From Earthquake to Empowerment in Bohol

By Jiang Ji-fang
Translated by Wu Hsiao-ting
Photos by Hsiao Yiu-hwa

Marking a decade of service, Tzu Chi volunteers in Bohol, the Philippines, continue to drive meaningful change through education, disaster relief, and community support.

In 2014, volunteers from Taiwan helped build temporary classrooms at Infant King Academy. A decade later, they revisited the site and joyfully posed with students at the school.

Bohol, an island province in the Philippines, is a popular tourist destination and diving paradise, known for its enigmatic Chocolate Hills and the rare, protected tarsiers. Beyond these iconic attractions, the people of Bohol are down-to-earth, hospitable, and deeply rooted in religious faith. Their warmth transcends language—a friendly smile can bridge the gap.

In December 2024, our team from Da Ai TV in Taiwan visited this beautiful island to document a decade of dedication by Tzu Chi volunteers. Over the years, these volunteers have done their best to make a difference in the region, particularly in the field of education.

The Philippines has many universities, but many children from impoverished families struggle to complete even secondary education. According to the Philippine Depart­ment of Education’s 2018 statistics, the dropout rate among secondary school students was 11 percent. For those that did graduate, less than half pursued higher education. As of 2023, over 15 percent of the Philippines’ 117 million population lived below the poverty line. This means approximately 17.54 million people or three million families. With an average monthly income of only 12,000 pesos (US$205) per five-person household, many families can barely meet their basic needs, let alone afford education. As a result, the dream of higher education remains out of reach for many children.

Tzu Chi’s support for Bohol has extended beyond charity and medical referrals to include education. By helping local students pursue their education, Tzu Chi has given them a chance to escape poverty and build a brighter future.

After a major earthquake

On October 15, 2013, a magnitude 7.2 earthquake struck Bohol, leaving more than 200 people dead or missing and damaging tens of thousands of structures. Volunteers from Manila, approximately an hour and a half away by plane, traveled to Bohol to assess damage and provide aid. However, just three weeks later, Typhoon Haiyan devastated nearby regions, including Leyte, leaving catastrophic destruction in its wake. In response, many NGOs, including Tzu Chi, redirected their resources to the urgent relief efforts in the typhoon-affected regions, temporarily halting aid operations in Bohol.

Over a month later, James Chua (蔡青山), a Tzu Chi volunteer who had assessed damage in Bohol, visited the Jing Si Abode in Hualien, Taiwan, to report on the relief efforts for Typhoon Haiyan. During his visit, Master Cheng Yen gently reminded him, “Don’t forget Bohol.” Taking her words to heart, Chua and other volunteers returned to Bohol in early 2014. During their trip there, local officials appealed to them, pleading, “Please visit our schools. Our students haven’t been able to attend classes properly for months!”

Vergie P. Almosura was a high school senior when the earthquake struck, leaving her school’s classrooms in ruins. She and her schoolmates were forced to attend lessons in makeshift tents, enduring stifling heat on sunny days and navigating puddles from leaks during rainy ones. When she was about to graduate, Tzu Chi volunteers visited the school, assessed the situation, and decided to construct temporary classrooms to create a more conducive learning environment.

In early June, construction materials were delivered, and a volunteer team arrived from Taiwan. They worked alongside parents, teachers, and local residents, teaching them how to assemble the structures. In total, 150 classrooms were built for 19 schools across nine towns in Bohol.

Vergie joined local residents in making concrete flooring bricks for the classroom construction project. She had already graduated by the time the classrooms were completed, but she was nonetheless overjoyed to see her younger schoolmates finally learning in a much-improved environment.

In October 2013, a powerful earthquake struck Bohol, severely damaging many school buildings. Sandingan National High School resumed classes under canopies set up beneath trees. Lin Yan-huang

By July 2014, the newly constructed temporary classrooms at Carmel Academy were completed and in use. Lineth Brondial

A warm reunion

In late 2024, a group of Taiwanese volunteers who had helped build the temporary classrooms in Bohol a decade earlier returned to the island to mark the tenth anniversary of Tzu Chi Bohol. Before the celebration began, they visited Infant King Academy in Cortes to check on the 15 temporary classrooms they had helped construct.

When they entered the school grounds, Chen Jin-hai (陳金海), the leader of the Taiwanese delegation, recognized a familiar face—Patricio B. Teneza. Teneza, who lives near the school, had joined the construction efforts ten years earlier. He had stepped in to help when he saw Tzu Chi volunteers working at the school. The reunion between the two men was filled with joy. Reflecting on their time working together, Chen said, “He was incredibly hardworking. Whenever we needed small parts, we always asked him to buy them for us. He worked seamlessly with our team.” Teneza’s dedication earned him a stable job; after the classrooms were completed, the school principal, impressed by his reliability, hired him as the school’s security guard. It’s a position he continues to hold to this day.

Another Taiwanese volunteer, Gan Qing-wen (甘清文), gently touched a pillar in a classroom at the school. “These two classrooms here—I assembled them with my own hands,” he said. “I was involved from the moment the materials were prefabricated at Tzu Chi’s office in Houli, central Taiwan. It’s hard to believe ten years have passed already.” He added that it was obvious that the school had taken great care of these classrooms: “Apart from minor roof leaks, they’re nearly in as good shape as they were ten years ago.”

The temporary classrooms, as their names indicate, were designed for short-term use, typically two to three years, until permanent replacements could be built. Why, then, after a decade, has the school been unable to rebuild permanent classrooms?

Infant King Academy’s situation isn’t unique. While education in the Philippines is widely accessible, annual education budgets are relatively low. By the time the already limited budget trickles down to more remote areas, the remaining funds are often insufficient to support major reconstruction projects. Schools have no choice but to delay reconstruction year after year.

Public schools might eventually receive government subsidies, but private institutions like Infant King Academy, which is church-run, face greater hurdles. Donations to the church in Bohol dropped after the earthquake in 2013, and the COVID-19 pandemic, along with the impact of Super Typhoon Rai in 2021, added further difficulties. As a result, the school is struggling to cover basic operational costs, making classroom reconstruction an insurmountable challenge.

Closing the technology gap

Classroom reconstruction remains a distant hope, but natural disasters can strike at any time. Super Typhoon Rai delivered a severe blow to Bohol in December 2021, destroying most wooden houses and severely damaging school buildings. Even sturdier classrooms and their contents were not spared. Among the most pressing challenges following the typhoon was the shortage of computers for students.

The computer lab at Infant King Academy originally housed 30 computers for about 450 students to share. After the typhoon, only eight remained functional, far from enough to meet the school’s needs. Teachers were forced to explain how to use the computers without students being able to practice on the machines themselves.

Joven Uy (黃三民), the first certified Tzu Chi volunteer in Bohol, learned of the school’s predicament during a visit there. He is a fourth-generation Chinese-Filipino, and, coming from a family that highly values education, he was determined to find a solution. “This is the digital age,” he said. “Can you imagine a computer class without computers? It puts students at a significant disadvantage.”

Uy first reached out to a multinational computer company in Manila but received no response. He then turned to Chen Zhao-yang (陳兆揚), a Taiwanese Tzu Chi volunteer and former businessman in Manila, who helped connect him with Tzu Chi’s computer recycling team in Hsinchu, Taiwan. That led to volunteers from Taiwan and the Philippines working together to deliver refurbished computers to Bohol. Between June 2023 and November 2024, the computer recycling team donated 150 computers. Infant King Academy benefited from the influx of equipment, as did dozens of other schools and several orphanages in Bohol.

On December 12, 2024, Wu Xiong-lin (吳雄麟), a volunteer with the computer recycling team, visited Infant King Academy to meet the teachers and students who had received the donated computers. Wu has been refurbishing second-hand computers for the team for about two years and is skilled in basic repairs and parts replacement. While visiting the school, he sought feedback on how the donated computers were being used in order to improve future refurbishment efforts. He also expressed hope that the computers would open new horizons for students and enrich their educational experience.

A student eagerly uses a refurbished second-hand computer donated by volunteers from Taiwan.

Philippine volunteer James Chua engages with teachers and students to understand their needs.

Scholarships

In 2014, while Tzu Chi was building temporary classrooms in Bohol, volunteers discovered that the earthquake had exacerbated the financial difficulties of many families, forcing their children to discontinue their education. In response, Tzu Chi began offering scholarships to underprivileged students, enabling them to pursue higher education.

Vergie, from earlier in this article, shared her story. Her family lived in a remote mountainous area and survived on farming rice that yielded just enough to feed themselves. As she and her siblings grew older, the burden of tuition fees grew heavier. To support their education, her mother risked venturing into the jungle to collect vines, which she wove into baskets to sell. Fighting back tears, Vergie recalled, “Those were truly difficult days. Tzu Chi’s scholarship program was my only chance to attend university.” Determined to continue her education, she worked hard to gain admission to Bohol Island State University and successfully passed the Tzu Chi scholarship qualification exam, becoming one of its beneficiaries.

Another scholarship recipient, Menard Gabriel Diez Alisoso, shared a similar story. His father had several children to support, including Menard’s older sister, who was already in college. Understanding his family’s financial struggles, Menard was prepared to forgo higher education and had even found a job as a market laborer. But then he unexpectedly learned about Tzu Chi’s scholarship program. After passing the qualification exam, he was able to realize his dream of attending college.

During their university years, Vergie, Menard, and other Tzu Chi scholarship recipients participated in monthly courses to learn about Tzu Chi’s values and philosophy. They also joined volunteers in caring for needy families and visiting orphanages. These experiences led Vergie and Menard to join Tzu Chi Bohol as staff members after graduation.

In June 2024, Vergie secured a position with a government agency. Later that December, she traveled to Taiwan to attend a Tzu Chi year-end blessing and volunteer certification ceremony, becoming the first scholarship recipient from Bohol to be certified as a Tzu Chi volunteer.

Menard, on the other hand, became a key figure in Tzu Chi Bohol’s Happy Home Project. This initiative builds houses for disadvantaged families and elderly individuals living alone, using locally sourced materials like bamboo. Housing recipients can also participate in the construction process, earning wages for their labor. Volunteers continue to support the families with follow-up visits after the houses are finished.

Between 2014 and 2024, Tzu Chi Bohol awarded 2,212 scholarships to young people like Vergie and Menard, with 355 recipients completing their university education. Most of these graduates secured stable jobs, significantly improving their families’ financial circumstances.

In August 2023, Tzu Chi volunteers hosted a scholarship award ceremony in Loon, Bohol. Du Mei-lin

Vergie P. Almosura, the first Tzu Chi scholarship recipient from Bohol to become a certified Tzu Chi volunteer, completed her college education with the support of the scholarship. After graduating, she secured a stable income, greatly improving her family’s financial situation.

Spreading love

When our team arrived in Bohol on the evening of December 8, we visited Brother Joven Uy at his home. He recounted Tzu Chi’s decade-long journey in Bohol, sharing insights that deeply resonated with us. While many see Bohol as a glamorous tourist destination, he offered a different perspective: “Bohol is a simple and humble place. Most residents are farmers or fishermen, and many families live on the edge of poverty, unable to afford their children’s education. These challenges need more attention.”

He expressed heartfelt gratitude to the Tzu Chi volunteers who had returned to Bohol ten years earlier after providing relief for Typhoon Haiyan. He was especially thankful for Master Cheng Yen’s gentle reminder: “Don’t forget Bohol.” Those words ensured that help reached many people in need.

A decade is just the beginning. Brother Uy and other volunteers in Bohol sincerely hope to inspire more locals to join Tzu Chi’s mission, spreading love and compassion throughout the island.

Where Water Is a Luxury

Text and photos by Hsiao Yiu-hwa
Information provided by Jiang Ji-fang
Translated by Wu Hsiao-ting
Photos by Hsiao Yiu-hwa

Photo by Chen Yi-ming

Bagong Banwa, an islet located 13 kilometers (8.1 miles) northwest of the main island of Bohol province in the Philippines, spans an area roughly equivalent to three to four soccer fields. Home to over 1,300 residents, the island previously had no freshwater resources and relied almost entirely on the main island for drinking water and essential supplies. Water costs for locals consumed up to ten percent of their monthly income—a struggle also shared by residents of more than 80 small islands surrounding Bohol. Recently, however, conditions have begun to improve with the installation of a solar-powered seawater desalination unit.

Supply Strain

Bagong Banwa, about an hour by boat from Bohol, lacks a formal dock for unloading cargo. All supplies arriving by boat are manually transported. People wade through the water to reach the boat, unload the cargo, and then carry it ashore (photo 1). This labor-intensive process highlights the logistical difficulties of island life, including the high cost of water. In Tubigon, Bohol’s busiest port, a five-gallon container of water costs 40 pesos (US$0.69), but the price rises to 60 pesos (US$1.03) once transported to Bagong Banwa. Photo 2 shows empty water containers placed outside a local home, awaiting transport back to Tubigon for refilling.

Desalinated Well Water

Bagong Banwa has retail water dispensers, where plastic bags are also provided for collecting water. These dispensers charge one peso for about 250 milliliters of water. Wells are common on the island, producing water with a salinity slightly lower than seawater, primarily used for washing and cleaning. The well water can also serve as a source for desalinated drinking water.

After a year of installation and testing, Tzu Chi Bohol officially launched a solar-powered seawater desalination unit on Bagong Banwa on December 17, 2024. Donated by Taiwanese businessman Chen Qi-yi and Taiwan’s Hamak Technology, the unit uses well water as its source and can produce 5,000 liters of freshwater daily. This is enough to supply drinking water to 2,000 residents of Bagong Banwa and the nearby island of Macaboc, providing each person with a daily allocation of 2.5 liters.

By Jiang Ji-fang
Translated by Wu Hsiao-ting
Photos by Hsiao Yiu-hwa

Marking a decade of service, Tzu Chi volunteers in Bohol, the Philippines, continue to drive meaningful change through education, disaster relief, and community support.

In 2014, volunteers from Taiwan helped build temporary classrooms at Infant King Academy. A decade later, they revisited the site and joyfully posed with students at the school.

Bohol, an island province in the Philippines, is a popular tourist destination and diving paradise, known for its enigmatic Chocolate Hills and the rare, protected tarsiers. Beyond these iconic attractions, the people of Bohol are down-to-earth, hospitable, and deeply rooted in religious faith. Their warmth transcends language—a friendly smile can bridge the gap.

In December 2024, our team from Da Ai TV in Taiwan visited this beautiful island to document a decade of dedication by Tzu Chi volunteers. Over the years, these volunteers have done their best to make a difference in the region, particularly in the field of education.

The Philippines has many universities, but many children from impoverished families struggle to complete even secondary education. According to the Philippine Depart­ment of Education’s 2018 statistics, the dropout rate among secondary school students was 11 percent. For those that did graduate, less than half pursued higher education. As of 2023, over 15 percent of the Philippines’ 117 million population lived below the poverty line. This means approximately 17.54 million people or three million families. With an average monthly income of only 12,000 pesos (US$205) per five-person household, many families can barely meet their basic needs, let alone afford education. As a result, the dream of higher education remains out of reach for many children.

Tzu Chi’s support for Bohol has extended beyond charity and medical referrals to include education. By helping local students pursue their education, Tzu Chi has given them a chance to escape poverty and build a brighter future.

After a major earthquake

On October 15, 2013, a magnitude 7.2 earthquake struck Bohol, leaving more than 200 people dead or missing and damaging tens of thousands of structures. Volunteers from Manila, approximately an hour and a half away by plane, traveled to Bohol to assess damage and provide aid. However, just three weeks later, Typhoon Haiyan devastated nearby regions, including Leyte, leaving catastrophic destruction in its wake. In response, many NGOs, including Tzu Chi, redirected their resources to the urgent relief efforts in the typhoon-affected regions, temporarily halting aid operations in Bohol.

