Pass or Go Home?
Participants were Mr Hirohiko Nakamura, LDP Member of the House of Councillors and Mr Wahyudin, Indonesian Healthcare Worker Candidate. Mr Nakamura spoke for fifteen minutes and Mr Wahyudin spoke about ten minutes. The speech and Q & A were in English with Japanese interpretation)
Japan has begun allowing foreign healthcare workers to take the nation's nursing exam. The move, taken under bilateral free trade agreements, especially Indonesian and Phillippines governments and Japan respectively , is seen as a way to make up for a shortage of nurses and welfare care workers due to the rapidly aging population. Mr. Nakamura explained that the foreing healthcare workers are limited only from the Philippines and Indonesia and in both cases the dispatch of the healthcare workers were proposed by the governments of thouse countiries withing the framework of the free trade agreement. In case of Vietnam it was not yet into implementation becasue it was reagarded still premature to bring out the healthcare workers.
It was raised that the national exam is very tricky and difficult, and only one half of the applicants even in case of Japanese nationals and Mr Wahyudin proposed that the examination should be fully explained in easy language and extra time should be allocated to understand the meaning of the questions even if the equal treatment is respected. Mr Nakamura highly appreciated the program of equal treatment of the principle of equal pay, equal work and Mr Wahydin also commented that the Japanese health care system and technology is very much advanced and it is a good opportunity for the Indonesians to learn the social system for the future application of the health care in Indonesia. Several weeks ago, there was a press conference of the training of the unskilled laborors or cheap labor exploitation in Japan in case of Chinese workers sent from mainland with huge amount of commissions levied when they depart their countries with such an inhumane oath not to complain about the working conditions.
This press conference was refered to the difficult and tricky national examination which should be rectified. Mr Wahyudin clearly said that it is not intended to ask a preferential treatment to the foreing healthcare workers but to facilitate the fair nursing capability assessment rather than tricky language test.
A sample of the test was circulated but it is evident that even ordinary Japanese cannnot answer properly because the characters and expressions were only quiz to test the difficult and unusual usages.
But only three -- two Indonesian and one Filipino -- out of 254 foreign applicants passed the rigorous nursing qualification exam this year. Foreign nurses are required to return to their home countries if they fail to pass the qualifying exam within three years, while caregivers also need to clear the Japanese qualifying exam within four years.
Hirohiko Nakamura, a member of the House of Councillors of the Liberal Democratic Party and former chairman of Japanese Council of Senior Citizens Welfare Service, is vigorously urging the Ministry of Health, Labor and Welfare to ease the Japanese regulations. However, the Press conference did not discuss the inherent problems of the immigration related problems of globalization. This blog would like to express oncerns to ease the regulations and express its notion that the overseas dispatch economy of thouse country is not necessarily respectable. This blog can contend , at least, that the allowing foreing workers into Japan should be well prepared and the Japanese language requirements should be fully explained to avoid the misunderstanding. The language training course should be organized well in advance before being sent to Japan. The principle should be " Do as Romans do in Rome" and language practices should be challenging without tears and one sided lukewarm hadicaps. The Master course degrees or credentials of academic attainments with a facilitated colonial ease of regulation should not be given to those young promising persons who only read Charles Lambs Collected Shakespear stories for children.
One observer commented after the disucussions that the case is totally different from the cheap labor problems involving Chinese workers and it should be encouraged for the Indonesian and Philippine workers to attain high standard of the command of Japanese language if those workers are already accepted without degarading the difficulties of the examinations, and examinations should be focused on the practical side of communications between the aged Japanese and the foreign healthcare workers, if and the nurses and healthcare workers are allowed. If not, the immigration or imports of the workers should flatly be rejected before their arrival and participation within Japan.
Mr Nakamura said that the users or aged persons positively accepted foreign healthcare workers according to the opinion surveys and appreciated with high marks. There is a rule of three patients vs one care worker, but in case of the foreing workers, they are not counted as an appropriate workforce. He pointed out that the foreing workers shold also be counted as a number of required personnels for the healthcare facilities.
Mr Wahydin commented that the equal pay treatment is practiced in Japan and in other countries where Indonesian nurses are working does not obey the equal treatment rule. In case of an Arabic country, Indonesian healthcare workers receive only one half salary of the native workers. There is no category of Kaigo care worker in Indonesia, and only nurse system.