Ando Isamu, SJ
The increase of the aging population in Japan has created a new social situation in the country. Japan has not adopted an immigration policy but needs a labor force in such a field that is not popular among the Japanese youth. Since within a few years tens of thousands of nurses and caregivers will be needed in the country Japan started to look for possible candidates in several Asian countries, like Indonesia and the Philippines.
Since 2009, about 240 nurses and 400 caregivers came to Japan from the Philippines, by groups and were supposed to have been trained in their own country before landing in Japan. The final result has been not encouraging at all. As of now (Year 2013) only 15 nurses and one caregiver have passed the license examination. The fact is that those groups coming to Japan from Indonesia have experienced the same results.
From the “demand” side Japan needs and wants foreign nurses to help assist its old-age people. On the other hand, the Philippines should be able to “supply” nurses and offers them abundantly. The match should work but the reality is different. Media reports sometimes the automatic return of sometimes over a hundred candidates that were unable to pass the license examinations, disappointed by the unfair requirements imposed on them.
The situation is complex and has problems at both sides. Naturally cultural differences and the difficulties of the Japanese language play a big role in disappointments.
Nevertheless, Japan bears most of the responsibility. Since there is no comprehensive immigration policy there is a lack of official support, further Japanese language studies are expensive and limited and those coming to Japan feel that organizations involved, Japanese employers and the co-workers are unable to understand them. These are to be added to the inner difficulties in their daily jobs.
On the other hand, those coming to Japan to get their licenses as nurses and caregivers lack sometimes the training needed to work in Japan and adjust to the Japanese health care system and practices. The Philippine side also needs to understand Japanese culture and customs, often quite different from the multicultural Filipino system.
In consequence, both sides should make more efforts to cooperate and conduct joint training. Japan with an increasing aging population should take the initiative to attract young Filipinos nurses and caregivers to work in Japan.