Health & Welfare | Beijing tracks the elderly as they take buses, go shopping

An elderly woman looks at the steamed bread on sale at a supermarket in Beijing

These days, when people over 80 in Beijing take a bus, see a doctor or spend money, their activities are digitally tracked by the government, as part of an effort to improve services for the country’s rapidly growing elderly population.
The data amassed with each swipe of the multi-purpose “Beijing Connect” old person’s card goes into a massive database of the elderly in the capital. City authorities hope the information will enable them to better cope with their burgeoning population of over-60s, which already stands at 3 million.
Though geared toward the elderly, the program demonstrates how China more broadly is using big data to better direct the use of government resources for the country’s 1.4 billion people. Beijing’s strategy is to use new technology and its heavily censored Internet to innovate and propel China’s transformation to a services-based economy — a strategy that Premier Li Keqiang has said “will trigger a new Industrial Revolution.”
In a sophisticated example, Beijing municipal government is collecting the disparate data on the elderly in order to predict what services will be needed in the future. This is to make sure it has the necessary budget and services in place, by taking into account people’s decreasing mobility, for example, said Bai Qiang, vice president of Beijing Community Service Association, a city government agency.
“All of the data we are collecting now, including visits to parks, the use of public transport and [numbers of] shopping trips, will help us to predict whether the elderly will become disabled in the future,” Bai said.
The thinking is that if an elderly man is paying fewer visits to parks or taking buses less, that will show up in the data. The government can then judge what the disability rate will be in future and prepare a budget plan in advance, Bai said.
Cardholders interviewed said they weren’t concerned about a loss of privacy and praised the program as far more convenient than the coupons the government used to give them for the same services.
“I’ve no worries. Elderly people don’t have any secrets,” said Liu Huizhen, 84, who was using her card to buy steamed bread in a small supermarket.
“It’s hard for elderly people to count” coin-by-coin, Liu said. “And when you take the bus you just swipe the card, it’s very simple and convenient.”
The State Council, China’s Cabinet, issued a plan to promote big data in August, calling for the accessing and sharing of government data to improve governance. In response, the southern province of Guangdong on April 25 announced a strategy promoting the collection and use of big data in areas including the integration of air and water monitoring information with pollution forecasting, the creation of electronic medical records and the sharing of information on tourists traveling to scenic spots to better manage traffic.
The Guangdong plan also called for the collection of population data on the elderly and a “comprehensive analysis” of their service needs, similar to what Beijing is now offering.
While China is still behind countries such as the United States, Britain and Germany in terms of the development of big data infrastructure, it is unique in its commitment to the project and the speed with which it is progressing, said Zhang Yue, managing director of The Boston Consulting Group in China.
Although China’s national and local governments, ministries and departments are the owners of a large quantity of financial, residential and other data, they have yet to share the information among themselves, Zhang said.
“The government has realized that if they want to really take full advantage of [what is in] their possession they need to integrate those, otherwise the value of the data is quite limited,” she added.
At the same time, China needs to deal with the needs of a rapidly aging population, the result of rapid economic development, longer lifespans and a strict, 35-year-long family planning policy that limited births, creating a shrinking working-age population. While the elderly were traditionally looked after by their children, they are increasingly turning to oversubscribed old people’s homes or fending for themselves at home, sometimes with the help of visiting caregivers.
Other regional authorities are also using data-gathering to help the elderly, including in the northeastern city of Shenyang. The city is trying to use the information on the 1.6 million older residents in its database to better match them up with its more than 160 old people’s homes.
However, none of those efforts are as wide-ranging and integrated as Beijing’s own multi-purpose card, which is slated to be expanded to cover the nearly 20 million people aged 60 and above who live in Beijing and the neighboring regions of Hebei and Tianjin city by the end of 2018.
The card functions as ID and gives free access to public transport and public parks. The government also tops up the card with 100 yuan (USD15) each month, and cardholders can activate an additional function to enable them to use it as a bank card onto which money can be transferred from an account.
Zhao Fangjun, strolling along in a park where a row of elderly were sunning themselves one morning, said that in addition to the government subsidy, his mother-in-law transfers 250 yuan ($38) onto the card each month. He said the card can be used not just in selected shops and restaurants, but also to hire a cleaner and take out a newspaper subscription.
Rogier Creemers, who researches China’s governance of technology at the University of Oxford, said China is a world leader in the degree to which it is integrating such functions.
“What allows China to do something like this is the fact that behind everything you have a single unified network of power, which is the Chinese Communist Party,” Creemers said.
Some cities, like Nanjing, have social security cards with an e-payment function that can be used for public transport and medical treatment and are available to all residents, not just the elderly. Shanghai, China’s most populous city, has just introduced a card for people 65 and over that distributes government subsidies, offers discounts in restaurants and free rides on public transport and can also be used as a bank card. This card doesn’t collect big data, however, according to Shanghai government’s social security office.
Beijing’s database, set up last year, aims to improve home-based care. It includes information on the numbers of elderly living alone, their incomes, and those requiring meal deliveries or simply someone to talk to. Elderly people applying for the card fill out registration forms with government offices found in every neighborhood. Louise Watt, Beijing, AP