This Oct. 1 to 7, we join the nation in celebrating Elderly Filipino Week, with the theme: ‘Embracing age, living a life of dignity and purpose.’ This annual observance, established through Proclamation 470 (1994), pays tribute to our senior citizens and honors their wisdom, resilience and invaluable contributions to nation-building.
Led by the National Commission of Senior Citizens (NCSC), the week-long celebration brings together government agencies and local government units to host a vibrant array of activities: caravans, information sessions, photo contests, medical missions, Zumba parties and even a pageant- all spotlighting the strength and spirit of our elderly.
I stand in solidarity with the nation in recognizing the immeasurable contributions of our seniors. But beyond celebration, this week also calls us to reflect deeply on how we care for them, especially in one of the critical issues that come with old age: health care.
I recently sat down with Senior Citizens Party-list Rep. Rodolfo ‘Ompong’ Ordanes to share insights on the services available to the Filipino elderly especially when it comes to health care and he brought up an alarming and sad reality: The Philippines lacks specialized public health care for those aged 60 and up.
Rep. Ordanes underscored this gap as he shared his ongoing efforts to advocate for the establishment of dedicated geriatric wards in public hospitals and the hiring of more geriatric specialists. These initiatives aim to address the unique and complex health needs of older adults that are often overlooked in our current health care system.
Geriatric medicine, which focuses on the special health needs of older adults, remains underdeveloped in the country. Most hospitals lack the infrastructure, personnel and protocols to address the complex interplay of chronic illnesses and mobility issues that many seniors face.
As the lawmaker emphasized, senior citizens are more vulnerable to infections and diseases than the rest of the population and therefore should have access to health care services designed to meet their needs.
As a senior citizen myself, I know firsthand the health challenges that people face in old age. The creation of geriatric wards in public hospitals is not merely a matter of convenience; it is a matter of dignity. Senior citizens deserve health care that recognizes their distinct needs, not a one-size-fits-all approach that treats aging as an inconvenience.
While the Expanded Senior Citizens Act of 2010 institutionalizes the access of the elderly to medical services in government facilities, the reality on the ground is far from ideal. Many senior citizens grapple with long queues and lack of facilities and equipment to treat their health conditions, which forces them to either forego treatment or rely on out-of-pocket expenses.
Data from the latest Longitudinal Study of Ageing and Health in the Philippines (LSAH) – the country’s first nationally representative panel study focused on older individuals, also bring forward issues in this aspect.
Study showed that older Filipinos have an unmet need for health services. About a fifth of older people face difficulties accessing health care services when needed, mostly due to financial reasons. In fact, only 84 percent of those diagnosed with hypertension and 76 percent of those with diabetes are on maintenance medicines. Only 63 percent have health insurance, mostly PhilHealth, indicating a significant gap in coverage despite the universal health care law.
This is not just unfortunate, this is unacceptable. The government must invest in integrating elder care into the broader public health agenda. This involves training and employing more geriatric specialists, equipping public hospitals and barangay health centers with senior-friendly facilities and equipment, and providing priority lanes for senior citizens seeking medical attention.
Mental health should also be part of the conversation when it comes to health care for senior citizens who are at risk of conditions such as depression, anxiety and dementia.
Moreover, a proactive approach to senior health should be institutionalized and embraced not just at the policy level but also in the community. This should go beyond medical treatment for existing illnesses or health conditions but also cover preventive care, wellness programs, information campaigns and community-based support.
I call on our legislators to support and pass House Bill 433 or the Comprehensive Welfare and National Health Program for Senior Citizens Act, which will help ensure wellness programs for the elderly.
Unlike the billions lost to corruption in flood control projects, improving the health care system for the elderly is not a luxury- it is a moral and national imperative. These are basic entitlements that our senior citizens deserve after decades of work and contributing to the nation.
But legislation alone is not enough, ensuring proper implementation is equally important as well. We need a cultural shift in how we perceive aging and elder care. In many Filipino households, caring for elderly parents is seen as a moral duty. Yet this familial care, while noble, cannot substitute for systemic support.
We must ask ourselves: Are we content with a system that sidelines our elders, or are we ready to build one that respects them and their contributions to society?
Let us not wait until aging becomes a crisis. Let us act now, with courage and compassion, to build a system that honors the lives that built this nation. Because how we treat our elderly today is not just a reflection of our values, it is a legacy we leave behind.
Let’s make that choice, not only for their benefit but for the future generations of Filipinos as well.