Professional Documents
Culture Documents
3 Society
3 Society
3 [2023]
Universitas Brawijaya
INTRODUCTION
Japan is the fastest-aging country in the world. Labeled as a “super-aged society,”
Japan has an estimated 37.5 million people (or about 29.8% of its population) aged 65 and
over in 2021 (Lubman, 2023). While the world’s median age is only 30.2, Japan’s is 48.7. This
data indicates a graying society that does not come overnight. In 1950, Japan was
experiencing a postwar baby boom, thus shaping an expansive population pyramid.
However, the population pyramid of Japan changed significantly over the last seven decades.
In 2020, Japan turned into a constrictive pyramid, projected to be more severe in 2045. Going
from a baby boom to a demographic crisis, what drives Japan into this situation?
The combination of high life expectancy and low fertility rates leads to a dramatically
decreasing population. Japan’s life expectancy in 1950 was around 60 years, yet healthy habits
and advanced healthcare extend its average life span 12 years past the world’s age (Lubman,
2023). In 2019, Japan reached 84.4 years when the world average was only 72.8. This is good
news, but it means a higher proportion of elderly population. Moreover, Japan has not been
able to fulfill the level needed to sustain a country’s population of 2.1 children per woman
(Lubman, 2023). Developed countries face lower fertility rates, but the issue is acute in Japan.
As of 2020, Japan has a total fertility rate of 1.4, one of the lowest birth rates in the world.
The increasing age of marriage and the decreasing rate of marriage project a further
worsening of Japan’s future demographics (D’Ambrogio, 2020).
This situation is heavily debated by both the public and government. Japan Prime
Minister Fumio Kishida has explicitly warned that Japan was “on the brink of not being able
to function as a society” (Wright, 2023). With fewer young people entering the workforce,
there may be a shortage of workers in specific industries, which could lead to a slowdown in
economic growth. The aftermath is risking diversity and social inclusion by limiting job
opportunities and career advancement for younger and more diverse workers. With an aging
population, there are fewer young people to support financially and physically the social
security system for an increasingly elderly population, especially in the healthcare system and
pension. The diversity and inclusion of the social security system have been at risk.
Furthermore, the shortage of workers has increased the demand for immigrant workers.
However, Japan has historically been a relatively closed society. Japan’s strict immigration
policies and language barriers have made it difficult for these workers to integrate into
Japanese society, leading to inclusion problems.
Based on the previous problems, this article examines Japan's aging society and its
consequences on diversity and social inclusion. It is an important topic as the existing
literature is very limited in examining how the aging society impacts diversity and social
inclusion. Thus it needs to be more present in research that directly assesses diversity and
social inclusion issues in a super-aging society. This article will discuss two main research
questions: (1) How does Japan's demographic crisis affect diversity and social inclusion in
economic, social, and political life? and (2) What policies should be enforced to create a
diverse and inclusive society in Japan? To those aims, this article will first discuss its analytical
framework. Then, the discussion section will be divided into three parts. First is an aging
society's economic, social, and political consequences. Second, the evaluation of current
policy in Japan. Third, policy recommendations that encounter economic, social, and political
challenges during the demographic crisis to achieve Japan's diverse and inclusive society. This
article will provide the conclusion and possible further research in the last section.
ANALYTICAL FRAMEWORK
Shrinkanomics: Analyzing the Societal Challenges of Demographic Trends in Japan
"Shrinkanomics" is a term coined by Gee Hee Hong and Todd Schneider to describe
the troublesome economic development in Japan over the last couple of decades due to its
shrinking population. Hong & Schneider (2020) argue that aging and shrinking population
affect economic and financial performance and shape the cities and public policy priorities.
Shrinkanomics can be used as an analytical framework to examine the implications of
demographic trends in Japan's economy, society, and politics.
Shrinkanomics viewed that the older and smaller population directly impacted the
labour force, market, and productivity, particularly in industries that rely on laborers, such as
healthcare and social service (Hong & Schneider, 2020). Besides the workforce, a shrinking
population also affects long-term economic growth and productivity (Hong & Schneider,
2020). As the younger population dwindles, there is a reduced demand for housing,
transportation, and other goods and services, a lowered tax and revenue, and a weakened
investment. It has ripple effects on related industries, including construction and
manufacturing, and leads to a decline in overall economic output. At the same time,
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Diversity & Social Inclusion
shrinkanomics can also be utilized to examine the policy implications of Japan's demographic
crisis. Policymakers may be enlightened to encourage higher levels of immigration, improve
the quality of life, and invest in technologies and industries less reliant on human labour.
