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Friday, January 12, 2007 VOLUME 4 ISSUE 1  
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AUSTRALIA'S AGEING POOR – AFFORDABILITY ISSUES AFFECTING AGED CARE AND RETIREMENT VILLAGE DEVELOPMENTS
Gadens Lawyers, Sydney, Australia
by Arthur Koumoukelis

national health care journal article november 2006

The purpose of this article is to:

·     seek to explain recent developments in Government legislative reforms in the context of an increasingly ageing and financially vulnerable population; and

·     provide some thoughts for the implications to the industry.

It is no longer a matter of debate that Australia's population is ageing and, to a large degree, it is so well known by the general population, that it is often a dinner party discussion point.  What is not so well known or understood are the financial demographics of the ageing population and the corresponding effect this will have on the industry.

It is my view, that Government is very much aware of the issue and has taken quite direct and dramatic steps to prepare and be ready to protect residents in the future from their financial circumstances.  What appears to be lacking is the industry acknowledgement and response to the issue.

A recent paper prepared by the National Aged Care Alliance in September 2006 discussed the challenges facing the community in relation to the cost of care in the future.  It is a paper designed to explain the shortfall, currently estimated at $6 billion, and lobby Government for reform.  Though it is aimed at the pure 'aged care' sector, it contains a number of facts and statistics that are relevant to both the 'aged care' and the retirement 'lifestyle' sector. 

Citing the paper and drawing on the findings of the review undertaken by Professor Hogan in 2004, 80% of older people have no assessable income and that by 2032-2033, that figure will drop only to 57%.  Furthermore, by 2032/2033, 40% of older Australians will have assessable assets less than 2.5 times the annual pension.

It is not difficult to see that Government has realised the emerging problem of an ageing and financially insecure population and has taken steps to introduce a number of reforms to provide certainty for residents as to their future costs of care and accommodation.  Recent reforms in this regard include providing certainty as to:

  • the cost of provision of services in villages – the New South Wales recommendations for reform to the Retirement Villages Act will make the operator responsible for any shortfalls in operation of retirement villages.  Queensland already has restrictions on increases in recurrent charges
  • the refund of ingoing contributions in villages – Victoria and Queensland amended their respective Acts in 2006 to provide greater certainty for the timing and amount of refunds of ingoing contributions.  New South Wales, through the 'owner'/'non owner' dichotomy has applied 6-month refunds for 'non owners'
  • the refund of accommodation bonds in low care facilities in May 2006, the Federal Government introduced reforms to provide for a Federal Government guarantee of accommodation bonds
  • the provision of subsidised care to residents in villages – in May 2006, the Federal Government announced the successful implementation of the Retirement Village Care Pilot Program and has now extended community aged care packages in villages to approved 'operators'.

The uncertainty of the financial future for residents and its effects on providers is already apparent.  Prospective residents are exploring and balancing their independent means of living with services and benefits granted through the pension or otherwise by Centrelink.  This financial engineering by retirees has seen increases in the levels of accommodation bonds.  It is also apparent in the context of the current depressed property market.  Prospective retirees are  delaying entering a village as they balance the 'social' benefits of entering a village against the financial effects of the price for a leasehold interest in a village (plus the fees and gains issues) being in some ways comparable to their depressed home value making the option 'unaffordable' or 'of less utility'.

It is, in my view, naïve for the industry to believe these reforms are linked merely to consumer protection measures or rogue operators.  It is more sensible to view the reforms as providing certainty to a sector of the population seeking to grapple with extended longevity and limited resources to fund their retirement. 

There is the argument that lifestyle villages do not provide care.  The counter is that all legislation defines a village by reference to the provision of 'services' by an operator to residents.  Services may be general or resident-specific ('personal services') but they are services nonetheless.  A 'concierge' who arranges others to attend may not be a 'carer' per se but they do give a resident peace of mind and security and they do come at a cost.

In this light, it is difficult to believe the industry can assume the population will all be self funded retirees able to cope with the 'actual cost of operation' structure in villages while enjoying sea change 'lifestyle resort' living.  I believe it s  is more realistic for operators to plan for their villages to continue to be occupied by people who will rely upon support of some description from Centrelink or under the Aged Care Act and will live on 'fixed incomes'.

The retirement village industry will probably have no choice but to deal with the issue of affordability and think of alternative structures in relation to:

  • levels and timing for payment and repayment of ingoing contributions
  • levels and timing of deferred management fees
  • sharing of capital gains generally; and
  • certainty as to the payment of recurrent charges.

At the moment, there are a number of institutions and operators considering how the model should work in the future and who are taking steps to prepare themselves.  It will take more time and effort to come up with all the answers but it is very likely that once a model is developed that provides certainty for residents as to tenure, cost of care and refund of contributions, it will be very popular with residents.

Arthur Koumoukelis
Partner

t +61 2 9931 4873
e akoumoukelis@nsw.gadens.com.au


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