Over a month later, James Chua (蔡青山), a Tzu Chi volunteer who had assessed damage in Bohol, visited the Jing Si Abode in Hualien, Taiwan, to report on the relief efforts for Typhoon Haiyan. During his visit, Master Cheng Yen gently reminded him, “Don’t forget Bohol.” Taking her words to heart, Chua and other volunteers returned to Bohol in early 2014. During their trip there, local officials appealed to them, pleading, “Please visit our schools. Our students haven’t been able to attend classes properly for months!”

Vergie P. Almosura was a high school senior when the earthquake struck, leaving her school’s classrooms in ruins. She and her schoolmates were forced to attend lessons in makeshift tents, enduring stifling heat on sunny days and navigating puddles from leaks during rainy ones. When she was about to graduate, Tzu Chi volunteers visited the school, assessed the situation, and decided to construct temporary classrooms to create a more conducive learning environment.

In early June, construction materials were delivered, and a volunteer team arrived from Taiwan. They worked alongside parents, teachers, and local residents, teaching them how to assemble the structures. In total, 150 classrooms were built for 19 schools across nine towns in Bohol.

Vergie joined local residents in making concrete flooring bricks for the classroom construction project. She had already graduated by the time the classrooms were completed, but she was nonetheless overjoyed to see her younger schoolmates finally learning in a much-improved environment.

In October 2013, a powerful earthquake struck Bohol, severely damaging many school buildings. Sandingan National High School resumed classes under canopies set up beneath trees. Lin Yan-huang

By July 2014, the newly constructed temporary classrooms at Carmel Academy were completed and in use. Lineth Brondial

A warm reunion

In late 2024, a group of Taiwanese volunteers who had helped build the temporary classrooms in Bohol a decade earlier returned to the island to mark the tenth anniversary of Tzu Chi Bohol. Before the celebration began, they visited Infant King Academy in Cortes to check on the 15 temporary classrooms they had helped construct.

When they entered the school grounds, Chen Jin-hai (陳金海), the leader of the Taiwanese delegation, recognized a familiar face—Patricio B. Teneza. Teneza, who lives near the school, had joined the construction efforts ten years earlier. He had stepped in to help when he saw Tzu Chi volunteers working at the school. The reunion between the two men was filled with joy. Reflecting on their time working together, Chen said, “He was incredibly hardworking. Whenever we needed small parts, we always asked him to buy them for us. He worked seamlessly with our team.” Teneza’s dedication earned him a stable job; after the classrooms were completed, the school principal, impressed by his reliability, hired him as the school’s security guard. It’s a position he continues to hold to this day.

Another Taiwanese volunteer, Gan Qing-wen (甘清文), gently touched a pillar in a classroom at the school. “These two classrooms here—I assembled them with my own hands,” he said. “I was involved from the moment the materials were prefabricated at Tzu Chi’s office in Houli, central Taiwan. It’s hard to believe ten years have passed already.” He added that it was obvious that the school had taken great care of these classrooms: “Apart from minor roof leaks, they’re nearly in as good shape as they were ten years ago.”

The temporary classrooms, as their names indicate, were designed for short-term use, typically two to three years, until permanent replacements could be built. Why, then, after a decade, has the school been unable to rebuild permanent classrooms?

Infant King Academy’s situation isn’t unique. While education in the Philippines is widely accessible, annual education budgets are relatively low. By the time the already limited budget trickles down to more remote areas, the remaining funds are often insufficient to support major reconstruction projects. Schools have no choice but to delay reconstruction year after year.

Public schools might eventually receive government subsidies, but private institutions like Infant King Academy, which is church-run, face greater hurdles. Donations to the church in Bohol dropped after the earthquake in 2013, and the COVID-19 pandemic, along with the impact of Super Typhoon Rai in 2021, added further difficulties. As a result, the school is struggling to cover basic operational costs, making classroom reconstruction an insurmountable challenge.

Closing the technology gap

Classroom reconstruction remains a distant hope, but natural disasters can strike at any time. Super Typhoon Rai delivered a severe blow to Bohol in December 2021, destroying most wooden houses and severely damaging school buildings. Even sturdier classrooms and their contents were not spared. Among the most pressing challenges following the typhoon was the shortage of computers for students.

The computer lab at Infant King Academy originally housed 30 computers for about 450 students to share. After the typhoon, only eight remained functional, far from enough to meet the school’s needs. Teachers were forced to explain how to use the computers without students being able to practice on the machines themselves.

Joven Uy (黃三民), the first certified Tzu Chi volunteer in Bohol, learned of the school’s predicament during a visit there. He is a fourth-generation Chinese-Filipino, and, coming from a family that highly values education, he was determined to find a solution. “This is the digital age,” he said. “Can you imagine a computer class without computers? It puts students at a significant disadvantage.”

Uy first reached out to a multinational computer company in Manila but received no response. He then turned to Chen Zhao-yang (陳兆揚), a Taiwanese Tzu Chi volunteer and former businessman in Manila, who helped connect him with Tzu Chi’s computer recycling team in Hsinchu, Taiwan. That led to volunteers from Taiwan and the Philippines working together to deliver refurbished computers to Bohol. Between June 2023 and November 2024, the computer recycling team donated 150 computers. Infant King Academy benefited from the influx of equipment, as did dozens of other schools and several orphanages in Bohol.

On December 12, 2024, Wu Xiong-lin (吳雄麟), a volunteer with the computer recycling team, visited Infant King Academy to meet the teachers and students who had received the donated computers. Wu has been refurbishing second-hand computers for the team for about two years and is skilled in basic repairs and parts replacement. While visiting the school, he sought feedback on how the donated computers were being used in order to improve future refurbishment efforts. He also expressed hope that the computers would open new horizons for students and enrich their educational experience.

A student eagerly uses a refurbished second-hand computer donated by volunteers from Taiwan.

Philippine volunteer James Chua engages with teachers and students to understand their needs.

Scholarships

In 2014, while Tzu Chi was building temporary classrooms in Bohol, volunteers discovered that the earthquake had exacerbated the financial difficulties of many families, forcing their children to discontinue their education. In response, Tzu Chi began offering scholarships to underprivileged students, enabling them to pursue higher education.

Vergie, from earlier in this article, shared her story. Her family lived in a remote mountainous area and survived on farming rice that yielded just enough to feed themselves. As she and her siblings grew older, the burden of tuition fees grew heavier. To support their education, her mother risked venturing into the jungle to collect vines, which she wove into baskets to sell. Fighting back tears, Vergie recalled, “Those were truly difficult days. Tzu Chi’s scholarship program was my only chance to attend university.” Determined to continue her education, she worked hard to gain admission to Bohol Island State University and successfully passed the Tzu Chi scholarship qualification exam, becoming one of its beneficiaries.

Another scholarship recipient, Menard Gabriel Diez Alisoso, shared a similar story. His father had several children to support, including Menard’s older sister, who was already in college. Understanding his family’s financial struggles, Menard was prepared to forgo higher education and had even found a job as a market laborer. But then he unexpectedly learned about Tzu Chi’s scholarship program. After passing the qualification exam, he was able to realize his dream of attending college.

During their university years, Vergie, Menard, and other Tzu Chi scholarship recipients participated in monthly courses to learn about Tzu Chi’s values and philosophy. They also joined volunteers in caring for needy families and visiting orphanages. These experiences led Vergie and Menard to join Tzu Chi Bohol as staff members after graduation.

In June 2024, Vergie secured a position with a government agency. Later that December, she traveled to Taiwan to attend a Tzu Chi year-end blessing and volunteer certification ceremony, becoming the first scholarship recipient from Bohol to be certified as a Tzu Chi volunteer.

Menard, on the other hand, became a key figure in Tzu Chi Bohol’s Happy Home Project. This initiative builds houses for disadvantaged families and elderly individuals living alone, using locally sourced materials like bamboo. Housing recipients can also participate in the construction process, earning wages for their labor. Volunteers continue to support the families with follow-up visits after the houses are finished.

Between 2014 and 2024, Tzu Chi Bohol awarded 2,212 scholarships to young people like Vergie and Menard, with 355 recipients completing their university education. Most of these graduates secured stable jobs, significantly improving their families’ financial circumstances.

In August 2023, Tzu Chi volunteers hosted a scholarship award ceremony in Loon, Bohol. Du Mei-lin

Vergie P. Almosura, the first Tzu Chi scholarship recipient from Bohol to become a certified Tzu Chi volunteer, completed her college education with the support of the scholarship. After graduating, she secured a stable income, greatly improving her family’s financial situation.

Spreading love

When our team arrived in Bohol on the evening of December 8, we visited Brother Joven Uy at his home. He recounted Tzu Chi’s decade-long journey in Bohol, sharing insights that deeply resonated with us. While many see Bohol as a glamorous tourist destination, he offered a different perspective: “Bohol is a simple and humble place. Most residents are farmers or fishermen, and many families live on the edge of poverty, unable to afford their children’s education. These challenges need more attention.”

He expressed heartfelt gratitude to the Tzu Chi volunteers who had returned to Bohol ten years earlier after providing relief for Typhoon Haiyan. He was especially thankful for Master Cheng Yen’s gentle reminder: “Don’t forget Bohol.” Those words ensured that help reached many people in need.

A decade is just the beginning. Brother Uy and other volunteers in Bohol sincerely hope to inspire more locals to join Tzu Chi’s mission, spreading love and compassion throughout the island.

Where Water Is a Luxury

Text and photos by Hsiao Yiu-hwa
Information provided by Jiang Ji-fang
Translated by Wu Hsiao-ting
Photos by Hsiao Yiu-hwa

Photo by Chen Yi-ming

Bagong Banwa, an islet located 13 kilometers (8.1 miles) northwest of the main island of Bohol province in the Philippines, spans an area roughly equivalent to three to four soccer fields. Home to over 1,300 residents, the island previously had no freshwater resources and relied almost entirely on the main island for drinking water and essential supplies. Water costs for locals consumed up to ten percent of their monthly income—a struggle also shared by residents of more than 80 small islands surrounding Bohol. Recently, however, conditions have begun to improve with the installation of a solar-powered seawater desalination unit.

Supply Strain

Bagong Banwa, about an hour by boat from Bohol, lacks a formal dock for unloading cargo. All supplies arriving by boat are manually transported. People wade through the water to reach the boat, unload the cargo, and then carry it ashore (photo 1). This labor-intensive process highlights the logistical difficulties of island life, including the high cost of water. In Tubigon, Bohol’s busiest port, a five-gallon container of water costs 40 pesos (US$0.69), but the price rises to 60 pesos (US$1.03) once transported to Bagong Banwa. Photo 2 shows empty water containers placed outside a local home, awaiting transport back to Tubigon for refilling.

Desalinated Well Water

Bagong Banwa has retail water dispensers, where plastic bags are also provided for collecting water. These dispensers charge one peso for about 250 milliliters of water. Wells are common on the island, producing water with a salinity slightly lower than seawater, primarily used for washing and cleaning. The well water can also serve as a source for desalinated drinking water.

After a year of installation and testing, Tzu Chi Bohol officially launched a solar-powered seawater desalination unit on Bagong Banwa on December 17, 2024. Donated by Taiwanese businessman Chen Qi-yi and Taiwan’s Hamak Technology, the unit uses well water as its source and can produce 5,000 liters of freshwater daily. This is enough to supply drinking water to 2,000 residents of Bagong Banwa and the nearby island of Macaboc, providing each person with a daily allocation of 2.5 liters.

關鍵字

Love as the Final Comfort

Narrated by Shen Huan-ting, chief of chest medicine, Taichung Tzu Chi Hospital
Compiled by Yang Shi-jie and Lan Ming-heng
Edited and translated by Wu Hsiao-ting
Painting by Wen Mu

Fifteen years in the intensive care unit have shown me the fragile balance between life and death. Despite our best efforts, some outcomes are beyond our control. Yet, our palliative care team demonstrates that, even in the face of the inevitable, love can make all the difference.

I came across a prayer that resonated deeply with me:

I no longer wish to be an expert at solving problems; I simply want to be a companion in life. I no longer wish to be obsessed with playing the hero who saves lives; I only want to sit beside you as an equal, look at you, and listen to your stories. I no longer wish to change others’ lives; I simply want to go deeper into life and listen with my whole heart.

Fifteen years in the intensive care unit (ICU) have shown me the delicate balance between life and death. Despite our tireless efforts, not all battles can be won.

Five years ago, at 43, Mr. Chen was involved in a severe car accident that left him with a traumatic brain injury. Emergency surgery was performed to create a tracheostomy, enabling him to be placed on a ventilator to sustain his bodily functions. Bedridden and unable to recognize anyone, he was later transferred from a nursing facility to Taichung Tzu Chi Hospital for treatment. Upon discharge, his wife, unwilling to leave him in institutional care, brought him home to care for him herself. The pressure on her as a caregiver was immense. Each day, she turned him in bed, patted his back, suctioned his phlegm, and changed his dressings. She also learned to operate a home ventilator.

Mr. Chen was admitted to Taichung Tzu Chi Hospital 15 times over the next three years. I directly supervised his care in 13 of those admissions. Some might attribute his frequent hospital visits to inadequate home care, but this couldn’t be further from the truth. Mr. Chen’s wife was an excellent caregiver. For example, he once had a pressure ulcer on his sacrum and tailbone the size of a fist. Through his wife’s meticulous care, it healed to the size of a coin—a testament to her devotion.

Despite her exceptional efforts, the car accident caused irreversible damage to Mr. Chen’s health, resulting in progressive organ failure. Unable to speak, he endured his suffering in silence, leaving us to imagine its extent. His problems only grew worse with time. He developed a chronic abscess in his left eye. His stomach’s impaired emptying function required a nasogastric tube to drain gastric fluids and a duodenal tube for feeding, leading to recurring gastric ulcers. He also suffered complications such as cirrhosis, an enlarged spleen, chronic anemia, and autonomic dysfunction, which caused erratic blood pressure. His care grew increasingly complex.

Feeling the family’s growing anxiety and burden, we had several discussions with them, and our home palliative care team became involved early on. By February 2024, Mr. Chen’s liver and kidneys were nearing complete failure. Given the irreversible nature of his condition, additional life-sustaining measures like dialysis were not recommended. Recognizing the limitations of home care, we worked with his family to arrange his transfer to the hospital’s palliative care ward.

Mr. Chen had two children, in junior and senior high school. Upon learning that their father’s time was limited, they took leave from school to stay by his side. When they voiced the heartbreaking thought, “After Dad passes away, we’ll never be able to hold his hand again,” the palliative care team made a plaster cast of Mr. Chen’s left hand as a keepsake for the children. When they received the gift, they said, “Whenever we need strength in the future, we can hold Dad’s hand and remember him.”

I attended some of the meetings regarding Mr. Chen’s care and was deeply moved by the palliative care team’s efforts. They arranged for him to have a soothing bath—a remarkable feat for someone dependent on a ventilator—and helped his children create a “graduation from life” album for their father. Mrs. Chen, who had initially resisted transferring her husband to the palliative care ward, ultimately expressed heartfelt gratitude for the team’s compassionate care.

What I couldn’t achieve for Mr. Chen in the ICU, the palliative care team accomplished with compassion and commitment. I am deeply grateful to my colleagues for providing Mr. Chen with final days filled with love, comfort, and dignity.

