Population Ageing and the Well-Being of Older Persons in Thailand ...

Population Ageing and the Well-Being of Older Persons in Thailand ... Population Ageing and the Well-Being of Older Persons in Thailand ...

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Section 6: Policy and Programme Responses ageing with respect health, income security and social well-being. The Thai plan also includes provisions for data collection, monitoring and assessment of its implementation and specifies a number measures to serve as indicators of progress for each of the Plan’s five strategies. In this respect the Thai plan is also consistent with the Madrid Plan’s call for countries to review and appraise their implementation of its recommendations. Moreover, many indicators set forth in the Plan are consistent with those proposed by UNESCAP for the countries in the region (MSDHS 2007). 6.3 Social security system and pension plans Until recently, government and state enterprise employees, who constitute about 9 per cent of the labour force in 2007, were the only sector of the Thai population with government guaranteed retirement benefits. The first state-supported pension system was established in 1892 as part of welfare provisions for public servants (Ruengsakul 2003). The 1951 Official’s Gratuity and Pension Act and its several subsequent modifications provided a generous pension and other retirement benefits for government officials and state employees based on a defined benefit system funded by the fiscal budget. Civil servants who worked at least 25 years can chose a pension or lump sum payment after leaving the service. The amount of the pension could be as high as 70 per cent of the last month salary. Those who worked for 10 years or more but less than 25 years receive only a lump sum payment. State enterprises’ employees generally receive a lump sum payment upon their retirement equal to the number of years the retirees served times the last month salary. Government retirees who choose to receive a monthly pension, but not those who chose a lump sum payment, also enjoyed life time health care benefits. In recognition of future trends towards population ageing, both the government and private sector are working towards developing broader based pension and social security systems to reduce long term financial uncertainty for the older age population. In 1997 the Government Pension Fund (GPF) was established to replace the prior system for public servants. It is a defined contribution system. Public servants who joined the government in 1997 or later are required to be a member of this fund. Those who were civil servants before the establishment of this fund could choose either to remain with the old system or switch to the new GPF. Since some choose to remain in the old system, the government in actuality runs two systems concurrently. The conditions to receive a pension or lump sum payment upon retirement are similar in both systems. However, retirees under the GPF receive a lower monthly pension but also receive a lump sum of their contribution at retirement. A national social security system, enacted in 1990, was launched in 1991 to cover the private sector. However, the Old Age Pension Fund within the system was not set up until 1999. The fund mandates contributions by employees, employers and the state for all workers in private sector enterprises. To receive a pension, subscribers must have contributed for at least 15 years. Thus the first payment of old age pension and benefits will not be until 2014. The pension and old age benefits provided by this system are relatively limited. Under the existing system, members are eligible to receive pension after leaving work at age 55. The amount of the pension starts at 20 per cent of the average salary of the last 60 months for those who contributed for 60 months and reaches a maximum of 42.5 per cent as the length of the contribution period increases. As of 2006, a total of 8.9 million workers are members of the social security system. Besides personal savings, other types of old age insurance for the private sector include the Private Sector Provident Fund (PVD) and Retirement Mutual Funds (RMF). The PVD was established by the 1987 Provident Fund Act and later underwent several modifications. It is a privately managed, voluntary savings, defined contribution type of pension scheme. As of the end of 2005, there were 542 provident funds in existence, covering 1.7 60

