In the afternoon, we visited the 4th Busan Senior Citizen Hospital, which at first seemed like a typical geriatric facility. However, I was surprised by its unique features, especially the cognitive skills enhancement room with computers that aid in managing dementia, and the emotional support room equipped with light-emitting tools like disco balls to improve patients' moods. Every patient room was creatively labeled with fruits and vegetables, such as “banana” or “strawberry”, to assist dementia patients with memory recall. These innovations contrast with the more conventional approaches I had previously encountered and made me realize how intentional design and environment can play a vital role in patient care, particularly for the elderly.

Culturally, I also learned that Korean buildings often skip the 4th floor due to superstitions, a detail that seemed minor at first but revealed how deeply culture influences even structural decisions in healthcare. Today’s experience challenged my assumptions about elderly care and broadened my understanding of holistic health practices. As a future global health practitioner, I am inspired to adopt a more comprehensive approach that values not only physical treatment but also cognitive, emotional, and culturally respectful care. This exposure deepened my realization that innovation and empathy must go hand in hand in delivering meaningful health interventions.

- Zy <3

After that, we headed to the Busan Geriatric Hospital 4. This is where I learned so much about the national healthcare system. The insurance here is really comprehensive, covering everything from traditional Korean treatments to mental health and postpartum care. I learned that a large part of the cost is paid by the government, with the patient covering the rest. They also use a fixed daily rate system, which is part of an effort to manage costs. What really struck me was how the system is designed to be proactive, encouraging prevention and early detection, and how public hospitals are focused on giving back to the community.

Overall, the day was a powerful lesson in how a healthcare system can be both well-structured and deeply personal. It showed me that both the organized care at the hospital and the simple happiness at the daycare center are equally important. I feel like it was a great look into the heart of public health.

— 란즈 ;~)

At the Bumosarang Senior Welfare Center, we explored the practical side of caregiving. I learned that applicants, regardless of age, can become caregivers as long as they are mentally and physically fit and hold a caregiver certificate. Their services extend to physical assistance, grooming, feeding, and daily hygiene support. Visiting their oldest client, aged 83, who requires both dementia rehabilitation and treatment for lower body paralysis, was a profound experience. It humanized the value of caregiving and reminded me that healthcare is not limited to clinical treatments but must also address long-term, compassionate support. Witnessing such commitment challenged my previous assumptions about elder care being confined to hospitals or institutions.

The cultural differences were also eye-opening. During lunch, I noticed that restaurants provided aprons for customers, a practice uncommon in my country. This small but meaningful gesture demonstrated the emphasis Koreans place on cleanliness and dignity, even in casual settings.

Lastly, at the Saha Rehabilitation Day Care Center, I found joy in observing elderly clients singing in unison and engaging in creative activities like flower coloring, which we assisted. Despite the language barrier, dancing along with them bridged the gap. These experiences deeply shaped my view of community-based elder care, showing that holistic health includes emotional and social well-being, and reaffirmed my commitment to advocate for inclusive, culturally aware health practices as a future global health practitioner.

- Zy <3

Next, we went to the Bumosarang Senior Welfare Center. The healthcare system here has a very detailed way of categorizing care. We learned about the six different levels of need, with Level 1 being for the highest level of need. Levels 5 and 6 are specifically for patients with dementia. The care centers also provide holistic care, which includes cognition programs and emotional support, not just physical care.

The most unforgettable moment of the day was at the Saha Rehabilitation Daycare Center. The grandmas and grandpas were having a singing lesson, and we joined them. To make it more fun, we danced along while they sang. They got so excited and even started to copy our dance steps! It was a wonderful time and a great lesson that a caregiver's job isn't just about physical needs, but also about being there for them and connecting on a personal level.

Today's experience showed us the immense value of both professional training and personal connection. The certification process highlights the high standards for caregivers, while our time dancing with the grandmas and grandpas taught us the importance of emotional support.

— 란즈 ;~)

After the lecture, we had the opportunity to tour the university’s Ocean Simulation Center, where we witnessed high-fidelity simulations including childbirth, neonatal care, and various emergency scenarios. This experience emphasized the integration of technology in training future healthcare providers, showing how Korea prioritizes both quality education and practical preparedness.

Aside from the academic insight, a small but meaningful observation during our transfer was the presence of a functional fire extinguisher on our bus. While such safety equipment is also mandated in the Philippines, it is often neglected, with many extinguishers left uncharged or non-operational. This reflects a cultural contrast where Korea exemplifies a stronger culture of safety and accountability in even the smallest details of public service. It served as a subtle reminder of the importance of compliance and the role of everyday infrastructure in public health and safety.

Later, at the Saha-gu Rehabilitation Day Care Center, I witnessed again the value of holistic elder care as halmeonis and harabeojis participated in a physical-cognitive activity that required sorting colored cups. It was heartwarming to see how these seemingly simple tasks supported both motor and mental skills, reinforcing the value of routine stimulation in aging populations. These experiences challenged my prior assumptions and strengthened my resolve to advocate for inclusive, proactive, and community-centered health policies. As a future global health practitioner, I now hold a deeper appreciation for systems that merge compassion, accessibility, and functionality in caring for the elderly.

- Zy <3

Afterwards, we attended a lecture at Kosin University, where Professor Kim Hye Sook introduced us to the Korean Diagnosis Related Groups (KDRG) and the Korean Classification of Diseases (KCD). KDRG, an adaptation of the international DRG system, categorizes patients for efficient hospital payment and evaluation, while KCD, derived from the ICD, standardizes disease classification across Korea. These systems highlight how structured and data-driven the Korean healthcare model is, ensuring accuracy, cost-efficiency, and systematic patient care. It was eye-opening to see how healthcare systems differ from those in the Philippines, where such classification tools are still developing in application and scope.

