Saturday, March 21, 2026

Ageing: Singapore systems well prepared for ageing. Society? Less so

Singapore systems well prepared for ageing. Society? Less so 

For subscribers 

https://www.straitstimes.com/opinion/singapore-systems-well-prepared-for-ageing-society-less-so


2026-03-21

By--- Jeffery Tan is group general counsel of Jardine Cycle & Carriage. He is a senior accredited director of the Singapore Institute of Directors, serving on several boards.

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The letter from the CPF Board informed me I would soon be eligible to draw on my retirement savings. It was routine, even efficient. Yet I found myself holding it longer than necessary.

Sixty-five was an age that had always belonged to someone else – my parents’ generation, not mine. It was a number associated with retirement speeches and farewell lunches, with the gradual stepping away from the centre of things. Yet here it was, addressed to me.

Ageing does not arrive all at once. It accumulates in the quiet spaces of our lives, until one day, old age introduces itself formally.

On paper, Singapore has prepared remarkably well for ageing. CPF LIFE provides lifelong income. MediShield Life ensures access to affordable healthcare. Our public housing and transport systems are being steadily “silver-proofed”. But there is growing friction between the narrative of our evolving high-tech infrastructure and the lived experience of the person using it.

And yet, every day brings a new subtle indignity. Banks often hold us up as the primary “face” of scam victims – well-intentioned warnings that inadvertently paint a target on our backs and fuel a narrative of helplessness. Workplaces, obsessed with “young blood”, sometimes give the impression that they cannot wait to phase us out, regardless of our competence and experience.

Today, one in five Singaporeans is over 65 – hardly a minority that can be swept under the carpet. They will be a defining segment of society. How it sees them and includes them will shape the character of our nation.

When progress outpaces inclusion

When my parents’ generation turned 65 in the late 1990s, the world did not demand they relearn the mechanics of daily life. The telephone, the bank teller, and the clinic functioned as they had for decades. Familiarity provided stability. Today, ageing requires a relentless, exhausting adaptation. We authenticate our very existence through face verification and navigate portals designed for the “default” user: someone young, fast, and tech-fluent.

When a senior needs help with a “routine” digital task, the loss of independence is a blow to the ego, says the writer. ST PHOTO: KUA CHEE SIONG

A 2023 Infocomm Media Development Authority survey found that while 80 per cent of seniors aged 60 and above use smartphones, a significant gap remains in navigating complex digital services. For my generation, the downsides of ageing – failing eyesight, loss of fine motor skills, and the anxiety of “pressing the wrong button” – are not just medical issues; they are barriers to making financial transactions, accessing healthcare and using public services.

A 2025 Singapore study highlights a damaging irony: Despite our eagerness to learn, there is a persistent “digital ageism” in design. We are told to “upskill”, yet the apps themselves are rarely built to accommodate cognitive or sensory changes. When a senior needs help with a “routine” digital task, the loss of independence is a blow to the ego. We have created a world where independence is now conditional upon a password reset. The ever-increasing sophistication of bad actors using deepfakes that perpetuate fraud – manipulating even the likeness of the country’s top political leaders – serves to only make many seniors feel like deer caught in the headlights.

Meritocracy’s blind spot

Singapore’s success rests on meritocracy – the idea that effort, ability and performance determine opportunity. It has propelled the nation forward with extraordinary results.

But meritocracy, as practised, carries an unspoken bias. It favours speed, adaptability and upward momentum. Consider the standard job description today, seeking “digital natives” who are “dynamic” and able to thrive in a fast-paced environment. Rarely do job postings include language for qualities that deepen with age like judgment, perspective and restraint. The message received is that youth is associated with potential, whereas age is mistakenly lumped together with a sense of diminishing relevance.

Little wonder then that people feel a strong sense of injustice, which plays out most keenly in the workplace. A 2022 Institute of Policy Studies survey found that one in four workers aged 50 and above reported experiencing age discrimination. Globally, the World Health Organization has warned that ageism is pervasive globally, with economic and social consequences. 