In a nutshell, Shrinkonomic as an analytical framework is useful for understanding
the economic, social, and political implications of the demographic crisis in Japan. Using this
framework, policymakers and researchers can develop more targeted and effective strategies
for addressing the challenges associated with population decline and aging society.
the elderly population grows, there are fewer working-age people to support them, which
can lead to a decrease in economic productivity and an increase in healthcare costs. In Japan,
this has resulted in a shrinking workforce and a labour shortage in some industries (Wada,
2015). An aging population can also have social impacts, such as increased isolation and
loneliness among the elderly (Walker & Aspalter, 2017). It can also put pressure on family
structures, as adult children may need to care for their aging parents, which can impact their
ability to work and support their own families.
Issues: Japan’s Aging Society Impact to the Political, Economic, and Social Diversity
and Inclusivity Issues
improve its medical response to detainees. However, that doesn't mean the agony over what
should and shouldn't be done about immigration in Japan continues.
In other sectors of immigrant problems, as the Japan elderly population grows, there
is a greater need for social welfare services such as healthcare and long-term care. However,
there are fewer working-age people to support these services, which can lead to an increased
burden on the government's finances (Wada, 2015). This can create political pressure to
restrict access to social services for non-Japanese citizens or to limit immigration altogether.
One of the other debates about immigration policy in Japan is the demographic changes. In
the long term, an influx of immigrants can change the demographics of a country, which can
create political tensions. In Japan, there is a strong sense of national identity and cultural
homogeneity, and some Japanese citizens may be resistant to demographic changes that
could threaten this identity. This can lead to political movements that are hostile to
immigration or that seek to maintain Japan's cultural and ethnic homogeneity (Takenoshita,
2016).
combined with the country's traditional employment practices, which heavily emphasize
seniority-based pay, can lead to wage stagnation for young workers and limited opportunities
for older workers. Today's statistics show that Japanese workers have not received a wage
raise for 30 years (Toh & Jozuka, 2023). The gap between generations in terms of
government fiscal policy and traditional business employment practices threatens the
socioeconomic life of young Japanese people.
On the other hand, the aging society creates higher inequality because the elderly
tend to have lower incomes (Nolan et al., 2014). As the economy slows down, the cost of
social security will increase because there will be a higher percentage of elderly people
retiring, while tax revenue will decrease due to a smaller number of younger people being
employed (Banas, 2018). In more specific terms, Japan's pension system faces financial
challenges due to its aging population. More adults are eligible for payment, which may make
it difficult for the government to provide adequate support to retirees in the future (CEPR,
2016). On average, the basic retirement allowance in Japan is ¥46,000, which is insufficient
to sustain a comfortable life (Siripala, 2023). In 2019, Japan conducted a poverty line survey
which found that a minimum annual income of around $10,000 is needed to buy essential
daily necessities.
However, individuals over 65 receive only an annual basic pension of around $6,000
or $460 monthly, insufficient to cover their day-to-day expenses (Siripala, 2023). Also,
620,000 people aged 65 and over do not receive pension benefits. In addition, according to
the OECD's 2019 Pensions at a Glance report, the poverty rate for individuals over 65 in
2015 was 22.3% for women and 16.2% for men, which shows the increasing poverty among
elderly Japanese women (Zhou, 2022). Therefore, the aging society in japan provokes
socioeconomic inequalities problems that further deepen the gap between generations.
Furthermore, health workforces in Japan have been relatively gender biased. There
is a deep-seated gender bias as fewer women than men attend medical school for professional
training (Honda et al., 2022). This bias is not unpredictable since the World Economic
Forum’s 2022 Gender Gap Index shows that Japan ranked 116th among 146 countries
(Statista, 2023). With the overall gender gap index reaching 0.65 points, Japan is at the bottom
of the East Asia and Pacific group, far behind the other G7 nations. The assumption that
women cannot devote time to professional careers justifies the underrepresented female
physicians. However, despite the minority representation in paid professional careers,
women still carry most of the unpaid work. The growing demand for elderly caregiving and
the dwindling number of professional caregivers put families in overwhelmed situations.
