Case highlights realities facing ‘super-ageing’ nation
When her stay at the glamorous Grancreer residence turned into a nightmare of disrupted sleep and difficulties with the staff, retired harpist Yumi Makino, 66, opted out, and after a two-year legal battle got her deposit money back in a rare victory over a big real estate company.
Ms Makino’s experience reflects the challenges faced by many older Japanese in finding suitable care and accommodations in “super-ageing” Japan. Many assisted-living facilities demand hefty up-front payments on top of the usual rent and other fees – payments that are customary in Japan, although they’ve been banned in other wealthy nations.
A resident who gets fed up usually has no option but to just forfeit the money. But Ms Makino, a widow, fought on and eventually got all $113,000 back.
There are no official data, but the National Consumer Affairs Centre of Japan, a government-backed agency, reports growing problems with residents of assisted living facilities who decide to leave but have a hard time getting those big one-time payments back. “The reasons for such payments have always been unclear,” says Kosei Ogawa, Ms Makino’s lawyer. “It serves as an expression of gratitude.”
Ms Makino says she was unhappy with how staff at Grancreer treated her.
But the strongest factor behind her win was a malfunctioning emergency alarm that kept going off at night, disturbing her rest. The management of Grancreer refused to fix it despite repeated requests, dismissing her as senile, she says.
“Why do we have to be treated as inferior when we are paying all this money?” says Ms Makino, who spent much of her career on the move, including stays in Colombia and Mexico.
“The appearance may be that of a gorgeous hotel, but the staff’s behaviour was low-grade.”
Tokyu Land, which runs Grancreer and other similar facilities around Tokyo, refused to comment on the case. Five million of Japan’s 35m people 65 and older are estimated to live in special-care facilities, according to the Health Ministry.
Given the shrinking size of families as the birth rate declines, the need for group homes, hospices and assisted living accommodation is skyrocketing.
Shigenobu Ueoka, a consultant who advises families about nursing homes, says most facilities tend to focus more on pleasing government bureaucrats, who dole out aid, than about satisfying their customers. Monitoring of quality and safety tends to be inadequate, with the worst facilities charging residents for food and adult diapers on top of regular fees, or restricting family members’ visits as a nuisance, says Mr Ueoka, who has visited hundreds of homes in Japan and dozens in Europe and the US.
He says the system’s troubles are partly related to Japan’s relatively generous support for its elderly, which limits the burden for those qualifying for government help to only 10 per cent to 20 per cent of the total costs. The rest is covered by the government, with the level of aid dependent on an individual’s health and income.
Typically, a resident might pay just $470 out of the total $3,700 monthly cost for food, housing and care.
Facilities with a good reputation aren’t cheap. “The best homes never have to advertise,” and they have long
waiting lists, Mr Ueoka says. Silver Villa Koyama, a home in Tokyo, which Ueoka has ranked as among the best, charges $78,000 for those who are aged 94 or older.
For those 75 years or older, the upfront payment is $215,000, with an additional monthly fee of $1,360.
Ms Makino’s win over Tokyu Land was the equivalent of an out-of-court settlement in the West.
The one-time insurance-like payment that she managed to get back, called an “ichijikin”, is standard in Japan – renters often have to pay a similar fee, called a “reikin”, for a new or renewed lease. Such onerous payments are honorariums of sorts that symbolise an expression of gratitude toward one’s higher-ups.
The government is phasing out such payments, but many places still demand them.
Still physically active and busy with her hobbies of knitting and Western-style calligraphy, Ms Makino opted to move back into an apartment.
She has no children, but adopted a huge black and white stray cat for company. She says she’s enjoying her peaceful life, but sort of misses her legal battle.
“It was fun,” Ms Makino says. “How to pass your time is the biggest challenge of growing old.”