In Singapore, its effects are particularly paradoxical. We have created one of the healthiest, longest-living populations in history. Yet we have not fully adjusted to what it means to fully value longer lives.

We must dispel the myth of the “helpless” senior. Currently, public policy often frames the elderly as recipients of care – passive consumers of healthcare and subsidies. This is out of touch with the reality that many Singaporeans in their 60s are the backbone of the “informal economy”, mentoring young colleagues, volunteering in their communities, or providing childcare for grandchildren. Their contributions may not always be captured in economic statistics, but they are no less real. They seek recognition, not just accommodation.

Even the way we “protect” seniors can be harmful. The constant focus on elder scams, for instance, can lead to “internalised ageism” – a form of learnt helplessness where seniors become too terrified to use digital tools at all. Instead of a campaign showing a senior being saved by a youth, why not one where a senior’s experience spots a sophisticated financial anomaly that a “fast” younger person missed?

More On This Topic

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A good example of this relates to a widely reported Ponzi scheme. Seasoned financial analyst Harry Markopolos became deeply sceptical of the reported returns at Bernie Madoff’s investment firm – one that promised consistent, high returns that defied normal market behaviour.

Using his understanding of financial mathematics and decades of experience, Mr Markopolos concluded in just four minutes that Madoff’s numbers were mathematically impossible – and after hours of follow-up work, he believed he had definitively proven the operation was clearly a Ponzi scheme – something that was missed by many younger analysts and regulators.

Although Mr Markopolos first identified irregularities in the early 2000s, what’s often overlooked is that he continued his forensic work well into his 60s – and remained active in uncovering financial irregularities later in life.

The invisibility of old age

Recently, a younger friend described someone as “still sharp” at 65. She meant it kindly. Yet the word “still” lingered. It implied that decline is the default and competence is the exception. Psychologists note that this “micro-ageism” leads to social exclusion and depression. When we feel invisible, we begin to act invisible.

Singapore has done the hard work of preparing structurally for an ageing population. With foresight, we have strengthened pensions, expanded healthcare and redesigned infrastructure. But the “soft work” of the future requires a cultural shift: for employers to comprehend how to leverage experience as a strength, for institutions to design policies with inclusion in mind from the start, and for society to wholeheartedly reject the assumption that age diminishes relevance.

The true measure of Singapore’s success will not be how long we live but whether as we live longer, we remain seen, valued and able to contribute. And that it is not always us who must bend to the demands of a striving society but for society to look at ways of including us instead.

Jeffery Tan is group general counsel of Jardine Cycle & Carriage. He is a senior accredited director of the Singapore Institute of Directors, serving on several boards.

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LPA: Forum: Consider government institutional donee option for LPA

Forum: Consider government institutional donee option for LPA

https://www.straitstimes.com/opinion/forum/forum-consider-government-institutional-donee-option-for-lpa


2026-03-20


The recent move to make Lasting Power of Attorney (LPA) applications permanently free has made it easier for citizens to plan ahead in the event that they lose mental capacity. However, one practical challenge remains for some Singaporeans – identifying a suitable donee.

Many individuals today are single or part of couples without children. In such cases, appointing a friend of similar age may not provide long-term assurance. Professional donee services offered by private organisations can also be costly. One organisation quoted my wife and me a set-up fee of $4,000 a person. There were also other associated charges such as an annual fee and activation fee.

At the same time, Singapore’s demographics are changing. More people are remaining single, family sizes are smaller, and the number of seniors living alone is expected to grow significantly in the coming years. Dementia cases are also projected to rise as the population ages. These trends suggest that an increasing number of Singaporeans may not have an obvious individual to appoint as their LPA donee.

One possible solution is the creation of a government institutional donee option.

