The Aged in Thailand and the Young Adults Who Must Now Support Them (A Reflection)

Photo Credit: Jixiao Huang

A surprisingly high number of young adults in Thailand I speak with tell me one of their parents has cancer. If you talk to people in their twenties and thirties, this seems to keep coming up. This week alone, I have spoken with three young adults whose parents have been hospitalized from cancer. It’s a major stress for them, disrupting their lives, saying nothing of the distress their parents must be going through.

It’s sad to see such suffering, and I have been trying to figure out why. This piece is not an in-depth sociological analysis, but it is an initial reflection. I am not an expert in this topic, but I have been trying to observe and read in-between the lines to understand what is happening and how this has been impacting families in Thailand.

First, in 2023, Thailand officially became an “aged society” (aka one with a disproportionate number of older people, generally considered to be 14-19% of the population, see https://pmc.ncbi.nlm.nih.gov/articles/PMC13111867/). Japan and South Korea are well-known for their high proportion of older people, with many Western countries in the same boat. Southeast Asians have also been aging fast and could quickly cross the threshold of an “aged” society, with Thailand the furthest along.

Having such a high proportion of older people can produce a lot of strain on a society as it must find a way to provide resources older people tend to need, such as more medical care, generally with a lower base of younger people to help. Most “aged societies” to date tend to be wealthier (European countries, Japan, South Korea, the United States, etc.), and they still struggle to provide the resources necessary to support their aging populations.

Thailand has much less wealth per person than any of them. It seems to be the first country with a low per capita income to become an aged country. On an individual level, many older people do not have retirement savings to support them nor does the society have as much economic resources it can devote to developing the infrastructure that older people tend to need (see https://www.economist.com/asia/2023/10/12/poor-asian-countries-face-an-ageing-crisis).

So, how will older people in Thailand find the resources to support themselves as they get older? The most common answers that Thai people give when I ask is “their children.” As in common culturally in Southeast Asia (and frankly much of the world), families tend to approach this problem as a unit, with the expectation that the children will financially provide for and care for their elderly parents both in general and especially when they become sick. It is pretty normal that a significant proportion of a working adult’s paycheck will go to their parents, sometimes to the detriment of them being able to save or even get by. They are also expected to take care of many of the physical needs of their elderly parents as their bodies deteriorate.

This seems to place a huge burden on many young adults. Some feel forced to work harder or tolerate abuse at their jobs out of fear that they cannot support their parents if they lose their jobs. Young adults are often sandwiched by expectations that they must pay for their own kids and their own parents, sometimes being called the “sandwich generation”, although the number of children in Thailand is also declining (see https://www.bangkokpost.com/thailand/general/3196723/thailand-pushes-to-arrest-plunging-birth-rate). Maybe part of why is that supporting a new generation seems even more expensive when one must already support yourself and the generation above you.

I do not have an easy answer to this. For example, a common approach in the West is to send older people to “old folks home” where they can get the care they need. This certainly has its own cons. Across Southeast Asia, many people would consider the idea of sending their parents away instead of supporting them “offensive,” and these homes certainly can be dehumanizing, isolating places. That tradeoff may not work.

Instead, I am merely reflecting on a problem. I think in Thailand’s case, social safety nets seem some of the worst. The country can be very isolating. It does not have the societal infrastructure to support people who become isolated nor do many families have the wealth built up to support themselves. The family becomes the major way support occurs, but that too has its problems. All this often seems to leave some families on their own without much support, and the people in that family expected to provide with a burden to take care of everyone. If better solutions are not found, much of that burden will fall on young adults, potentially preventing them from building the life they need to themselves.

How a Tongan Pageant Queen Reclaimed Her True Self (A Life Snippet)

(This week’s Life Snippet is about a Tongan woman who used to travel around in beauty pageants across the Pacific before having a mental health breakdown from the stress. Now, she is rebuilding her life back home with the support of her family. She explains what the world of beauty pageantry was like for her, why it led to a breakdown, and how she got out of it.) 