What truly challenged my assumptions was realizing that elderly individuals, even in care centers, are still capable of feeling deeply seen and celebrated. I used to think aging in institutions meant emotional distance and resignation, but today proved the opposite. Their energy reminded me that healthcare is more than diagnoses and classifications, it’s about connection, dignity, and joy. As a future global health practitioner, this experience deepened my belief that while understanding medical systems like KDRG and KCD is essential, integrating compassion and cultural exchange is what truly makes healthcare human.

- Zy <3

Saha daycare center offers us many discoveries each time we visit their facility. Again, they greet us with their warm welcome with happiness drawn on the face of both the personnel and the elderly people. This morning, we witnessed them doing their morning routine. An exercise surely for their muscles and joints. Based on my observation, there are some elderly that cannot really move their hands and feet at least an inch. Also, there are elderly who do not seem interested in the routine. On the other hand, there are so energetic individuals in the 4 corners of the room that even the personnel told her that she should keep her voice at an average. 

To emphasize, the activity that they did was interactive learning. The activity was to engage the elderly by doing some bodily movement.  Words are stated by the teacher and the elderly will answer it by doing body movements. For example, the teacher will say “머리“ (head) and the elderly must an “모자” (hat) whilst touching their head. There are other activities like that and it was a very interesting thing to witness because it will truly test my capability to make such activities like that in the future. I also observe that the teacher is very energetic. She matched the energy of the majority to be able to carry the whole session,

On the other hand, after Saha Day Care Center, we went to the 4th Busan Geriatric Hospital. The faculty greeted us with their banner which includes our written language. The spokesperson gave us a detailed introduction about their hospital. First, they discussed the concept and importance of health insurance. They emphasized and I realized that it is a social system that helps to reduce financial burden, illness, and accidents. It also ensures individuals and families receive medical care without excessive costs. Second, the role and benefits of medical insurance. Just like a continuation of number 1. I have learned that insurances really reduce costs. Also, it makes patients feel secure. In addition, they stated that they improve access to needs by increasing financial support. Furthermore, they encourage early detection to manage it efficiently. They also involve hospital visits, stays, medical prescriptions, health training, and vaccination for low income households. They also shared that they offer services like mental health care, postpartum care, and rehabilitative care. Lastly, they mentioned the sole purpose and role of their geriatric hospital. Their hospital offers both treatment and long-term care. The doctors, nurses, social workers, and other staff are available 24/7 with Korean traditional treatment. With this, being able to roam around the facility was very meaningful to me in a sense that I am able to see what the commoner does not see everyday. I watch elderly trying their best for their health and thrive. In all, I was very touched with their smiles despite not feeling well.

~레브🎀✨

Afterwards, we went to Bumosarang Senior Welfare Center. The center is said to be there for 65 year old adults and above with illnesses or degenerative illness. There are 72 people in their beneficial list with 67 personnel. They said thst there is no sge restriction when it comes to caregiving but the caregiver should have certification and strong mental and physical capabilities. With their screening conditions, they do not employ people with illnesses and criminal records. They tackled that careguvers assist physical activities like washing, grooming, changing, and foodings. On the other hand, the center also offers cognition programs like puzzles. For their emotional support, there are conversational activities. There are situations that the elderly cannot really walk so they help them with the laundry and other stuffs. 

Consequently, we initially planned to visit 1 male and 1 female elderly patient. Unfortunately, we were only able to visit the female patient. The female patient is 83 year old and paraplegic and has dementia. When we entered their home, we met her caregiver. Based on my ibservation, they had a long bonding together. The female patient was in her bed smiling at us while asking many things. We even talked to the caregiver on her perspective in real life events as a caregiver. The female woken cannot walk and needs immediate help from the caregiver or a family member. Since the caregiver only covers 4 hour shift, the family will take over the responsibility. When we bid our goodbye to the patient, she still smiles and I wonder what life could be when life guves you lemons.

Lastly, we went back to Saha Day Care Center, it was a very energetic afternoon for them as they had singing sessions. All the elderly, even those who did not always give any interest in morning routine, clap and enjoy the moment. We, students, made a choreography for the singer which she praised us because of our creativity. Yet, the time is too short and a day well spent with elderly matters.

~레브🎀✨

Kosin University-Yeongdo Branch is originally a Christian university founded in 1946. It was named after the Kosin denomination. I have known that their institution offers a wide range of academic disciplines like theology, medicine, nursing, education, social sciences, and the arts. I was very amazed with their vision “glorify God, love your neighbor, and serve the world”. The whole lecture is related to elderly welfare from the Ministry of Health and Welfare.

Firstly, the professor tackled “The need for long-term care insurance for the elderly”. It was in accordance with Korea’s Aging society. This serves as an ongoing assistance for the elderly people. With numerous advancements, care gaps can still be attained in this manner. This is where the systems of public support must step in so long-term care insurance (LTCI) comes in. LTCI is not only for financial support, it also has care services that are structured to maintain the dignity and quality of elderly life. In line with this, Korea has the fastest aging population and LTCI is responsible for a sustainable, equitable, and efficient long-term care system.

It was emphasized in the lecture that low fertility rate is interlinked with rising life expectancy summing up in a rapidly aging society. So, a strategic response like elderly welfare, dementia care, long-term care infrastructure , and sustainable financing models. Secondly, in Page 3, the table showed Koreans are living much longer than previous generations. This is evidence that their health care system is successful and developed progressively. On the other hand, it also indicates people with increasing age-related generations. So, I realized that sustainable policies are needed. Thirdly, in Page 4, the Korean economy is still growing. This means that the proportion of national income is increasing which is linked with dementia-related costs. Anyhow, this not only reflects dementia prevalence but also the intensity and care duration. In my end, the urgency for comprehensive and publicly supported long-term care infrastructure including dementia diagnosis must be done. Thirdly, in Page 5, the distinction between health disparities were almost eliminated. With this, there are categories of facilities: group homes for elderly, group homes for elderly nursing care.