Under such a model, citizens could continue appointing their own personal donee, such as a spouse or trusted individual. However, those without suitable options could choose a government-managed institutional donee.

Couples without children could nominate each other as donees while opting for a government institutional replacement donee should both parties lose mental capacity. Single individuals could appoint the institutional donee directly.

Such a system would provide continuity and safeguards through structured governance and oversight. It could also reduce reliance on court deputyship processes while giving Singaporeans greater confidence that their affairs will be managed responsibly if they lose mental capacity.

A pilot programme could be considered to study demand, operational requirements and safeguards before any broader implementation.

Strengthening the LPA framework in this way could help ensure that all Singaporeans – including singles and couples without children – have a reliable option to safeguard their future decisions.

Gary Yeo

More On This Topic

Forum: What readers are saying

Friday, March 20, 2026

DNI (Do Not Intubate)

555

陈智成:555

陈智成:555

https://www.zaobao.com.sg/lifestyle/columns/story20260318-8737413?utm_source=android-share&utm_medium=app

2026-03-18

那天第一次走入离家不远的一家超市,劈头就听到吊顶的广播,一直重复着这样的警世通言:

我们从小,家里爸妈,学校老师,就教导我们,偷东西是不对的……。我推想现今超市一定老是有人顺手牵羊,被偷得够呛,才出此下策。听着觉得有点啼笑皆非。接着莫名就想起555。

旧时代的邻里杂货店比之今日的超市,确实多了许多人情味,最温馨的是一本555对顾客的那份信任与通融。

我小时候被差遣去杂货店打点煤油籴点米,可以没钱,但至切要记得带上那本母亲搁在抽屉里的小本子。那小本子封面没写着是记事簿,而是印上555的标志。里头记录某年月日向杂货店买了什么应付多少钱。打了油秤了米,杂货店老板接过555,拿笔直接在上面记下数目,就可以走了。

少不更事我开始好奇,那555到底是何法宝,买东西还可以用来代替钱。母亲为我解惑,那是赊账的记录。不是买东西不用给钱,是先欠着,等父亲月底领了工资,才有钱去结账。那上面记的柴米油盐酱醋茶我大略能辨,就是符号〡〢〣〤〥〦〧〨〩我没看懂。母亲说那些符号就是对应阿拉伯数字123456789。长大了才知道那叫“苏州码子”;长大了也才知道那个时候我们家就是名副其实属于现代网络语言说的“月光族”。如果没有杂货店允许赊账,如果没有那本555,日子大概是过不去的。

往后我还发现父亲也有一本555,平日塞裤袋里带着。起先我以为那是父亲自己专用,买东西赊账的记录。有一天,我打开父亲的那本555,却原来,里头记录的不是买东西欠下多少钱,而是老板和伙计之间的账目。一日十元,超时另加。累积几天,给了若干,尚欠多少。啊!有工作的日子,天天早出晚归,原来还可以过得那么拮据。

60年代初的动荡时代,加之马印对抗,市井萧条得活儿只剩打苍蝇。父亲那本555连工资都记不上了。父亲照常早出晚归,和一大班苦力同事,天天集聚在咖啡店等工作。一整天一整天地枯等,等得无聊,就聚赌起来。聚赌有输赢,但是大家都没钱。父亲那本555,又开始记录了某年月日我欠谁若干,谁又欠我多少。焦虑从没工作一下子代入到输多赢少。

有一晚,父亲夜归,我被母亲的哭闹声惊醒。黑暗中父亲对着斗室唯一的窗口猛抽烟。母亲一面嘶喊,一面捏着两本555,歇斯底里地晃。我认得一本是母亲赊来的柴米油盐,一本是父亲的工资变赌债。那年我5岁,开始明白555里记录的那些“苏州码子”,缩写的尽是贫贱夫妻百事哀。

Dr Chen Nai Qing Senior Embryologist

陈乃清博士: 创造生命的人 - 胚胎师

陈乃清博士: 创造生命的人 - 胚胎师
 
https://www.zaobao.com.sg/zlifestyle/beauty-health/story20190527-959737?utm_source=android-share&utm_medium=app