Section 6: Policy and Programme Responses million employees. Members will receive tax exempt lump-sum payments at the time of their resignation or retirement (Krongkaew 2007). The RMF was established in 2001 by Securities and Exchange Commission licensed mutual fund management companies. To encourage private savings for retirement, the government provides tax benefits for the investment in the RMF of up to 300,000 Baht per year. However, investors must invest at least once a year for five years with at least three per cent of earnings or 5,000 Baht which ever is lower and are not allowed to withdraw funds before reaching the retirement age of 55 without tax penalty. Given that two thirds of the labour force, who are mostly farmers and own account workers, do not have any old age financial security and the weaknesses of the existing pension systems, the Thai government is in the process of developing the so called National Pension Fund (NPF) to cover the majority of the Thais (Krongkaew 2007). 6.4 Welfare allowances and tax breaks Allowances. In 1993 the Department of Public Welfare initiated a programme to provide monthly subsistence allowances for indigent persons age 60 an over in rural areas. The programme has since expanded and the allowances have increased from 200 to 500 Baht. At the start of the programme, about 20,000 elderly received the monthly allowance. According to official statistics, the number who received the monthly allowance increased steadily to 440,000 in 2003 and then more sharply 1.8 million in 2007. The latter figure would account for almost one-third of Thai elderly which is somewhat above the 24 per cent who reported receipt of allowances in the 2007 Survey of Older Persons (as discussed in Section 3). The substantial increase in the number of recipients is in part due to the rapid growth of the elderly population. Even more important, however, has been a shift towards a more populist policy that relaxed the criteria for eligibility. This has been facilitated by the supplementation of central government funds by the local organizations administering the programme, some of whom have broadened eligibility criteria considerably and a few even aim for near universal coverage. Tax breaks. As specified in the 2nd National Plan for Older Persons, the government has implemented measures to promote and facilitate children to provide care support for their elderly parents through tax incentives. Starting in 2004, adults who care or support their parents or parents in-law are entitled to the income tax deduction of up to 30,000 Baht for each elderly parent under their care and support (National Commission of the Elderly 2005). Health insurance policies bought by children for their elderly parents or parents in-laws are also tax deductable. Also, persons aged 65 years and over have an income tax exemption of 190,000 Baht and, to encourage retirement savings, for persons aged 55 years or older, interest of less than 30,000 Baht from saving accounts is tax exempt (National Commission of the Elderly 2006). 6.5 Health programmes and free services for elderly A free medical care programme for disadvantaged elderly was initiated in 1989 and extended to cover all elderly in 1992. Under this programme, all government hospitals and health centres provide free medical services to persons aged 60 and over who registered for an ‘elderly card’. It operated on a referral system from lower level to higher level health facilities. Free care for older persons continued after universal minimal cost government health was introduced in 2001. In 2007, free universal government health care was established for all Thais regardless of age. Civil servants and state enterprise employees and their dependents including their parents have been entitled to health insurance for a long time that is superior to programmes for the general public. Older persons benefit as parents or spouses of these employees. Also, in some cases benefits continue after retirement from the civil service. The benefits do not depend on a 61

Section 6: Policy <strong>and</strong> Programme Responses<br />

million employees. Members will receive tax exempt<br />

lump-sum payments at <strong>the</strong> time <strong>of</strong> <strong>the</strong>ir resignation<br />

or retirement (Krongkaew 2007). The RMF was<br />

established <strong>in</strong> 2001 by Securities <strong>and</strong> Exchange<br />

Commission licensed mutual fund management<br />

companies. To encourage private sav<strong>in</strong>gs for<br />

retirement, <strong>the</strong> government provides tax benefits for<br />

<strong>the</strong> <strong>in</strong>vestment <strong>in</strong> <strong>the</strong> RMF <strong>of</strong> up to 300,000 Baht<br />

per year. However, <strong>in</strong>vestors must <strong>in</strong>vest at least once<br />

a year for five years with at least three per cent <strong>of</strong><br />

earn<strong>in</strong>gs or 5,000 Baht which ever is lower <strong>and</strong> are<br />

not allowed to withdraw funds before reach<strong>in</strong>g <strong>the</strong><br />

retirement age <strong>of</strong> 55 without tax penalty.<br />

Given that two thirds <strong>of</strong> <strong>the</strong> labour force, who are<br />

mostly farmers <strong>and</strong> own account workers, do not have<br />

any old age f<strong>in</strong>ancial security <strong>and</strong> <strong>the</strong> weaknesses <strong>of</strong><br />

<strong>the</strong> exist<strong>in</strong>g pension systems, <strong>the</strong> Thai government is<br />

<strong>in</strong> <strong>the</strong> process <strong>of</strong> develop<strong>in</strong>g <strong>the</strong> so called National<br />

Pension Fund (NPF) to cover <strong>the</strong> majority <strong>of</strong> <strong>the</strong> Thais<br />

(Krongkaew 2007).<br />

6.4 Welfare allowances <strong>and</strong> tax breaks<br />

Allowances. In 1993 <strong>the</strong> Department <strong>of</strong> Public<br />

Welfare <strong>in</strong>itiated a programme to provide monthly<br />

subsistence allowances for <strong>in</strong>digent persons age 60 an<br />

over <strong>in</strong> rural areas. The programme has s<strong>in</strong>ce exp<strong>and</strong>ed<br />

<strong>and</strong> <strong>the</strong> allowances have <strong>in</strong>creased from 200 to 500<br />

