggles, elderly citizens in Japan face severe financial insecurity. Many older adults have insufficient savings or income, which leaves them dependent on either minimal pension payouts, family support, or government aid. A significant proportion of older individuals live below the poverty line, contributing to their increased reliance on social welfare programs or even incarceration in certain extreme cases, as is evident in the tragic story of an 81-year-old woman who resorted to criminal activity to stay in prison.
This financial vulnerability is compounded by Japan’s long-standing economic stagnation, often referred to as the "lost decades," which began in the 1990s. Although the government has implemented various measures to try to address the situation, financial insecurity remains a growing issue, with limited resources available for the increasing elderly population.
Financial insecurity among the elderly in Japan has been steadily increasing, driven by multiple factors. One major issue is that many seniors, particularly those without children or those from lower socioeconomic backgrounds, are left without substantial savings or a reliable income post-retirement. The Japanese pension system, while comprehensive, does not provide enough for many individuals to live comfortably. For many elderly individuals, their financial situation is precarious, and they struggle to cover basic needs like food, housing, and medical expenses.
The lack of savings is especially prevalent among women, who are more likely to have spent their lives in part-time or temporary work, earning lower wages and contributing less to the pension system. In addition, due to Japan's traditional gender roles, many elderly women have limited access to financial resources or support when they reach retirement age.
Increasing healthcare costs add another layer of financial strain. The elderly are more prone to chronic diseases, which require regular treatment and medication. Even though Japan has universal healthcare, the burden of co-payments for medical services and the high costs associated with long-term care leave many elderly citizens in financial distress.
Moreover, with social services becoming increasingly strained under the weight of an aging population, the financial instability faced by elderly citizens is expected to worsen, creating a cycle of poverty that is hard to break.
Japan’s public pension system, known as the National Pension (Nenmatsu Kosei Nenkin) and Employees' Pension Insurance (Koyou Nenkin), is designed to provide financial security for the elderly. However, the system faces significant challenges in adequately supporting the aging population. The system is primarily based on a pay-as-you-go model, where current workers fund the pensions of retirees. However, with Japan’s population declining and the number of retirees rising, this model has become increasingly unsustainable.
The pensions provided by the public system are often insufficient for many retirees. For example, the average monthly pension for an individual is often below the minimum wage for full-time workers, leaving pensioners to rely on savings or family support to make ends meet. According to government statistics, around 40% of elderly individuals rely on family members for financial assistance, further highlighting the inadequacy of the pension system.
Additionally, Japan has faced issues with people opting out of pension contributions, either due to financial struggles or temporary work in the gig economy. This has led to fewer workers paying into the system, exacerbating the problem.
The reliance on family support is a significant issue for many elderly Japanese citizens, particularly those who receive minimal pension payments. With Japan’s rapidly changing social structures, the traditional model of intergenerational support, where children care for elderly parents, has been strained.
Younger generations, who are often burdened with their own financial struggles, are unable to provide adequate support for elderly relatives. The increasing costs of housing, education, and healthcare for the younger population leave little room for them to assist aging parents or relatives. Moreover, the growing number of elderly living alone, especially in urban areas, adds to their isolation and reliance on distant family members.
This situation creates a heavy emotional toll on both the elderly and their families. For many elderly people, the financial dependence on their children can lead to feelings of guilt, frustration, and isolation, further exacerbating their mental health issues.
Elderly poverty in Japan is a significant and growing issue. According to Japan’s Ministry of Health, Labour, and Welfare, around 1 in 4 elderly individuals live below the poverty line, making Japan’s elderly poverty rate one of the highest among developed nations. This statistic has prompted concern among policymakers, particularly as the elderly population continues to grow.
The rise in elderly poverty is driven by multiple factors, including the inadequacy of pension systems, lack of financial literacy among older generations, and the rising cost of living. As Japan’s population continues to age, more elderly individuals will likely face economic hardship. This trend poses a critical challenge to the sustainability of Japan’s social security systems and underscores the need for significant reforms to ensure elderly citizens can live with dignity and security.
Compared to other developed countries, Japan’s elderly poverty rate is exceptionally high. In many European nations, such as Germany, Sweden, and France, robust pension systems and social welfare programs help reduce the incidence of elderly poverty. In these countries, public and private systems work together to ensure that the elderly population does not face extreme financial hardship.
