Friday, 7 September 2018

The prolonged life expectancy, a burden or blessing to the poor senior citizens of India?


            my article published in Woman's Era  august 1st week edition      

The new India is obsessed with youth power and refuses to recognize the problems of the rapidly growing elderly population.
 India, at present has 81 million elders (60+) i.e., 7.7% of the total population and it is projected that by 2050, quarter of the population will be elders. 78% live in the villages and they are very poor. We should not forget that in India 33% of the population lives below poverty line. Therefore, the poor senior's number is 23 millions Mathew Cherian, chief executive of Help Age India, said, "Seven out of 10 elderly people in India are below the poverty line but just 10 percent of our elderly are getting pension,” - Voicing equal concern, former Chief Election Commissioner M.S. Gill said, “Something is being done, but very little.” He said, "The problems concerning the elderly were very different in urban and rural India, and the issue should be tackled accordingly".
In the urban India, loneliness is the main problem to the seniors due to empty nest syndrome. But the lonely seniors can cope up with the problem of loneliness with facilities they can arrange with help of their regular income like pension since many of them have retired from organised sector or get second carriers or join paid senior citizens homes. Their children are better off with good employment status and hence do not consider parents as financial burden. . But rural poor seniors face serious problems
Through out their life most of the rural senior citizens have worked in the unorganized sectors. They have no pension, savings, or assets and hence 50% of them are fully dependent and 20% partially.  Their  family members are also poor and in debt  due to deterioration in the agricultural sector and hence care of the elders become a burden, resulting in neglect and abuse and abandonment  .Hence even in the ripe old age they are forced to work.  The widowed senior's position is very pathetic. Unable to work, they are mostly abused by the daughter in laws. Most of them undergo semi starvation and suffer due to mal nutrition based deceases and there is no timely medical care. The pension given to the poor seniors by the central and state government together at present is only   Rs 400 and highly inadequate to their needs under the present inflation level. . It is not easy to get this pension and hence they have bribe on the middlemen, pay commission to postmen every month ... Recently we have read reports of postmen's involvement in exploiting the poor seniors in Tamil Nadu . Sometimes their own kith and kin compulsorily snatch this money to meet their family's emergency needs. Rural clinics do not have geriatricians to attend to their age related problems and therefore, they rot with prolonged illness. The senior citizens homes and geriatric care are totally nil in the rural areas

The children of modern India do not treat all the seniors with dignity. India's traditions of respect to elders and dignified treatment to them have disappeared along with e breakdown of the joint family system. When they are not productive any more, they are abused by their own kith and kin, .Abuse may be physical, and mental and continuous abuse results in psychological trauma that drives them to depression or suicide or to come out of their homes and wander in the streets as destitute or beggars or as mentally unbalanced persons. Thousands of seniors who are driven away from home wander in the Indian states in this manner. . Under such circumstances, they come to the conclusion that the prolonged life is not blessing but a curse.

There has been limited research into the nature and extent of elder abuse and it is often argued that the absence of such data is a reflection of the low priority given to the needs of the senior citizens in this country. Mr. Pran Nath Malik, a retired government servant tells that in Himachal Pradesh, "The population of old people are tens of millions. As about half of the total population is living below the poverty line, the assistance provided by the government is negligible. Social and religious organizations also are not doing much. We can see many elderly living as beggars in the big cities. Many die of hunger." hence that state was the first state to introduce the maintenance of old persons Act in 1996 itself. At that time many were wondering what is the need for such an Act in a country like India with it's tradition of venerating elders.


But, the government of India was forced to introduce The Maintenance and Welfare of Parents and Senior Citizens Act in 2007 which makes the neglect of parents a cognizable offence. In other words through this Act the government tell the children" look after your parents or go to jail". This Act grants the elders the right to get maintenance by moving the tribunal constituted under the law. But how many of the poor rural elders are aware of the passage, provisions and the recourse to this law? Will this act help the poor seniors when their children themselves are having hand to mouth existance? Since the passage of the law only 7 cases were filed under this law either because, the  parents do not  like their children to go to jail  or they are not aware of the passage of this   law or they are afraid they might be driven out of their homes if the seek justice through this law.

Experts on the care of the elderly present various suggestions
*  Counseling is needed for the poor families on the care of the elders and extended support facilities to help them to bear the burden of the elders.
*  More number of free senior citizens homes in the rural areas.
*  Arrangements for mobile clinics to attend to the disabled and chronically or terminally ill elders.
*  Pension for the poor elders should be raised at least to Rs 1000 and easily it should be made available to the poor seniors
*  Strict supervision over the running of free senior citizen homes.
*  Alzheimer should be included in mentally ill diseases group in the census.
*  Welfare measures should include nutritious food medical and insurance facilities.  Social security has to be integrated with anti-poverty programmes.
*  It is also important to provide financial support to low income family groups having one or more elderly
Persons. . 
*  Taking social, economic and cultural changes into consideration there is a need to effectively solve the emerging problems of the elderly.  There is a need to pay greater attention to the increasing awareness on the ageing issues and its socio-economic effects
*  . A national level elder's help line is also an immediate need.
*  The government can provide free land to the NGOs taking care of the elders and every senior citizen home should have the service of a gerontologist or geriatrician as a consultant.
*  It is not necessary that only the government should take care of the elders. The well off sections can also donate liberally or offer sponsorship for few poor elders and the income tax exemption for such donations can be enhanced.
*  The corporate social responsibility can also be extended to the care of the poor elders and they can participate with the government in establishing a number of free old age homes covering the entire country, because it is a gigantic task in which private public partnership is needed.
*  The schools and colleges should  sensitise the student's community on the need to treat the seniors with love care on the World Abuse Awareness Day, i.e. June !5th ,

The problems concerning the elderly are serious in nature. The number is growing and hence a separate ministry might be needed to tackle   these problems in an efficient manner, if the elders have to spend their sunset years peacefully. After all ,they have contributed to the nation and to their families through out their productive life through their hard work .They should not be forced  to consider their prolonged life as a burden , but, as a blessing since through their prolonged life, they get an opportunity  to use their wisdom and experience for the betterment of the society.

Now, in a landmark judgment, the Supreme Court on Friday recognised that a terminally ill patient can write a "living will" that permits doctors to withdraw life support, saying a person with no will to live shouldn't suffer in a comatose state. Vice president of Confederation of Medical Associations in Asia and Oceania, and former IMA president Dr K.K. Aggarwal, said strict guidelines should be put in place to ensure that there is no abuse of the ‘living will’ by relatives of the senior patients.
The caregiver of senior citizens may get fed up and frustrated, and unconsciously may make the patient feel that he or she has become a burden and should not live anymore, he said, adding, “This is one aspect which we need to focus on. When a person seeks (passive) euthanasia, the attitude of the relatives providing care should be considered and opinion of doctors should be taken.” Senior Kerala priests said the Supreme Court judgment also fear that the judgment could be misused







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