1. Residential - nursing homes, long term housing care

2. Medical welfare facilities - residents with chronic  or complex heakth conditions.

3. Leisure and cultural facilities - social participation, learning, and active aging

4. Home-based welfare services - continuum of care

Furthermore, in Page 6, the Status of certified beneficiaries of LTIC for Elderly has two key indicators from 2014-2023. 

1. Insurance premium rate

2. Average premium per household

• The rates in both categories are increasing. This is a concern in accordance with their rising living expenses and affecting middle-income groups who cannot qualify for subsidies and are not wealthy enough to pay comfortably.

Consequently, in Page 7:

• The certified long-term care beneficiaries has changed over time.

• The table shows a wide gap for the population and the recipients of the benefits.

• Increased policy outreach must be done because the LTIC has scaled significantly since its inception with the coverage rate doubled in just 14 years. I was hooked with the kast statement that, “Long-term is no longer a marginal issue”. It became a core component of Korea’s welfare and health policy.

In additional, in Page 8:

“Application of the LTCI System for the Elderly”

• Application process including eligibility, required documentation, approval committee

Consecutively, inPage 9:

• LTCI: public insurance-based care model.

• Aged 65 and above, under 65 with geriatric diseases, such as dementia or cerebrovascular disorders.

• Unable to perform independently for 6 months or longer: physical, cognitive functioning.

In Page 10: I have known and but surprised

• Eligibility:

1. 65 years old and above

2. With geriatric diseases

3. Unable to be independent for 6 months and above

4. Long term care grades: level 1 to 5

In  Page 11: 

Funding Mechanism of LTCI

• Funding came from three sources

1. LTCI Premiums - same as those enrolled in NHIS

2. Government subsidy

3. Individual co-payment

I noted that: this shared funding model ensures enhanced equity and access to health.

These are the process: for calligraphy.

• An image of the LTCI Services model in Korea

• Service provider

1. Home-based benefits

2. Facility-based benefits

• Process

1. Application 

2. Home visit 

3. Grading by eligibility committee 

4. Care plan development

5. Notification of approval

6. Contract with service provider

7. Service delivery 

Lastly, there are 3 types of benefits::

1. Home-based benefits

2. Facility-based  

3. Special cash benefits

I have learned today that insurance is not that easy to provide. For this moment. It was very essential for Korean people. Also, we went to their simulation room where mannequins are there for the students to perform their demonstrations. Inside an observatory room, the professors will monitor all their performing movements.

Last but not the least, at the SAHA DayCare Center will have a cognitive test again. By matching the colors of one cup to another, stacking them up into a pyramid. There are elderly who are happy and there are who do not budge. At the end, they thanked us again.

~레브🎀✨

As I anticipated this end of Saha’s Journey, the days when we first stepped on their facility were still memorable. From being naive and afraid to get scolded by the elderly and new to the field to making our eyes watered when we bid our last goodbye to the elderly people. This day marked a new beginning for us to pursue and delve deeper into the world of aging population. As usual, they did their morning routine exercise. All of them were jolly and happy. We were instructed that we must present a performance for our last day and it is a pleasure to do that for them. We stayed up until midnight to practice what we wanted for the elderly people to see. There are people who sing, dance, and perform. We have incorporated Korean songs , English songs, and Filipino songs. There are numerous times with them that I want to tell this padlet but no words can explain the meaning of the experience in the rehabilitation center. We have seen different situations on how to handle elderly people to the point that in the 2-week period can create a magnificent bond between us. In the end of our performance, I cannot sustain myself not to cry. But love is really stronger when your passion is really on health. Even though I do not want to say goodbye, there is no choice because in healthcare there is no permanent thing.

With Kim Hye Sook 선생님 from Silla University’s discussion, she differentiated HI and LTCI. But first, she introduced Consist of 16 districts and with a slogan “Busan is Good”. She proceeded to highlight the comparison of HI and LTCI, its overview of purposes, target groups, services, and funding structures. I knew that those are social insurance systems but different objectives.I learned that the purpose of health insurance is to reduce financial burden. Health insurance in Korea started in 1989. On the other hand, LTCI is focused on healthcare giving support. Their target population is primarily all citizens, LTCI: 65+ or younger individuals with geriatric disease. With this I concluded that they are automatically included. Just like in Public Health Services, their government provides and covers medical services such as diagnosis, treatment, surgeries, rehabilitation, and medication. Even though they are not more on the preventive side, it is still organized. In terms of funding structure, operating structure, and other related terminologies, it was taught to us in the previous days already. The most memorable part of the discussion was the difference between HI and LTCI. HI is based on treatment, injury, and diseases. On the other hand, LTCI is based on elderly care and daily loving support. Also, the classification list activity was very fun. We need to identify the disease code from the KDS and ICS. It was short but interesting .

Lastly, we have been given the opportunity to visit the Kosin Gospel Hospital’s administrative office. We have been enlightened on how their hospital works by means of data collection and payment segregation. This day will mark as my most memorable day ahead of me. It strengthens my will to pursue the medical field and want to work for my country and internationally as well.

~레브🎀✨

Although there was no structured healthcare learning today, the KTX experience reflected the efficiency and precision I observed in Korean systems such as the Korean Diagnosis Related Groups (KDRG) and Korean Classification of Diseases (KCD). The train’s punctuality, comfort, and seamless service echoed the systematic and organized approach Korea applies not only in public transportation but also in healthcare delivery. It reminded me that infrastructure, when designed for reliability and accessibility, indirectly supports public health by fostering comfort, safety, and trust.

Initially, I thought a day without planned activities might feel uneventful, but it became an unexpected gift of reflection. The stillness allowed me to process the emotional weight of our time in Busan, recalling the heartfelt connections and lessons we gained. As a future global health practitioner, I realized that progress and well-being are not solely built in moments of action, they also require pauses that allow us to absorb, appreciate, and carry forward the values that shape meaningful care.