Mele (not her real name) stopped doing beauty pageants seven months ago. She started when she was 17 and ended by the time was 21. 

Being from Tonga in Polynesia, she competed in different competitions throughout the Pacific, but many would treat her differently as a Polynesian woman. For example, in a competition in Manila, Philippines, the pageantry set aside her and all other Polynesian women, treating them as second class competitors from the get-go. Filipino beauty standards tend to favor lighter-skinned women. She got so frustrated she quit the pageant early. Similarly, people in Hong Kong could be rude to her because of how she looked. 

She said that she used to cry every single day and experience frequent panic attacks when she did the pageants. This culminated in a mental health breakdown, which was when she realized it wasn’t worth it anymore and she needed to get out. She quit pageantry altogether. 

She decided to head back home for seven months and is staying with her family while she rebuilds her life. She is doing a lot better now. She gained back some weight, and she has been dealing with the emotional and spiritual burnout from her ordeal. She no longer has panic attacks or crying episodes nor does she feel randomly agitated by little things like she did when she performed in beauty pageants. Her family has been supportive of her during this time and given her the space to figure out who she is. At the moment, she prefers staying home and being with them relationally to working or doing any other activity. 

At the same time, family pressure may be slowly creeping in. She is the eldest daughter of seven kids with many obligations to take care of her younger siblings. In particular, her youngest sister is three years-old, and she acts as a second mother to her. This can be a lot of pressure, but being the eldest taught her how to take care of things and to lead. 

She also seems to be experiencing pressure to marry. She said, in Tonga, despite the fact that people cannot legally marry until they are at least 18, many (especially girls) still marry between 15 and 20. There are some changes to this, but as someone in her early twenties, she seems to face pressure to get married and through that transition to a new life. This may disrupt her current respite, and she seems hesitant to do so until she’s ready. How to juggle between her own healing while rebuilding her life and facing family pressure to marry seem to be the biggest question she faces in her life right now. 

Freedom Found by Leaving One’s Home and Traveling the World (A Life Snippet)

Photo Credit: Alice Hartrick

(This Life Snippet is about a young adult from Barcelona, Spain, also traveling the world. For her, this journey is about leaving the “prisons” of her hometown and finding herself in the process. You can see more of my Life Snippets of different people in different parts of the world here.)

Julia is a 29-year old Spanish woman from Barcelona who is traveling the world. She has spent most of her time so far (about a year) in New Zealand on the work-travel visa program doing various odd jobs (ranging from picking fruit to hospitality jobs). I met her on a short trip to Tonga in Oceania, where she went on a couple day vacation to swim with whales. 

She likes aspects of Barcelona’s culture but also felt the need to get out. One reason is the city’s recent rise in cost of living (largely due to the increasing influx of tourists). More importantly, however, she felt constrained by the community there. She wanted space from her abusive, alcoholic mother, in particular. 

She likes the fact that Spanish culture is communal, but as a young adult woman, she found those relationships constraining. In her experience, people there tended to have a prescribed model for how people (especially women) should live their lives: find a job, get married, and then build a family of kids. For example, when she tells people back home that she is currently traveling the world, their most common response is, “What is wrong with you that you are not building your life?”, as if the fact that she is not settling down with a job and family is the only way to build one’s life.

One of her most valuable lessons traveling is seeing how many different ways people live their lives in various cultures around the world. She sees a freedom in this that she can’t experience in her hometown. In her experience, in New Zealand, people leave each other alone, and she also finds a freedom in this. For example, she can walk down the street without having to talk to people or implicitly explain herself like she would back home. 

She really enjoys New Zealand but sees it as a place to live for a year, not long-term. She plans to head back to Spain in about three months. She will travel to Southeast Asia and/or Micronesia first, though, before heading back. She plans to get her dive master training so that as she travels throughout Southeast Asia she can pay her way working at different dive centers along various beach towns as she goes. She may work at t one for a few months before moving on. To me, this seemed like her ideal lifestyle (at this moment in her life), and even though she said she planned to head back to Spain in three months, I suspected she would end up preferring doing this for several months longer instead before heading back. She seems to gush at the possibilities, clearly excited about it. 