In contrast, Japan’s pension system falls short in providing sufficient income for the elderly. While the system is designed to cover basic living expenses, it does not provide enough for a comfortable lifestyle, particularly for those without additional savings or family support. As a result, Japan’s elderly poverty rate is one of the highest in the OECD, highlighting the gaps in the country’s social welfare programs.
Japan’s situation is worsened by its unique demographic challenges, as the aging population is outpacing the country’s ability to provide adequate financial support. The stark contrast between Japan’s elderly poverty rate and that of other developed countries underscores the urgent need for policy reform.
In Japan, many elderly citizens are forced to work well beyond the traditional retirement age. Due to inadequate pension income, many older people remain employed, often in low-wage, part-time, or temporary jobs. According to Japan’s Ministry of Health, Labour, and Welfare, nearly 30% of people over the age of 65 continue to work, a significant increase over previous decades.
While some elderly individuals may choose to work for social interaction or to stay active, for many, it is a financial necessity. Elderly workers often take on jobs in sectors such as retail, cleaning, or caregiving, where the wages are low, and the work can be physically demanding. These jobs rarely offer benefits such as health insurance or retirement savings, leaving elderly workers vulnerable to financial strain if they become sick or injured.
There is a societal expectation in Japan that elderly people should remain productive and contribute to society, which creates additional pressure for older individuals to continue working. In many cases, elderly workers may feel shame or guilt if they are unable to support themselves or their families. This societal pressure can lead to mental health issues, such as depression and anxiety.
Although the Japanese government has made efforts to support elderly employment through subsidies and initiatives like the “Silver Human Resources Center” (a government program that helps place elderly people in part-time or short-term jobs), the available opportunities remain limited. Many elderly individuals struggle to find meaningful work that is both physically manageable and financially sufficient.
While Japan’s aging workforce presents opportunities for elderly employment, the reality is that many older workers are employed in low-paying jobs that do not offer long-term security or financial independence. As the elderly population continues to grow, Japan will need to develop more comprehensive strategies to ensure that older individuals can work with dignity, if necessary, and receive adequate support in their later years.
Japan's elderly citizens are increasingly facing financial struggles, stemming from insufficient pension support, rising healthcare costs, and a growing reliance on family members who themselves may be financially strained. Despite the availability of employment opportunities for older adults, many are forced into low-wage, temporary work due to the inadequacy of Japan's pension system. Furthermore, the rising elderly poverty rate, one of the highest among developed countries, highlights the pressing need for systemic reforms in Japan's social welfare and pension systems.
Addressing these issues will require a multi-pronged approach: improving pension benefits, ensuring better access to healthcare and housing for the elderly, and creating more sustainable employment opportunities. As Japan continues to age, it is essential that the government and society work together to provide the necessary support for elderly citizens, ensuring that they can age with dignity, financial security, and a sense of community.
Japan’s rapidly aging population has placed significant pressure on the country’s housing infrastructure. As the number of elderly individuals continues to grow, the demand for suitable housing solutions has intensified. Housing issues for the elderly in Japan revolve around several critical factors, including affordability, isolation, and the trend of living alone.
A significant number of elderly people in Japan live alone, often in aging homes or apartments that are unsuitable for their changing physical needs. Living alone can increase feelings of loneliness, and many elderly individuals experience difficulty in managing daily tasks due to physical limitations. With many of these individuals relying solely on a fixed pension income, unaffordable housing becomes a major issue. Rental prices in urban areas such as Tokyo and Osaka are particularly high, and elderly tenants are often unable to afford the cost of living on their own.
Furthermore, elderly citizens frequently experience social isolation. With fewer family members able or willing to provide care, elderly individuals are left to fend for themselves. In urban centers, many elderly people live far from their relatives, and the nature of Japan's high-cost housing often leads to physical and emotional isolation. This is particularly concerning given the limited mobility of many elderly citizens, making it challenging to engage with their community.
These housing and living condition issues are compounded by a growing trend of elderly homelessness. According to reports, the number of homeless elderly people in Japan has been steadily increasing in recent years. In 2020, over 30% of Japan's homeless population were aged 60 or older. This is a startling statistic, highlighting the dire need for affordable housing options that cater to the elderly and address the issue of social isolation.