2019-05-27

胚胎师,对于一般人来说是个神秘的职业,但对于来自中国的陈乃清博士来说是个神圣的职业,它不仅要求有高水平的专业知识,而且要有对生命的热忱和工作的执着,因为胚胎师的双手,可能决定着一条生命的来去。

有个相当特殊的行业,需要政府颁发特别的行业执照,那就是胚胎学家(或称胚胎师)。

咋一听这个称谓,给人相当神秘的感觉,但陈乃清博士从科研走向临床之路,却是那么地清晰、稳健。

见到他的第一面,一双老北京布鞋让人印象深刻。是的,陈乃清就是穿着他的老布鞋,从家乡安徽砀山走到陕西杨凌,从中国武汉大学来到新加坡国立大学,从鹰阁医院再到心佳馨医疗集团;陈乃清从学士到博士,由一名普通的大学生成长为临床胚胎学家;一步步走来,付出的努力和艰辛是难以想象的,科研之路和奋斗人生却清晰可见。

陈乃清生于中国安徽砀山,家乡以砀山梨驰名。高中毕业后,陈乃清上了位于凤阳的安徽科技学院,那儿离家乡不远,可比家乡出名多了,那是明太祖朱元璋的出生地,还有凤阳花鼓戏扬名天下。大学临毕业时,凭着对动物学专业的热爱,为了深造,一发狠劲,报考了研究生。母亲疼爱自己的孩子,说:考什么研究生呀,研究都在黑屋子里,很苦的。母亲说这话,一是疼爱;二则,要知道一个农家子弟好不容易大学毕业了,家里盼着早点工作,多赚点钱,可以很大程度改善家庭生活。

说归说,家人还是全力支持读研。陈乃清考上了西北农林科技大学,燕子雀跃般,飞出了家乡,飞到了陕西杨凌。专业上遇到了好的导师和引路人,动物繁殖学硕士研究生毕业后,一鼓作气,1996年以动物遗传育种学博士研究生毕业。

来新走上学术之路

多年艰辛求学的生涯,如愿以偿,陈乃清成为了中国西北农林科技大学的讲师,并与同事在1996年获得中国首例胚胎细胞克隆猪;讲授专业课程的同时,发表很多国际性论文并出书。之后在中国武汉大学讲授细胞生物学和细胞工程学,和同事们一起成功构建人类及人肝脏的cDNA基因文库。

陈乃清说,机缘巧合,他遇上了“亚洲试管婴儿之父”黄荣业教授,他飞出家乡的陈乃清想要飞得更高。与故乡渐行渐远,一路往南,飞到了新加坡,成为了新加坡国立大学医院妇产科系的一名研究员,并加入黄荣业教授“克隆”猴的研究团队,2004年获得世界首例灵长类动物体细胞克隆胚胎的着床妊娠;同时也和马来亚大学合作从事山羊克隆和干细胞培养的研究工作。陈乃清觉得,能与黄教授志同道合,亦师亦友,那是一份荣幸。

走上造福不孕家庭之路

2003年,陈乃清来到德国波恩大学医院生殖生物学实验室,师从名教接受一对一的人类辅助生育专业课程培训,熟悉并掌握了当时最新的专业技术。2004年,陈乃清离开国立大学,到鹰阁医院友联妇产生殖中心工作,于2005年初获得新加坡卫生部颁发的临床胚胎学家资格。获得认证资格当年就开始将当时最新的玻璃化冷冻技术应用于临床,大幅度提高卵子和胚胎的冷冻成活率,并在2007年获得了东南亚地区利用该技术培植的首例试管婴儿,在2013年成功让一名45岁的卵子受体女士获得一对龙凤胎子女。