Japan traditionally emphasizes the need for home and community-based care (Kingston,
2014). By default, women fulfill this need. They take 85% of caregiving tasks, and even 35%
of them need to quit their jobs (Kingston, 2014). Therefore, healthcare problems in an aging
society are also an issue for specific gender as there are expected gender roles.
In a super-aging society, another social problem also arises from the issues of funding
in healthcare. The public health insurance systems, which are Employment-based Health
Insurance, Region-based National Health Insurance, and Health Insurance for Seniors aged
75 years and over, provide most medical services in Japan (Fukawa, 2017). More elderly
people mean higher healthcare costs, while the amount of taxpayer and investment funds
shrank. Fukawa (2017) shows how the aging rate increased from 7.1% in 1970 to 26.6% in
2015, while National Medical Expenditure as a percentage of GDP only increased from
about 3% to nearly 8% during the same period. Before the 2019 pandemic, the government
had budgeted ¥15 trillion (15% of total spending) for healthcare and nursing, excluding fees
charged under the public health insurance scheme (Kunitachi & Onomichi, 2019).
the government should increase the number of skilled worker visas and make it easier for
foreign workers to obtain them. This would help bring in highly qualified workers, including
IT professionals, engineers, and medical personnel. Third, simplify the immigration process.
The immigration process for foreign workers can be complex and time-consuming, which
discourages potential candidates from applying. The government should streamline the
immigration process and make it more user-friendly, especially for highly skilled workers.
Fourth, address social integration. Immigrants face significant challenges when it comes to
social integration, such as finding housing, education, and healthcare. The government
should create programs to support immigrants in these areas and ensure that they have access
to the same services and opportunities as Japanese citizens. Overall, Japan needs to
implement a more comprehensive and welcoming immigration policy to address its labour
shortages and aging population. By taking a proactive approach to immigration, Japan can
ensure that it remains competitive on the global stage and continues to thrive economically.
retirees' long-term financial security. Finally, to address poverty among the elderly, especially
women, public-private partnerships can work to develop new programs and initiatives that
provide support and assistance to vulnerable populations. Public-private partnerships can be
critical in addressing the complex issues associated with the generation gap in the Japanese
workforce. Through collaborative and coordinated efforts, these partnerships can help to
create more inclusive and productive workplaces that benefit workers of all ages and
contribute to Japan's economic growth and social well-being.
Additional Policies in Addressing Social Issues: Strengthening The Home and Community-
Based Care System
The super-aging society in Japan is facing several social problems, particularly related
to the healthcare system. The solution to this issue must be emphasized in strengthening "the
home and community-based care system" (HCCS). The implementation of HCCS relies on
the pool of active citizens, which has limited funding and expertise. Women are also expected
to run this system. The existing HCCS needs to be more effective and, thus, needs
improvements.
The government should establish a stronger HCCS at the local level in the following
ways. First, integrating the people in need, volunteers, NGOs, profit-oriented care services,
representatives of medical institutions, and governmental actors. By integrating these actors,
all people in need can deliver their needs and be accommodated appropriately. Second,
gender mainstreaming in making public policies of HCCS. Women and their thoughts are
involved in the policy-making process so that HCCS is not male-oriented but can seek win-
win solutions in the distribution of tasks. Third, the development of technology and
information to facilitate the implementation of HCCS. For example, HCCS must be
complemented by utilizing big interconnected data. There is also a health application for
online consultation services, drug purchases, medical check-ups, and other monitoring and
evaluation functions. Fourth, strengthening HCCS by spending on efforts to construct
healthy lifestyles, such as exercise, healthy eating, no smoking, no alcohol, and others.
Healthy living habits are more effectively carried out at the community level.
By strengthening the role of a “home and community-based care system,” people
will have an active community where the burden of HCCS is not only on women. In addition,
HCCS also fills the gaps in the need for more procurement of preventive health systems
which is more inclusive for the working-age population.
CONCLUSION
This paper concludes that Japan's aging society has a significant impact on the
political, economic, and social inclusivity of Japan's society. The authors' analytical
framework, shrinkanomics, viewed that the older and smaller population directly impacted
the labor force (national or foreign labor), market, and productivity, particularly in industries
that rely on laborers, such as healthcare and social service. Through this framework, the
authors analyze three issues. These are political issues, economic issues, and social issues that
come as a challenge to Japan's inclusion and diversity because of the aging society.