Recognizing the severity of the housing issue for the elderly, the Japanese government has introduced various housing programs aimed at improving living conditions for senior citizens. These include public housing initiatives, such as the “Elderly Housing with Services” scheme, which offers affordable rental apartments specifically designed for older adults. These facilities often come with support services like cleaning, meal assistance, and security to ensure the elderly can live with dignity and safety.
Additionally, there are regional programs and community-based housing initiatives designed to provide more tailored and localized solutions. Some local governments have even partnered with private organizations to create affordable housing complexes and subsidized housing options for elderly individuals who may not have family support. For example, some cities have started offering "Silver Housing," which targets people over 60, combining affordable housing with social services to ensure that residents maintain their independence while receiving necessary care.
Despite these efforts, the demand for such programs continues to outpace supply. As Japan’s elderly population grows, more substantial efforts will be required to ensure that elderly citizens have access to affordable and supportive housing options that address both physical and emotional needs.
Japan boasts one of the world’s best healthcare systems, renowned for its efficiency, high quality, and universal access. However, despite these advantages, elderly citizens in Japan often face significant challenges in accessing healthcare. This is particularly true for those living in rural areas, where healthcare facilities may be fewer and more distant, or for those on low or fixed incomes.
Japan’s healthcare system is structured so that all citizens are enrolled in either the Employees' Health Insurance system or the National Health Insurance system. These systems cover basic healthcare costs, including preventive services, treatment, hospitalization, and surgery. For elderly citizens, healthcare is generally affordable and easily accessible. However, for elderly individuals with chronic conditions or severe disabilities, healthcare access can become increasingly difficult to manage.
Despite universal healthcare coverage, elderly individuals often struggle with the logistics of accessing healthcare. Many elderly citizens are unable to travel to hospitals or clinics without assistance. For those with mobility issues, transportation becomes an obstacle, especially if they live in rural areas or suburbs far from medical facilities. This issue is further compounded by the lack of sufficient geriatric care facilities, which creates a gap in services that the elderly can readily access for long-term care.
While Japan's healthcare system is relatively affordable compared to other developed nations, elderly citizens still face significant financial challenges in accessing care. Many older adults have fixed incomes due to retirement, and the costs of healthcare, even under a universal insurance scheme, can become burdensome.
For example, although the National Health Insurance system provides coverage for the elderly, they still face out-of-pocket expenses for things like co-payments, prescription drugs, and medical equipment. These costs add up over time, particularly for seniors suffering from multiple chronic conditions who require ongoing medical treatment. Many elderly individuals who do not have substantial savings or financial support struggle to meet these expenses.
In addition, Japan’s aging population has created a shortage of healthcare professionals, particularly in specialized areas such as geriatric care. As a result, the availability of healthcare services is sometimes limited, particularly in rural areas. Elderly individuals in remote regions may need to travel long distances to find appropriate care, further exacerbating the financial burden and creating additional physical strain.
Japan’s elderly population is at a higher risk of social isolation and loneliness than in many other developed countries. This issue is not only a matter of emotional well-being but also has significant physical and mental health implications. Social isolation is a growing concern as more elderly citizens live alone due to family dynamics or the disintegration of traditional caregiving structures.
Social isolation has profound emotional and psychological consequences for elderly individuals. Studies have shown that seniors who experience loneliness are more likely to suffer from depression, anxiety, and other mental health issues. They are also at an increased risk of physical health problems, including cardiovascular disease and weakened immune systems.
Elderly individuals who are socially isolated may also experience cognitive decline at an accelerated rate. A lack of social engagement can lead to a sense of purposelessness, increasing feelings of helplessness and sadness. This often results in a cycle of further isolation, where individuals withdraw more and more, finding it difficult to engage with society and their communities.
Culturally, Japan has placed great importance on family care for the elderly. However, the modern breakdown of traditional family structures, along with changes in living arrangements and social mobility, has resulted in an increasing number of elderly individuals who live alone, disconnected from family members and support systems. This can lead to severe isolation, especially in large urban centers, where families are often geographically dispersed.