Narrated by Shen Huan-ting, chief of chest medicine, Taichung Tzu Chi Hospital
Compiled by Yang Shi-jie and Lan Ming-heng
Edited and translated by Wu Hsiao-ting
Painting by Wen Mu

Fifteen years in the intensive care unit have shown me the fragile balance between life and death. Despite our best efforts, some outcomes are beyond our control. Yet, our palliative care team demonstrates that, even in the face of the inevitable, love can make all the difference.

I came across a prayer that resonated deeply with me:

I no longer wish to be an expert at solving problems; I simply want to be a companion in life. I no longer wish to be obsessed with playing the hero who saves lives; I only want to sit beside you as an equal, look at you, and listen to your stories. I no longer wish to change others’ lives; I simply want to go deeper into life and listen with my whole heart.

Fifteen years in the intensive care unit (ICU) have shown me the delicate balance between life and death. Despite our tireless efforts, not all battles can be won.

Five years ago, at 43, Mr. Chen was involved in a severe car accident that left him with a traumatic brain injury. Emergency surgery was performed to create a tracheostomy, enabling him to be placed on a ventilator to sustain his bodily functions. Bedridden and unable to recognize anyone, he was later transferred from a nursing facility to Taichung Tzu Chi Hospital for treatment. Upon discharge, his wife, unwilling to leave him in institutional care, brought him home to care for him herself. The pressure on her as a caregiver was immense. Each day, she turned him in bed, patted his back, suctioned his phlegm, and changed his dressings. She also learned to operate a home ventilator.

Mr. Chen was admitted to Taichung Tzu Chi Hospital 15 times over the next three years. I directly supervised his care in 13 of those admissions. Some might attribute his frequent hospital visits to inadequate home care, but this couldn’t be further from the truth. Mr. Chen’s wife was an excellent caregiver. For example, he once had a pressure ulcer on his sacrum and tailbone the size of a fist. Through his wife’s meticulous care, it healed to the size of a coin—a testament to her devotion.

Despite her exceptional efforts, the car accident caused irreversible damage to Mr. Chen’s health, resulting in progressive organ failure. Unable to speak, he endured his suffering in silence, leaving us to imagine its extent. His problems only grew worse with time. He developed a chronic abscess in his left eye. His stomach’s impaired emptying function required a nasogastric tube to drain gastric fluids and a duodenal tube for feeding, leading to recurring gastric ulcers. He also suffered complications such as cirrhosis, an enlarged spleen, chronic anemia, and autonomic dysfunction, which caused erratic blood pressure. His care grew increasingly complex.

Feeling the family’s growing anxiety and burden, we had several discussions with them, and our home palliative care team became involved early on. By February 2024, Mr. Chen’s liver and kidneys were nearing complete failure. Given the irreversible nature of his condition, additional life-sustaining measures like dialysis were not recommended. Recognizing the limitations of home care, we worked with his family to arrange his transfer to the hospital’s palliative care ward.

Mr. Chen had two children, in junior and senior high school. Upon learning that their father’s time was limited, they took leave from school to stay by his side. When they voiced the heartbreaking thought, “After Dad passes away, we’ll never be able to hold his hand again,” the palliative care team made a plaster cast of Mr. Chen’s left hand as a keepsake for the children. When they received the gift, they said, “Whenever we need strength in the future, we can hold Dad’s hand and remember him.”

I attended some of the meetings regarding Mr. Chen’s care and was deeply moved by the palliative care team’s efforts. They arranged for him to have a soothing bath—a remarkable feat for someone dependent on a ventilator—and helped his children create a “graduation from life” album for their father. Mrs. Chen, who had initially resisted transferring her husband to the palliative care ward, ultimately expressed heartfelt gratitude for the team’s compassionate care.

What I couldn’t achieve for Mr. Chen in the ICU, the palliative care team accomplished with compassion and commitment. I am deeply grateful to my colleagues for providing Mr. Chen with final days filled with love, comfort, and dignity.

關鍵字

Tzu Chi Event Highlights—Dec. 14, 2024 to Feb. 23, 2025

China

On January 7, a powerful 6.8-magnitude earthquake struck Tingri County in Shigatse, Tibet. Neighboring areas such as Lhatse County were also affected. Over 3,000 houses collapsed, and more than 60,000 people were displaced. Tzu Chi volunteers in China quickly mobilized to prepare and organize the transportation of emergency aid, including 32,000 kilograms (70,550 pounds) of tsampa (a local staple food), 2,000 blankets, 350 metric tons (385 U.S. short tons) of heating coal, and 600 folding beds. These supplies were distributed to displaced residents at resettlement sites.

Nepal

On January 11, Tzu Chi held a groundbreaking ceremony for its Lumbini campus. Over 2,300 people attended. The campus will serve as a base for Tzu Chi’s humanitarian efforts in Nepal, with plans for a vocational training center, a free clinic, and other facilities.

Thailand

On December 18 and 19, Tzu Chi Thailand distributed winter aid in the form of shopping vouchers. The assistance benefited 2,046 refugee households from Iran, Pakistan, and other countries.

Sri Lanka

The Sri Lankan government declared bankruptcy in July 2022. While the situation has gradually stabilized, a shortage of basic goods persists. Tzu Chi volunteers have regularly distributed aid at the Colombo office, helping over a hundred impoverished households during the food scarcity. One such event took place on January 28.

Taiwan

A new student dormitory at Fengtian Junior High School in Taitung County, built with Tzu Chi’s support, was inaugurated on January 2. The county government sought the foundation’s assistance for its construction to remedy the cramped conditions and inadequate facilities of the previous dormitory. The new facility features 21 bedrooms with 126 beds, as well as shower rooms, a reading room, a dining area, and a training lounge, providing students with a better environment to focus on their studies and develop their potential.

On January 21, an earthquake struck southern Taiwan, with its epicenter located in Dapu Township, Chiayi County. In the immediate aftermath, from January 22 to 27, Tzu Chi volunteers conducted nearly 4,000 home visits in affected areas, providing comfort and support while distributing emergency financial aid to 240 households as well as 4,000 gift packs. Volunteers also provided 40,000 hot meals and assisted in setting up government shelters by supplying 497 folding beds and 193 privacy cubicles. Beginning February 10, expert volunteers from across Taiwan helped repair homes in two neighborhoods in Nanxi District, Tainan.

At 11:33 a.m. on February 13, a gas explosion occurred at the Shin Kong Mitsukoshi department store in Xitun District, Taichung City, killing four people and injuring 34. The weather was cold and rainy, so volunteers set up a care center outside the rescue area, providing hot ginger tea, bottled water, bread, sweet porridge, and rice dumplings to emergency responders. Volunteers also visited hospitals to comfort the injured and their families.

Malaysia

Continuing their flood relief efforts from late 2024, Tzu Chi Kelantan volunteers visited 11 schools in Tumpat and Pasir Mas in January, distributing school uniforms and necessities to 3,321 students, along with cash aid to 295 staff members. They also provided dry food, blankets, cleaning supplies, and cash aid to 568 households in several ethnic Thai villages and a Thai temple.

Beginning on Lunar New Year’s Eve, January 28, Borneo experienced several consecutive days of torrential rain, causing flooding in Bintulu, Miri, and Keningau and affecting over 10,000 people. From February 6 to 16, volunteers were mobilized to assess damage and compile a distribution roster, visiting 5,494 households. They also distributed food to affected families, assisted elderly residents in cleaning their homes, helped students with school uniform expenses, and provided school desks and chairs. On February 23, cash aid distributions were held in Bintulu and Miri.

Indonesia

To commemorate the 20th anniversary of the Indian Ocean tsunami, Tzu Chi Indonesia, in collaboration with the Iskandar Muda Military Regional Command, conducted a free clinic from December 14 to 15 at a military hospital in Kuta Alam, Banda Aceh. During the event, 114 surgeries were performed, including cataract, hernia, cleft lip, and tumor treatments.

Tzu Chi Indonesia, working with various government agencies, launched a project in January to build 500 free housing units for underprivileged families, replacing their old, unsafe homes. Construction was set to begin in Johar Baru, Central Jakarta. On February 12, a site assessment was conducted in Tanah Tinggi, Johar Baru.

Sierra Leone

On February 10, a Tzu Chi team began a three-week visit to Sierra Leone. They met with Tzu Chi’s humanitarian aid partners in the country, including Caritas Freetown, the Healey International Relief Foundation, and the Lanyi Foundation, to assess the impact of Tzu Chi’s projects and discuss further support. Tzu Chi began providing aid in Sierra Leone in 2015, assisting homeless Ebola survivors and orphans following the worst Ebola outbreak in history, which began in Guinea in 2013 and spread to Liberia and Sierra Leone before being officially declared over in 2016. Over the past ten years, Tzu Chi and its partners have also provided support in response to floods, landslides, and slum fires. Additional work has included women’s sewing training, community cleaning to prevent floods, water resource and sanitation system construction, and educational programs. These efforts have benefited more than 100,000 people annually.

The United States

On January 7, devastating wildfires broke out in Los Angeles County, with two of them ranking among the three most destructive in California’s history. Tzu Chi volunteers took part in relief efforts at the Wildfire Resource Hub and three FEMA Disaster Recovery Centers, assisting survivors with aid registration, while a mobile vision clinic served 183 people. From January 18 to February 23, Tzu Chi distributed cash cards, blankets, cleaning supplies, clothing, food packages, and protective gear to 4,339 affected households. Volunteers completed 1,800 shifts in total. ★More information

Bitter cold hit the southern United States, with temperatures dropping to -2°C to -8°C (28.4°F to 17.6°F). Thousands of flights were canceled or delayed. To assist those in need, Tzu Chi Texas volunteers prepared supplies and, on January 20, delivered blankets, drinking water, and food to two warming centers serving homeless individuals.

China

On January 7, a powerful 6.8-magnitude earthquake struck Tingri County in Shigatse, Tibet. Neighboring areas such as Lhatse County were also affected. Over 3,000 houses collapsed, and more than 60,000 people were displaced. Tzu Chi volunteers in China quickly mobilized to prepare and organize the transportation of emergency aid, including 32,000 kilograms (70,550 pounds) of tsampa (a local staple food), 2,000 blankets, 350 metric tons (385 U.S. short tons) of heating coal, and 600 folding beds. These supplies were distributed to displaced residents at resettlement sites.

Nepal

On January 11, Tzu Chi held a groundbreaking ceremony for its Lumbini campus. Over 2,300 people attended. The campus will serve as a base for Tzu Chi’s humanitarian efforts in Nepal, with plans for a vocational training center, a free clinic, and other facilities.

Thailand

On December 18 and 19, Tzu Chi Thailand distributed winter aid in the form of shopping vouchers. The assistance benefited 2,046 refugee households from Iran, Pakistan, and other countries.

Sri Lanka

The Sri Lankan government declared bankruptcy in July 2022. While the situation has gradually stabilized, a shortage of basic goods persists. Tzu Chi volunteers have regularly distributed aid at the Colombo office, helping over a hundred impoverished households during the food scarcity. One such event took place on January 28.

Taiwan

A new student dormitory at Fengtian Junior High School in Taitung County, built with Tzu Chi’s support, was inaugurated on January 2. The county government sought the foundation’s assistance for its construction to remedy the cramped conditions and inadequate facilities of the previous dormitory. The new facility features 21 bedrooms with 126 beds, as well as shower rooms, a reading room, a dining area, and a training lounge, providing students with a better environment to focus on their studies and develop their potential.

On January 21, an earthquake struck southern Taiwan, with its epicenter located in Dapu Township, Chiayi County. In the immediate aftermath, from January 22 to 27, Tzu Chi volunteers conducted nearly 4,000 home visits in affected areas, providing comfort and support while distributing emergency financial aid to 240 households as well as 4,000 gift packs. Volunteers also provided 40,000 hot meals and assisted in setting up government shelters by supplying 497 folding beds and 193 privacy cubicles. Beginning February 10, expert volunteers from across Taiwan helped repair homes in two neighborhoods in Nanxi District, Tainan.

At 11:33 a.m. on February 13, a gas explosion occurred at the Shin Kong Mitsukoshi department store in Xitun District, Taichung City, killing four people and injuring 34. The weather was cold and rainy, so volunteers set up a care center outside the rescue area, providing hot ginger tea, bottled water, bread, sweet porridge, and rice dumplings to emergency responders. Volunteers also visited hospitals to comfort the injured and their families.

Malaysia

Continuing their flood relief efforts from late 2024, Tzu Chi Kelantan volunteers visited 11 schools in Tumpat and Pasir Mas in January, distributing school uniforms and necessities to 3,321 students, along with cash aid to 295 staff members. They also provided dry food, blankets, cleaning supplies, and cash aid to 568 households in several ethnic Thai villages and a Thai temple.

Beginning on Lunar New Year’s Eve, January 28, Borneo experienced several consecutive days of torrential rain, causing flooding in Bintulu, Miri, and Keningau and affecting over 10,000 people. From February 6 to 16, volunteers were mobilized to assess damage and compile a distribution roster, visiting 5,494 households. They also distributed food to affected families, assisted elderly residents in cleaning their homes, helped students with school uniform expenses, and provided school desks and chairs. On February 23, cash aid distributions were held in Bintulu and Miri.

Indonesia

To commemorate the 20th anniversary of the Indian Ocean tsunami, Tzu Chi Indonesia, in collaboration with the Iskandar Muda Military Regional Command, conducted a free clinic from December 14 to 15 at a military hospital in Kuta Alam, Banda Aceh. During the event, 114 surgeries were performed, including cataract, hernia, cleft lip, and tumor treatments.

Tzu Chi Indonesia, working with various government agencies, launched a project in January to build 500 free housing units for underprivileged families, replacing their old, unsafe homes. Construction was set to begin in Johar Baru, Central Jakarta. On February 12, a site assessment was conducted in Tanah Tinggi, Johar Baru.

Sierra Leone

On February 10, a Tzu Chi team began a three-week visit to Sierra Leone. They met with Tzu Chi’s humanitarian aid partners in the country, including Caritas Freetown, the Healey International Relief Foundation, and the Lanyi Foundation, to assess the impact of Tzu Chi’s projects and discuss further support. Tzu Chi began providing aid in Sierra Leone in 2015, assisting homeless Ebola survivors and orphans following the worst Ebola outbreak in history, which began in Guinea in 2013 and spread to Liberia and Sierra Leone before being officially declared over in 2016. Over the past ten years, Tzu Chi and its partners have also provided support in response to floods, landslides, and slum fires. Additional work has included women’s sewing training, community cleaning to prevent floods, water resource and sanitation system construction, and educational programs. These efforts have benefited more than 100,000 people annually.

The United States

On January 7, devastating wildfires broke out in Los Angeles County, with two of them ranking among the three most destructive in California’s history. Tzu Chi volunteers took part in relief efforts at the Wildfire Resource Hub and three FEMA Disaster Recovery Centers, assisting survivors with aid registration, while a mobile vision clinic served 183 people. From January 18 to February 23, Tzu Chi distributed cash cards, blankets, cleaning supplies, clothing, food packages, and protective gear to 4,339 affected households. Volunteers completed 1,800 shifts in total. ★More information

Bitter cold hit the southern United States, with temperatures dropping to -2°C to -8°C (28.4°F to 17.6°F). Thousands of flights were canceled or delayed. To assist those in need, Tzu Chi Texas volunteers prepared supplies and, on January 20, delivered blankets, drinking water, and food to two warming centers serving homeless individuals.