I have talked with many Westerners who want to travel the world by working at different dive centers like this. For them, it seems like an ideal way to make enough to get by for those who want to travel and really enjoy beaches and the beauty of the ocean. 

As a college student, her first international trips were to other parts of Europe (such as London and Prague). That is when she first experienced how visiting a new country can free you to be someone else: she is not tied down by others in her community and their associations with her. She can explore new parts of herself. 

She studied biology with a focus on animals and in graduate school, took a more extensive trip researching how tourists feeding monkeys influenced their behavior in Bolivia. In the specific part of the Amazon she stayed, tourists frequently fed a specific species of monkeys causing them to expect food from humans and become violent when a human they encountered did not feed them. 

This reflects a wider concern she has about animal-based tourism. She talked about how many tour companies do not respect the animals, instead preferring to mistreat the animals so that they can guarantee tourists will be able to witness them. For example, she saw tour companies in Indonesia feed whale sharks to encourage them to show up and then bring large groups of tourists who then swarm and frighten sharks. This influences their behavior, causing problems and potentially harming them and the ecosystem in the long-run. 

In certain situations, she has mixed feelings about this, however. For example, in Kalimantan (also called Borneo), Indonesia, she went on orangutan tours. Some tour companies seemed to feed the orangutans to encourage them to come, but at the same time, the tours were a key source of income for a relatively impoverished community. If they were not able to do these tours, the people would most likely have to cut down the forest to plant farms (the next option as a viable source of income). That loss of habitat would wipe out the orangutan population anyways. Thus, in this instance, she felt like the tours were a reasonable middle ground for both the local human and orangutan communities, allowing them to best meet their needs. This reflects a tension and complexity I have also felt about animal tours while traveling the world (maybe one day I will write about this topic in more detail, after I have had time to do some more research on it). 

She really loves New Zealand, but she does not like how the country seems built on the labor of immigrants, particularly those who come on a work-holiday visa like her. She gets to see New Zealand, but she is also stuck working low-pay, temporary jobs while those in New Zealand who own and manage those businesses receive all the benefits. New Zealanders don’t like to work, instead preferring to rely on immigrant workers such as the pool of young adults on work-holiday visas. Many on this visa are paid close-to break even, especially since rent in New Zealand is high. Thus, they cannot save. She could only save when she bought a camper van, deciding to live camping outside even for several months when it was cold. This allowed her to avoid the high rents, though. 

Overall, she seems to enjoy her life. She is not only discovering the beauty of New Zealand but also seems to be finding herself. This experience is giving her a break from her family (especially her mercurial mother) and her confining community back in Barcelona. She seemed content just being and seeing where life takes her.

Fail, Pivot, Feed: Lessons Learned Hustling in Baguio, Philippines

Photo Credit: CornerMonkey

This is about a local entrepreneur I met in Baguio, Philippines. It’s part of Life Snippets Series, where as I travel the world, I compile glimpses into people’s lives around the world, what kinds of issues they face given their cultural context, and how they navigate the challenges of life. You can find more of these snippets here. If you want to read another story about a woman trying to start a restaurant business in a different part of Southeast Asia with very different prospects, see this.  

She is one of eight children: four boys and four girls. She studied psychology in undergrad. One of her brothers, who was a professor I believe also in psychology, committed suicide at the age of 22. She said that she felt like the family did not ask him how he was doing enough or show him positive affection. She finished her degree but decided not to work in psychology because she associated that with her brother. She also said she has had to forgive herself and others and to heal from this, which has been a process. 

She loves cooking and serving others food. She much prefers that, finding it very life giving. She currently runs a small, counter-serve restaurant. This is her fourth or fifth business. The others failed, and she finally learned how to be successful in it. 