Traditionally, elderly care in Japan was considered the responsibility of the family. Children were expected to care for their aging parents, and many elderly individuals lived with their children or close relatives. However, in recent years, the traditional caregiving role has shifted, with more elderly individuals either living alone or relying on public assistance and formal caregiving services.
This cultural shift has led to an increase in social isolation, as elderly people are now less likely to live in multi-generational households. Young people in Japan are increasingly unable or unwilling to take on the burden of eldercare due to economic pressures, busy lifestyles, and changing societal norms. The pressures of modern life—such as long working hours, high living costs, and housing challenges—make it difficult for younger generations to care for elderly relatives.
The lack of support from family members can result in deep loneliness for many elderly individuals, which compounds the health risks associated with aging. The psychological and emotional toll of loneliness is particularly acute for elderly women, who are often more vulnerable due to lower lifetime earnings and fewer social connections.
Japan’s government has implemented various social welfare programs to support elderly citizens, especially in the areas of healthcare, housing, and social services. Programs like the “Long-Term Care Insurance System” (LTCI), which was introduced in 2000, provide funding for eldercare services such as home care, institutional care, and rehabilitation. This system aims to reduce the burden on families by providing financial support for long-term care needs.
The LTCI system, along with other government programs, is crucial in providing elderly citizens with the care and support they need. Additionally, the government provides subsidies for low-income seniors to access healthcare, and some municipalities have initiatives aimed at reducing social isolation by offering community centers and outreach programs for elderly residents.
Moreover, Japan has made efforts to combat elder abuse and ensure that the elderly have access to social services. Various local governments have established “elderly support centers,” which offer social services, psychological counseling, and assistance with accessing healthcare and other essential services. These centers also help elderly individuals who are at risk of social isolation by organizing group activities and fostering a sense of community.
While Japan’s welfare programs are extensive, they are not without their shortcomings. Despite the existence of programs like LTCI, the quality and availability of services vary greatly depending on the region, and there are not enough long-term care facilities to meet the growing demand. Furthermore, there is a shortage of caregivers, which means that many elderly individuals do not receive the level of care they require.
Many elderly individuals remain unaware of the programs available to them, and the bureaucracy involved in accessing welfare services can be overwhelming. This lack of information and access to services contributes to the growing crisis of elderly poverty and isolation.
While, Japan has made considerable strides in addressing the challenges faced by its elderly citizens, significant gaps remain in housing, healthcare, social isolation, and welfare systems. To prevent further crises, a comprehensive overhaul of existing programs is necessary to ensure that all elderly individuals can live with dignity, independence, and the support they need.
Image by Pexels from Pixabay
In Japan, as in many societies, the care of the elderly was traditionally seen as a familial responsibility. However, this tradition is increasingly under strain due to shifting social, economic, and cultural dynamics. With an aging population and a growing number of elderly people who require care, Japan faces an urgent need to rethink how its elderly citizens are supported in their later years. The role of the family in elderly care is changing, and as a result, new models of care are emerging, particularly from local communities and public institutions.
For centuries, Japan’s elderly care system was built around the concept of filial piety, where children were expected to take care of their aging parents. This practice was deeply embedded in Japan's cultural and familial structures, reflecting the broader value of family loyalty and respect for elders. Multigenerational households were common, and elderly parents often lived with their children or close relatives in their later years.
However, in recent decades, significant changes in Japan's societal structure have shifted this traditional arrangement. The shift is largely driven by several factors, including urbanization, changing family structures, and economic pressures. The growth of nuclear families, where elderly parents live separately from their children, has led to fewer opportunities for familial care. Young people are moving away from rural areas to urban centers for work, often leaving elderly parents behind in the countryside, unable to provide the care and support that was once standard.
Additionally, there has been a cultural shift where younger generations are less inclined to assume caregiving responsibilities. The pressure to maintain work-life balance, coupled with rising housing costs, job insecurity, and long working hours, has made it difficult for young people to care for their aging parents. The reluctance to assume eldercare roles, coupled with the increased mobility of younger generations, has strained the traditional familial care structure, making it increasingly difficult for elderly individuals to receive the care they need within the family home.
