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Malaysia is growing older. Are we ready to care? — Vasanthi Ramachandran

SEPTEMBER 4 — Malaysia is getting older. The statistics have been repeated often enough.

Today, 11.6 per cent of Malaysians are aged 60 and above. By 2040, that figure is expected to rise to 17.3 per cent. Across Asean, the transformation is even more dramatic. By 2050, every country in the region will be classified as an ageing, aged or super-ageing society.

In many ways, this is something to celebrate.

However, longer lives also bring challenges Malaysia can no longer afford to postpone. Many of them are slowly becoming invisible.

Ageing is usually discussed as a healthcare problem. How many hospitals will we need? How many doctors, nurses and care homes? How much will it cost the government?

These questions matter.

But behind them lies another — one that millions of Malaysian families are already beginning to confront.

Who will do the caring?

And care is about much more than medical support. For most families, the answer is their children.

It so happens that responsibility often arrives at precisely the point when those children are at the height of their careers — building businesses, raising families and contributing to the economy.

It is about what happens to the generation expected to do the caring. That is the challenge Malaysia must now confront.

Healthy ageing requires more than good intentions and policy documents. It requires somewhere to live. Somewhere to receive care. Somewhere to remain connected to other people.

Above all, it requires an environment that allows older Malaysians to continue living with dignity.

Malaysia has spent years developing policies for an ageing society. The challenge now is to build the infrastructure capable of delivering them.

One proposed response comes from Venus Healthcare Homes, which has spent eight years developing a Malaysian Care Village model integrating housing, care, clinical support and community life.

Sri Nadarajah, Strategic Advisor to Venus Healthcare says, “Venus does not see itself simply as a provider of elderly care, but as a holistic solutions provider addressing the interconnected challenges of an ageing society.”

Malaysia must begin building an entire care ecosystem, rather than simply adding more nursing homes when the need becomes overwhelming.

People take part in an activity during the National Sports Day 2023 celebration at Dataran Putrajaya in Putrajaya on October 14, 2023. — Picture by Shafwan Zaidon

The Venus Care Village is built around a different principle: as a person’s needs change, the care should change around the resident, rather than the resident having to repeatedly change their home.

“Our model’s key strengths are social interaction and community activities, which are difficult to achieve when elderly people are isolated in their respective homes,” he says.

The proposed Care Village is intended to be distinctly Malaysian reflecting local architecture, food, faith and family life. The model also challenges another assumption about care — that affordability must mean lower standards.

Residents may choose different types of accommodation and private amenities, but the principle is that the standard of care should remain the same.

“People may live differently, but they should not be cared for differently,” Nadarajah says.

But the larger ambition goes beyond building another care facility.

The challenge of an ageing society cannot be solved by housing alone, or healthcare alone. It also requires trained workers, clear standards, effective regulation and a financial model capable of making quality care accessible.

Premium accommodation and private amenities for higher-paying residents would help support wider access within the same community. Whether the model can ultimately be delivered at scale will depend on land, regulation, investment and workforce development.

For Prof Dr Shahrul Bahyah Kamaruzzaman, Senior Consultant Geriatrician at the Department of Medicine, University of Malaya, and President of the Malaysian Healthy Ageing Society, the starting point is clear.

“By investing in these accessible, innovative hubs, we do more than alleviate the strain on our healthcare systems; we uphold the dignity of the very individuals who built the foundations of our nation.”

The future of ageing in Malaysia cannot depend on one company, one organisation or one project.

It will require government, healthcare professionals, communities, educators, investors and care providers to begin thinking — and working — together.

An ageing population should not automatically be seen as a burden.

As the Minister of Women, Family and Community Development, Datuk Seri Nancy Shukri has said, “Malaysia must work towards a future in which an older population becomes “a source of national strength, not strain.”

This wider conversation will come into sharper focus when Kuala Lumpur hosts the Silver Economy Forum 2026 on November 11 and 12 under the theme “Healthy Longevity for Economic Growth.”

Convened by the Global Coalition on Aging and the Malaysian Healthy Aging Society, the forum will bring together government, business and civil society to examine how longer lives can create economic opportunity rather than simply rising costs.

But ultimately, the real question facing Malaysia is not whether we are becoming an ageing society.

We already are.

The question is whether we will build the homes, communities and care systems needed before millions of families are forced to confront the consequences alone.

We still have time to prepare — to build communities rather than institutions. To design care around people rather than forcing people to fit into care systems. To ensure that growing older does not mean losing independence, connection or dignity.

The demographic future is no longer something waiting for Malaysia in the distance. It is already taking shape around us.

We are building the future we will one day grow old in. The question is: what kind of future do we want for ourselves?

* This is the personal opinion of the writer or publication and does not necessarily represent the views of Malay Mail.

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