Sunday, December 11, 2011

The Future for the Elderly


Aging nation creates nursing home boom
Updated: 2011-12-05 07:56


By Tania Lee (China Daily)


http://www.chinadaily.com.cn/cndy/2011-12/05/content_14210995.htm


Increasing elderly population and burgeoning wealth open up market
BEIJING - Of all the unexpected things in Chinese society, moving into a nursing home is one of the most unusual.
Nursing homes in China may appear very large and glamorous on the outside, but sometimes what's on the inside reveals a totally different picture. Unlike those in some developed Western countries, experts say many nursing homes in China are overcrowded, receive inadequate government funding, have poor amenities and are often staffed by rural migrant workers withno professional training in the care of the elderly.
Chinese people feel ashamed or embarrassed to put their relatives "away" in nursing homes,but in many cases, it is the last or only resort.
The family structure in China is changing: Women, who once supported the family at home,have entered the work force in greater numbers. Chinese society has become much more educated. People who have better jobs and busier lives as a consequence are among those who have strayed from the strong tradition of filial piety and are thus helping to create thenursing home phenomenon.
This is where East meets West. Global investors have caught on to China's boom in care forthe elderly. Given the country's enormous population, this socio-demographic shift symbolizes an opportunity for companies and investors to move into an increasingly lucrative and relatively untapped market.



The statistics
According to the National Bureau of StatisticsChina now has more than 178 million peopleaged 60 or olderapproximately 13 percent of the populationBy 2042, the elderly will accountfor more than 30 percent of the population and China will have the biggest aging-societyproblem of any country in the worldexacerbated largely by its one-child policyThe averagelifespan of a Chinese citizen is now 73 years.
"The main issue is not that the population will age - that's a given," said Gordon Orrdirector atMcKinsey & Coa global management consultancy. "It's how the government can afford to payolder workersin terms of pension and other healthcare benefits."
Local governments are discovering that demand far exceeds supplyIn rural China, 40 millionelderly people will be living on their own during the 12th Five-Year Plan period (2011-2015)because their children are working elsewheretesting the country's social services andinsurance system.
Wu Yushaodeputy director of the Office of China National Committee on Agingsays thesituation poses a huge challenge for China. "Services for the elderly are too weak to handle thesituation and the welfare system is still backward and a large number of senior citizens in ruralareas are not included," the Xinhua news agency quoted Wu as saying.
Nonethelessthe majority of care homes in rural China are funded andin most cases,operated by local governments.
Until recentlythe central government's focus had predominantly been on the lower socio-economic group in rural areasan argument that explains why there hasn't been muchprofessional development in the sector.
"The reason why we have not done more work in China is because there was little provision inthe middle-income groups and very little in the high-income area," said David Lane ofThomsonAdsett & Partners Pty Ltdan Australian consulting company that has worked in thesector in Asia since the 1990s.
"Most of them (developers and operatorscan only really support the employment of localarchitects with very limited international assistance," he said.
Nowwith China facing an aging populationthe government has welcomed private and foreigninvestors to help cover the shortfall in facilities for care of the elderlyPrivate companiesdominate the nursing home sector in most major cities.
Although it is hard to determine exactly what percentage of the elderly rely almost exclusivelyon the family for supporta study earlier this year by US gerontologists and Chineseacademicspublished in the Journal of the American Geriatrics Societyindicates that thenumber of elderly people moving into nursing homes in Chinese cities is soaring.
The studyled by Zhanlian Fengassistant professor of Health ServicesPolicy and Practicewith the Center for Gerontology and Health Care Research at Brown University in the US,surveyed seven Chinese cities and discovered a growing number of care homes for seniorcitizens.
The ancient capital of Nanjingin Jiangsu provincefor examplehad 27 homes in 1990 and 52a decade laterBy 2009, the number had risen to 148. Beijing and Tianjin showed similargrowthwhile Shanghai had 552 facilities by the same year.
Despite this sudden growthmany industry leaders believe that the market is still immature andhas the potential for enormous growth.
ThomsonAdsett is currently working on numerous projects in Beijing and two in Shanghaiwhilebidding for further work in Foshan in Guangdong provinceDalian in Liaoning provinceWuxi inJiangsu provinceWuhan in Hubei province and the municipality of Chong-qing.
"I expect the level of inquiry (from investors and developerswill continue to increase rapidlyover the next five years," said Lane.
Official records also show that the number of available beds in nursing homes can only caterfor 1.8 percent of China's elderly populationwhereas the standard in many Western countriesis between 5 and 7 percent.
"We'll need to increase the number by 3.4 million beds to accommodate 3 percent over the nextfive years," said Li Jianguovice-chairman and general-secretary of the Standing Committee ofthe National People's Congressin March.
Over the 12th Five-Year Plan periodthe government intends to increase pension coverage,expand home-care services and build more nursing homesBut despite their push for moreoutside input and more favorable policies on landwaterpower and taxation in the elderly caresectorbusinesses are aware of the loopholes and the financial risks - particularly because ofthe great degree of apprehension about how the general public views care for the elderly andretirement facilities.
The setbacks
Filial pietya Confucian ideal that used to be held above all othersis still widely accepted andappliedIt's also enshrined in the Constitution of the People's Republic of ChinaArticle 49states that "parents have the duty to rear and educate their minor childrenand children whohave come of age have the duty to support and assist their parents".
ThomsonAdsett said that in dealing with potential investorsChinese people feel lazy or selfishif they have to put their relatives in a nursing home because they are unable to look after them. "This is a comment that has been repeated to me in our marketing surveys and personalinterviews," said Lane.
There is also the issue of the affordability of nursing homes. "Because fee-for-service and out-of-pocket payments are the normit's conceivable that access to nursing-home care may bebeyond the means of many middleto low-income elderly people in China," said Feng.
With a poorer and aging population,there will be a pragmatic limit to the amount thegovernment can spend on older peoplehence what it can afford to spend on elderly careservices. "And that's why I think rationalmiddle-aged Chinese citizens continue to save a largeproportion of their incomes because they believe they're going to have to look afterthemselves," said Orr.
Addressing this problem by increasing pensions while dealing with an aging population hasbeen at the heart of parliamentary discussionsLast year a total of 1.3 trillion yuan wascollected in pension premiums and about 1 trillion was handed out.
"The government is doing far more to be proactive in policy development on issues related toaging than many of the other Asian economiesFor exampleHong Kong has in my opinionbecome quite sluggish and reactive in its policy development in this area," said Lane.
Foreign investors
"In urban Chinait's fairly safe to say that the private sector makes up the majority of allfacilities in most major citiesand that the private sector has dominated the rapid growth in thelast decade," said Feng.
"To my knowledgethere are very few privately run facilities in rural areas," he added.
Many interested parties have come from Europe and the USbut the predominant investmentfocus has come from Hong KongTaiwanSingapore and Japan.
"Some Western companies have been seeking entry to China's growing market for care for theelderly since the early 1990s but fewif anyhave been successful to date," said Feng.
Lane said a lack of government funding anduntil recentlyminimal government oversightbecause of the absence of a formalized regulatory structurehave discouraged many would-beinvestors and professionals from seeking his company's adviceThis is another reason why thesector is still in its infancyaccording to Lane.
Howevernow ThomsonAdsett is able to utilize the preferential policies for the sector and hasbeen working on a number of large and responsible government and commercial interests inChina who are genuinely seeking to provide quality facilities.
Continuing to boom
The phenomenon of China's aging population is now becoming widely recognized and thegrowth of the problem is being mappedAccording to Fengthe statistics concerning China'saging population reinforce the urgency for the implementation of proper policy responses toaddress the challenges in care for the agedIdeallyquantity (growing adequate long-term careservices over timeand quality (ensuring quality of care and regulatory oversightshould gohand in handhe said.
K.KFungmanaging director of the global real estate services provider Jones Lang LaSalleGreater Chinaholds a similar viewbut says the focus should be more about providing qualityof life. "Reform should be based on how people can earn more," he said.
Government oversight of this sector is minimal because of the absence of a formalizedregulatory structureBut there are many in the industry that believe the sector will continue toboom in years to come as Chinese families become more stretched in their ability to take careof the elderly.

Green Living



WEDNESDAY, NOVEMBER 30, 2011
BUILDING A BETTER WORLD
CHINADAILY.COM.CN/LIFE 




A growing number of environmentally conscientious homeowners are renovating their houses to save energy and cash. Cheng Anqi reports.




While Jack Frost has been knocking at Beijingers’ doors for weeks, Du Xiangsi sends him packing. Th is has been made possible by the aluminum corridor Du has constructed in front of his house’s main entrance. “It protects my family from cold in winter and heat in summer,” he says. “It works better than an air conditioner.” He can even turn off his storage heater on
sunny days. Du is among the growing ranks of “green builders”, who believe the value of apartments should be judged less by size and interior design than by energy effi ciency. Th e 60-year-old lives in an old dazayuan, or tenement courtyard, in Xicheng district. His neighborhood comprises a dozen ramshackle homes with poor heating and insulation.









“Even the heater offers little protection
from cold in winter,” Du says. “It’s a waste
of energy.”
He explains he used to dread receiving
his heating bill until the NGO Friends of
Nature included his among the 21 homes
that underwent energy-saving renovations
though the organization’s Good Houses
Save Energy project.
Du’s corridor acts as an “insulator”, Tsinghua
University’s professor of energy saving
technology and project consultant Qiu
Jizhe says.
The house’s south-facing windows can
warm it until sundown.
“So the house’s interior heat is retained
in winter while the summer’s heat moves
around the corridor to flow out the open
windows and keep the inner rooms cool,”
Qiu says.
Weatherizing makes the house comfier.
It blocks draft s and creates a more uniform
temperature inside, Qiu says.
Friends of Nature assistant director
Zhang Hehe adds, “We want our trial
households to have diverse income levels
and situations.”
There are incentives to using less electricity,
other than protecting Mother Earth,
Qiu explains.
“Saving energy directly translates into
saving money,” he says.
Buildings consume up to 30 percent of
the country’s energy supply, Ministry of
Construction figures show. Most of that
goes to heating and cooling.
“Most people want energy-efficient
homes but don’t know where to start,” Qiu
says.
Energy efficient lighting is a bright start,
he explains. Customers should start by
thinking about brightness and colour, and
then decide between compact florescent
light bulbs (CFLs) or light-emitting diodes
(LEDs), Qiu explains.
LED bulbs cost from 50 Yuan to 300
Yuan but last up to 30 years, Qiu says.
Wang Yuan recently replaced five traditional
incandescent bulbs with LEDs.
The 29-year-old had paid about 15 Yuan
($2.3) a month for 200-watt bulbs. But the
60-watt LEDs enabled her to reduce her
electricity bill to 5.4 Yuan a month.
“LEDs are expensive,” Wang says. “I hope
prices will drop as more products enter the
market.”
Other items that are helping homeowners
like Kong Qingling save money and
energy include “green switches”. These are
power strips that operate on a timer that
shuts off power to appliances — especially
“energy vampires”, which are items like
water heaters that suck power even when
turned off.
“The energy a TV uses when it’s on
standby is simply wasted,” Kong says. “A
green switch allows you to save a lot of
energy without unplugging anything.”
Kong filters bursts of dirty air shot into
her apartment by the trains that traverse
Haidian district’s Sidaokou stop across
from her apartment with 30 potted plants.
She has considered buying an air purifier

“But if nature can help freshen air, why
not use it?” she says.
“Gardenia can contribute visual appeal
to a room, and its fragrance can bring clarity
of mind.”
Magazine editor Luo Huixin finds joy in
tending the vegetable garden she cultivates
on her balcony.
The hydroponic setup has produced its
third batch of green beans. A timer-operated
system drips a nutrient solution through
tubes to each plant. Excess is collected in a
reservoir for reuse.

Buying goods certified as produced in
an ecologically friendly way plays a vital
role, Beijing Biechu Space Design Studio
engineer Guan Huilong says.
“People like internationally certified furniture
but don’t realize it creates vast amounts
of carbon dioxide as it’s transported by air 
and train,” Guan says.
“Buying products made with local
materials and labour reduces pollution and
prices.”
This is advice Li Xiaolin took to heart
when redecorating her home according to
a low-carbon plan.
She had her old traditional Chinese cabinet
polished and repaired rather than buy a
new one, she says.
“It has become the living room’s centrepiece,”
she says.
“All of our guests praise it and ask where
we bought it.”


Planting green concepts

By CHENG ANQI, CHINA DAILY

Qiu Jizhe sniff s every place he visits.

The environmentalist, who was born
to a family of poor Taiwan province
farmers, says the habit comes from his
understanding of how important animals’
dwellings are to their breeding.
“I have a sensitive nose and am very
careful about improving a place’s environment,”
the 42-year-old says.
“Most animals — such as cows, ducks
and pigs — are warm-blooded and produce
heat. The more there are, the hotter
they feel. If the temperature is too high,
they get sick, lose their appetites and stop
growing, which cuts into the profitability
of their slaughter.”
His innovative solution is a water wall
that reduces temperatures while filtering
the air, he explains.
“When people feel hot, we tend to turn
on an air conditioner, which expels carbon
dioxide emissions that cause global
warming, which is the crisis of human
existence. We can use the same eco-friendly
methods that help animals to
make our lives more comfortable.”
Qiu has assisted environmental protection
organizations in Taiwan’s Taichung
since graduating with a master’s degree
from Taipei University of Technology’s
architecture department.
He mostly deals in the construction of
“ideal green houses”.
“An ideal green house is a home that is
constructed and operates with the least
disruption to land, water and energy
resources. The optimum design solution
effectively emulates the site’s natural
systems.”
He started innovating in Taichung,
in 2007.
“I saw many disadvantages in our community,”
he says. “We had water leakage
problems. People would fall on the slippery
courtyard tiles, and the air in every
room stank and was dirty. It was a low
quality of life.”
The couple purposefully sought a
cheap apartment with many problems
to test their energy-efficient renovations.
It faced westward, and its summer
temperature peaked at about 38 degrees
when it was 32 degrees outside.
So he successfully experimented with
a temperature regulation method of
installing another window 10 cm outside
of the original.
During hot weather, he can open the
inside windows and roll down the blinds.
This causes hot air to rise and cool air
to fall.
“It allows you to take advantage of passive
solar heat,” Qiu says.
When installing pine flooring, Qiu
found a space in the back of the western
wall he filled with fibreglass.
The couple also installed 2-meter-high
outdoor air conditioning units on the
kitchen balcony, living room, study and
downstairs room to draw bad smells out
and fresh air in.
When the roof started leaking, Qiu
lined it with insulating polystyrene bricks.
“It’s like the thermal insulation of
refrigerators,” he explains.
“Their temperatures are cool inside
and aren’t outside. It’s the thermal insulation
that maintains the cold that’s inside
the fridge that you can’t feel if you touch
its exterior.”
The green building concept changed
the couple’s quality of life, Qiu says.
“We reinvented our house with good
ideas and cheap materials,” he says.
“It doesn’t look like a luxury home. But
it’s a coziness that’s very comfortable and
doesn't use much energy or cost much
to live in.”
He says it took some convincing for his
neighbours to agree that many sustainable
building practices aren’t more expensive
than conventional methods.
The community went on to found the
Green Comfort Health Association, Taichung’s
first studio dedicated to sustainable
housing renovations.
Qiu’s 2009 book Hao Fangzi (Good
House) shows how to get started in the
green building business.
The book and his work earned him
the 2010 Taiwan Environmental Heroes
Award from Global Views Monthly.
“I hope to create a green concept in
everybody’s mind,” Qiu says.
“It can be glorified in every workplace,
home and occasion.”