Jurnal Transformasi Global [31]
Firstly, the political issues of strict immigrant policy in Japan. To address labor
shortages as the impact of an aging society, the government has been increasing the number
of foreign workers allowed to work in Japan. However, this has led to political tensions and
debates over immigration policy due to concerns about the impact on Japanese culture and
ethnic homogeneity. Second, the economic issues of the gap between generations. For the
younger generation, the aging society causes socioeconomic problems. They must work hard
to increase productivity, care for their family members, and have limited career options. For
the older generation, Japan's pension system faces financial challenges due to an aging
population, which may make it difficult for the government to provide adequate support to
retirees in the future. Third, the shrinking population in Japan has highlighted two significant
social issues: healthcare and gender participation. Japan is facing a shortage of healthcare
professionals to meet the growing demand for medical care, and unpaid carers for elderly
population in Japan have been relatively gender biased.
After discussing the problems, the authors evaluate Japan's policy on inclusive society
during the previous leadership of prime minister Shinzo Abe and the current government
Fumio Kishida. The authors argue that the Society 5.0 policies under Shinzo Abe are
comprehensive policies that could promote diversity and inclusion as the impact of the aging
society. However, more projects on the inclusivity between big and small cities must be
enhanced. Meanwhile, in Kishida, Japan has tried to address the challenges of an aging
population, including improving the healthcare system and promoting healthy aging.
However, there are still concerns about the sustainability of the social security system, given
the declining working-age population.
Therefore, Japan's existing policies on diversity and inclusion, challenged by the aging
society, can be improved even better with the authors' recommendations. The authors
recommend that some additional policies be made based on the "Social Inclusive
Development" theory emphasizing the importance of inclusive policies and programs for
promoting social and economic development. To address the political problems impacted
by the aging society, promoting cultural diversity, increasing the number of skilled worker
visas, simplifying the immigration process, and addressing social integration challenges need
to be done. By taking these steps, Japan can attract highly skilled workers and remain
competitive in the global economy. More importantly, maintaining good relations among the
people to ensure political stability. Second, to address the socioeconomic issues that Japan is
facing, the effort to enhance public-private partnerships to promote inclusive innovation
policies can be a leeway to solve structural economic inequality among generations. Finally,
the authors argue that the government should establish a more robust home and community-
based care system (HCCS) locally to address social issues. This HCCS should be done by
integrating all the stakeholders and people in need, promoting gender mainstreaming in
making public policy, developing technology and information, and spending more funds to
construct healthy lifestyles at the community level.
Like many other countries, Japan needs inclusive social development to address
social, economic, and environmental challenges and promote sustainable development.
Ensuring inclusive social development can address the challenges of diversity and inclusion
of Japanese people.
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Diversity & Social Inclusion
REFERENCES
Alexander, J. M. (2016). Capabilities and social justice: the political philosophy of Amartya
Sen and Martha Nussbuam. London: Routledge, Taylor & Francis Group.
Ashfina, R. (2019). Utilizing Technology to AddressSocio-Economic and Environmental
Challenges: Case Study from Japans Society 5.0. Center for Digital Society
Universitas Gadjah Mada. Retrieved from https://cfds.fisipol.ugm.ac.id/wp-
content/uploads/sites/1423/2021/01/50-CfDS-Case-Study-Utilizing-Technology-
to-Address-Socio-Economic-and-Environmental-Challenges-from-Japans-Society-
5.0.pdf.
Audrey, A. A., & Paksi, A. K., (2021). The Challenges of The Japanese Government to
Implement Society 5.0. Advances in Economics, Business and Management
Research, 209, 453-460. Retrieved from https://www.atlantis-
press.com/proceedings/series/aebmr.
Banas, J. (2018). The Socio-Cultural Implications of the Aging Population in Japan. Capstone
Projects and Master's Theses, 324. Retrieved from
https://digitalcommons.csumb.edu/caps_thes_all/324.
Chung, E. A. (2014). Immigration and citizenship in Japan. Cambridge Univ. Press.