- Zy <3

DAY 15: BACK TO SEOUL/BRING BACK MY SEOUL

The 2-week immersion in Busan has come to an end. As we venture to a new week for further development of our knowledge, all of the memories stay with lessons taught by lectures, tours, and immersion. A connection between our experiences with the people in Saha DayCare Rehabilitation Center will not be forgotten. It teaches me how to be more of a person, a student, and an aspiring professional. With this, all of the observations seem easy but as we delve deeper, it is so complicated to handle.

From the moment that we left Busan, I still remember all the elderly people that we met and became grandparents with. The historical significance of all infrastructure and the system of health in every institution that we went into became more interesting to appreciate and understand all things more.

On the other hand, if we roam back to our ways of being a naive foreigner in this country, it brings us nostalgia. Busan has more to offer. An imaginable sight to see like the developed city kissing nature's beauty. The healthcare system has been taught to us many times to imprint in our minds that their progressive actions can lead to a massive change to the citizens of this country. I want to be part of this movement as it can directly imply the right wing of a holistically minded society. I do not want to be stuck in a system with building infrastructures in mind. We need to sustain all the resources that we have in order to maximize our economic growth and minimize inequality in healthcare.

~레브🎀

After a nice lunch, we headed to our last stop of the day, the Saha Rehabilitation Daycare Center. This was my favorite part. We helped out with their physical activity, which involved playing different games with cups. It was so much fun to assist the elderly and see how much they enjoyed the activity. We even got to sing "Happy Birthday" to my classmate, Nick! It was a day filled with new knowledge and fun, and I'm looking forward to what tomorrow brings.

— 란즈 ;~)

Saying goodbye was the hardest part of the day. We performed a special song called "Salamat," which means "Thank you." I got very emotional and cried a lot. I hugged each of the 할머니 (grandmas) and 할아버지 (grandpas) and told them to stay healthy and that I loved them very much. It was a very touching moment that I will always remember.

After the farewell, we went to a lecture at Kosin University Songdo Campus. The lecture was given by Professor Kim Hye Sook from Silla University, which is in the Sasang-gu part of Busan. She taught us about South Korea's Health Insurance system. The system started in 1989 and gives health care to everyone. We also learned about a concept called KDRG, which is their way of managing hospital costs, similar to a system in America.

After the talk, we took a tour with Professor Kim Hye Sook to the administration office at Kosin University Gospel Hospital. We saw how their computer systems and other operations work behind the scenes.

It was a day full of goodbyes and new lessons. I'm sad to leave our new friends, but I'm happy for all the things I learned during our stay in Busan.

— 란즈 ;~)

What struck me most was how Korean elderly care emphasizes independence, dignity, and community connection. Seniors are encouraged to participate in meaningful activities, take on small roles, and even return to their homes after programs, which fosters a sense of purpose and belonging. This approach challenged my perspective on caregiving, as I realized it is not only about medical treatment but also about making people feel valued, respected, and emotionally fulfilled. Witnessing the differences between Korea’s system and the limited dementia care and reintegration programs in the Philippines made me more determined to advocate for improvements in my own community. This experience strengthened my commitment to public health and inspired me to pursue initiatives that promote holistic, community-based elderly care, ensuring that older adults are not just cared for, but truly empowered.

- ali <3

This experience changed how I view caregiving. Before, I thought it was mostly about giving medicine and helping with physical needs, but now I understand that caregivers provide a much wider range of support, emotional care, companionship, mental stimulation through puzzles and conversations, and even household help. Seeing how Korea values and trains caregivers showed me that their role is essential to the healthcare system, especially for vulnerable elderly patients. It also inspired me as a future global health practitioner to advocate for better elderly care in my country, where such systems are still limited. I realized that professional responsibility means more than meeting physical needs, it’s also about showing respect, patience, and compassion, and making sure the elderly feel valued and connected. This day strengthened my commitment to promoting holistic elderly care and supporting caregivers as vital partners in community health.

- ali <3

I also learned more about Korea’s National Health Insurance System (NHIS) and Long-Term Care Insurance (LTCI). Almost everyone in Korea is a member of NHIS, which lowers insurance costs, and those over 65 can apply directly for LTCI. I found it impressive that their long-term care services are well-organized, with options like home-based care visits, government support for medical equipment, and even a website showing real-time information about facilities, staff, and CCTV monitoring. Visiting the simulation center also changed my perspective on caregiver training. Before, I thought lectures and books were enough, but now I see that practice with realistic tools is essential to building skills and confidence. This experience shaped my attitude as a future public health practitioner by showing me that quality care begins with proper training and resources. I am now more motivated to promote the idea that effective healthcare education requires not just theory, but also realistic and hands-on experience to prepare us for the real challenges of the profession.

- ali <3

From the lecture, I learned about the Diagnosis Related Group (DRG) system, adapted in Korea as KDRG, which classifies patients by diagnosis, age, surgery, and illness severity to determine a fixed payment for treatment. This includes all hospital services such as tests, procedures, hospitalization, and surgeries, and is applied to specific disease groups like cataract surgery, tonsillectomy, and appendectomy. The DRG system helps control costs, prevents overtreatment, and ensures that medical bills are more predictable for patients. This made me realize that a fair and affordable healthcare system is achievable if supported by strong policies, careful planning, and cooperation between the government and its people. As a future public health practitioner, this experience inspired me to advocate for similar systems in the Philippines, ones that can protect patients from financial hardship while still ensuring quality care, especially for vulnerable groups like the elderly and low-income families.

