Preparing for the growing ageing population is a huge cause for celebration and yet also a key concern in many countries. Yet, in developing countries, which are experiencing a greater speed of population ageing at a time when they are lacking the financial resources and institutions to provide long-term care (LTC) services, finding policy solutions is becoming ever more urgent.
The People’s Republic of China (PRC) is facing these challenges while the decades of one-child policy are exacerbating these trends, as fewer and fewer younger people are left to provide care to their older relatives. Although in China, as in other East Asian countries, the cultural norm of filial piety has been strong, the stark decline in fertility translates into one younger person, mostly female, sometimes having to care for four to eight older relatives or in-laws. In 2016, 213 million, or 16.7% of the Chinese population, were over 60 years old (Cheng, 2017). Among these older people almost 150 million have long-term health conditions, and more than 40 million are living with deteriorating mental or physical health. As an editorial in The Lancet argues, China’s population ageing is ‘a ticking bomb’ (The Lancet, 2016). Continue reading