2014年陈乃清加入新加坡心佳馨医疗集团,担任试管婴儿中心的首席胚胎学家与技术总监,用他的专业知识和多年临床经验为生殖专科医生提供技术支持;随着业务扩展到马来西亚和中国厦门,陈乃清目前负责三个实验室的工作,提供全方位的试管婴儿服务;还负责指导胚胎实验室技术人员,培养专业人才。

通往实验室的路很复杂

20190527_zbnow_egg_Large.jpg
陈乃清博士的办公室十分简 陋,但实验室却是国际级的。 (受访者提供)

采访当天,陈乃清带记者去实验室参观,那是国际标准的无尘、无化学污染的高度净化实验室。通往实验室的路很短,但很复杂,得全程消毒,换上医用护理服,从头到脚全套包裹,只露两个眼睛。真正进去之前,还得在一个全封闭的类似玄关处风淋15秒,一丝不苟。

边参观边听陈乃清介绍取卵、冷冻、测试、受精原理、胚胎移植等一系列专业知识,我这个门外汉一开始云里雾里,但随着他深入浅出、娓娓道来,千倍显微镜下平生第一回看到了活动的精子,那可真是一目了然,明白了挑选最强最美精子的标准。

医学领域竞争激烈,所有微小细节都必须做到极致,才能成功。陈乃清博士带领的心佳馨实验室,在新加坡是第一个拥有差时成像胚胎培养系统的实验室,实时观察胚胎的发育情况,以利于选优。

生命是一朵暗处的花,你看不见,但它已存在,这是个奇迹!

实验室宽敞明亮,不是黑屋子;造福不孕家庭,这是一份美丽的事业,虽苦尤甜,陈乃清觉得可以告慰母亲。

奋战七小时创造一个生命

来心佳馨求助的一对夫妇,丈夫精液中无精子,经过睾丸手术取精,依然没有发现精子。这种情况下,一般试管婴儿中心就会放弃。看到求助者那绝望的眼神,听到他们渴望孩子的心声,陈乃清决定不放弃,继续在睾丸组织里慢慢查看。一个小时,两个小时……当终于发现一条精子的时候,实验室全体人员都激动不已。在胚胎学家的眼里,眼前这个小蝌蚪,分明是一条鲜活的生命,虽不成熟,畸形怪状,但有了精子就有了希望。于是,几位胚胎学家轮流上阵,历经七个小时,总共找到11条精子,注射到11个卵子,9个正常受精,五天培养后形成两个囊胚,移植后成功产下一子。当夫妇俩带着两个月大的儿子来到中心,与工作人员分享他们的喜悦时,胚胎学家倍感自豪,如果没有七个小时的努力和奋战,没有相当的执着和信念,这孩子就不会来到世上。

抱着孩子来中心的一对对夫妇,鲜花、蛋糕,还有巧克力,都送到了前台,幕后的陈乃清,人们不可能认识他,但在同事们的心目中,他是最严谨的主任、最慈爱的兄长、最值得信赖的良师和益友。

陈乃清告诫他的同事和弟子,这是一份崇高的职业,关乎人的生命,小到门诊,大到手术,必须专心致志,不能有丝毫疏忽和懈怠,一个小错就可能酿成大祸。所谓“人命关天”,他们是在创造生命!

新加坡同一些发达国家一样,生育率下降,社会老龄化,引起其他一系列的社会问题。生育是生命的精髓,从科研到临床工作,经验丰富的陈乃清告诫人们,年龄是影响成功的重要因素。张爱玲说:出名要趁早;陈乃清说:生孩子,要赶早!前一个说法是调侃,后一个说法很科学。胚胎学博大精深,科学永无止境,从业20多年,他以辛勤的汗水和一颗火热而执着的心浇灌着这一个特殊的领域。

海伦·凯勒在黑暗中为自己寻找光明,给世界带来希望;陈乃清用精湛的专业技术创造生命的奇迹,为失望的人们和几近绝望的家庭带来希望。