
Thailand has entered an aging society, with over 14 million people aged 60 and above, accounting for 22.5% of the population. As age increases, health expenses also rise. Therefore, to live smoothly until the end of life, how should one begin planning?
Professor Dr. Yuwaretmakat Sithichanbancha, Senior Palliative Care Specialist, explains that the elderly may require more care than other age groups. Additionally, over 200,000 chronic patients annually need palliative care, a group requiring special attention to maintain good quality of life.
Thus, the first step is to regularly review and check the health of oneself and elderly family members to receive appropriate treatment, design lifestyle or body care precisely, and plan ahead before serious illness occurs.
This is because end-of-life care involves complex medical and legal matters, such as financial transactions and death certificate issuance. If the patient is under hospital care, these processes tend to be smoother.
The care needs vary distinctly by age group: those aged 60–69 mostly receive general treatment; those 70–79 tend to become homebound; and those 80 and above often require close care, with some bedridden, implying expenses that must be prepared for early on.
Akkrapol Uearak, Chief Executive Officer of Wanwela International Hospital, emphasizes the concept that "prevention costs less than treatment." Investing in health care today may cost less than treatment expenses during illness.
Currently, people aged 30–45 show increased interest in health care, leading to specialized services like Hyperbaric Oxygen Therapy, which promotes faster wound healing and suits diabetic patients or those recovering post-surgery. Preventive services such as IV Vitamin Drip are popular among those over 40, offering formulas for brain health, sleep improvement, and skin care. However, all such services require prior medical evaluation.
Regarding long-term care for patients, several cost components must be considered in financial planning, including:
Health care has gained increasing attention, as shown by a 6% growth in hospital-related spending via KTC credit cards in 2025 compared to the previous year. Notably, members aged 50 and above account for nearly 60% of all hospital spending. As aging entails higher costs, how should planning be approached?
With complete data, devise a savings plan—possibly monthly contributions—or, if current medical benefits are insufficient, consider purchasing additional health insurance, while being mindful that premiums may rise significantly in retirement.
Finally, beyond financial planning, Thai society should pay attention to caregiver burnout, a critical cost families must address collaboratively. Clear planning is needed, just as with health expense planning.
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