D'Ambrogio, E. (2020). Japan's ageing society (Briefing PE 659.419). Retrieved from
European Parliamentary Research Service website:
https://www.europarl.europa.eu/thinktank/en/document/EPRS_BRI(2020)65941
9.
Deguchi, A., Hirai, C., Matsuoka, H., Nakano, T., Oshima, K., Tai, M., Tani, S. (2018). What
is Society 5.0?. In A. Deguchi, Matsuoka, H (Eds.). Society 5.0: A People-centric
Super-smart Society (pp. 1-24). HitachiUTokyo Laboratory. Retrieved from
https://doi.org/10.1007/978-981-15-2989-4.
Doerr, N. M. (2020). The global education effect and Japan: Constructing new borders and
identification practices. Routledge, Taylor & Francis Group.
Endoh, T. (2019). The politics of japan’s immigration and alien residence control. Asian and
Pacific Migration Journal, 28(3), 324-352. doi:10.1177/0117196819873733
Fujita, Y. (2020, December 10). Japan's seniors to pay bigger share of medical expenses from
2022. Nikkei Asia. https://asia.nikkei.com/Business/Health-Care/Japan-s-seniors-
to-pay-bigger-share-of-medical-expenses-from-2022
Fukawa, T. (2017). Elderly Population Projection and Their Health Expenditure Prospects
in Japan. Modern Economy 08(11), pp. 1258-1271. DOI: 10.4236/me.2017.811085.
Harth, B. (2020, January 6). Caring for Japan’s elderly: Youth under pressure. Social
Protection.org. https://socialprotection.org/discover/blog/caring-
japan%E2%80%99s-elderly-youth-under-pressure.
Honda, M., Inoue, N., Liverani, M. et al. (2022). Lessons learned from the history of
postgraduate medical training in Japan: from disease-centred care to patient-centred
Jurnal Transformasi Global [33]
Pais, R., & Makavāṇā, M. E. (2018). Social Inclusion and development. Rawat Publications.
Ryall, J. (2022, October 24). Japan needs ‘1 million’ more healthcare staff amid dire shortage,
government report says. South China Morning Post. Retrieved from
https://www.scmp.com/week-asia/health-environment/article/3196980/japan-
needs-1-million-more-healthcare-staff-amid-dire-shortage-government-report-says.
Statista. (2023, February). Gender gap index in Japan from 2016 to 2022 [Charts].
https://www.statista.com/.
Takenoshita, H. (2016). Immigration challenges in Japan: How has Japanese society coped
with immigration? Creating Social Cohesion in an Interdependent World, 95-112.
doi:10.1057/9781137520227_5
The Consequences of Population Ageing in Japan. (2020). Eurasian Research Institute.
https://www.eurasian-research.org/publication/the-consequences-of-population-
ageing-in-japan/.
[34] Japan’s Aging Society: A Challenge to Japan’s
Diversity & Social Inclusion
The Ministry of Health, Labour and Welfare of Japan. (2022). Maintain Sufficient Manpower
to Support Social Security System. Retrieved from
https://www.mhlw.go.jp/english/wp/index.html.
Toh, M., & Jozuka, E. (2023, February 4). Japan's workers haven't had a raise in 30 years.
Companies are under pressure to pay up. CNN Business. Retrieved from
https://edition.cnn.com/2023/02/03/business/japan-workers-wages-inflation-intl-
hnk/index.html.
Wada, K. (2015). The economic impact of Population Decline and aging in Japan: The post-
demographic transition phase. Springer.
Walker, A., & Aspalter, C. (2017). Active ageing in Asia. Routledge.
Working Better with Age: Japan. (2018). OECD. Retrieved from
https://www.oecd.org/els/emp/Working-better-with-age-Japan-EN.pdf.
Wright, G. (2023, January 23). Japan PM says country on the brink over falling birth rate.
BBC News. Retrieved from https://www.bbc.com/news/world-asia-64373950.
Yoshikawa, Y. (2021, October 26). Japan's intensifying refugee debate. Retrieved March 5,
2023, from https://www.eastasiaforum.org/2021/10/27/japans-intensifying-
refugee-debate/
Zhou, S. (2020). Evaluating the Impact of Labor Market and Pension Policies on the Rise of
Elderly Female Poverty in Japan. Social Impact Research Experience (SIRE), 78.
Retrieved from https://repository.upenn.edu/sire/78.