The generational divide in Japan is a critical factor in the transformation of elderly care. Younger generations, particularly those in their 20s to 40s, are often faced with competing priorities, such as long working hours, childcare responsibilities, and rising costs of living. This creates a situation where caring for aging parents may no longer be feasible for many individuals, especially those in cities like Tokyo and Osaka, where the cost of living is extremely high.
Additionally, Japan’s declining birthrate plays a role in exacerbating this divide. With fewer children in each family, the responsibility of caregiving naturally falls on a smaller number of individuals, making it increasingly difficult for each person to shoulder the burden. Younger people may feel that they are already stretched thin, juggling the demands of their careers, young families, and personal lives. The result is a reluctance, if not an inability, to take on the responsibility of caring for elderly relatives, contributing to the breakdown of the traditional family care system.
Furthermore, the nature of eldercare is changing. While once it involved providing companionship and basic daily assistance, today’s elderly care often includes medical care, such as managing chronic illnesses or providing 24-hour supervision for those with dementia. This level of care requires specialized knowledge and is physically demanding. As a result, many younger individuals feel unprepared for the demands of eldercare, leading them to seek alternative solutions, such as hiring professional caregivers or turning to public institutions for assistance.
The breakdown of family-based elderly care is the result of a complex interplay of economic, social, and cultural factors. As mentioned, Japan’s aging population is one of the fastest-growing in the world. By 2025, nearly 40% of Japan's population will be over 60 years old, with a significant percentage requiring long-term care. However, Japan’s economic conditions make it difficult for many families to provide the level of care needed.
The rising cost of living, combined with stagnant wages, has made it harder for families to provide the necessary resources to care for elderly relatives. Elderly parents may have limited financial resources due to low pensions or a lack of savings, further exacerbating the burden on their children. Additionally, the high cost of professional care services, such as in-home nursing or long-term care facilities, can be prohibitive for many families.
Social pressures also play a role in the decline of family-based elderly care. There is a prevailing expectation in Japanese society that young people will achieve financial and career success, often at the expense of family life. This has led to a societal culture that prioritizes professional success and personal achievement, leaving little room for the caregiving responsibilities that were once taken for granted. In an increasingly competitive job market, many young people feel that their financial future will be jeopardized if they are unable to focus on their careers, making eldercare a secondary concern.
Moreover, the emotional toll of caregiving is not to be underestimated. Taking care of aging parents, especially those with complex health needs, can cause significant mental and physical stress. For many, the emotional and psychological strain of caring for a parent can be overwhelming, particularly when there is little support from the wider community or public institutions. The lack of training or resources available to family caregivers only increases the stress and burden on individuals who feel responsible for their elderly relatives.
As family-based care has become less feasible, many elderly individuals are increasingly relying on public institutions and the justice system for care. Japan has a highly developed public welfare system that provides support for those in need of care, including the elderly. Programs like the Long-Term Care Insurance System (LTCI), introduced in 2000, have been designed to help families and elderly individuals pay for long-term care services, such as nursing homes, in-home assistance, and rehabilitation services.
While these programs have alleviated some of the pressure on families, they are not without their flaws. For example, there are concerns about the quality of care in public nursing homes, as many of these facilities face staffing shortages and overcrowding. There is also a lack of choice for elderly individuals, who may be forced to rely on institutions that do not meet their specific needs or preferences.
In some cases, elderly individuals without sufficient family support or financial resources have turned to the justice system for help. For example, in 2019, a 90-year-old woman in Japan was arrested for shoplifting in a supermarket. When questioned, she admitted that she had stolen food because she had no one to care for her, and she wanted to be arrested so that she could be cared for in jail. This tragic incident highlights the desperation faced by some elderly individuals who have no other options but to turn to criminal acts to access the care they need.
Unfortunately, this is not an isolated case. There have been reports of elderly individuals being arrested for minor offenses, such as shoplifting, in an effort to gain access to care. For these individuals, the criminal justice system becomes a substitute for the care and support they cannot find elsewhere. This troubling trend reflects the inadequacy of existing systems and underscores the urgent need for reform in Japan’s elderly care sector.