- ali <3

We then made our way to the Bumosarang Senior Welfare Center, a facility built to serve adults aged 65 and above, though anyone—regardless of age—is welcome, as long as they are mentally and physically independent. Established on March 15, 2015, the center now houses 72 elderly members and is cared for by 67 dedicated staff. The balance between caregivers and residents is tight-knit, almost like a large extended family. What struck me most was the strict but meaningful criteria to become a caregiver here. You must: Hold a valid caregiving certification. Have no criminal record. Be physically and mentally capable of performing the duties. It’s not just about the training, it’s about character, responsibility, and trust. We learned that caregivers here play a vital role. Their day-to-day tasks might seem simple helping with brushing, eating, grooming, and mobility but to the residents, it’s a lifeline. These moments of physical assistance become moments of human connection. The center also focuses on the mind, not just the body. They offer cognitive programs, like puzzles and games, designed to stimulate memory and prevent cognitive decline. Residents are encouraged to take part in daily activities, helping them maintain not only their routine but also their sense of purpose and community.

Care is personalized, too. Residents are classified into levels based on their needs: Level 1 & 2: Require 4 hours of caregiving per day. Level 3 to 5: Need 3 hours of support. This system ensures that everyone receives the right amount of help without taking away their independence.

One of the most emotional moments of the day was visiting an 83-year-old woman living at the facility. She suffers from lower-body paralysis and dementia. She uses a catheter and relies on caregivers for nearly everything but what moved us most was her warmth, her gentle smile, and the respect she received from the staff. In her presence, caregiving became more than a task—it became a form of love.

We also discovered there are two types of caregiving certifications: one for 24-hour care, and another for those working 3 to 4 hours per day. These allow for flexibility and ensure that caregivers are well-prepared for the type of work they will be doing.

-sirdo ^^

As we stepped into the 2nd floor of the Geriatric Hospital, we were warmly welcomed by Kim Dongyun, the head of the center and the Hospital Director. His calm presence set the tone for what would be a meaningful experience. He began by introducing the hospital, not just as a building of treatment, but as a center of life, healing, and dignity, especially for the elderly. The hospital's core stood on several pillars: digital care, community health, consultation services, patient-centered care, pharmaceutical access, and support for daily living activities. It felt more like a community than an institution, a place where aging was not feared but embraced with proper support. One of the highlights of the day was learning about the importance of medical insurance in Korea. The hospital emphasized how insurance doesn't just reduce medical costs; it brings peace of mind to patients and their families. Insurance here goes beyond the basics it covers doctor visits, hospital stays, prescriptions, and even preventive care like health screenings and vaccinations. What touched me most was that even those with limited income could access mental health care, postpartum services, and rehabilitation, all because of this inclusive system. We were then introduced to the core purpose of the geriatric hospital: to offer both treatment and long-term care, available 24/7. What stood out was their integration of Korean traditional medicine, something you don’t often see in clinical settings. Here, healing was holistic. Patients were supported not only physically but also emotionally thanks to the social workers who walk with them through emotional challenges. Their funding system was equally impressive: 50% covered by the government, and the rest by the patient, all under a fixed daily rate system that made everything more predictable and affordable. We then dove into the hospital’s history. Since opening in September 2014 with 216 beds, it has grown in both size and vision. In 2016, it received official medical certification. By 2018, it had launched a Dementia Care Program, and in 2021, it advanced into the future with electronic cognitive care systems. Soon, by 2025, the facility will adjust to 210 beds, maintaining quality over quantity. Walking through the hospital, we explored its four main wards. Three were intensive care units, and one, 3B Ward, specialized in chronic conditions and dementia.

Each ward was equipped with clinical and psychological facilities, counseling rooms, and areas for ADL (Activities of Daily Living) support, ensuring that even basic routines like eating and dressing are supported with compassion and dignity. Then came one of my favorite parts, the non-drug therapy programs. The hospital offers everything from crafting and art therapy to emotional wellness programs, not just for patients, but also as part of their community outreach. It reminded me that healing can be found in color, conversation, and creativity. Finally, we reached the 5th floor, home to the Special Dementia Unit. There was something about this space. It was quiet, yet full of life, where memory may fade, but respect and love never do. As we left, I carried with me not just facts, how we might one day treat our own elders, not as burdens, but as people deserving of continued care, connection, and compassion.

-sirdo ^^

One cultural difference I noticed was the absence of a 4th floor in the hospital. When I asked why, I learned that Koreans dislike the number 4 because its pronunciation is similar to the word for “death.” In the context of a hospital, I see this as a way of avoiding negative associations and fostering an atmosphere of hope and healing. This was a reminder that healthcare facilities are not just about equipment and treatments—they also reflect the values, beliefs, and traditions of the community they serve.

I also learned that healthcare in Korea continues even after patients leave the hospital. Through welfare programs and home-based services, the hospital ensures that patients who are safe to return home still receive monitoring and evaluation to prevent their conditions from worsening. This level of follow-up care is something I believe could greatly benefit communities in the Philippines, where post-discharge support is often lacking. It also challenged my assumption that nonmedical programs—such as improving daily living skills, promoting social interaction, and offering recreational activities—are only provided by NGOs. Seeing a hospital take on this role made me realize how healthcare can be more holistic and life-enriching.

As a future global health practitioner, this visit made me more interested in elderly cognitive development. This is not a common focus in the Philippines, but I can see its potential in reducing the impact of aging and preventing dementia through cognitively stimulating activities. I also appreciated how the hospital continues to offer Korean traditional treatments alongside modern medicine, showing that cultural heritage and medical progress can work hand in hand. This reinforced my belief that public health should not aim to erase traditions, but rather preserve and adapt them when they bring real benefits to the community.

A cultural difference I noticed was at the beach and in local parks, where speakers played ambient sounds in the background. This is not something I commonly encounter in the Philippines, and it made the environment feel calm and inviting. While it may seem like a small detail, I see how these thoughtful touches contribute to a more therapeutic and welcoming atmosphere, especially in public spaces where people come to relax or recover.

I also learned about the process of becoming a certified caregiver in Korea. The certification program takes 8 weeks—6 weeks of lectures and 2 weeks of in-field training—followed by 6 months of additional training amounting to 320 hours, conducted five days a week. What stood out to me was the accessibility of this profession; beyond language proficiency, there are no other major barriers to entry. This open system ensures a larger workforce to meet the growing demand for elderly care while maintaining structured training for quality service.

