This poem portrays the harsh reality that receiving medical treatment and long-term care is becoming an increasingly difficult ordeal for people living in rural areas. It addresses the decline of regional healthcare caused by depopulation, widening disparities in caregiving services, the anguish of families forced to move to major cities, and the injustice of a society where life and dignity are influenced by financial means. Beneath its quiet yet powerful anger lies a profound truth: to “care for” someone means far more than providing treatment—it is an enduring act of love, presence, and commitment to remain by another’s side.
Caring for
As local healthcare declines in function,
population loss shows no sign of stopping.
Hospitals struggle under financial deficits.
Treatment and hospitalization are governed by management priorities.
Patients bear rising costs for care and medication,
and more people refrain from seeking treatment.
Even access to expensive therapies reveals stark economic inequality.
Is financial strength what separates life from death?
Under long-term care insurance, regional disparities widen even further.
People are compelled to pay into the system,
yet remain confined at home without receiving services.
An aging society rapidly amplifies anxiety about old age.
Municipal welfare budgets continue to shrink.
Dementia care involves not only functional assessments
but profound questions about how one lives.
Public support offers little hope of lasting sustainability;
people are told to rely on themselves and on one another.
Are there so few choices in how one may die?
The steady flow of people into Sapporo—
is it an escape from rural communities
in search of medical treatment and caregiving?
People lose faith in local hospitals where even hospitalization
does not allow loved ones to provide care.
Those burdened with serious illnesses such as cancer come to Sapporo.
Some friends travel regularly from remote islands
to accompany family members to appointments.
They move with one heartfelt wish: to be present at the end of life.
Transportation and lodging costs in Sapporo for caregiving
are far from trivial.
Savings set aside for old age vanish in no time.
Does the saying “even in hell, money matters”
reflect the spirit of our times?
The ideal of fair access to healthcare and caregiving
is little more than a picture of a rice cake—beautiful, but inedible.
A society in which those living with illness can feel secure
drifts ever farther away.
Those who nurse and care for others
experience the full severity of what it means simply to stay beside them.
Each time the greedy bring war into the world,
ordinary life becomes harder to sustain.
The world’s chain of suffering leads us toward a future
where neither healthcare nor welfare can be shared by all.
Written on May 14, 2026. Human beings with too little imagination toy with life and livelihood.
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