Baht. At <strong>the</strong> start <strong>of</strong> <strong>the</strong> programme, about 20,000<br />

elderly received <strong>the</strong> monthly allowance. Accord<strong>in</strong>g<br />

to <strong>of</strong>ficial statistics, <strong>the</strong> number who received <strong>the</strong><br />

monthly allowance <strong>in</strong>creased steadily to 440,000 <strong>in</strong><br />

2003 <strong>and</strong> <strong>the</strong>n more sharply 1.8 million <strong>in</strong> 2007. The<br />

latter figure would account for almost one-third <strong>of</strong><br />

Thai elderly which is somewhat above <strong>the</strong> 24 per cent<br />

who reported receipt <strong>of</strong> allowances <strong>in</strong> <strong>the</strong> 2007<br />

Survey <strong>of</strong> <strong>Older</strong> <strong>Persons</strong> (as discussed <strong>in</strong> Section 3).<br />

The substantial <strong>in</strong>crease <strong>in</strong> <strong>the</strong> number <strong>of</strong> recipients<br />

is <strong>in</strong> part due to <strong>the</strong> rapid growth <strong>of</strong> <strong>the</strong> elderly<br />

population. Even more important, however, has been<br />

a shift towards a more populist policy that relaxed <strong>the</strong><br />

criteria for eligibility. This has been facilitated by <strong>the</strong><br />

supplementation <strong>of</strong> central government funds by <strong>the</strong><br />

local organizations adm<strong>in</strong>ister<strong>in</strong>g <strong>the</strong> programme,<br />

some <strong>of</strong> whom have broadened eligibility criteria<br />

considerably <strong>and</strong> a few even aim for near universal<br />

coverage.<br />

Tax breaks. As specified <strong>in</strong> <strong>the</strong> 2nd National Plan for<br />

<strong>Older</strong> <strong>Persons</strong>, <strong>the</strong> government has implemented<br />

measures to promote <strong>and</strong> facilitate children to<br />

provide care support for <strong>the</strong>ir elderly parents through<br />

tax <strong>in</strong>centives. Start<strong>in</strong>g <strong>in</strong> 2004, adults who care or<br />

support <strong>the</strong>ir parents or parents <strong>in</strong>-law are entitled to<br />

<strong>the</strong> <strong>in</strong>come tax deduction <strong>of</strong> up to 30,000 Baht for<br />

each elderly parent under <strong>the</strong>ir care <strong>and</strong> support<br />

(National Commission <strong>of</strong> <strong>the</strong> Elderly 2005). Health<br />

<strong>in</strong>surance policies bought by children for <strong>the</strong>ir elderly<br />

parents or parents <strong>in</strong>-laws are also tax deductable. Also,<br />

persons aged 65 years <strong>and</strong> over have an <strong>in</strong>come tax<br />

exemption <strong>of</strong> 190,000 Baht <strong>and</strong>, to encourage<br />

retirement sav<strong>in</strong>gs, for persons aged 55 years or older,<br />

<strong>in</strong>terest <strong>of</strong> less than 30,000 Baht from sav<strong>in</strong>g accounts<br />

is tax exempt (National Commission <strong>of</strong> <strong>the</strong> Elderly<br />

2006).<br />

6.5 Health programmes <strong>and</strong> free services<br />

for elderly<br />

A free medical care programme for disadvantaged<br />

elderly was <strong>in</strong>itiated <strong>in</strong> 1989 <strong>and</strong> extended to cover<br />

all elderly <strong>in</strong> 1992. Under this programme, all<br />

government hospitals <strong>and</strong> health centres provide free<br />

medical services to persons aged 60 <strong>and</strong> over who<br />

registered for an ‘elderly card’. It operated on a<br />

referral system from lower level to higher level health<br />

facilities. Free care for older persons cont<strong>in</strong>ued after<br />

universal m<strong>in</strong>imal cost government health was<br />

<strong>in</strong>troduced <strong>in</strong> 2001. In 2007, free universal<br />

government health care was established for all Thais<br />

regardless <strong>of</strong> age.<br />

Civil servants <strong>and</strong> state enterprise employees <strong>and</strong> <strong>the</strong>ir<br />

dependents <strong>in</strong>clud<strong>in</strong>g <strong>the</strong>ir parents have been entitled<br />

to health <strong>in</strong>surance for a long time that is superior to<br />

programmes for <strong>the</strong> general public. <strong>Older</strong> persons<br />

benefit as parents or spouses <strong>of</strong> <strong>the</strong>se employees. Also,<br />

<strong>in</strong> some cases benefits cont<strong>in</strong>ue after retirement from<br />

<strong>the</strong> civil service. The benefits do not depend on a<br />

61

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