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International Journal of

                                                                          Population Studies





                                        RESEARCH ARTICLE
                                        Japan’s death-laden society: Five areas of
                                        prospective policy challenges



                                        Masa Higo*

                                        Institute for  Asian and Oceanian Studies, Kyushu University, 744 Motooka, Nishi-ku, Fukuoka,
                                        819-0395, Japan



                                        Abstract
                                        Today, Japan stands as the world’s leading super-aged society. In the coming
                                        decade, preceding the rest of the aging globe, the country will phase into the next
                                        demographic stage called a “death-laden” society. Due in part to the aging and
                                        prospective mortality of the country’s two major baby boom generations along with
                                        a projected decline in the number of the working age population, Japan will be laden
                                        with ballooning deaths from old age from 2030 onward for several decades to come.
                                        Only in recent years have researchers started paying attention to this demographic
                                        prospect, and to date, little study has been done to systematically examine how the
                                        coming of a death-laden society may affect the health, well-being, and comfort of
                                        those in advanced age in the country. This paper aims to contribute to the newly
                                        emerging body of literature on this subject by exploring, based mainly on findings
                                        from expert interviews, five key areas of policy challenges with which Japan’s death-
                                        laden society will likely contend. These areas include: (1) shortages in basic medical
                                        resources for the dying; (2) mounting public burden of disease; (3) potential prevalence
                                        of ‘lonely deaths’ among those in advanced age; (4)  urgency to facilitate national
            *Corresponding author:      discussions  on  end-of-life  options; and (5)  crematorium  shortages  and  their  cultural
            Masa Higo (higo.masateru.644@m.
            kyushu-u.ac.jp)             impact. The future research is called for to help mitigate the impact of a death-
                                        laden society not only for Japan but also for other countries that may follow Japan’s
            Citation: Higo, M. (2022). Japan’s   demographic path in the conceivable future.
            death-laden society: Five areas
            of prospective policy challenges.
            International Journal of Population
            Studies, 8(2):15-24.        Keywords: Population aging; Japan; Death-laden society; Death and dying; Policy
            https://doi.org/10.36922/ijps.v8i2.301
            Received: June 17, 2022
            Accepted: September 20, 2022  1. Introduction: The coming of Japan’s ‘death-laden’ society
            Published Online: October 11, 2022
                                        Over the past several decades, Japan has led the rest of the world in population aging.
            Copyright: © 2022 Author(s).   Preceding the rest of the aging globe, in 2007, Japan grew to be a “super-aged” society,
            This is an Open Access article
            distributed under the terms of the   a stage of population aging in which those aged 65 or older account for at least 21%
            Creative Commons Attribution   of  the total population  (Higo  and  Klassen,  2016).  By  October  2021,  the  figure  had
            License, permitting distribution,   reached 29.1%, a much higher rate than that of any other super-aged societies in the
            and reproduction in any medium,
            provided the original work is   world. The dependency ratio of older people to those of working age – those aged 65
            properly cited.             and over to those aged between 20 and 64, including both men and women – have also
            Publisher’s Note: AccScience   significantly increased over the past two decades; the ratio jumped from 28.7 in 2002
            Publishing remains neutral with   to 55.2 in 2021 (United Nations, 2022). The ratio for Japan in 2021 stood substantially
            regard to jurisdictional claims in
            published maps and institutional   higher than for any other country, suggesting that the burden of population aging on
            affiliations.               the younger population is greater for Japan than for any other part of the world. While


            Volume 8 Issue 2 (2022)                         15                     https://doi.org/10.36922/ijps.v8i2.301
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