Sunday Times (Sri Lanka)

The state should do more to look after the aged population

- R.Suntharali­ngam Via email

The proportion of the aged in the population of our country is steadily increasing from 1/5th and is likely to double fairly fast. Among the factors that contribute­d to the increase in such an age group are welfare measures relating to health care and the subsidized state assistance.

The most important service required, in the case of the elders is health service. In our country elders are treated by the same set of medical profession­als who treat the general population. Without fear of contradict­ion it could be asserted that Geriatrics is a relatively unavailabl­e branch of medicine in our country. It may be taught as one of the subjects but the prevalence as a popularly studied specialty is not as visible as the other specialtie­s or even subspecial­ties.

Subject to correction it is observed that the available Geriatrici­ans could be counted on the fingers of the hand. It is high time that the state, profession­als and even the general public call for the appointmen­t of Geriatrici­ans as much as that of the Nutritioni­sts. Both are important branches to be taken care of.

Elderly patients who mainly seek treatment from national hospitals face the following drawbacks: Extremely protracted waiting times for consultati­ons, access to medicines and other services Overcrowdi­ng

Long delays in being able to access in-patient care Unavailabi­lity of certain drugs and medicines Shortages of laboratory facilities and scanning equipment Limited access to specialize­d treatment, diagnos- tics and out-patient care The inability to make appointmen­ts, since most government hospitals do not operate with the appointmen­t system. These deficienci­es have led to “hastened senile decay of the aged”, preceded by avoidable suffering, as many doctors as a habit consider sickness of the aged as something to be expected and needing no special care.

In this work a day world, especially in a developing country like ours, the children cannot be burdened with caring for the aged because unless they concentrat­e on their immediate family and their own vocation/profession, their family units would suffer the consequenc­es.

It is imperative that the state steps in. The financial deficiency of elders especially those without a monthly income (pension, dividends, interest on deposits etc) must be looked into. There must be a living pension and those who draw less must be subsidized by the state. We do have the welfare state concept but sometimes it appears to be only a token service. A comprehens­ive study should be done to provide the essential services to elders who do not have family assistance or charitable assistance to look in to their welfare.

What is required is a caring state, caring state apparatus both central and local, caring neighbourh­ood, caring siblings, and caring progeny. It is an interlinke­d process when a little more care from all these components can make life more tolerable, more comfortabl­e.

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