This visit challenged my previous notion that caregiving is confined to institutional settings. I learned that agencies can send caregivers directly to patients’ homes, providing comprehensive support that includes physical care, emotional encouragement, and assistance with daily activities. Home-based care not only meets medical needs but also creates a more comfortable and personalized environment for the patient.

Today’s experience also expanded my understanding of how caregiver roles are structured. One type of certification allows caregivers to work hourly, giving them flexibility and allowing families more direct time with the patient. Another certification qualifies caregivers to live with patients full-time, which is crucial for individuals requiring the highest level of care, especially when family members cannot provide round-the-clock support. This insight broadened my view of caregiving as a profession that is adaptable to patient needs and family circumstances. As a future global health practitioner, it made me consider how flexible caregiving structures could be applied in the Philippines to improve access, quality, and continuity of care for vulnerable populations.

One cultural difference I noticed was the design of stairs with built-in seats. In the Philippines, students usually sit on the sides of stairs when there are no seats available, which can cause congestion. Having a place to sit on the stairs helps reduce crowding, especially in busy places like universities.

I also learned about Korea’s Long Term Care Insurance (LTCI) system. To be eligible, a person must already be part of the National Health Insurance System. LTCI mainly supports those aged 65 and older. The process of getting benefits takes about 30 days for grading and up to two months to fully receive the benefits, but this varies depending on the case. Members pay reduced insurance fees, and if the elderly can afford health services, they pay themselves, but family members like their children can also help cover costs.

Today’s experience challenged my assumption that creating a comprehensive and accessible health website is too difficult for the Philippines. I was impressed by the LTCI website, which provides detailed information for applicants, shows available slots, and even allows family members living far away to check CCTV footage and updates on the elderly, including staff numbers, facilities, programs, and photos.

This has shaped my thinking as a future global health practitioner. I now understand that the demand for caregivers in Korea is not just due to more elderly people living longer. It is also because of a lower fertility rate, meaning fewer children are available to care for aging parents. This creates more pressure on long-term care institutions and nursing homes. It made me realize how demographic changes affect health care needs and how important it is to develop adaptable care systems.

I noticed how much love and attention the center gives to each elderly person. They use various medical devices like red light therapy and exercise aids to improve the residents’ health. This dedication to care shows how Korea prioritizes the well-being and life expectancy of its elderly population. I hope the center can expand its services to other parts of the country to benefit more people.

Today, I also learned about the Korean Standard Classification of Diseases (KSCD), which is the same as the International Standard Classification of Diseases (ISCD). These alphanumeric codes help classify diseases precisely and provide a universal language for health professionals. This makes it easier for students, doctors, and researchers to communicate about health conditions, especially those with long or complicated names.

This experience challenged my assumption that long-term care systems are not necessary for economic growth, a belief I had because the Philippines does not yet have an established system. Seeing Korea’s Long Term Care Insurance system showed me that such a program can reduce healthcare costs, create jobs like caregiving, and improve overall care for the elderly. I believe this is something the Philippines should seriously consider implementing.

Finally, I observed how efficient the payment system is at Kosin University Hospital. They use kiosks for card payments, a “Hi Pass Quick Payment System” that automatically deducts fees, and private insurance kiosks for submitting documents. There is also a Reservation Center for medical exams like MRIs and ultrasounds. This fast-paced system reduces waiting times and makes healthcare more accessible. Experiencing this made me value how technology and organization can improve patient care and satisfaction.

A small cultural difference I noticed on the train was how Koreans drink water. Their water bottles and cups are much smaller than what I am used to in the Philippines. I saw a grandmother with a tiny tumbler the size of my hand, sipping slowly but steadily throughout the trip. It was fascinating and reminded me how small daily habits can reflect cultural preferences and lifestyles.

This week I learned that Korea’s healthcare system is very well integrated. It goes beyond hospital walls to include home care, welfare programs, caregiver certification, and efficient technologies like fast payment systems. The use of standardized disease classifications and digital monitoring tools ensures care is continuous, accessible, and accurate. These systems work together to create a comprehensive health network.

My assumptions about elderly care have changed. I used to think it was best managed only within facilities or by NGOs, and that long-term care systems were not necessary for economic development. Korea’s example showed me that hospitals can offer nonmedical programs, home-based care is valuable, and long-term care reduces costs, creates jobs, and improves health outcomes. I also realized that digital health tools and comprehensive websites are practical and important in modern healthcare.

This experience strengthened my values as a future global health practitioner. I now appreciate the importance of holistic care addressing physical, emotional, cognitive, and cultural needs. I support integrating traditional practices with modern medicine and promoting efficient systems that reduce patient burden. Going forward, I want to advocate for accessible long-term care, use of digital technologies, and policies that empower community-based health services.

-Jay~

- ali <3

-Jay~

-Jay~

-Jay~

-Jay~

I'll treasure these memories forever, especially the ones with our loving 할머니 (grandmas) and 할아버지 (grandpas). I really hope I can visit them again soon. I love them so much, and even though our time together was short, our bond is unbreakable.

They showed us that older people are not a problem in our society. After all their sacrifices, they deserve to live a happy, loving, and caring life as they get older. It seems impossible, but I wish I could visit them again. I miss them already.

Now we're back in Seoul, and I hope to learn more life lessons and use them in my future work.

— 란즈 ;~)

The most memorable moment for me was seeing how each patient’s room door had a picture or visual symbol to help them recognize their own space. This small, thoughtful detail struck me deeply. It was a beautiful example of how even simple design choices can make a big difference in the lives of patients with memory loss. Rather than labeling rooms by numbers alone, which could be confusing or meaningless to someone with dementia, these images offered a sense of familiarity, autonomy, and identity. It reminded me that caregiving is not just about meeting physical needs—it’s also about preserving the individual’s sense of self.

