Monday, July 27, 2015

Proposed UN Convention on Elderly Rights



The elderly sector has been recognized as a vulnerable community in need of special protection since the early 1990s.   But twenty five (25) years hence, still no United Nations convention or treaty has been drafted in their favor. Compared to the other marginalized sectors such as women, children, Persons with Disabilities (PWDs), and even migrant workers, older people have seemingly been left behind and they still don’t have an international human rights basis to call their own and rely on. Thus, it can be said that older people’s rights are largely “Invisible” in international law. The explicit recognition of older people’s rights is still absent in most international human rights instruments. Except for the International Convention on the Protection of the Rights of Migrant Workers and their Families, nowhere is age discrimination specifically mentioned.

Existing International Human Rights Law
Indeed, the Universal Declaration on Human Rights (UDHR), the International Covenant on Civil and Political Rights (ICCPR), and the International Covenant on Social, Economic, and Cultural Rights (ICSECR) are the basic international human rights documents meant to promote and protect the rights of all persons, young or old, regardless of status. But as in the case of women, children, PWDs, etc. senior citizens or older persons are also a vulnerable  sector in need of special, if not additional, protection.
While it cannot be said that existing human rights instruments do not protect the rights of the elderly, these international law bases are deemed as not sufficient to address the unique concerns of senior citizens because these documents do not capture all the nuances and features of ageing. There must be an understanding of why the ageing population becomes a marginalized sector by virtue of a combination of factors and influences. These require an insight into ageing vis-à-vis gender issues, economic status, socio-cultural beliefs and traditions, as well as politics and social welfare services. What is critical to this framework is the need to find a “universality” to these concerns that the international community will finally take notice. Governments and States around the world must acknowledge that ageing  and an elderly population is a commonality that all countries share, and any genuine effort to address older people’s needs may entail some international standard of elderly care and legal protection that must be based on social justice and human rights. While concrete measures by each State may vary depending on their resources,  thru a binding international instrument such as this, there may at least be a benchmark for a progressive achievement of a level of care and protection for our senior citizens worldwide. It is this scenario that  will hopefully give proper context  to approaching ageing and elderly issues, and guide our own interventions.

International Instruments on Ageing
As early as 1982, there was the UN General Assembly Resolution that led to the Vienna International Plan of Action on Ageing adopted during the 1st World Assembly on Ageing. It was the first time a consensus was reached that ageing was indeed a “Life-long” process which must be given attention early on for preparation in social, economic, and health aspects. It was only in 1991 that the UN General Assembly adopted the 18 UN Principles for Older Persons which focused on independence, participation, care, self-fulfillment, and dignity. Several other UN GA Resolutions followed, ranging from a Proclamation on Ageing to a Declaration on the International Year of. Older Persons  It was only in 1998 that the Macau Regional Plan of Action on Ageing for Asia and Pacific was developed. This document focused on seven (7) major areas of concern which included health and nutrition, income security, maintenance and employment, housing and transportation, social services and community, as well as social position of OPs. This was followed in 2002 by the Madrid Plan of Action on Ageing which was adopted by the 2nd World Assembly on Ageing. And while this document gave priority to security, dignity, full participation and human rights, it set policy directions in three (3) major areas of concern, namely: ageing and development, health and well-being, and enabling and supportive environments. It also called for a change in attitudes, policies and practices to put an end to age discrimination and to include ageing in global development agendas. By the time the Shanghai Implementation Strategy came out as a follow-up by the Asia-Pacific region to the 1999 Macau and 2002 Madrid Plan of Actions, the three (3) Areas of Concerns also included a portion on implementation and follow-up. The strategy provided guidelines on the implementation of commitments on ageing made under the two previous Plans of Action.
But while these international instruments on ageing are recognized bases for promoting elderly issues, they are not of the same status as international  human rights law. They are not like a treaty or convention signed and ratified by different member States that can officially compel compliance with international commitments and obligations. The above-mentioned documents merely provide guidelines for the implementation of plans, programs and services for older persons They are merely “recommendatory” at best, and governments may or may not act upon them. These documents are also very general in scope; they do not provide specific guidance or outline State obligations in detail. What more, because they are not legally binding, they provide no additional incentive for implementation or accountability. 
Yet a convention would provide governments with a clear, conceptual and legal framework, one that will mainstream human rights issues, ensure greater visibility of older people, and provide more exposure for senior citizens’ concerns. It can clarify States’ responsibilities, including the minimum standards and action necessary.