關鍵字

A Labor of Love—Zhixue Great Love Farm

By Dharma Master Shi De Zao
Edited and translated by Wu Hsiao-ting
Photos courtesy of Gan Qing-wen

Photo by Shi De Qian

Zhixue Great Love Farm lies at the foot of Liyu Mountain in Shoufeng Township, Hualien County, eastern Taiwan. The farm serves as the “rice bowl” of the Jing Si Abode, the Buddhist convent founded by Master Cheng Yen and the spiritual home of Tzu Chi volunteers worldwide. Spanning 12 hectares and leased from the Taiwan Sugar Corporation, the farm has been cultivated using eco-friendly practices since 2016, earning organic certification.

The farm helps sustain the dietary needs of over 200 nuns and lay monastics at the Abode, along with the Tzu Chi staff working there and visiting volunteers from around the world. Master De Zhao (德昭), a nun at the Abode, recalled that rice had to be purchased every ten days to supply the Abode before the farm was established. Depending on daily needs, holidays, or special events, between 30 and 50 bags of rice—each weighing 30 kilograms (66 pounds)—were procured in either brown or white varieties.

Master De Heng (德恆), another nun at the Abode, helps oversee the farm. She explained that the farm serves two purposes: meeting the Abode’s daily needs and helping those in need. It also addresses Master Cheng Yen’s concerns about potential food crises, fostering a mindset of preparedness for uncertain times. As the Master often reminds everyone, “It is essential to save for a rainy day.”

Turning wasteland into fertile fields

Transforming the farm into what it is today required significant effort. Volunteers first leveled the land and removed stones to prepare it for cultivation, then tackled the irrigation ditch. Volunteer Gan Qing-wen (甘清文), from Taichung, recalled the challenges he and other volunteers encountered while preparing and cultivating the land. “The waterway was overgrown like a jungle,” Gan said, “and blockages upstream had dried up the water supply.” To resolve this, 28 Taichung volunteers worked together to clear the 420-meter-long (1,378-foot-long) ditch, restoring water flow from the Mugua River to irrigate the farm. The physically demanding task pushed the volunteers, many of whom were no longer young, to their limits, requiring frequent rests. But their hard work paid off—with the water supply restored, the land became well-irrigated. They named the restored waterway “Water Guan Yin” for its resemblance to the Guan Yin Bodhisattva.

Step by step, volunteers transformed the barren fields into fertile farmland. Zeng Tian-bao (曾天寶) and Lai Song-yong (賴松勇), from Pingtung, were the first to contribute to the farm work, handling tasks such as planning, planting, and operating machinery. Kang Tian-de (康天德), a consultant for the farm from Hualien, offered expert advice on planting, weeding, and other essential tasks.

Since its establishment, the farm has relied heavily on volunteer support from across Taiwan. Teams from Pingtung, Taichung, Taoyuan, and Miaoli have assisted with transplanting rice seedlings, weeding, applying organic fertilizers, and maintaining the irrigation ditch. Chiayi volunteer Ye Li-qing (葉麗卿) earned certification to manage administrative tasks for the farm, with assistance from Hualien’s Chen Mu-xiang (陳慕湘). Lai Song-yong and his wife, Qiu Gui-zhu (邱桂珠), have been stationed at the farm for five years, monitoring the fields daily with the help of Tzu Chi employee Wu Shao-min (吳紹民).

Their tireless efforts have earned praise from Master De Heng, while Master De Yu (德愉), another nun overseeing the farm, expressed gratitude: “The volunteers share a common thought—the farm is for the Jing Si Abode, so it must be well cared for. Without their dedication, the farm wouldn’t be what it is today.”

Weeding with heart

About a week after transplanting rice seedlings, it’s time to begin weeding. Master De Heng explained that most farms use conventional farming methods, applying pesticides to eliminate pests and control weeds. However, while pesticides reduce the need for weeding, they also harm the ecosystem. Zhixue Farm practices organic farming, avoiding pesticides and chemical fertilizers to protect life and maintain ecological integrity. Consequently, weeds like barnyard grass, which resembles rice, grow easily and must be removed promptly.

Nuns from the Abode join volunteers in weeding the fields. As they step into the muddy water, it feels as though they’re sinking into a swamp, making it a struggle to lift their feet.

To avoid bending over while weeding, volunteers invented a tool: a long stick with a skimmer at one end to press the barnyard grass into the earth. This method not only removes the weeds, but also helps rice seedlings take root and improves soil aeration, thereby strengthening the seedlings and making them more resilient to wind and rain.

For the past six years, Lu Chun-tao (呂春桃) has invited fellow volunteers from Taoyuan to join the work on the farm in Hualien. The long journey makes every moment on the farm even more precious. They head to the fields at dawn and work until dusk, water bottles strapped to their backs. They walk nearly 20,000 steps each day while weeding. The prolonged use of rain boots causes their toes to turn purple, and in the summer, they sweat so profusely that their eyes become difficult to open. The constant weeding leaves their hands trembling when they hold their bowls at meals, and they often need pain relief ointment to sleep at night.

The volunteers don’t see the backbreaking work as a hardship. Instead, they’re happy to ease the burden of the nuns at the Abode, viewing their work on the farm as a way to form good affinities with the Abode’s residents and Tzu Chi volunteers from around the world. “Being able to form good affinities with our Tzu Chi Dharma family makes the effort worthwhile, no matter how tiring it is,” Lu affirmed.

Photo by Shi De Qian

Hard-earned rice

The farm’s organic methods foster a thriving ecosystem, attracting waterfowl and sparrows. To protect the rice plants from these feathered visitors, volunteers set up barriers around the fields. In 2019, volunteers from Taichung and Taoyuan drove hundreds of steel pipes into the ground to support the bird-deterrent string barriers.

Rice is cultivated twice a year on the farm, with seedlings transplanted to the fields around Lichun (“Start of Spring,” the first solar term of the traditional Chinese lunisolar calendar) and Dashu (“Great Heat,” typically around July 22–23). The protective barriers are installed after each transplanting to shield the young seedlings from being damaged or toppled by waterfowl. “Without these safeguards, our volunteers would have to take shifts from dusk until dawn to chase away the birds,” shared volunteer Lu.

A week after transplanting, the barriers are removed to allow for weeding. When the rice ripens to a golden hue a few months later, the barriers are reinstalled to protect the grains from sparrows.

Despite these precautions, Master De Heng noted the sparrows’ cleverness. They perch on the barriers, using their combined weight to press them down, allowing hundreds or even thousands of their kind to swoop in for a feast. Master De Heng compassionately remarked, “Let them eat, as long as they don’t eat everything.” This sentiment reflects Master Cheng Yen’s teaching to the nuns at the Abode: “What the birds leave behind is ours.”

Every effort, from planting and weeding to setting up safeguards, contributes to the joy of a bountiful harvest. Seeing each grain full and plump fills everyone involved with gratitude.

Visitors to the Abode often praise the delicious rice served there. One volunteer from Indonesia even asked, “Where can we buy this rice? It tastes amazing!” Every grain embodies the care and dedication of those who tend the fields, reminding all that the sweetness of the harvest lies not just in the yield, but in the effort behind it.

Photo 1 and Photo 2 by Hsiao Yiu-hwa

By Dharma Master Shi De Zao
Edited and translated by Wu Hsiao-ting
Photos courtesy of Gan Qing-wen

Photo by Shi De Qian

Zhixue Great Love Farm lies at the foot of Liyu Mountain in Shoufeng Township, Hualien County, eastern Taiwan. The farm serves as the “rice bowl” of the Jing Si Abode, the Buddhist convent founded by Master Cheng Yen and the spiritual home of Tzu Chi volunteers worldwide. Spanning 12 hectares and leased from the Taiwan Sugar Corporation, the farm has been cultivated using eco-friendly practices since 2016, earning organic certification.

The farm helps sustain the dietary needs of over 200 nuns and lay monastics at the Abode, along with the Tzu Chi staff working there and visiting volunteers from around the world. Master De Zhao (德昭), a nun at the Abode, recalled that rice had to be purchased every ten days to supply the Abode before the farm was established. Depending on daily needs, holidays, or special events, between 30 and 50 bags of rice—each weighing 30 kilograms (66 pounds)—were procured in either brown or white varieties.

Master De Heng (德恆), another nun at the Abode, helps oversee the farm. She explained that the farm serves two purposes: meeting the Abode’s daily needs and helping those in need. It also addresses Master Cheng Yen’s concerns about potential food crises, fostering a mindset of preparedness for uncertain times. As the Master often reminds everyone, “It is essential to save for a rainy day.”

Turning wasteland into fertile fields

Transforming the farm into what it is today required significant effort. Volunteers first leveled the land and removed stones to prepare it for cultivation, then tackled the irrigation ditch. Volunteer Gan Qing-wen (甘清文), from Taichung, recalled the challenges he and other volunteers encountered while preparing and cultivating the land. “The waterway was overgrown like a jungle,” Gan said, “and blockages upstream had dried up the water supply.” To resolve this, 28 Taichung volunteers worked together to clear the 420-meter-long (1,378-foot-long) ditch, restoring water flow from the Mugua River to irrigate the farm. The physically demanding task pushed the volunteers, many of whom were no longer young, to their limits, requiring frequent rests. But their hard work paid off—with the water supply restored, the land became well-irrigated. They named the restored waterway “Water Guan Yin” for its resemblance to the Guan Yin Bodhisattva.

Step by step, volunteers transformed the barren fields into fertile farmland. Zeng Tian-bao (曾天寶) and Lai Song-yong (賴松勇), from Pingtung, were the first to contribute to the farm work, handling tasks such as planning, planting, and operating machinery. Kang Tian-de (康天德), a consultant for the farm from Hualien, offered expert advice on planting, weeding, and other essential tasks.

Since its establishment, the farm has relied heavily on volunteer support from across Taiwan. Teams from Pingtung, Taichung, Taoyuan, and Miaoli have assisted with transplanting rice seedlings, weeding, applying organic fertilizers, and maintaining the irrigation ditch. Chiayi volunteer Ye Li-qing (葉麗卿) earned certification to manage administrative tasks for the farm, with assistance from Hualien’s Chen Mu-xiang (陳慕湘). Lai Song-yong and his wife, Qiu Gui-zhu (邱桂珠), have been stationed at the farm for five years, monitoring the fields daily with the help of Tzu Chi employee Wu Shao-min (吳紹民).

Their tireless efforts have earned praise from Master De Heng, while Master De Yu (德愉), another nun overseeing the farm, expressed gratitude: “The volunteers share a common thought—the farm is for the Jing Si Abode, so it must be well cared for. Without their dedication, the farm wouldn’t be what it is today.”

Weeding with heart

About a week after transplanting rice seedlings, it’s time to begin weeding. Master De Heng explained that most farms use conventional farming methods, applying pesticides to eliminate pests and control weeds. However, while pesticides reduce the need for weeding, they also harm the ecosystem. Zhixue Farm practices organic farming, avoiding pesticides and chemical fertilizers to protect life and maintain ecological integrity. Consequently, weeds like barnyard grass, which resembles rice, grow easily and must be removed promptly.

Nuns from the Abode join volunteers in weeding the fields. As they step into the muddy water, it feels as though they’re sinking into a swamp, making it a struggle to lift their feet.

To avoid bending over while weeding, volunteers invented a tool: a long stick with a skimmer at one end to press the barnyard grass into the earth. This method not only removes the weeds, but also helps rice seedlings take root and improves soil aeration, thereby strengthening the seedlings and making them more resilient to wind and rain.

For the past six years, Lu Chun-tao (呂春桃) has invited fellow volunteers from Taoyuan to join the work on the farm in Hualien. The long journey makes every moment on the farm even more precious. They head to the fields at dawn and work until dusk, water bottles strapped to their backs. They walk nearly 20,000 steps each day while weeding. The prolonged use of rain boots causes their toes to turn purple, and in the summer, they sweat so profusely that their eyes become difficult to open. The constant weeding leaves their hands trembling when they hold their bowls at meals, and they often need pain relief ointment to sleep at night.

The volunteers don’t see the backbreaking work as a hardship. Instead, they’re happy to ease the burden of the nuns at the Abode, viewing their work on the farm as a way to form good affinities with the Abode’s residents and Tzu Chi volunteers from around the world. “Being able to form good affinities with our Tzu Chi Dharma family makes the effort worthwhile, no matter how tiring it is,” Lu affirmed.

Photo by Shi De Qian

Hard-earned rice

The farm’s organic methods foster a thriving ecosystem, attracting waterfowl and sparrows. To protect the rice plants from these feathered visitors, volunteers set up barriers around the fields. In 2019, volunteers from Taichung and Taoyuan drove hundreds of steel pipes into the ground to support the bird-deterrent string barriers.

Rice is cultivated twice a year on the farm, with seedlings transplanted to the fields around Lichun (“Start of Spring,” the first solar term of the traditional Chinese lunisolar calendar) and Dashu (“Great Heat,” typically around July 22–23). The protective barriers are installed after each transplanting to shield the young seedlings from being damaged or toppled by waterfowl. “Without these safeguards, our volunteers would have to take shifts from dusk until dawn to chase away the birds,” shared volunteer Lu.

A week after transplanting, the barriers are removed to allow for weeding. When the rice ripens to a golden hue a few months later, the barriers are reinstalled to protect the grains from sparrows.

Despite these precautions, Master De Heng noted the sparrows’ cleverness. They perch on the barriers, using their combined weight to press them down, allowing hundreds or even thousands of their kind to swoop in for a feast. Master De Heng compassionately remarked, “Let them eat, as long as they don’t eat everything.” This sentiment reflects Master Cheng Yen’s teaching to the nuns at the Abode: “What the birds leave behind is ours.”

Every effort, from planting and weeding to setting up safeguards, contributes to the joy of a bountiful harvest. Seeing each grain full and plump fills everyone involved with gratitude.

Visitors to the Abode often praise the delicious rice served there. One volunteer from Indonesia even asked, “Where can we buy this rice? It tastes amazing!” Every grain embodies the care and dedication of those who tend the fields, reminding all that the sweetness of the harvest lies not just in the yield, but in the effort behind it.