I learned that Korea’s elder care model is deeply influenced by public health planning, government subsidies, and cultural values that emphasize family and community support. The hospital’s designation as a “dementia safety hospital” by the Ministry of Health illustrates the country’s commitment to proactive, integrated elder care. I also discovered the importance of non-drug programs in dementia treatment—therapies that focus on social interaction, creativity, and memory stimulation—showing that caregiving extends well beyond prescriptions and procedures.

This experience reshaped how I view my future role in global health. It made me realize the power of holistic, culturally-informed care models

During this visit, I also became more aware of cultural differences in the way Korea values and supports professional caregiving. I was impressed to learn that caregiver training centers in Korea are officially recognized and even awarded by the government for their excellence. What stood out most was that these caregiving certifications are open to anyone who is willing to learn, regardless of their academic background. This highlights how Korean society views caregiving not just as a profession, but as a respected and vital social role. It made me reflect on how different cultures approach elder care, and how important it is to recognize and support caregiving as a meaningful contribution to the well-being of society.

Today’s experience also deepened my appreciation for home-based and community-oriented elder care. I saw how Korean caregivers receive structured training and are supported by government programs that enable them to provide compassionate, personalized care. I was especially inspired by how elders are given the resources they need to remain comfortably in their own homes, preserving their independence and dignity. This approach reaffirmed for me that health care should be holistic—addressing emotional, social, and psychological well-being, not just physical needs. The joyful moments we shared through singing and dancing reminded me that care goes far beyond medicine. As I continue on my journey in global health, I hope to bring these values of dignity, inclusion, and human connection into the work I do, and to advocate for elder care systems that prioritize both clinical support and quality of life.

The highlight of the day was undoubtedly the birthday celebration at Saha Day Care. The elders sang for me, offered their blessings, and even took part in a playful tradition where everyone pretends to “punch” the birthday celebrant as a form of humorous affection. It was a joyful and deeply touching moment that caught me completely by surprise. Despite the language barrier and cultural differences, I felt truly seen and embraced by the community. It was a reminder that genuine human connection transcends words, and it turned what could have been just another day into a lifelong memory.

From the lecture, I gained valuable insight into Korea’s long-term care insurance system, which was created in response to the country’s rapidly aging population. I learned that, unlike in my own country—where elder care often falls on family members—Korea has implemented a structured, government-supported system that provides comprehensive care to elderly individuals, addressing both their medical and daily living needs. This reflects Korea’s cultural emphasis on collective responsibility and social welfare, and shows how national values are embedded into health policies.

At the same time, the birthday celebration gave me a window into Korean cultural traditions in community spaces like elder care facilities. The humor, warmth, and inclusion shown to me illustrated how care environments in Korea are not only functional but also emotionally and socially nurturing. It showed me that caregiving here is more than a task—it’s a relationship built on respect, tradition, and emotional support.

Today’s experience reinforced my belief that healthcare is most effective when it is both culturally informed and emotionally aware. Learning about policy in the morning and experiencing cultural connection in the afternoon helped me see the importance of approaching health not just as a service, but as a relationship between people, systems, and values. It reminded me that global health isn’t just about transferring models from one place to another—it’s about understanding the unique context and culture of each community.

As I continue preparing for a career in global health, I will carry this experience with me as a reminder of the importance of cultural humility, emotional connection, and policy adaptability. Whether I’m working with national health systems or at the community level, I now better understand that true care lies in respecting traditions, celebrating people, and designing systems that reflect the lives and values of those they serve.

Today marked our last day visiting the elderly at the daycare center in Busan. To show our gratitude and affection, we prepared a small performance for them that included singing and a traditional dance from the Philippines. For our final song, we chose “Salamat,” which means “thank you,” as a way to express our heartfelt appreciation. Later in the afternoon, we attended a lecture at Kosin Gospel Hospital with Professor Kim Hye Sook from Silla University. She explained the differences between Korea’s Health Insurance and Long-Term Care Insurance systems, introduced us to helpful online insurance resources, and gave us a hands-on task to look up disease codes on insurance websites.

From the lecture, I learned about the dual structure of Korea’s healthcare financing—how the National Health Insurance provides broad medical coverage, while the Long-Term Care Insurance system specifically supports the elderly and disabled with daily living needs. I appreciated how Korea invests in transparency and accessibility by making insurance information easily available online. This helps patients and caregivers navigate complex health systems more confidently and fosters trust. The caregiving experience at the daycare showed me how care in Korea goes beyond medical treatment; it deeply involves emotional support and community-building.

This day reinforced for me that effective healthcare must blend clinical excellence with human compassion. The farewell made clear how emotional bonds and empathy are essential parts of healing and care. Meanwhile, the lecture highlighted the importance of clear communication and accessible systems to empower patients. As a future global health practitioner, I want to build health systems that are both patient-friendly and culturally sensitive, combining the best of technology and human connection. This holistic approach will, I believe, lead to better health outcomes and more meaningful care experiences.

The most unforgettable moment was the emotional farewell we shared at the daycare. I wasn’t sure what to expect, thinking the goodbye would be simple and routine. Instead, the elders showed such warmth and sensitivity, expressing their feelings with heartfelt words like “saranghamnida” (I love you). It was clear that we had formed strong bonds. The farewell reminded me of similar goodbyes in the Philippines, making me realize how universal and powerful human connection is, regardless of culture or language.

This experience taught me about the deep respect and care Korean society extends toward its elders. The caregivers and elders at the daycare were joyful and accommodating, embodying values of community, empathy, and respect. I also learned that caregiving in Korea isn’t just a job but a meaningful social role that fosters emotional connections. The kindness and cultural expressions I witnessed, like saying “saranghamnida,” highlighted how Korean culture deeply values warmth and affection, even in professional care settings.