Her first business was a restaurant that she co-started with a friend. She and her friend had several disputes. In particular, her friend bought stuff without her permission, which caused the business to blow through its budget. She said the core problem was that they weren’t on the same page on who would run the business. Her friend wanted to have someone fund her to do her own business, and she wanted to be equals in the process of the business. She also said she had to learn the hard way value of first approaching the person positively instead of accusatorily. 

Her friend offered to split the business 50-50 with each person controlling their portion to do their thing or cash out and cut her losses. She chose the second because the lack of an amicable partnership made continuing to work with her seem unrealistic. She said she had to learn to make sure that you and the person you are working with are on the same page before working together on a business. 

She then set up an online clothes store with her sister, but she eventually gave this up because it was not generating enough revenue. She also started a food stand near Baguio’s main university, but this too failed because she was not prepared on how to run the ins and outs of making food in a cost-effective manner. 

With this business, she finally has success, though. She started in February of last year. On her opening day, she made 3,000 Filipino pesos (about USD $32) and the next day 6,000 pesos (about $64). She broke even from her starting expenses 3-4 months in. She generally makes about 30,000 pesos (or $320) a month, which is good enough to get by on. She tends to sell out on her food everyday with a line of customers going around the corner of her block during peak hours, a clear sign of success. 

She said she learned the lessons from her past businesses. She set this restaurant up by herself instead of getting anyone else involved. It’s next to a big grade school and gets a lot of business in weekday afternoons when the kids finish school. Her strategy is to sell significantly cheaper than other nearby restaurants so that she sells more of it, and it seems to be working.

Her restaurant is a single room that’s about a meter/yard wide and maybe 3 meters/yards long. That’s her kitchen full of her stove, cookingware, food, etc. In the front is a little wooden board facing the street where people come up and place their order. Once she makes it, she hands it to them, and they go on their way. 

She works practically nonstop. She works six days a week except Sundays, her one day off. She wakes up at like 2:00 am or 3:00 am to buy her food for the day at the market. She then works until around 9:00 pm when she closes (but sometimes she closes earlier, closer to 8:00 or even 7:30 pm if she has already sold all her food). 

I suggested she may need to take some time off to rest by eventually hiring an assistant to work some of the time instead of her. She said that moments during the day when she doesn’t have customers is her rest. She took a week-long vacation to go to Manila a few months ago as well. 

Her plan is to save money to retire by at least 48 (she’s currently 37), even if that means hustling now. For retirement, she wants to go to the rural province where part of her family is from. 

Many of her siblings work abroad, since wages are low in the Philippines. One is in Saudi Arabia; another Japan. Others have traveled to other bigger cities in the Philippines where they can make more money. She had a job offer for a white collar job in Thailand, and she refused it. She prefers staying here in Baguio with her parents. (In Filipino culture, often one daughter – generally the youngest – is expected to stay back with her parents.) 

She also said she helps others. She said that when a person asking for food walks by, she gives it to them, giving them whichever dish they want. Similarly, she gives her leftovers to the street cleaning lady who comes by with a broom to sweep the street or sidewalk in the evening. She believes in karma, and that if you help others, you help make the world around you (the community, nature, etc.) a better place for yourself.

When Advancing Seems Hopeless (Life Snippet from Battambang, Cambodia)

Photo Credit: Shane Wester

This woman’s story seems to be a story of doing all one can to beat the odds and rise above the cycle of poverty. It’s part of Life Snippets Series, where as I travel the world, I compile glimpses into people’s lives around the world, what kinds of issues they face given their cultural context, and how they navigate the challenges of life. You can find more of these snippets here. For another snippet also from Cambodia but from someone with a very different position in life there, see this.

(Caveat: We spoke in 2023. I decided to maintain the present tense tone in this piece, but the present refers to the end of 2023.) 

Chivy (not her real name) is from Battambang, Cambodia. Her dream is to start a restaurant, since she loves cooking and hospitality. She and her cousin recently co-founded a restaurant. It’s on the first floor of the same apartment building that her family (her mother, uncle, aunt, cousins, and her) rents the second floor of. But the business has been struggling. 