Photo 1 and Photo 2 by Hsiao Yiu-hwa

關鍵字

敬虔に祈り、吉祥を呼び込む

福を造る因縁を大切にし、真心をもって助け合い、皆の敬虔な祈りを天に届けるのです。

私たちの心が一つになり、思いがすべて善であるなら、全てに幸運を呼び込むことができるのです。

新年早々、アメリカ・カリフォルニア州ロサンゼルス郡で山火事が発生し、被災地の空が真っ赤に染まった映像をニュースで見て、不安になりました。大火に強風が加わり、火が飛んでまた燃え上がり、近隣の居住地区に燃え移って広範囲の災難となり、まるで人間(じんかん)の火宅のようです。

家が全焼した被災者は親戚や友人に頼って、宿泊と生活は安定していても、火事場から急いで脱出したため、経済的に困難に直面しているかもしれません。今、私たちにできることは緊急援助であり、早く駆け付けて、被災者に、彼らにとって役に立つ、「実感が得られる」支援を与えるべきで、表面的なものであってはなりません。

慈済が行った最初の大規模な緊急災害支援を思い返してみると、それは、一九六九年に台湾台東県卑南郷大南村で発生した火災でした。中秋節の夜に台風エルシーが襲来した上、フェーン現象が起きて、村で発生した火災が大惨事になりました。一夜にして百軒以上の家屋が焼失し、七百人余りが家を無くしました。お見舞金の配付だけでなく、寒い冬がやってくるため、慈済は二萬元(十万円相当)の金額を費やして、当時台湾で最高な品質を誇る「台麗」ブランドの毛布を購入し、被災世帯に配付しました。それも、一世帯に一枚ではなく、家族構成に合わせて、二人に一枚を配付することにしました。愛と敬意の心を込めて、最高の物を贈り、私たちの気持ちを感じ取ってもらいました。

私はアメリカの今回の山火事に注目し、どうすれば助けられるかを真剣に考えました。人力と物資の投入以外に、皆の敬虔な祈りを諸仏や天に届けることで、人間(じんかん)の大愛を見てもらうのです。誰もが一緒に大善と大愛で奉仕し、今回の火災が一日も早く鎮火し、危機が安堵に変わることを願うのです。

多くの被災住民は、これまで裕福な暮らしをして来ましたが、一夜にして家も財産も失いました。これは正に仏法の言葉通り、財産は「五家共有する」であり、突然の災難で今まで持っていた全てを無くしてしまったのです。お金持ちであろうと貧しい人であろうと、お腹が空いて食べ物がない時、相手がお金持ちだからといって、ご飯をあげないでいられるでしょうか?緊急時に、飲み水や食事を適時に提供し、また寒い時に暖かい衣服や毛布を提供するのは、とても大事なことです。

㊟五家共有:「財産は、火災、洪水、戦争、強盗(詐欺)、親不孝の子によって無くなる」という仏教での教え。

慈済人は募金活動を開始しましたが、それは復興支援のためというだけでなく、最も重要なのは、皆の警戒心を高め、この世で相互扶助の精神を発揮するよう呼びかけていることです。これこそ私たちが福を造る因縁なのです。ですから、誰もがその機会を逃さないようにしましょう。とても困っている人がいる時、直ちに奉仕するのが、私たちの人生で最も貴い時だと言えます。また奉仕すると同時に、親戚や友人にも、より多くの力を発揮し、共に福田を耕すことを発心するよう、呼びかけましょう。

慈済は明朗な仏教団体であり、仏教精神は、宗教に関係なく、常に心を開き、衆生を抱擁します。慈済がアメリカに根を下ろして三十余年、さらに足場を固め、この因縁を逃さず、実力を発揮して効率良く支援を提供すべきです。誠意を以てこの国際的なプラットフォームに立ち、「仏教の為、衆生の為」という精神を千年百世へ延々と継続させるのです。未来の人間(じんかん)は災害から逃れられないため、災害支援の経験を代々受け継いでいかなければなりません。

今回の火災は、私たちが今学んでいる、大いなる教育なのです。山火事の範囲がとても広いため、誰もが心を静めて、敬虔に祈ることです。もし、複雑な先入観があれば、火災による災害よりもはるかに深刻な事態になるかもしれません。私たちは身で以て模範を示し、誠実な愛で敬虔さを表わさなければいけません。真心の愛とは、生きとし生けるものを慈しむことであり、衆生の命を守ることは、即ち自分の心を養い、自分の心を潤すことなのです。私たちの「心の宅」を、常に愛で潤すことができれば、心が乾くことはなく、小さな火が燃え盛ることはありません。

アメリカ慈済ボランティアの呉如真(ウー・ルーヅン)さんの家はこの火事で全焼しました。しかし、彼女は勇敢に現実に立ち向かい、心念を一転して、暫し自分の境遇を脇に置き、直ちに他人を助ける行動に出ました。なんと素晴らしい、私の良き弟子なのでしょう!このような模範的な法縁者がいるのですから、私たちは彼女の智慧をしっかり学ばなければなりません。

慈済人は人間(じんかん)菩薩であり、菩薩は苦難のあるところならどこでも現れます。人々が神頼みするところに現れるのではありません。私たちは、誰かが助けを求めるのを待っていてはならず、直ちに苦難を助けに行くのです。ここ数日、現地の慈済人は災害支援に尽力しています。皆さんの労を労いつつ、誰もが互いに励まし合い、皆が自信と気力と勇気を結集し、心から菩薩の愛を衆生に奉仕することを願っています。私たちが愛と善でこの道を切り開くことができれば、私たちの心は一つになり、心中に念ずるのは善だけとなって、幸運を呼び込むことができるのです。

今この時、私たちは世界の人々に、敬虔に祈り、敬虔に慎み深く発願し、菜食をするよう、呼びかけなければなりません。アメリカと世界の平和を祈って!

(慈済月刊六九九期より)

福を造る因縁を大切にし、真心をもって助け合い、皆の敬虔な祈りを天に届けるのです。

私たちの心が一つになり、思いがすべて善であるなら、全てに幸運を呼び込むことができるのです。

新年早々、アメリカ・カリフォルニア州ロサンゼルス郡で山火事が発生し、被災地の空が真っ赤に染まった映像をニュースで見て、不安になりました。大火に強風が加わり、火が飛んでまた燃え上がり、近隣の居住地区に燃え移って広範囲の災難となり、まるで人間(じんかん)の火宅のようです。

家が全焼した被災者は親戚や友人に頼って、宿泊と生活は安定していても、火事場から急いで脱出したため、経済的に困難に直面しているかもしれません。今、私たちにできることは緊急援助であり、早く駆け付けて、被災者に、彼らにとって役に立つ、「実感が得られる」支援を与えるべきで、表面的なものであってはなりません。

慈済が行った最初の大規模な緊急災害支援を思い返してみると、それは、一九六九年に台湾台東県卑南郷大南村で発生した火災でした。中秋節の夜に台風エルシーが襲来した上、フェーン現象が起きて、村で発生した火災が大惨事になりました。一夜にして百軒以上の家屋が焼失し、七百人余りが家を無くしました。お見舞金の配付だけでなく、寒い冬がやってくるため、慈済は二萬元(十万円相当)の金額を費やして、当時台湾で最高な品質を誇る「台麗」ブランドの毛布を購入し、被災世帯に配付しました。それも、一世帯に一枚ではなく、家族構成に合わせて、二人に一枚を配付することにしました。愛と敬意の心を込めて、最高の物を贈り、私たちの気持ちを感じ取ってもらいました。

私はアメリカの今回の山火事に注目し、どうすれば助けられるかを真剣に考えました。人力と物資の投入以外に、皆の敬虔な祈りを諸仏や天に届けることで、人間(じんかん)の大愛を見てもらうのです。誰もが一緒に大善と大愛で奉仕し、今回の火災が一日も早く鎮火し、危機が安堵に変わることを願うのです。

多くの被災住民は、これまで裕福な暮らしをして来ましたが、一夜にして家も財産も失いました。これは正に仏法の言葉通り、財産は「五家共有する」であり、突然の災難で今まで持っていた全てを無くしてしまったのです。お金持ちであろうと貧しい人であろうと、お腹が空いて食べ物がない時、相手がお金持ちだからといって、ご飯をあげないでいられるでしょうか?緊急時に、飲み水や食事を適時に提供し、また寒い時に暖かい衣服や毛布を提供するのは、とても大事なことです。

㊟五家共有:「財産は、火災、洪水、戦争、強盗(詐欺)、親不孝の子によって無くなる」という仏教での教え。

慈済人は募金活動を開始しましたが、それは復興支援のためというだけでなく、最も重要なのは、皆の警戒心を高め、この世で相互扶助の精神を発揮するよう呼びかけていることです。これこそ私たちが福を造る因縁なのです。ですから、誰もがその機会を逃さないようにしましょう。とても困っている人がいる時、直ちに奉仕するのが、私たちの人生で最も貴い時だと言えます。また奉仕すると同時に、親戚や友人にも、より多くの力を発揮し、共に福田を耕すことを発心するよう、呼びかけましょう。

慈済は明朗な仏教団体であり、仏教精神は、宗教に関係なく、常に心を開き、衆生を抱擁します。慈済がアメリカに根を下ろして三十余年、さらに足場を固め、この因縁を逃さず、実力を発揮して効率良く支援を提供すべきです。誠意を以てこの国際的なプラットフォームに立ち、「仏教の為、衆生の為」という精神を千年百世へ延々と継続させるのです。未来の人間(じんかん)は災害から逃れられないため、災害支援の経験を代々受け継いでいかなければなりません。

今回の火災は、私たちが今学んでいる、大いなる教育なのです。山火事の範囲がとても広いため、誰もが心を静めて、敬虔に祈ることです。もし、複雑な先入観があれば、火災による災害よりもはるかに深刻な事態になるかもしれません。私たちは身で以て模範を示し、誠実な愛で敬虔さを表わさなければいけません。真心の愛とは、生きとし生けるものを慈しむことであり、衆生の命を守ることは、即ち自分の心を養い、自分の心を潤すことなのです。私たちの「心の宅」を、常に愛で潤すことができれば、心が乾くことはなく、小さな火が燃え盛ることはありません。

アメリカ慈済ボランティアの呉如真(ウー・ルーヅン)さんの家はこの火事で全焼しました。しかし、彼女は勇敢に現実に立ち向かい、心念を一転して、暫し自分の境遇を脇に置き、直ちに他人を助ける行動に出ました。なんと素晴らしい、私の良き弟子なのでしょう!このような模範的な法縁者がいるのですから、私たちは彼女の智慧をしっかり学ばなければなりません。

慈済人は人間(じんかん)菩薩であり、菩薩は苦難のあるところならどこでも現れます。人々が神頼みするところに現れるのではありません。私たちは、誰かが助けを求めるのを待っていてはならず、直ちに苦難を助けに行くのです。ここ数日、現地の慈済人は災害支援に尽力しています。皆さんの労を労いつつ、誰もが互いに励まし合い、皆が自信と気力と勇気を結集し、心から菩薩の愛を衆生に奉仕することを願っています。私たちが愛と善でこの道を切り開くことができれば、私たちの心は一つになり、心中に念ずるのは善だけとなって、幸運を呼び込むことができるのです。

今この時、私たちは世界の人々に、敬虔に祈り、敬虔に慎み深く発願し、菜食をするよう、呼びかけなければなりません。アメリカと世界の平和を祈って!

(慈済月刊六九九期より)

關鍵字

道に迷った父

高齢化社会に突入して、もっと綿密な愛で織りなしたネットワークが必要である。その過程で、少しでも多く、注意と関心、動作による表現があれば、一家族を救うことができるかもしれないのだ。

父が家を出てから帰るまでの三十二時間の間、認知症患者の家族として焦りと精神的な崩壊を、私たちは全部体験した。

軽度認知症患者は、行動や言語能力を持っており、自分は大丈夫だと思っている。そういう人が道に迷った時、彼らに助けが必要なことを他人が気づくのは難しい……。

大愛劇場「こんにちは!私は誰ですか」という番組は、認知症患者の家庭の苦境を視聴者に理解してもらい、介護者の気持ちになって、一緒にその不可逆的な症状に立ち向かおうと呼びかけている。シリーズ2は去年八月に放送され、視聴率が益々高くなっているということから、視聴者の認知症問題に対する関心の高さが伺える。台湾衛福部の推計によると、六十五歳以上の認知症の人は約三十五万人であるという。私の父もその三十五万人の中の一人である。

父は軽度の記憶力低下があって、よく物忘れをするが、以前と同じように正常な生活をすることができる。彼の最大の趣味は、友だちとカラオケに行って歌うことだ。歌の話になると、彼の目はキラキラ光り、色んな曲が歌えるよ、と自信を持って私たちに話す。

コロナ禍の間、人々はソーシャルディスタンスを保つために、カラオケに行けなくなり、父は一日中、家でテレビを見ていたため、知らず知らずのうちに、記憶力の低下を招いてしまった。秋になると、天気が変わりやすく、台北は何日も続けて雨が降ったので、認知症の年長者にとっては試練だった。ある日の午後、父は自転車に乗って出かけたが、道に迷ってしまい、何時間経っても帰って来なかった。

日暮れを過ぎた上に雨が降っていたので、家族は気が気でなかった。父の携帯はバッテリー切れだったらしく、GPSによる位置情報も消えてしまっていた。交番に届け、認知症協会に人探しサイトにも情報をアップロードしてもらい、車を走らせながら道沿いに探したが、深夜になっても見つからなかった。

認知症患者の家族の焦りを私は全て体験した。探したり待ったりする時間はとても辛いもので、精神的に崩壊してしまう。どれだけ涙を流し、食べ物が喉を通らず、眠れなかったことか。

小さい頃、道に迷った時のことを思い出した。あるお姉さんが見つけてくれて、父に迎えにくるよう電話してくれた。あの恩人の家で待っていた間、不安で堪らず、恐くなって泣いてしまった。父が夕日を浴びながら、自転車で駆け付けて来た時、私のあらゆる感情は一瞬にして救われた。父が温かく慰めてくれたあの光景を振り返ると、それはいつも温かい山吹色だった。その時私は、観世音菩薩が慈悲で以て恩人を派遣し、父を救って平穏無事に家に帰ってくれるよう祈り続けた。

翌日の深夜近くになって、私たちはやっと、交番から良いニュースを受け取った。父が見つかったのだ。ある通りすがりの人が、父の尋常でない様子に気が付き、宥めたり、騙したりしながら、近くの交番まで連れて行き、私たちが迎えに行くのを待ったのだ。

父が家を出てから帰るまでの三十二時間、私は彼がいったい何を体験したのか知らない。持っていたお金は全く減っていなかった。コンビニで食べ物や飲料水を買うことを知らないので、何も食べず、飲まず、寝ていないに違いない。交番で、防犯カメラの録画画像を見ると、一日目の夕方、父が店の人に道を尋ねているのが映っていた。当時の状況を見ると、まだ覚えていて、自分で道を探しているようだった。しかし、二日目の夜に父を迎えに行った時は、自分が道に迷ったことも、皆が心配して捜し回ったことも理解できず、完全に助けを求める能力がなくなっていた。怖かったに違いない。雨の中を自転車に乗り続け、少し脱水症状を起こし、歩き方もよろめいていた。

軽度認知症患者は、まだ行動や会話の能力があって、自律した生活ができ、自分は大丈夫だと思っている。だから、彼らが道に迷っても、他人は、外見から彼らに助けが必要だと判断するのは難しい。

家族全員で健康な心と脳にする

父が無事に帰ってきて、二日間休養した後、頭が次第にはっきりして来て、だいぶ元気になった。一家全員、もう二度と悪夢を見たくなかった。それがきっかけで、積極的に多くのことに変化をもたらした。二種類以上の位置情報が分かる方式を採用したり、食習慣を調整したりするようになった。

父はパンが好きだったが、研究報告によると、パンやパスタなど精製された高炭水化物を摂取し過ぎると、体内のぶどう糖とインスリンの代謝機能に影響を及ぼし、脳の血管とアミロイドβの作用にも影響を及ぼすそうだ。そして、βアミロイド斑こそ、アルツハイマー病を引き起こす重要な要因なのだそうだ。

家族は父に脳を健康にする様々なホールフーズを用意した。例えば、ナッツ、カボチャ、トマト、ダークチョコレート、ブラックコーヒーなどで、加工食品の摂取を減らし、ビタミンを補充し、アロマエッセンシャルオイルテラピー等を行った。

コロナ禍が落ち着いた後、父は每朝、最低一時間散步し、夜は家族が父に付き添って、書道や指の体操、パソコンの曲に合わせて歌うなど、いろいろな事をして一緒に過ごすようにした。それから、よくできたと父を褒めるようにした。

最近、政府は高齢者介護に関する情報を色々と提供しているので、私たちは父に介護の申請をした。介護士は、月曜日から金曜日まで昼間の一、二時間来て、将棋やパズルゲーム、おしゃべりなどの相手をして、父に付き添っている。多方面から生活習慣やリズムを改善したことで、今では、父の脳の退化が止っただけでなく、認知機能もかなり改善した。