Spending time in Busan and forming relationships with the elders and caregivers has deepened my understanding of what truly compassionate care looks like. It’s more than just medical treatment—it’s about building trust, respect, and emotional bonds. This experience has inspired me to approach global health with greater cultural sensitivity and humility. I now realize that healthcare systems must not only focus on efficiency but also nurture the human spirit. Moving forward, I want to incorporate these values of empathy, connection, and cultural respect into my future career in global health.

I also noticed how healthcare professionals like physical and occupational therapists can find good opportunities outside big cities like Busan. This contrasts with the Philippines, where many must move to large cities to find work. Visiting the hospital made me realize the importance of having specialized elderly care centers, something still rare in the Philippines.

This experience showed me how advanced and compassionate Korea’s healthcare system is, especially in supporting seniors. As a future global health practitioner, I hope to use what I’ve learned to improve postpartum and dementia care in the Philippines, helping more elderly Filipinos live healthier, dignified lives.

Back home in the Philippines, hospitals care for all ages in the same place. Here in Korea, they have a hospital just for elderly patients. Seeing it made me realize how much difference it can make when care is focused on their specific needs.

The hospital is supported by the government and covered by insurance. They provide both drug treatments and non-drug activities like coloring, nail care, games, and therapy — especially helpful for those with dementia. There are four wards: intensive care, chronic disease, specialized dementia care, and another dementia ward.

I used to think hospitals should treat everyone in the same space. Today showed me how valuable it is to have a place designed only for the elderly — a space where their needs are understood and met. It makes me want to advocate for similar programs in the future, so older people can receive the care and dignity they deserve.

~ ems 🐽

Later, the air was filled with laughter, singing, and dancing with the elderly. We weren’t just moving to the rhythm — we were sharing joy across generations. Their smiles made my heart full, and for a moment, it felt like time had slowed down just for us.

Visiting the Saebusan Caregiver Training Center and the Bumosarang Senior Welfare Center amazed me. I learned that anyone aged 21 and above can train to be a caregiver for free no degree needed. Eight weeks, six in the classroom and two in on-the-job training, and they even help graduates find work. It’s a chance for anyone with a caring heart to step into a profession that truly matters.

I also learned about Level 1 caregiving the highest level, for those who need the most assistance. Care can be given at home, or by the hour, depending on the needs of the person. I’m touched by how much support the government provides, making sure help reaches those who truly need it.

Back home, I always believed you needed a college degree to be “qualified.” Today broke that belief. I saw that skill, compassion, and dedication can matter just as much as if not more than — a diploma. It made me see that doors to making a difference should be open to everyone, not just those with formal education.

Today taught me that caring is not just a profession — it’s a calling. And sometimes, the heart is the only qualification you truly need.

~ ems 🐽

But what touched me the most wasn’t the technology. It was the time we spent with the 할머니 and 할아버지, playing the color cup game. We laughed as we stacked and sorted the cups, and I could see their eyes light up. Their smiles stayed with me long after the game ended.

Language was a challenge today. During Professor Bae’s lecture and at the Sahagu Rehabilitation Center, I wished I could speak Korean better. Sometimes I felt the distance — not just in words, but in how hard it was to express care and connect deeply. Still, even without perfect words, kindness found its way through smiles, gestures, and laughter.

From the lecture, I learned so much about Korea’s long-term care system and their national health insurance. I always thought it covered everything, but it turns out it usually covers 80%, and the rest is paid by the patient. It opened my eyes — even in a country with such advanced healthcare, there are still limits and challenges.

As the day ended, I carried two lessons with me: that caring for others is more than medical skills — it’s connection; and that understanding how different healthcare systems work can help me give better, fairer care in the future.

Today wasn’t just a tour. It was a reminder of the kind of healthcare professional I want to be — skilled, but also compassionate, patient, and willing to listen, even without the same language.

~ ems 🐽

Today, I noticed a big difference in the hospital system. In Korea, they use kiosks for insurance and check-in, which is so much more efficient than what I'm used to. I also appreciated the amenities available for patients while they wait, like free Wi-Fi and coffee shops. It's clear that Korean hospitals really emphasize patient comfort and convenience.

I also learned something new about the healthcare system here. I found out about the National Health Insurance and the separate Long-Term Care Insurance. While the National Health Insurance covers general diseases and injuries, the Long-Term Care Insurance is specifically for elderly care and daily living support. Both systems are managed by the National Health Insurance Service (NHIS).

Before this, I thought all medical insurance was universal. It was eye-opening to learn about a separate insurance specifically for the elderly. This specialized approach ensures that older individuals get the comprehensive and effective care they need as they age.

Today's experience has really made me think about the importance of public health policies that address both medical and social needs, especially for vulnerable people like the elderly. Seeing how Korea's Long-Term Care Insurance System works has inspired me to advocate for more holistic, accessible, and fair healthcare systems in my own country.

~ ems 🐽

Although we didn't do anything today, I've been reflecting on my time in Busan, and it's making me smile. The experiences and people I met have had a huge impact on me. Getting to tour various health centers and organizations was incredibly inspiring and eye-opening. The lectures from great professors were both educational and motivating, and the hands-on experience caring for the elderly was so rewarding. I learned valuable skills I'll carry with me in the future. I'm truly grateful for the knowledge and memories I gained.

Thinking back on the trip, I'm struck by how much modern technology has improved living conditions and how a strong healthcare system can raise a country's quality of life. Seeing firsthand how these advancements boost people's well-being was truly eye-opening.

Before this trip, I always thought hospitals were the main source of excellent medical care. But touring community health facilities showed me the importance of providing care closer to home, especially for vulnerable groups like the elderly. This approach is key to preventing disease and improving health outcomes.

My time in Busan has taught me that providing high-quality healthcare requires empathy, creativity, and teamwork. As a future global health professional, I want to carry these principles forward to help create effective and fair treatment for everyone, especially in my own country.

~ ems 🐽