What Dianne is Reading: We are Not Alone – Countries All Over the World Grappling with Dementia Caregiving Costs

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In this feature of the Genki Woman blog, I would like to share with you helpful articles, interesting research, and useful health information that I came across in the past week.

Over the last six years, I have been privileged to serve as a member of the board of directors of the American Society on Aging (ASA), a multidisciplinary organization of 5,000 professionals who are concerned with the physical, emotional, social, economic, and spiritual aspects of aging.  It has been a pleasure to serve with the current chair-elect, Ken Dychtwald, Ph.D., who has served as a fellow of the World Economic Forum, and was the keynote presenter at both the 1995 and 2005 White House Conferences on Aging.

From time to time, Ken sends out interesting and noteworthy articles to the ASA board members. He recently sent one from The Japan Times – “Japan Grapples with 14 Trillion Yen Dementia Costs.”  The article states that the Japanese government is encouraging a shift from institutional care to home care for elderly dementia patients as a way to curb the demand on government-run nursing care insurance.

With an estimated cost of providing dementia care in the U.S. of 17.5 trillion to 24 trillion yen, American public policy is also shifting resources from institutional to home care.  The Patient Protection and Affordable Care Act (ACA), signed by President Obama in 2010, is shifting focus in the healthcare sector away from sickness and disease to wellness, prevention, and building healthy communities. The ACA is shifting payment and incentive programs away from volume-based institutional care to less expensive, outcomes- and satisfaction-based models.  The National Prevention Strategy, established as part of the ACA, emphasizes supporting seniors to remain in their homes and retain their independence in order to promote and maintain seniors’ mental and emotional health.

This increasing emphasis on care at home and the growing numbers of older adults and older adults with dementia, of course, creates more challenges for family caregivers.  This is a large part of the reason why Keiro  is developing programs to support the older adults who wish to (or are forced to) age at home, to support caregivers who are facing increasing burdens, and to promote health and wellness across the lifespan.

If you are a caregiver and have experienced changes in how the healthcare delivery system is beginning to change, please share your observations.


Upcoming Healthy Living Programs:




For more information or to RSVP, please contact Mei Kameda at 213.873.5710 or mkameda@keiro.org 


Keiro’s Genki Living Programs, a part of the Kawana Center for Healthy Living, supports individuals to obtain, process, and understand health information so that they can manage their health for optimal wellness.

About the Author: 

Dianne Kujubu Belli is the Chief Administrative Officer of Keiro. Dianne stays genki by doing cardio and light weight training four days a week at the gym and dances Argentine tango.

The material presented on this site is for informational purposes only and does not necessarily represent the opinions of Keiro, or its contributors. Readers should consult appropriate health, legal, or financial professionals on any matter relating to their health and well-being.  

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