From Welfare to Rights: A Foundational Shift
Traditionally, policies on ageing have focused on a deficit or needs-based model, viewing older people as needing social protection. The human rights approach to Ageing fundamentally changes this perspective, recognizing older individuals as active citizens with inherent rights that must be upheld throughout their lives. This approach emphasizes that age does not diminish a person's rights and that older people are entitled to dignity and equality, helping to combat ageism and promote their full societal participation.
The Core Principles of a Human Rights Approach
A rights-based approach to ageing is guided by key principles:
- Embracing All Human Rights: Older people are entitled to the full range of civil, political, economic, social, and cultural rights, which are universal and interdependent.
- Equality and Non-Discrimination: This principle actively combats ageism and ensures fair treatment, also recognizing that older people can face discrimination based on multiple factors like gender, race, or disability.
- Participation and Inclusion: Older people must be involved in decisions and policies that affect them, ensuring the approach is collaborative, not just something done for them.
- Accountability and Monitoring: States are responsible for protecting older persons' rights, requiring systems to monitor progress and identify gaps.
Key Rights of Older Persons
While a specific legally-binding UN convention for older persons is still being sought, various instruments outline crucial rights. These include:
- Right to Independence and Autonomy: The right to make personal choices, including living arrangements, challenging paternalistic views.
- Right to Freedom from Violence and Abuse: Protection from physical, psychological, sexual, and financial abuse, as well as neglect.
- Right to Dignity and Security: Entitlement to respectful treatment and security in all environments, including long-term care.
- Right to Health and Palliative Care: Non-discriminatory access to comprehensive healthcare, including palliative care, based on informed consent.
- Right to Social Security: Access to social security to ensure a dignified life, particularly for vulnerable older individuals.
- Right to Work: The right to decent work opportunities free from age-based discrimination.
Ageism: A Major Obstacle
Ageism is a significant barrier to the realization of older persons' rights, often leading to their exclusion and mistreatment. When combined with other forms of discrimination, it creates complex disadvantages for marginalized older populations. The human rights approach directly addresses these systemic issues, advocating for changes to overcome discriminatory patterns.
Comparison: Welfare vs. Rights Approach
| Feature | Traditional Welfare Model | Human Rights Approach |
|---|---|---|
| Perspective | Views older people as passive recipients of care based on need. | Views older people as active rights-holders with universal entitlements. |
| Basis | Focuses on providing services and resources based on institutional discretion. | Focuses on obligations of states to respect, protect, and fulfill older people's rights. |
| Older Person's Role | Often passive, with decisions made for them by professionals or family. | Active participation, empowering older persons in decision-making processes. |
| Accountability | Primarily tied to service provider performance and funding, with limited external oversight. | Includes robust monitoring and assessment of state accountability for human rights obligations. |
| Focus of Care | Often reactive, addressing crises or specific deficiencies. | Proactive and holistic, focused on empowering individuals and creating rights-respecting environments. |
The Call for a UN Convention
Existing international documents like the UN Principles for Older Persons are not legally binding. There is strong advocacy, supported by organizations like HelpAge International, for a legally-binding UN convention to provide a clear framework for protecting the rights of older persons and holding governments accountable.
For more on global efforts, visit HelpAge International.
Implementing a human rights approach requires:
- Legal Reform: Strengthening laws to eliminate age discrimination and align with human rights standards.
- Awareness: Educating the public to challenge ageist stereotypes.
- Training: Providing capacity building for professionals working with older people.
- Data: Collecting better data to inform policy.
Conclusion
Shifting from a needs-based to a human rights-based approach is vital for creating inclusive societies. By prioritizing the principles of human rights, equality, participation, and accountability, we can ensure that older people's rights are protected, they are free from discrimination, and their contributions are valued.