高齢化社会は、より綿密な愛で織り成したネットワークによって、助けを必要とする年長者をキャッチする必要がある。その過程では、少しでも多く注意と関心を払い、行動によって表現することが必要であり、それによって一家族を救うことができるかもしれないのだ。慈済は各地の連絡所に介護拠点を設けており、地域の年長者に活力溢れる学習の場を提供することで、彼らが外出できるようになり、生き生きと、安心して晚年を過ごせるようにサポートしている。多くの年長者は、人と交流することで新しい知識を学ぶと共に、元来の記憶力の低下を遅れさせたり、ふさぎ込んだ気持ちを和らげたりすることができる。

如何にすれば、質と尊厳を兼ねた老年時代を過ごすことができるかは、社会全体の課題である。コロナ禍は私たちに、人と人の間で最も重要なこととは、やはり愛と関心であることを気づかせてくれた。心の溫かさが年長者の記憶を温め、認知症の年長者が平穏に温かくて愛のある環境で、晚年を過ごせるようにと願って止まない。

(慈済月刊六九五期より)

高齢化社会に突入して、もっと綿密な愛で織りなしたネットワークが必要である。その過程で、少しでも多く、注意と関心、動作による表現があれば、一家族を救うことができるかもしれないのだ。

父が家を出てから帰るまでの三十二時間の間、認知症患者の家族として焦りと精神的な崩壊を、私たちは全部体験した。

軽度認知症患者は、行動や言語能力を持っており、自分は大丈夫だと思っている。そういう人が道に迷った時、彼らに助けが必要なことを他人が気づくのは難しい……。

大愛劇場「こんにちは!私は誰ですか」という番組は、認知症患者の家庭の苦境を視聴者に理解してもらい、介護者の気持ちになって、一緒にその不可逆的な症状に立ち向かおうと呼びかけている。シリーズ2は去年八月に放送され、視聴率が益々高くなっているということから、視聴者の認知症問題に対する関心の高さが伺える。台湾衛福部の推計によると、六十五歳以上の認知症の人は約三十五万人であるという。私の父もその三十五万人の中の一人である。

父は軽度の記憶力低下があって、よく物忘れをするが、以前と同じように正常な生活をすることができる。彼の最大の趣味は、友だちとカラオケに行って歌うことだ。歌の話になると、彼の目はキラキラ光り、色んな曲が歌えるよ、と自信を持って私たちに話す。

コロナ禍の間、人々はソーシャルディスタンスを保つために、カラオケに行けなくなり、父は一日中、家でテレビを見ていたため、知らず知らずのうちに、記憶力の低下を招いてしまった。秋になると、天気が変わりやすく、台北は何日も続けて雨が降ったので、認知症の年長者にとっては試練だった。ある日の午後、父は自転車に乗って出かけたが、道に迷ってしまい、何時間経っても帰って来なかった。

日暮れを過ぎた上に雨が降っていたので、家族は気が気でなかった。父の携帯はバッテリー切れだったらしく、GPSによる位置情報も消えてしまっていた。交番に届け、認知症協会に人探しサイトにも情報をアップロードしてもらい、車を走らせながら道沿いに探したが、深夜になっても見つからなかった。

認知症患者の家族の焦りを私は全て体験した。探したり待ったりする時間はとても辛いもので、精神的に崩壊してしまう。どれだけ涙を流し、食べ物が喉を通らず、眠れなかったことか。

小さい頃、道に迷った時のことを思い出した。あるお姉さんが見つけてくれて、父に迎えにくるよう電話してくれた。あの恩人の家で待っていた間、不安で堪らず、恐くなって泣いてしまった。父が夕日を浴びながら、自転車で駆け付けて来た時、私のあらゆる感情は一瞬にして救われた。父が温かく慰めてくれたあの光景を振り返ると、それはいつも温かい山吹色だった。その時私は、観世音菩薩が慈悲で以て恩人を派遣し、父を救って平穏無事に家に帰ってくれるよう祈り続けた。

翌日の深夜近くになって、私たちはやっと、交番から良いニュースを受け取った。父が見つかったのだ。ある通りすがりの人が、父の尋常でない様子に気が付き、宥めたり、騙したりしながら、近くの交番まで連れて行き、私たちが迎えに行くのを待ったのだ。

父が家を出てから帰るまでの三十二時間、私は彼がいったい何を体験したのか知らない。持っていたお金は全く減っていなかった。コンビニで食べ物や飲料水を買うことを知らないので、何も食べず、飲まず、寝ていないに違いない。交番で、防犯カメラの録画画像を見ると、一日目の夕方、父が店の人に道を尋ねているのが映っていた。当時の状況を見ると、まだ覚えていて、自分で道を探しているようだった。しかし、二日目の夜に父を迎えに行った時は、自分が道に迷ったことも、皆が心配して捜し回ったことも理解できず、完全に助けを求める能力がなくなっていた。怖かったに違いない。雨の中を自転車に乗り続け、少し脱水症状を起こし、歩き方もよろめいていた。

軽度認知症患者は、まだ行動や会話の能力があって、自律した生活ができ、自分は大丈夫だと思っている。だから、彼らが道に迷っても、他人は、外見から彼らに助けが必要だと判断するのは難しい。

家族全員で健康な心と脳にする

父が無事に帰ってきて、二日間休養した後、頭が次第にはっきりして来て、だいぶ元気になった。一家全員、もう二度と悪夢を見たくなかった。それがきっかけで、積極的に多くのことに変化をもたらした。二種類以上の位置情報が分かる方式を採用したり、食習慣を調整したりするようになった。

父はパンが好きだったが、研究報告によると、パンやパスタなど精製された高炭水化物を摂取し過ぎると、体内のぶどう糖とインスリンの代謝機能に影響を及ぼし、脳の血管とアミロイドβの作用にも影響を及ぼすそうだ。そして、βアミロイド斑こそ、アルツハイマー病を引き起こす重要な要因なのだそうだ。

家族は父に脳を健康にする様々なホールフーズを用意した。例えば、ナッツ、カボチャ、トマト、ダークチョコレート、ブラックコーヒーなどで、加工食品の摂取を減らし、ビタミンを補充し、アロマエッセンシャルオイルテラピー等を行った。

コロナ禍が落ち着いた後、父は每朝、最低一時間散步し、夜は家族が父に付き添って、書道や指の体操、パソコンの曲に合わせて歌うなど、いろいろな事をして一緒に過ごすようにした。それから、よくできたと父を褒めるようにした。

最近、政府は高齢者介護に関する情報を色々と提供しているので、私たちは父に介護の申請をした。介護士は、月曜日から金曜日まで昼間の一、二時間来て、将棋やパズルゲーム、おしゃべりなどの相手をして、父に付き添っている。多方面から生活習慣やリズムを改善したことで、今では、父の脳の退化が止っただけでなく、認知機能もかなり改善した。

高齢化社会は、より綿密な愛で織り成したネットワークによって、助けを必要とする年長者をキャッチする必要がある。その過程では、少しでも多く注意と関心を払い、行動によって表現することが必要であり、それによって一家族を救うことができるかもしれないのだ。慈済は各地の連絡所に介護拠点を設けており、地域の年長者に活力溢れる学習の場を提供することで、彼らが外出できるようになり、生き生きと、安心して晚年を過ごせるようにサポートしている。多くの年長者は、人と交流することで新しい知識を学ぶと共に、元来の記憶力の低下を遅れさせたり、ふさぎ込んだ気持ちを和らげたりすることができる。

如何にすれば、質と尊厳を兼ねた老年時代を過ごすことができるかは、社会全体の課題である。コロナ禍は私たちに、人と人の間で最も重要なこととは、やはり愛と関心であることを気づかせてくれた。心の溫かさが年長者の記憶を温め、認知症の年長者が平穏に温かくて愛のある環境で、晚年を過ごせるようにと願って止まない。

(慈済月刊六九五期より)

關鍵字

Bridging Healthcare Gaps—Tzu Chi and the SDGs

By Yeh Tzu-hao
Translated by Wu Hsiao-ting

“Ensuring healthy lives and promoting well-being for all at all ages” is the focus of the United Nations’ Sustainable Development Goal 3. This vision has also guided Tzu Chi’s medical efforts over the past five decades, benefiting communities worldwide.

A doctor from the Singapore chapter of TIMA sees a patient during a free clinic event in Colombo, Sri Lanka. Hsiao Yiu-hwa

Dapu Township, located in the mountainous region of Chiayi County in southern Taiwan, lies within the catchment area of the Zengwen Reservoir. The reservoir’s construction significantly affected local agriculture, prompting many young residents to leave in search of better opportunities. As a result, the township was for many years unable to support a medical institution.

To help meet the needs of this underserved community, the Tzu Chi International Medical Association (TIMA) provided free clinics in the area for a decade. Healthcare professionals and support volunteers visited each month to offer care but could not stay long-term. That changed in 2002, when Dalin Tzu Chi Hospital, which opened in 2000, began participating in two government healthcare programs and stationing doctors in the area. Finally, this enabled local residents to gain easier access to essential medical care.

Dr. Lin Ying-lung (林英龍), a specialist in family medicine, is the current resident physician and head of the emergency room at the medical station in Dapu. Over the past eight years, he has averaged only two days off per month. He’s treated everything from bee stings and snakebites to traffic accidents, work-related injuries, and heart attacks. In addition to Dr. Lin’s work, specialists from Dalin Tzu Chi Hospital visit on a rotating basis to offer additional support in fields including rheumatology, cardiology, dermatology, and dentistry.

The healthcare team also makes home visits. “We’ve established a strong network with home care workers to identify patients who can’t come to us. For these, we go to them to provide care for them in their homes,” said Dr. Yeh Ming-hsien (葉明憲), a traditional Chinese medicine practitioner from Dalin Tzu Chi Hospital. He serves at the station every Wednesday, and for the past 22 years, has personally visited bedridden or housebound patients after completing his duties at the station.

Thanks to the team’s efforts, many elderly residents have shown significant health improvements. Stroke patients who were once bedridden can now stand, and individuals with dementia have regained speech and mobility, some even able to tell stories. In addition to providing 24-hour medical coverage for Dapu residents, Dalin Tzu Chi Hospital also offers mobile medical services in Meishan Township and Zhuqi Township in Chiayi County, as well as Gukeng Township in Yunlin County.

TIMA members in northern Taiwan regularly visit rural areas such as Sanzhi, Shuangxi, Ruifang, and Pingxi in New Taipei City to care for the health of elderly residents, forming bonds like those of old friends. Li Zheng-ming

Serving underserved migrant workers

Dharma Master Cheng Yen recognized a link between poverty and illness as early as 1966, the year Tzu Chi was founded in Hualien, eastern Taiwan. Illness often drives families into poverty, while the impoverished are more likely to develop serious health conditions due to their inability to afford treatment for common ailments. In response, the Master established a free clinic on Ren’ai Street in Hualien City in 1972. In addition to on-site services, medical professionals conducted home visits in rural areas in Hualien and neighboring Taitung. Recognizing the need for a modern, well-equipped hospital in remote eastern Taiwan, Master Cheng Yen established Hualien Tzu Chi Hospital in 1986.

Currently in Taiwan, Tzu Chi operates two medical centers, two regional hospitals, four medium-sized or small hospitals, and a clinic. Furthermore, more than 2,700 TIMA doctors, nurses, pharmacists, and support volunteers provide free services to those in need. In rural areas where elderly residents have difficulties accessing healthcare, TIMA volunteers make home visits to deliver care. These mobile services reach not only remote villages and mountainous regions but also underserved groups in urban areas.

TIMA members in northern Taiwan have partnered with the Taipei City Government for 20 years to provide medical services to foreign migrant workers. Held at Taipei Main Station—a popular gathering spot for migrant workers—these free clinic events offer consultations in specialties such as mental health, internal medicine, dentistry, ophthalmology, orthopedics, gynecology, and traditional Chinese medicine. Medications are dispensed through partner clinics using National Health Insurance cards. Although procedures like blood draws and injections are not performed on-site, the services that are offered provide vital support to migrant workers.

“How old is the grandpa you care for?” asked a clinical psychologist at one such free clinic. “Eighty years old,” replied a migrant worker. “You mentioned having trouble sleeping. Do you feel dizzy? How many hours do you sleep at night?” the psychologist continued. “Four hours,” the worker answered. Despite the bustling atmosphere at Taipei Main Station on Sundays, these exchanges carried on undisturbed.

Tzu Chi volunteer Yan Mei-ling (顏渼姈) is the contact person for the free clinic, currently held about three times a year. She explained that most migrant workers they serve come from Indonesia and work as home caregivers for elderly individuals needing substantial assistance. Such demanding work often leads to physical strain and disrupted sleep patterns. Since many hospitals and clinics are closed on Sundays, the usual day off for most migrant workers, it can be hard for them to get the medical care they need. To meet their needs, TIMA specifically chose Sundays to offer services.

Other than serving remote areas, islands, and migrant workers and the homeless in urban areas, TIMA volunteers and Tzu Chi medical personnel in Taiwan also visit facilities to provide care for other vulnerable groups, such as patients in a vegetative state or those with paralysis, alleviating their suffering and easing the minds of their families.

Gaps in SDG 3

“Ensuring healthy lives and promoting well-being for all at all ages” is the third Sustainable Development Goal of the United Nations. The aim of the goal is to significantly reduce maternal, infant, and under-five child mortality rates by 2030. It also seeks to achieve universal health coverage, including financial risk protection; ensuring access to essential healthcare services; and making safe, effective, high-quality, and affordable medicines and vaccines available to all. Although Taiwan has nearly achieved these targets, significant gaps remain in healthcare access in many other parts of the world.

According to the World Health Organization and the World Bank, out-of-pocket medical expenses have pushed hundreds of millions of people worldwide into extreme poverty. Furthermore, fewer than ten percent of the global population has access to medical services on par with those offered by teaching hospitals. In developing countries across Southeast Asia, Africa, and Latin America, many destitute individuals struggle to obtain even basic clinic services, let alone hospitalization for advanced care.

In countries without well-established healthcare systems, Tzu Chi’s medical mission addresses far greater needs. In areas where access to essential medical care is limited, even a simple surgical procedure can profoundly impact the fate of an entire family.

At the Tzu Chi Eye Center in Manila, the Philippines, patients with eye diseases begin arriving early in the morning from various regions. Often guided by family members due to impaired vision, they come seeking examinations and treatment. One such patient was Kevin Andrade. Blind for over three years due to cataracts, he had been unable to afford treatment. At one point, despair had overwhelmed him to the extent that he attempted to take his own life, but one of his children intervened and saved him just in time. Now he anxiously waited in the recovery area, recovering after cataract surgery at the eye center.

“Do you see this?” Dr. Catherina Coronel-Nasol asked Kevin after his surgery, holding out a finger. Kevin replied dejectedly, “No.” But after resting for three hours, he suddenly stood up and walked to and from the toilet on his own—moving as though his vision were completely normal. Everyone was surprised and overjoyed. Although only the vision in his right eye had been restored, it filled him with hope as he eagerly looked forward to returning to work to support his family.

The Tzu Chi Eye Center, offering free, critical eye care to those in need, recorded 20,000 patient visits in 2023 alone. Similarly, a prosthetics center in Zamboanga City, southern Philippines, provides free, customized prosthetics to people with disabilities, addressing another essential aspect of medical care for underserved populations.

These services are just one facet of Tzu Chi’s nearly three decades of medical work in the Philippines. With over 7,000 islands, the country faces significant wealth inequality and transportation barriers. Many impoverished residents in remote areas live their entire lives without ever visiting a hospital. To bring healthcare to these underserved communities, Tzu Chi volunteers established medical outreach teams in the Philippines in 1995.