As the traditional family support system falters, local communities have stepped in to address the needs of the elderly population. In many areas, municipalities have implemented programs aimed at providing elderly individuals with companionship, social activities, and access to essential services. These community-based programs often rely on volunteers and local organizations to deliver support, from organizing social events to providing transportation for medical appointments.
In some rural areas, where elderly populations are particularly high, community-led initiatives have become even more vital. These programs focus on reducing social isolation by creating opportunities for elderly residents to interact with their peers and participate in community life. Local governments have also invested in creating senior centers, where elderly individuals can meet for activities, meals, and socializing. These centers serve as crucial lifelines for those who would otherwise have limited contact with others.
Furthermore, grassroots efforts to provide care for elderly individuals have grown in prominence. In some areas, local businesses and neighborhood associations have developed cooperative caregiving systems, where neighbors help each other with everyday tasks. These programs, though informal, help create a safety net for elderly individuals who may not have family support or financial means to access professional care.
Grassroots efforts have proven to be an essential part of Japan’s evolving approach to elderly care. Local programs often provide a more personalized and community-driven approach to care, which can significantly improve the quality of life for elderly individuals. Many of these programs are designed to prevent extreme actions, such as the criminal behavior described earlier, by ensuring that elderly individuals have access to social and psychological support before reaching a crisis point.
For example, some neighborhoods have developed “buddy systems,” where elderly individuals are paired with younger volunteers or neighbors who check in on them regularly. These systems help identify issues early, such as health problems or emotional distress, and provide the elderly with a sense of security and belonging. In rural areas, where elderly populations are particularly high and healthcare access can be limited, local community centers offer vital services, such as meal delivery programs, health screenings, and social clubs.
Moreover, community groups have started organizing workshops and information sessions for elderly citizens, educating them on available government programs and how to access them. By equipping elderly individuals with the knowledge and tools to navigate the social welfare system, these programs can help prevent situations where individuals are forced to resort to desperate measures.
The role of family and community in elderly care in Japan is undergoing significant transformation. While traditional family care giving is no longer as viable due to societal shifts, local communities and public institutions are stepping up to fill the gap. The need for a comprehensive and inclusive approach to elderly care is urgent, and by combining government programs with grassroots efforts, Japan can better address the complex needs of its aging population and ensure that elderly individuals can live with dignity and security.
In conclusion, Japan's aging population faces profound challenges that extend beyond simple financial insecurity, impacting every aspect of elderly citizens’ lives. The country’s pension system, while designed to provide support in later years, remains inadequate for many, forcing a growing number of elderly individuals into poverty and reliance on family members who may not have the means or willingness to assist. As the elderly population grows, so too does the trend of elderly people working well past retirement age, further highlighting the systemic issues within the country's social and economic structures.
Beyond financial struggles, elderly people in Japan face significant challenges in terms of housing and healthcare. Many elderly individuals live in isolation, unable to afford suitable housing, and their access to necessary medical care is often limited by both financial constraints and the availability of services. Social isolation is a growing problem, with cultural shifts causing a breakdown in traditional family care, leaving many elderly citizens vulnerable to loneliness and neglect.
The reliance on family and community care is also in flux, as younger generations increasingly face economic pressures that prevent them from taking on caregiving roles. This breakdown of the family support system has led to a rise in elderly individuals turning to public institutions or, in some extreme cases, the justice system, as a last resort. While the government has implemented some programs aimed at alleviating these issues, they are not sufficient to meet the overwhelming demand for care and support.
To address these challenges, Japan must urgently reform its social welfare, healthcare, and housing systems to provide a more sustainable and supportive environment for the elderly. This involves strengthening the pension system, expanding accessible healthcare, and ensuring that elderly citizens have the opportunity to live in dignity, whether with their families or through community programs. The role of local communities and grassroots efforts in supporting the elderly cannot be understated, as these networks can provide much-needed assistance and prevent the dire circumstances that some elderly individuals face today.
Ultimately, Japan’s aging crisis requires a collective response from both the government and society to ensure that older generations can live out their later years without fear of poverty, isolation, or neglect. Only through comprehensive reform and societal change can Japan hope to create an environment where elderly citizens are valued, supported, and cared for with the dignity they deserve.
BIBLIOGRAPHY:
Books:
Journal Articles:
Reports and Government Publications:
Newspaper Articles:
Websites: