The The public care provision has reduced expenditure burden

The paper aims to examine the condition of
aging in Taiwan. The following content will include 1) analysing the
statistical data of supply and demand of caregivers in the aged society of
Taiwan. 2) and proceed to discuss the possible future on both economy and
society.

Without the effective policy and
sufficient caregiving, aging might be considered as the factor lead to economic
and social burden, Saucy pointed out that “productivity would be associated
with aging, but adversely direction. The tax burden of unproductive elderly
would be a growing cost to the economy” (ibid., p.318).  On the other side, some research found
aging could bring possibility and prosperity in several sectors. The aging
trend can contribute to new innovations, introductions in biotechnology,
medical facilities and pharmaceuticals, insurance investment and expansion of
health care services (John, 2014). In Sweden,
the aging phenomenon is comparable positive, “the governments have prioritized
care for older people and a favorable economic situation facilitated the
training certificated staff to provide good standards of care” (Johansson&
Noren, 2002). In addition, from Bradley Strunk and Paul Ginsburg research of
U.S. health care spending, the author noticed that the overall expenditire doesn’t
cohort with the aging trend ( Bradley& Paul,2002). The public care
provision has reduced expenditure burden and the home care is the most prevalent
service for the elderly in Sweden (Shereen & Jill, 2005).

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The paraprofessional caregiver is
categorised into three general types by the latest (1998) Standard Occupational
Classification (SOC, file:///D:/MBS/theis/example_11(health%20aide).pdf) system: Nursing
aides (SOC 31-1012), which provide basic patient care under the orderlies, and
direction of nursing staff. Home health aides (SOC 31-1011), assist the elderly
routine personal health care such as bathing,
dressing, or grooming, convalescent, or disabled persons at patient’s home or
residential care facilities. Personal and home care aides, who monitoring the
elderly od disabled adults, and assist with daily living in person’s house.
Their responsibilities may include keeping house and preparing meals. Today,
the discrepancy between the growth of aging population and the shortage of
health caregivers become a serious global issue. Decades ago, women had lower participating rate of employment and
usually play as family caregiver, however, since women have more education
opportunity over the past four decades, they can pursue the better-paying than
caregiving (Super, 2002). According to the
Institute of Women’s Policy Research, the needs of home health aide care and
personal care will increase by approximately 50% in each, but around half of
direct care workforces would leave the caregiving sector, the seriously
adverse trend seems as crisis in modern era (). However, the entry
numbers are lagging, as Spetz stated “In terms of sheer numbers, the greatest
need is going to be for home health and personal care aides, with well over one
million additional jobs by 2030,” “The challenge is that these are currently
very low-paid, high-turnover, entry-level positions and high workplace
injured risk. A lot of people in these jobs are living in poverty while
working full time. The sustainability become an urgent challenge for younger
generation.” (https://healthworkforce.ucsf.edu/trends-long-term-care-service-use-and-workforce-demand-predictions). Currently, immigrant workers become
one of the solution to fill the job vacancy. In end of 2016, the number of foreign
workers in social welfare sector is 237291, which is 83506 more than ten years
ago (Ministry of Labor of republic of Taiwan).

The accelerating rate of aging in Taiwan
is more than twice of European countries and United States (Yi-Yin&
Chin-Shan, 2016), however, the new birth rate stands for the 10 lowest in the
world. (Central Intelligent Agency factbook, 2018) In recent news,
according to the statistics, the aged over 65 has been announced exceed the new born
rate in 2018. It means that the younger generation have higher responsibility
of taking care of the elderly, in 2015, the elderly dependency ratio has
already come up to 16.6 (CIA World Factbook, 2015).

Based on statistical data from Central
Intelligent Agency, in 2017 and 2010 the aged 65 and above around the world accounted
for 8.68% and 7.6% respectively. While looking at the demographic in Taiwan,
the aged 65 and above was 13.72% and 10.7%. In 2018, the aging population is
higher than the fertility rate and refer to the aged society. Based on the projection
from National Development Council of Taiwan, the aging population stand for
around 38.6% in 2060, which is almost triple as the percentage in 2016.