Dr. Josefino Qua (柯賢智), a senior member of TIMA Philippines, reflected on those early days: “We started with nothing.” Their first anesthesia machine was a second-hand unit phased out by the U.S. military; lacking specialized surgical lamps, they improvised with regular light bulbs; and surgeries were performed in school libraries or offices, with desks serving as makeshift operating tables. Despite these limitations, the volunteers were driven by a deep passion to help others.

“The number of nurses and other volunteers participating grew with each event,” Dr. Qua said. “Even though there was no financial compensation or recognition, everyone stayed committed. While much has changed over the years, the one constant has been love.”

TIMA Philippines now conducts three to four large-scale free clinics in the country annually. Over nearly 30 years, volunteers have held more than 260 such events, recording over 300,000 patient visits.

In addition to the Philippines, Tzu Chi has been organizing free clinics in Indonesia, Malaysia, and Singapore for many years, with teams often crossing borders to provide assistance. For example, in August 2024, volunteers from Singapore teamed up with medical professionals and support volunteers from Sri Lanka to host a free clinic in Sri Lanka’s Kalutara District. The event brought together 352 healthcare workers and other volunteers. While doctor visits are free in Sri Lanka, patients are required to pay out-of-pocket for medications. In recent years, the cost of medicine has doubled, placing a significant financial burden on low-income residents.

This free clinic, offering services in traditional Chinese medicine, dentistry, ophthalmology, and internal medicine, was held at Katugahahena Divisional Hospital, a public facility staffed by only four doctors and lacking both ophthalmology and dentistry specialties. A root canal procedure at a private hospital costs 40,000 Sri Lankan rupees (US$135), making it unaffordable for many. Consequently, although the free clinic officially began at 8:30 a.m., some local people arrived as early as 3 a.m. to secure their place. Over the course of two and a half days, the clinic provided care for 4,600 patient visits.

Tzu Chi’s medical efforts worldwide have not only brought relief to patients but also sparked a passion for service among healthcare professionals. For instance, Dr. Ruzbih Bahtiar, a TIMA volunteer in Indonesia, found the experience of serving patients in a free clinic profoundly fulfilling. When patients expressed their gratitude, he humbly remarked that he was the one who had benefited more. “Fulfilling others’ needs is an incredibly rewarding experience,” he said.

Tzu Chi has held free clinics for foreign migrant workers at Taipei Main Station for 20 years. Jiang Bao-qing

Serving people in affluent countries

It is not surprising that less-developed regions in Southeast Asia, Latin America, and Africa require humanitarian medical aid. But why would a nation like the United States—renowned for its world-class medical standards and high per capita income—still have a substantial need for free clinics?

“The issue lies with insurance and legal status,” explained Dr. Lin Chin-lon (林俊龍), CEO of the Tzu Chi medical mission and convener of TIMA. He is a former superintendent of the Northridge Hospital Medical Center in Los Angeles, and he pointed out that while most U.S. citizens have basic health insurance, undocumented immigrants lack coverage and are often left helpless in the face of medical emergencies. Job loss and subsequent poverty can also render insurance premiums unaffordable, leaving individuals vulnerable. “For people without insurance, even a simple appendectomy can lead to bankruptcy,” he lamented.

To address gaps in healthcare access for underserved communities, Tzu Chi USA opened its first permanent clinic in Alhambra, California, in November 1993, offering free medical services to those in need. Initially providing treatment in internal medicine, dentistry, and traditional Chinese medicine, the clinic gradually expanded its healthcare specialties and even installed showers to serve homeless patients. In 2005, the clinic transitioned into a community health center, offering paid healthcare to the general public while continuing to provide free services to underprivileged populations. Its commitment to supporting the less fortunate remains unchanged.

To tackle the vast geographic challenges of the United States, Tzu Chi USA has also launched 12 mobile medical units. These specially equipped vehicles travel to underserved communities, offering on-site services such as vision exams and dental care.

“We can complete a vision test and fit someone for glasses within an hour,” said Dr. Kenneth Liao (廖敬興), a dentist and senior volunteer with TIMA USA. “This is practically unheard of in New York and has a profound impact on students from low-income families.” He explained that many underprivileged students are unaware they have vision problems. Unable to see the whiteboard clearly, these students may struggle academically. By providing eye exams and glasses, TIMA volunteers help these students see clearly and stay focused during their lessons. “Their grades can improve significantly—from a C to an A,” he said with a smile.

Today, TIMA chapters operate in 24 locations across the United States. Volunteers also serve communities abroad through free clinic events in countries such as Mexico, Haiti, the Dominican Republic, Ecuador, and Bolivia.

Globally, TIMA has members in 28 countries and regions. More than 15,000 doctors, nurses, medical technicians, pharmacists, and administrative volunteers work together to provide free medical services to disadvantaged patients. TIMA volunteers also respond to major international disasters by actively participating in relief efforts. By the end of 2023, TIMA had delivered care in 58 countries and regions, with over four million instances of medical aid provided.

The Tzu Chi Eye Center in Manila, the Philippines, provides free treatment to underprivileged patients. In 2023, the center conducted nearly 3,000 surgeries, as shown in photo 1. Photo 2 shows Medical Director Dr. Bernardita Navarro visiting patient Kevin Andrade at his home. Jamaica Mae Digo

Harnessing technology

As the landscape of global healthcare evolves, Tzu Chi continues to adapt its approach to delivering care. Healthcare professionals in the 21st century are witnessing revolutionary advancements that are transforming the field. Dr. Wang Pen-jung (王本榮), former dean of the College of Medicine at Tzu Chi University and current CEO of Tzu Chi’s educational mission, highlighted the growing role of artificial intelligence (AI) in healthcare. “AI-assisted diagnostic imaging will inevitably surpass human doctors in accuracy,” he stated. “It can help address disparities in healthcare resources and resolve supply-demand imbalances. When integrated into telemedicine, its reach becomes virtually limitless, enabling care for underserved populations in remote areas. Whether it’s precision medicine, personalized healthcare, or digital therapies, AI will be a powerful tool for us.”

That said, while embracing cutting-edge technologies, it is essential to maintain a human-centered approach to care—addressing both the physical and emotional needs of patients. Striking this balance is key to truly advancing health and well-being for all.

Dr. Wang emphasized three guiding principles for healthcare providers: “First, cure—possessing the professional expertise to diagnose illnesses and safeguard life; second, care—attending to the needs of patients; and most importantly, comfort—soothing the suffering of those in pain.” He explained that these “three Cs” capture the essence of healthcare and reflect the core values that Master Cheng Yen has always advocated: healthcare must remain human-centered, dedicated to protecting life, safeguarding health, and nurturing love. These principles continue to guide Tzu Chi’s healthcare workers and volunteers as they strive to provide compassionate, life-changing care.

In Jordan, Tzu Chi volunteers have long provided assistance to those in need, including Syrian refugees. Volunteers from Taiwan have made multiple trips to the country to offer support. In 2019, a dental clinic was held in Ghawr as-Safi, where men, women, and children patiently waited for treatment despite the heat. Hsiao Yiu-hwa

Low-income individuals and those without health insurance receive dental care aboard a mobile dental unit in Oakland, USA. Lu Wan-jie

By Yeh Tzu-hao
Translated by Wu Hsiao-ting

“Ensuring healthy lives and promoting well-being for all at all ages” is the focus of the United Nations’ Sustainable Development Goal 3. This vision has also guided Tzu Chi’s medical efforts over the past five decades, benefiting communities worldwide.

A doctor from the Singapore chapter of TIMA sees a patient during a free clinic event in Colombo, Sri Lanka. Hsiao Yiu-hwa

Dapu Township, located in the mountainous region of Chiayi County in southern Taiwan, lies within the catchment area of the Zengwen Reservoir. The reservoir’s construction significantly affected local agriculture, prompting many young residents to leave in search of better opportunities. As a result, the township was for many years unable to support a medical institution.

To help meet the needs of this underserved community, the Tzu Chi International Medical Association (TIMA) provided free clinics in the area for a decade. Healthcare professionals and support volunteers visited each month to offer care but could not stay long-term. That changed in 2002, when Dalin Tzu Chi Hospital, which opened in 2000, began participating in two government healthcare programs and stationing doctors in the area. Finally, this enabled local residents to gain easier access to essential medical care.

Dr. Lin Ying-lung (林英龍), a specialist in family medicine, is the current resident physician and head of the emergency room at the medical station in Dapu. Over the past eight years, he has averaged only two days off per month. He’s treated everything from bee stings and snakebites to traffic accidents, work-related injuries, and heart attacks. In addition to Dr. Lin’s work, specialists from Dalin Tzu Chi Hospital visit on a rotating basis to offer additional support in fields including rheumatology, cardiology, dermatology, and dentistry.

The healthcare team also makes home visits. “We’ve established a strong network with home care workers to identify patients who can’t come to us. For these, we go to them to provide care for them in their homes,” said Dr. Yeh Ming-hsien (葉明憲), a traditional Chinese medicine practitioner from Dalin Tzu Chi Hospital. He serves at the station every Wednesday, and for the past 22 years, has personally visited bedridden or housebound patients after completing his duties at the station.

Thanks to the team’s efforts, many elderly residents have shown significant health improvements. Stroke patients who were once bedridden can now stand, and individuals with dementia have regained speech and mobility, some even able to tell stories. In addition to providing 24-hour medical coverage for Dapu residents, Dalin Tzu Chi Hospital also offers mobile medical services in Meishan Township and Zhuqi Township in Chiayi County, as well as Gukeng Township in Yunlin County.

TIMA members in northern Taiwan regularly visit rural areas such as Sanzhi, Shuangxi, Ruifang, and Pingxi in New Taipei City to care for the health of elderly residents, forming bonds like those of old friends. Li Zheng-ming

Serving underserved migrant workers

Dharma Master Cheng Yen recognized a link between poverty and illness as early as 1966, the year Tzu Chi was founded in Hualien, eastern Taiwan. Illness often drives families into poverty, while the impoverished are more likely to develop serious health conditions due to their inability to afford treatment for common ailments. In response, the Master established a free clinic on Ren’ai Street in Hualien City in 1972. In addition to on-site services, medical professionals conducted home visits in rural areas in Hualien and neighboring Taitung. Recognizing the need for a modern, well-equipped hospital in remote eastern Taiwan, Master Cheng Yen established Hualien Tzu Chi Hospital in 1986.

Currently in Taiwan, Tzu Chi operates two medical centers, two regional hospitals, four medium-sized or small hospitals, and a clinic. Furthermore, more than 2,700 TIMA doctors, nurses, pharmacists, and support volunteers provide free services to those in need. In rural areas where elderly residents have difficulties accessing healthcare, TIMA volunteers make home visits to deliver care. These mobile services reach not only remote villages and mountainous regions but also underserved groups in urban areas.

TIMA members in northern Taiwan have partnered with the Taipei City Government for 20 years to provide medical services to foreign migrant workers. Held at Taipei Main Station—a popular gathering spot for migrant workers—these free clinic events offer consultations in specialties such as mental health, internal medicine, dentistry, ophthalmology, orthopedics, gynecology, and traditional Chinese medicine. Medications are dispensed through partner clinics using National Health Insurance cards. Although procedures like blood draws and injections are not performed on-site, the services that are offered provide vital support to migrant workers.

“How old is the grandpa you care for?” asked a clinical psychologist at one such free clinic. “Eighty years old,” replied a migrant worker. “You mentioned having trouble sleeping. Do you feel dizzy? How many hours do you sleep at night?” the psychologist continued. “Four hours,” the worker answered. Despite the bustling atmosphere at Taipei Main Station on Sundays, these exchanges carried on undisturbed.

Tzu Chi volunteer Yan Mei-ling (顏渼姈) is the contact person for the free clinic, currently held about three times a year. She explained that most migrant workers they serve come from Indonesia and work as home caregivers for elderly individuals needing substantial assistance. Such demanding work often leads to physical strain and disrupted sleep patterns. Since many hospitals and clinics are closed on Sundays, the usual day off for most migrant workers, it can be hard for them to get the medical care they need. To meet their needs, TIMA specifically chose Sundays to offer services.

Other than serving remote areas, islands, and migrant workers and the homeless in urban areas, TIMA volunteers and Tzu Chi medical personnel in Taiwan also visit facilities to provide care for other vulnerable groups, such as patients in a vegetative state or those with paralysis, alleviating their suffering and easing the minds of their families.

Gaps in SDG 3

“Ensuring healthy lives and promoting well-being for all at all ages” is the third Sustainable Development Goal of the United Nations. The aim of the goal is to significantly reduce maternal, infant, and under-five child mortality rates by 2030. It also seeks to achieve universal health coverage, including financial risk protection; ensuring access to essential healthcare services; and making safe, effective, high-quality, and affordable medicines and vaccines available to all. Although Taiwan has nearly achieved these targets, significant gaps remain in healthcare access in many other parts of the world.

According to the World Health Organization and the World Bank, out-of-pocket medical expenses have pushed hundreds of millions of people worldwide into extreme poverty. Furthermore, fewer than ten percent of the global population has access to medical services on par with those offered by teaching hospitals. In developing countries across Southeast Asia, Africa, and Latin America, many destitute individuals struggle to obtain even basic clinic services, let alone hospitalization for advanced care.

In countries without well-established healthcare systems, Tzu Chi’s medical mission addresses far greater needs. In areas where access to essential medical care is limited, even a simple surgical procedure can profoundly impact the fate of an entire family.

At the Tzu Chi Eye Center in Manila, the Philippines, patients with eye diseases begin arriving early in the morning from various regions. Often guided by family members due to impaired vision, they come seeking examinations and treatment. One such patient was Kevin Andrade. Blind for over three years due to cataracts, he had been unable to afford treatment. At one point, despair had overwhelmed him to the extent that he attempted to take his own life, but one of his children intervened and saved him just in time. Now he anxiously waited in the recovery area, recovering after cataract surgery at the eye center.

“Do you see this?” Dr. Catherina Coronel-Nasol asked Kevin after his surgery, holding out a finger. Kevin replied dejectedly, “No.” But after resting for three hours, he suddenly stood up and walked to and from the toilet on his own—moving as though his vision were completely normal. Everyone was surprised and overjoyed. Although only the vision in his right eye had been restored, it filled him with hope as he eagerly looked forward to returning to work to support his family.

The Tzu Chi Eye Center, offering free, critical eye care to those in need, recorded 20,000 patient visits in 2023 alone. Similarly, a prosthetics center in Zamboanga City, southern Philippines, provides free, customized prosthetics to people with disabilities, addressing another essential aspect of medical care for underserved populations.

These services are just one facet of Tzu Chi’s nearly three decades of medical work in the Philippines. With over 7,000 islands, the country faces significant wealth inequality and transportation barriers. Many impoverished residents in remote areas live their entire lives without ever visiting a hospital. To bring healthcare to these underserved communities, Tzu Chi volunteers established medical outreach teams in the Philippines in 1995.

Dr. Josefino Qua (柯賢智), a senior member of TIMA Philippines, reflected on those early days: “We started with nothing.” Their first anesthesia machine was a second-hand unit phased out by the U.S. military; lacking specialized surgical lamps, they improvised with regular light bulbs; and surgeries were performed in school libraries or offices, with desks serving as makeshift operating tables. Despite these limitations, the volunteers were driven by a deep passion to help others.

“The number of nurses and other volunteers participating grew with each event,” Dr. Qua said. “Even though there was no financial compensation or recognition, everyone stayed committed. While much has changed over the years, the one constant has been love.”

TIMA Philippines now conducts three to four large-scale free clinics in the country annually. Over nearly 30 years, volunteers have held more than 260 such events, recording over 300,000 patient visits.

