" We are wrestling with the same question and it will come down to allowing innovation to flourish which results in older people having a greater range of choices about their care. Part of this increased choice of options is that they can elect to pay more should they have the means to do so and are willing to pay more, over and above a base standard of care that the Government mandates as acceptable. "
Mr Brendan Moore, General Manager, Policy, Research and Information, Alzheimer's Australia NSW
" The Government should keep providing subsidies to the most needed seniors for the lower end of the market and they should provide adequate subsidies to the middle market where they are require to co-pay subject to a threshold asset/income assessment. The market will then tell us which proportion of the seniors community can afford to pay for high quality long term care. "
Mr Tan Choe Lam, Founder & Managing Director, Jeta Gardens Group, Australia and Malaysia
" There are ways we can sustainably fund high quality long term care for our elderly:
- Promoting healthy aging at home to ensure residential admissions are contained to specific high to sub-acute care
- Developing innovative social enterprise models to materialise self-sustainable residential sites
- Hybridise resources to deliver both home and residential services through innovative models "
Mr Giovanni Di Noto, Chairman & CTO, cloudyBoss Pty Ltd, Thailand
" Everyone should play a part in maintaining their physcial health. Multi Professionals can engage the elderly in various physcial and mental activities to keep their body active. The elderly should reduce their dependence on insurance, they can seek help from community services. Multi Professionals should also find out what are the community services available and highlight them to the elderly. To create a new social community where the elderly can get together and socialise with one another, provide moral support when needed. "
Dr Jun Sasaki, Founder & Chairman, Yushoukai Medical Corporation, Japan
" The second generations usually prefer having their elders be cared at a quality environment and are willing to pay for it. Quality of care actually is the sustainability factor for long-term care, whilst offering variety of choices according to the level of care required would also be another way of sustainability. "
Mr Timothy Ma, Executive Director of Project Flame, City University of Hong Kong, Hong Kong SAR
" Enable and empowered the older person "
Mdm Low Mui Lang, Executive Director, The Salvation Army Peacehaven Nursing Home, Singapore
" There is no 'once size fits all' for the funding of long term care for older people. Each government across Asia will need to determine what it can afford, and what resources can be brought to bear in the provision of an effective and integrated health and care system. The debate as to the benefits of 'state funded, contributory, non-contributory, or insurance based' health and care systems is ongoing across the world. The essential element however, is recognition of the need for 'co-production' - or 'public/private partnerships' involving the service user - in the resourcing and delivery of future provision. As solely 'top down' models of provision have been seen to flounder. Furthermore shifting resources from acute hospital provision to innovative community settings will take time. In England, one current proposal being explored is for NHS Foundation Hospital Trusts to set up and provide intermediate and long term care in their own bespoke 'care homes' - the benefits of which, across a fully integrated pathway of care could be considerable. "
Mr Kush Sankla, Director, Solutions 4 Health, The United Kingdom