Author's Note
I first wrote this article in 2018 at the encouragement of a remarkable Japanese-American woman whom I had the privilege of caring for over a period of more than four years. I served as her caregiver, care manager, personal assistant, advocate, and I hope, friend.
Like many older adults, her greatest wish was simple: to remain in the comfort of her own home, surrounded by familiarity, dignity, independence, and the people she loved.
My tiny Chihuahua, Nelson, became part of that journey as well. During the many hours we spent together, she adopted him as her own, and he brought joy, companionship, and laughter into our days.
This article was inspired not only by Japan's aging population, but by the lived experiences of older adults who wish to thrive, remain connected to their communities, and continue living meaningful lives as they age.
Years later, the concerns discussed here have expanded beyond Japan and become a global conversation.
This updated version is dedicated to that client, to Nelson, and to caregivers everywhere who quietly help others age with dignity.
— Beverley Shungu Omba, The Global Caregiver
In 2018, I wrote about Japan's growing shortage of caregivers and the challenges facing one of the world's most rapidly aging societies.
At the time, many viewed Japan's situation as unique. Today, we know better. Japan was not the exception. Japan was the preview.
What was once considered a national concern has become a global reality.
Across the United States, Canada, the United Kingdom, Australia, Europe, and parts of Asia, societies are confronting the same difficult question:
Who will care for us when we can no longer care for ourselves?
The World's Fastest Growing Population
For the first time in human history, people are living longer than ever before. This is a remarkable achievement. Yet longevity without adequate caregiving systems creates challenges that governments, healthcare organizations, and families are struggling to solve.
Japan remains one of the world's most aged societies. Low birth rates, longer life expectancy, and shrinking working-age populations have created unprecedented pressure on long-term care systems.
But Japan is no longer alone.
The Invisible Crisis Behind the Aging Crisis
When people hear about aging populations, they often think about pensions, healthcare costs, or housing. I think about caregivers.
Because behind every aging population is a caregiving workforce that must support it.
As I often say: Caregivers are Assets, not Commodities.
Japan's Search for Solutions
Faced with severe workforce shortages, Japan has increasingly recruited caregivers from abroad while also exploring technology and robotics.
Technology has its place in reimagining caregiving, but a caregiver's smile or quiet touch cannot be replaced.
A Global Workforce in Short Supply
The challenge facing Japan is now being repeated around the world. Healthcare providers struggle to fill positions. Families struggle to find qualified caregivers. Caregivers themselves face burnout, financial strain, and increasing demands.
What Must Happen Next
We must elevate caregiving as a respected profession. We must improve compensation. We must support family caregivers. We must create meaningful career pathways and place human dignity at the center of care.
A Final Thought
More than thirty years working in caregiving, mental health, hospice, home care, and long-term care have taught me one simple truth:
Every society eventually reveals its values through the way it treats its caregivers.
Japan sounded the alarm. The rest of the world is now hearing it.
The time to act is now.
“Caregivers are the heart and soul of the long-term care industry.”