รัฐกลวง? กรณีศึกษาการจัดบริการที่พักผู้สูงอายุโดยภาคเอกชนในประเทศญี่ปุ่น

ปกรณ์ ศิริประกอบ
Chulalongkorn University
ปัณรส มาลากุล ณ อยุธยา
Chulalongkorn University

Abstract

       Hollow State is a concept that many public administration scholars give importance to with caution (Rhodes, 1993; Peters, 1994; Milward และ Provan, 2000 และ 2003; Skelcher, 2000; Prakorn, 2560). This is because state functions as well as public service deliveries are performed by other types of agencies, such as Quangos, private agencies, and civil society agencies to the point that many state’s roles have been diminished and finally no longer important. Usually, public service delivery on social works function is delivered by the public sector. However, when private sectors have participated in social works service delivery more and more, will the state be hollowed out like the scholars concern? The researchers therefore explore the management of private residence for elder in Japan. The finding shows that 1) the fact that the role of private sector in delivering public service on social work function is increasing judging by the numbers of private residence for elder in Japan and it might cause Japan public sector to face hollow state phenomena. However, the result shows that it does not affect the hollow state condition that scholars concerned. This is because public sector still has a role in regulating this private residence for elder that it cannot prohibit others who are not residence members from using a health clinic in the property. In addition, the law wouldn’t allow the residence to exclude owners’ relatives or friends to enter or stay in the premise. 2) Private sectors enter residence for elder business because the work of market mechanism that elders can be separated into a group, which has the ability to pay and willing to pay extra in addition to the benefit received from LTCI. The reason that private sector steps in because they can make profit; however, they will leave the responsibility of taking care of elders who have no ability or do not want to pay extra from what they already received from LTCI. 3) Private sector comes into business with an idea of health prevention by using anti-ageing and regenerative science. As a result, this health prevention will slow the process of sickness and regenerate health for elders. The government budget on curative care, which is the big problem in super aged society, then will be used at a later time. In conclusion, the worrisome of the hollow state on social work functions will not happen in Japan, because private sector does not threaten the state function by increasing its role in delivering service of this kind. On the other hand, private sector helps lessening the burden of public sector by taking away medium to high income residents. As a result, Thai public sector should learn from this trend in order to adjust and minimize the burden of taking care of the elders, which are an important problem in Thailand and is a step closer to aged society in 2026.

วารสารเครือข่ายญี่ปุ่นศึกษา ปีที่7 ฉบับที่2