She worked at her restaurant from 9:00 am until 3:00 pm everyday, and to make ends meet, she had a second job working the evening shift at a local bar as a barista from 3:00 pm until midnight. Her cousin works at their restaurant during the evenings until 10:00 pm when Chivy is gone. 

The rental for her restaurant business costs $200 a month (Cambodia uses the US dollar as one of its currencies, so she’s paid in dollars), and her barista job pays her about $400 a month. She uses her second job to pay the rent for the restaurant and keeps the rest to contribute to rent for her home expenses for her and her family. 

Battambang has been an important tourist destination until the covid pandemic. Then tourism stopped, causing huge hardship as most people in the small city lost their jobs. People working in tourism, food and beverage, and other service sector industries were the worst hit, because there were now few customers to pay for these services. When I was there, the pandemic had ended. Tourists were starting to come back, but not to anywhere near the same numbers they were before in Battambang and Cambodia, so restaurants still struggled to find customers. 

At the same time, she is exhausted. She works fifteen hours a day with only has nine hours in the day to split between relaxation, any chores she needs, and sleep. She has one day off a week on Wednesdays. She says everyday she feels exhausted. Her friends have told her that she is slowly killing herself by overworking, and she suspects she can’t sustain this forever. 

At the same time, she really wants her restaurant business to succeed. Her dream is to start a restaurant. Her cousin wants to throw in the towel, saying they haven’t gotten enough business to keep them afloat much longer, but she wants to keep trying. She hopes she can make it. 


Both her and her cousin have been strategizing the best way to beat the odds and rise economically from their initial position, but they have found this incredibly difficult. 

Chivy would like to move to the US, where she would work for at least 10 years. The greater income in the US (even if she works a low-income job in the US where she is barely scraping by while there) would allow her to save far more money than she’ll ever earn here working as, say, a barista. She would use that money to buy a home for her mother. The family would then craft that home into a homestay where they could rent out a few rooms to tourists and through that, build wealth to allow them to advance to the middle class in Battambang. She told me that moving to the US is a dream, though, that she knows will never realistically happen. 

Likewise, her cousin has been trying to find a job in South Korea. She applied for a program the Cambodian government hosts to work there. The program pairs Cambodians with companies in South Korea, where they tend to work in a few different types of low-wage blue collar or service sector industries like manufacturing, agriculture, or if their Korean is considered good enough to interact with regular customers, food and beverage. 

She had to take a series of exams to demonstrate her competency. She studied Korean for three months in order to prepare for an exam. She needed a score of 110 out of 200 to pass, and she scored 125. She also had to take a dexterity test, placing blocks in holes and other physical activities, which she also passed. 

She is waiting to see whether a Korean employer will choose her. She is pessimistic that she’ll get an offer, though. Korea’s program has 400 slots for Cambodians, and about 2,000-3,000 Cambodians apply for these 400 slots. She said they mostly select men in their twenties for factory work, the industry that would be most likely to hire her, so as a 33-year old woman, they may not pick her. 

If she does get a job offer, most contracts are for two years, although some stay for as long as five years in total after renewing it a few times. The typical pay is $2,000 a month in Korea, which would also allow her to save to buy a home to use as a homestay. If this doesn’t work out, though, she may move to Siem Reap (a major tourist city next to the famous Angkor Wat) where tourist and food and beverage jobs are more plentiful. 


Chivy’s and her cousin’s stories demonstrate the complexities of trying to advance economically in small cities and towns in Cambodia. Other residents in Battambang have told me the area can feel almost feudal with class mobility being very difficult and people becoming locked into their station in life. This shows how difficult it can be to change that.

Even the best entrepreneurial endeavors are likely to fail and options feeling limited, causing them to look to other parts of the world where they can work and save money, but these options are also limited. It’s easy to feel sad and stuck, and even working 15 hour days may not be enough to cut it to create one’s dreams.