Translating Rights into National Laws and Policies
The Philippines is one of those countries whose fundamental law specifically mandates caring for our elderly. In the 1987 Constitution, every Filipino was assured of a rising standard of living and an improved quality of life. But along with other underprivileged sectors like the sick, disabled, women and children, the elderly were promised priority in health and social services. And while it is still the primary duty  of families to care for their elderly, the Philippine government is obliged to design social security programs for seniors. On the other hand, not all countries expressly mention their senior citizens in their Constitution.
Our Filipino elderly also enjoy an assortment of benefits and privileges under several national laws like the Republic Act No. 344 or the Accessibility Law, RA 7876 providing for the establishment of Senior Citizens Centers in every city and municipality, RA 8425 or the Social Reform Act allowing sectoral representation for seniors in the National Anti-Poverty Commission (NAPC). In fact, RA 9994 is actually the third version of the Senior Citizens Act which grants discount privileges, free services, and additional government financial  assistance for indigent senior citizens. But the beauty of RA 9994 is that it sought to provide for the needs of Filipino seniors under a social protection framework, integrating a life cycle approach - a variety of “from womb to tomb” interventions that maximizes educational  and employment opportunities to the elderly and providing for a social security and healthcare system that will allow them greater financial independence and self-sufficiency in the future. Other countries do not provide this and only have “piece-meal” legislations for their senior citizens, such as healthcare services, social security schemes, retirement or pension benefits, and universal social pension.
We also have the Philippine Plan of Action for Senior Citizens (PPASC). Of late, we already have a third 5-year successor plan spanning 2012-2016, which first started as a Philippine Plan of Action for Older Persons (PPAOP) 2000-2005, and then was followed by the Philippine Plan of Action for Senior Citizens (PPASC) 2006-2010. These national sectoral plans were all anchored on the Macau and Madrid Plan of Actions, and the Shanghai Implementation Strategy. But since these are not legally binding commitments, not every country formulated a national plan for their elderly.
These realities were evident during the 1st Regional Meeting on Ageing and Health for the Western Pacific organized by the World Health Organization (WHO) in July 2013. While the more affluent countries like Australia, New Zealand, and Japan clearly have an advantage because of their resources, the Pacific island nations admitted they were still a long way off. Their governments had no laws to fall back on, so there are no clear national plans or programs for their elderly. With their governments not providing concrete interventions, families serve as primary caregivers and healthcare is mostly out-of-pocket.
Having a United Nations Convention on the Rights of the Elderly will certainly compel different countries to have this more comprehensive and integrated approach to caring for their older persons  - from national laws and policies, to sectoral plans to actual programs and services. It will no longer be “optional” as what the current international documents  on ageing only manage to do.

The Way to Go: Five  Basic Reasons for a UN Elderly Rights Instrument
Simply put, the following are the basic reasons why pushing for a UN convention on the rights of the elderly is a good idea and a cause worth supporting:
1. Ageing is inevitable and good portion of any country’s population will be composed of older people. They are already a growing demographic given the  many ageing societies around the world, so there must be deeper understanding of their needs and issues, and these must be articulated in the language of human rights and contained in a single universal text..
2.  Vulnerability is not only experienced by children by virtue of their minority; elderly folk are marginalized and discriminated against by virtue of their seniority and ageism is so prevalent, if tolerated any further it already borders on abuse and violence.
3. Present international human rights mechanisms neglect the rights of older people. Besides being absent in many treaties and conventions, there are clear gaps in protections available to older people in existing human rights standards.
4. While general provisions in the two international covenants do apply to everyone, the lack of specific standards around what these rights mean for older people and in the context of old age means there is little understanding or attention to older people’s rights.
5. There are no specific human rights standards on issues like elderly abuse, long-term, and palliative care. A growing body of evidence shows that many older people face abuse and violence in their own homes, and in institutional and long-term care facilities.
As such, the DSWD must support this effort to come up with a UN convention for older persons to protect their rights and welfare.

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