from The Washington Post
Welfare Cuts Hit 'Elderly Orphans' Hard
By Anthony Faiola
Washington Post Foreign Service
TOKYO -- What is left after Gosuke Kakizaki's 73 years of life as a magazine typesetter turned failed businessman turned penniless retiree is contained in two small rooms of a gray public housing complex far from the glittery core of this city. A white teakettle, a few stacks of books and a little TV set remain, as do mounted photographs from the hiking trips he stopped taking about three years ago.
That was when he was hit by the first of a series of deep cuts in welfare assistance for destitute seniors, a group whose swelling numbers are aging the face of poverty in Japan. For Kakizaki -- an "elderly orphan" living alone and entirely dependent on the state -- the reductions have slashed the government checks he must get by on in hyper-pricey Tokyo from $826 to $625 a month.
"I can't afford transportation, film for my camera or the photo-developing fees for such trips anymore," said the soft-spoken Kakizaki, who is long divorced and has only sporadic contact with his two adult children. "The photos are all I have left. I can barely afford to feed myself now."
As the world's most rapidly graying nation struggles to cope with the exploding costs of its aging population, it is cutting back its famed safety net of universal health care, generous pensions and welfare benefits for seniors of all social classes. But those already living on the margins are being hit the hardest.
Over the past decade, the number of indigent seniors nationwide skyrocketed by 183 percent to about half a million people, Welfare Ministry statistics show. Most of them are victims of the protracted recession that Japan endured in the '90s, and many have been abandoned by children bucking the Japanese tradition of living with one's elderly parents.
The creation of a new underclass of the down, out and old in Japan -- a country that long prided itself on being a "one-class society" -- is giving public housing complexes the feel of poor retirement communities. Almost one in every two people on welfare in Japan is now 65 or older, the government here reports. By comparison, roughly one in 10 welfare recipients in the United States are senior citizens, according to U.S. government statistics.
The homeless population expanded rapidly during the recession years and now numbers about 30,000, according to advocacy groups. An official survey in 2003 put the average age of the homeless at 56. The government requires seniors to have a fixed address to receive welfare, so many on the streets are getting no support.
Now the Japanese economy -- the world's second-largest -- is in the midst of a buoyant recovery. But the country is moving toward a more American-style system of senior services by shifting the burden of care from the government to the elderly themselves.
"The government talks about how we need to be more independent and care for ourselves now," said Kakizaki. "But we are old. How are we supposed to become independent at our age? How can they even ask us to?"
Selective Recovery
Many industrialized nations, including the United States and countries in Western Europe, are grappling with the question of how to care for their aging populations. But none is confronting the task on a greater scale than Japan.
One in five Japanese is now over 65, and by 2050, the figure is projected to reach nearly one in three. This year, the cost of public pensions, health care and welfare services for the aged reached a record $828 billion -- six times higher than in 1986, according to government statistics. By 2025, conservative estimates project the figure will rise to $1.37 trillion -- a figure that would then amount to 28 percent of Japan's gross national income.
Meanwhile, Japan has one of the world's lowest birthrates, raising doubts that the next generation of Japanese taxpayers can support the pension system.
Since coming to office in 2001, Prime Minister Junichiro Koizumi has led a charge to cut government spending in many sectors, and has particularly focused on health care and pension reform. "In order for our social security system to continue to function with the aging population and declining birthrate, we can no longer continue to provide abundant benefits with a light burden," he declared in a May address to parliament.
Last month, parliament approved a series of health care bills that will force upper-middle-income seniors age 70 or older to cover 30 percent of their medical bills -- their third major increase in five years. Though many Japanese retirees still enjoy some of the world's best corporate and government pensions and have substantial personal savings, the gap is widening between them and very poor seniors.
Over the past three years, Koizumi's government has also cut the amount seniors on welfare receive by as much as 23 percent.
"Japan's economy may be recovering now, but it is a recovery with losers and winners," said Seiji Tsuji, director of the Federation for People's Lives and Health, an advocacy group for the poor. "Sadly, the biggest group of losers are senior citizens."
Battling a Stigma
The graying demographics of poverty can be glimpsed in the steel handrails installed inside hallways and entrances at the sprawling Nagafusa public housing complex in southwest Tokyo.
When 88-year-old Hisa Hashidate and her husband moved in 44 years ago as part of the first group of tenants, the beige block apartments -- with about 2,000 subsidized units -- were populated mostly by middle-income couples carving out their piece of the Japanese dream.
But today, more than half the residents are over 65 and almost a quarter are on welfare, mirroring a nationwide trend.
Hashidate's husband died 30 years ago, so she has long lived a humble existence, surviving on government assistance. But in the past three years, cuts have reduced her monthly income by 12 percent. So she stretches out one piece of fish for two days' worth of meals. Ashamed of not being able to afford traditional offerings of money at weddings and funerals, she has simply stopped attending them. Although she is nearly blind, she switches off the lights at 8 p.m. to save electricity.
"I almost never go out anymore," she said. "What is out there for me? I have no money."
In a culture that stresses the need to pull one's own weight, a profound stigma surrounds welfare. Many needy elderly are too ashamed even to apply for it. Advocacy groups for the aged estimate that the number of seniors in need is at least five times more than the half-million now receiving special government assistance.
Kakizaki, the former magazine typesetter, vividly recalls the chilly February morning in 2001 when he finally built up the courage to apply.
"I could not go through the door at first," he said. "I remember seeing the office and then turning away. I walked around the neighborhood for what seemed like forever. When I finally went through those doors, I felt as if I had jumped off a cliff."
During the 13-year economic slump that began in 1991, older Japanese were at the highest risk of falling into poverty. As companies cut back, employees in their late fifties and early sixties were the first to be let go. Kakizaki, whose wife divorced him after a printing business he owned went bankrupt in the 1980s, worked on contract at a publishing house doing layout until 1998. When he reached 65, the company declined to keep him on.
Being a failed business owner meant he could not count on a good corporate pension, and he had not paid enough to the government to collect social security. He looked for a job but found nothing. He lived off his savings for the next two years, by which time he was 67, clinically anemic and had just $500 in the bank.
He has stopped looking for work. "No one is going to hire you at my age," he said, eyes downcast. "They won't even give you a second look."
Although in former times children offered their parents help, Kakizaki said he did not even dream of asking his 40-year-old son or 36-year-old daughter to take him in. During his first three years on welfare, he said, he was able to live a simple but "decent life," taking occasional photo trips to nearby mountains and enjoying chats over a cup of sake with friends.
But the recent cuts have left him with about $138 a month in spending money after covering his rent and utilities -- about half the surplus he had three years ago.
With gas bills in Tokyo particularly high, he has taken to limiting the hot baths that most Japanese take every night to just three a week. He leaves his home only once a week to search for bargains at the local grocery.
"This is not how I thought I would be spending the last years of my life," he said.
Special correspondents Akiko Yamamoto and Sachiko Sakamaki in Tokyo and researcher Robert Thomason in Washington contributed to this report.
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