In addition to the Philippines, Tzu Chi has been organizing free clinics in Indonesia, Malaysia, and Singapore for many years, with teams often crossing borders to provide assistance. For example, in August 2024, volunteers from Singapore teamed up with medical professionals and support volunteers from Sri Lanka to host a free clinic in Sri Lanka’s Kalutara District. The event brought together 352 healthcare workers and other volunteers. While doctor visits are free in Sri Lanka, patients are required to pay out-of-pocket for medications. In recent years, the cost of medicine has doubled, placing a significant financial burden on low-income residents.

This free clinic, offering services in traditional Chinese medicine, dentistry, ophthalmology, and internal medicine, was held at Katugahahena Divisional Hospital, a public facility staffed by only four doctors and lacking both ophthalmology and dentistry specialties. A root canal procedure at a private hospital costs 40,000 Sri Lankan rupees (US$135), making it unaffordable for many. Consequently, although the free clinic officially began at 8:30 a.m., some local people arrived as early as 3 a.m. to secure their place. Over the course of two and a half days, the clinic provided care for 4,600 patient visits.

Tzu Chi’s medical efforts worldwide have not only brought relief to patients but also sparked a passion for service among healthcare professionals. For instance, Dr. Ruzbih Bahtiar, a TIMA volunteer in Indonesia, found the experience of serving patients in a free clinic profoundly fulfilling. When patients expressed their gratitude, he humbly remarked that he was the one who had benefited more. “Fulfilling others’ needs is an incredibly rewarding experience,” he said.

Tzu Chi has held free clinics for foreign migrant workers at Taipei Main Station for 20 years. Jiang Bao-qing

Serving people in affluent countries

It is not surprising that less-developed regions in Southeast Asia, Latin America, and Africa require humanitarian medical aid. But why would a nation like the United States—renowned for its world-class medical standards and high per capita income—still have a substantial need for free clinics?

“The issue lies with insurance and legal status,” explained Dr. Lin Chin-lon (林俊龍), CEO of the Tzu Chi medical mission and convener of TIMA. He is a former superintendent of the Northridge Hospital Medical Center in Los Angeles, and he pointed out that while most U.S. citizens have basic health insurance, undocumented immigrants lack coverage and are often left helpless in the face of medical emergencies. Job loss and subsequent poverty can also render insurance premiums unaffordable, leaving individuals vulnerable. “For people without insurance, even a simple appendectomy can lead to bankruptcy,” he lamented.

To address gaps in healthcare access for underserved communities, Tzu Chi USA opened its first permanent clinic in Alhambra, California, in November 1993, offering free medical services to those in need. Initially providing treatment in internal medicine, dentistry, and traditional Chinese medicine, the clinic gradually expanded its healthcare specialties and even installed showers to serve homeless patients. In 2005, the clinic transitioned into a community health center, offering paid healthcare to the general public while continuing to provide free services to underprivileged populations. Its commitment to supporting the less fortunate remains unchanged.

To tackle the vast geographic challenges of the United States, Tzu Chi USA has also launched 12 mobile medical units. These specially equipped vehicles travel to underserved communities, offering on-site services such as vision exams and dental care.

“We can complete a vision test and fit someone for glasses within an hour,” said Dr. Kenneth Liao (廖敬興), a dentist and senior volunteer with TIMA USA. “This is practically unheard of in New York and has a profound impact on students from low-income families.” He explained that many underprivileged students are unaware they have vision problems. Unable to see the whiteboard clearly, these students may struggle academically. By providing eye exams and glasses, TIMA volunteers help these students see clearly and stay focused during their lessons. “Their grades can improve significantly—from a C to an A,” he said with a smile.

Today, TIMA chapters operate in 24 locations across the United States. Volunteers also serve communities abroad through free clinic events in countries such as Mexico, Haiti, the Dominican Republic, Ecuador, and Bolivia.

Globally, TIMA has members in 28 countries and regions. More than 15,000 doctors, nurses, medical technicians, pharmacists, and administrative volunteers work together to provide free medical services to disadvantaged patients. TIMA volunteers also respond to major international disasters by actively participating in relief efforts. By the end of 2023, TIMA had delivered care in 58 countries and regions, with over four million instances of medical aid provided.

The Tzu Chi Eye Center in Manila, the Philippines, provides free treatment to underprivileged patients. In 2023, the center conducted nearly 3,000 surgeries, as shown in photo 1. Photo 2 shows Medical Director Dr. Bernardita Navarro visiting patient Kevin Andrade at his home. Jamaica Mae Digo

Harnessing technology

As the landscape of global healthcare evolves, Tzu Chi continues to adapt its approach to delivering care. Healthcare professionals in the 21st century are witnessing revolutionary advancements that are transforming the field. Dr. Wang Pen-jung (王本榮), former dean of the College of Medicine at Tzu Chi University and current CEO of Tzu Chi’s educational mission, highlighted the growing role of artificial intelligence (AI) in healthcare. “AI-assisted diagnostic imaging will inevitably surpass human doctors in accuracy,” he stated. “It can help address disparities in healthcare resources and resolve supply-demand imbalances. When integrated into telemedicine, its reach becomes virtually limitless, enabling care for underserved populations in remote areas. Whether it’s precision medicine, personalized healthcare, or digital therapies, AI will be a powerful tool for us.”

That said, while embracing cutting-edge technologies, it is essential to maintain a human-centered approach to care—addressing both the physical and emotional needs of patients. Striking this balance is key to truly advancing health and well-being for all.

Dr. Wang emphasized three guiding principles for healthcare providers: “First, cure—possessing the professional expertise to diagnose illnesses and safeguard life; second, care—attending to the needs of patients; and most importantly, comfort—soothing the suffering of those in pain.” He explained that these “three Cs” capture the essence of healthcare and reflect the core values that Master Cheng Yen has always advocated: healthcare must remain human-centered, dedicated to protecting life, safeguarding health, and nurturing love. These principles continue to guide Tzu Chi’s healthcare workers and volunteers as they strive to provide compassionate, life-changing care.

In Jordan, Tzu Chi volunteers have long provided assistance to those in need, including Syrian refugees. Volunteers from Taiwan have made multiple trips to the country to offer support. In 2019, a dental clinic was held in Ghawr as-Safi, where men, women, and children patiently waited for treatment despite the heat. Hsiao Yiu-hwa

Low-income individuals and those without health insurance receive dental care aboard a mobile dental unit in Oakland, USA. Lu Wan-jie

關鍵字

ネットゼロとは

(写真提供・慈済基金会 場所・花蓮慈済志業パーク同心円食堂)

ネットゼロ」が話題になっている昨今だが、生かじりのままでいる人が多いのではないだろうか。

「一年間に世界で排出されている約五百億トンもの温室効果ガスを、ゼロにするのは無理です」。陳哲霖(チェン・ヅェーリン)さんが簡潔に説明した。排出ネットゼロとは、温室効果ガスを全く排出しないのではなく、排出量を最低限に抑える努力を行いつつ、森林や海洋、土壌などが果たす「カーボンシンク」という役割に加えて、二酸化炭素の回収や貯蔵施設などでの「人工的な二酸化炭素の吸収」によって、差し引きゼロに近づけることである。

「ネットゼロ」の意味がわかれば、なぜ肉類を食べずに菜食したり、公共交通機関を利用したり、忘れず電気を消したりするのかが理解できるようになる。「塵も積もれば山となる」と言われるように、個人レベルの小さな行動でも地球と人類の持続可能性に貢献できるのだ。

天然資源の枯渇問題に対応するには、原料の採掘から製造・消費・廃棄・汚染まで一方通行の「線形経済(リニアエコノミー)」システムを改める必要があり、資源の使用や消費を抑え、汚染を減らし、廃棄物をリサイクルする「循環経済」という新たな道を進むべきである。

陳さんは、ある大手の科技工場を例に挙げた。その会社は電球の製造で世界に知られていたが、後に新しいビジネスモデルを開発し、オランダ・アムステルダムのスキポール空港と契約を交わした。空港全体で使われる照明器具の受注とその交換及びメンテナンスを含む業務を請け負ったのである。利益の源が製品の販売からサービスの提供へ移行したので、メンテナンスコストを削減するためにより優れた耐久性のある製品を製造した結果、原材料とエネルギーの消費が削減されたのである。

「ネットゼロは地球温暖化の問題を解決するために必要です。循環経済で地球資源の枯渇問題に対応し、ネットゼロと資源の循環を進めることで、地球と人類は持続することが可能になります。持続的な発展は環境問題に限ったことではなく、経済の発展や社会の進歩も然りであるため、その中核となる精神を知らなければいけません。多様性があって包括的であるためには、何よりも誰も置き去りにしないことが大切です」。陳さんは、慈済の環境教育の要点と順序を語った。

(慈済月刊六九八期より)

太陽光をグリーン電力に変換

太陽光をグリーン電力に変換

慈済は、各地の連絡所の屋上や空き地にソーラーパネルを取り付けるプロジェクトを推進しており、2024年末現在、46カ所で太陽光発電を行っている。その中の34カ所は太陽光発電企業との合作である。慈済が空き地を提供し、業者が出資して建設し、完成後は、慈済が土地の賃貸料を受け取らない代わりに発電量の15〜20%を使用すること、また「グリーン電力証書」を提供してもらうことにしている。

  • 46カ所の太陽光発電所が完成

  • 再生可能エネルギー発電によるグリーン電力:年間738万キロワット

  • 総容量:6524キロワットピーク

  • 炭素排出削減量:年間3647トン

(2024年12月末までの統計)

(写真提供・慈済基金会 場所・花蓮慈済志業パーク同心円食堂)

ネットゼロ」が話題になっている昨今だが、生かじりのままでいる人が多いのではないだろうか。

「一年間に世界で排出されている約五百億トンもの温室効果ガスを、ゼロにするのは無理です」。陳哲霖(チェン・ヅェーリン)さんが簡潔に説明した。排出ネットゼロとは、温室効果ガスを全く排出しないのではなく、排出量を最低限に抑える努力を行いつつ、森林や海洋、土壌などが果たす「カーボンシンク」という役割に加えて、二酸化炭素の回収や貯蔵施設などでの「人工的な二酸化炭素の吸収」によって、差し引きゼロに近づけることである。

「ネットゼロ」の意味がわかれば、なぜ肉類を食べずに菜食したり、公共交通機関を利用したり、忘れず電気を消したりするのかが理解できるようになる。「塵も積もれば山となる」と言われるように、個人レベルの小さな行動でも地球と人類の持続可能性に貢献できるのだ。

天然資源の枯渇問題に対応するには、原料の採掘から製造・消費・廃棄・汚染まで一方通行の「線形経済(リニアエコノミー)」システムを改める必要があり、資源の使用や消費を抑え、汚染を減らし、廃棄物をリサイクルする「循環経済」という新たな道を進むべきである。

陳さんは、ある大手の科技工場を例に挙げた。その会社は電球の製造で世界に知られていたが、後に新しいビジネスモデルを開発し、オランダ・アムステルダムのスキポール空港と契約を交わした。空港全体で使われる照明器具の受注とその交換及びメンテナンスを含む業務を請け負ったのである。利益の源が製品の販売からサービスの提供へ移行したので、メンテナンスコストを削減するためにより優れた耐久性のある製品を製造した結果、原材料とエネルギーの消費が削減されたのである。

「ネットゼロは地球温暖化の問題を解決するために必要です。循環経済で地球資源の枯渇問題に対応し、ネットゼロと資源の循環を進めることで、地球と人類は持続することが可能になります。持続的な発展は環境問題に限ったことではなく、経済の発展や社会の進歩も然りであるため、その中核となる精神を知らなければいけません。多様性があって包括的であるためには、何よりも誰も置き去りにしないことが大切です」。陳さんは、慈済の環境教育の要点と順序を語った。

(慈済月刊六九八期より)

太陽光をグリーン電力に変換

太陽光をグリーン電力に変換

慈済は、各地の連絡所の屋上や空き地にソーラーパネルを取り付けるプロジェクトを推進しており、2024年末現在、46カ所で太陽光発電を行っている。その中の34カ所は太陽光発電企業との合作である。慈済が空き地を提供し、業者が出資して建設し、完成後は、慈済が土地の賃貸料を受け取らない代わりに発電量の15〜20%を使用すること、また「グリーン電力証書」を提供してもらうことにしている。

  • 46カ所の太陽光発電所が完成

  • 再生可能エネルギー発電によるグリーン電力:年間738万キロワット

  • 総容量:6524キロワットピーク

  • 炭素排出削減量:年間3647トン

(2024年12月末までの統計)

關鍵字

Healing Beyond Medicine

Narrated by Wang Ying-wei, director of the Department of Medical Humanities, Tzu Chi University
Compiled by Yeh Tzu-hao
Edited and translated by Wu Hsiao-ting

By integrating medical care and social support, communities can create lasting improvements in health and quality of life.

The UN’s Sustainable Development Goal 3, “Good Health and Well-Being,” is deeply connected to issues of poverty, hunger, education, employment, and inequality. Advancing public health requires moving beyond the narrow view that health is solely about medical care. A broader, more holistic perspective is essential.

One example of this holistic perspective is “social prescribing,” a concept advocated by the World Health Organization and promoted by Hualien Tzu Chi Hospital. Already implemented in countries such as Canada, Australia, New Zealand, Singapore, Finland, and Japan, social prescribing highlights the importance of addressing the underlying social determinants of health and acknowledges that health challenges cannot be fully addressed through medical treatments alone. For example, traditional medical advice in tackling obesity often focuses on weight loss strategies, but the root cause may be financial limitations that restrict access to healthier food options. While exercise and dietary changes can help, a more comprehensive approach that considers broader social determinants is needed.

This holistic approach includes non-medical interventions, such as fostering interpersonal relationships, encouraging social participation, promoting physical activity, and offering therapies like art and horticulture. Trained volunteers, public health nurses, and home care providers connect patients to these resources. The effectiveness of such interventions is then tracked and adjusted, if needed.

Another key concept is “compassionate communities,” which help build healthier neighborhoods. In Taiwan, where the population is aging rapidly, the government has been promoting compassionate community programs that include age-friendly and dementia-friendly initiatives. Such programs foster warmer and more supportive interactions among residents.

Statistics show that in the last year of life, terminally ill patients rely on non-medical caregivers—such as family, friends, and community members—for 95 percent of their care. Healthcare providers account for only five percent. This underscores the insufficiency of a purely medical approach in addressing well-being.

For instance, an elderly man battling a serious illness may need constant care from his wife, who also handles daily household tasks. In such situations, neighbors can offer support by helping with grocery shopping, taking out the garbage, or running other errands, thereby alleviating the caregiver’s burden.

Everyone has the capacity to help others. Strengthening community members’ ability to support one another, while using external resources to fill gaps, is key to achieving meaningful and lasting improvements.

By adopting a holistic approach to health—integrating medical care with social and community-based support—we can more effectively tackle health challenges. True well-being is achieved not solely through medicine but through collective efforts that foster a supportive environment for health and care.

Narrated by Wang Ying-wei, director of the Department of Medical Humanities, Tzu Chi University
Compiled by Yeh Tzu-hao
Edited and translated by Wu Hsiao-ting

By integrating medical care and social support, communities can create lasting improvements in health and quality of life.

The UN’s Sustainable Development Goal 3, “Good Health and Well-Being,” is deeply connected to issues of poverty, hunger, education, employment, and inequality. Advancing public health requires moving beyond the narrow view that health is solely about medical care. A broader, more holistic perspective is essential.

One example of this holistic perspective is “social prescribing,” a concept advocated by the World Health Organization and promoted by Hualien Tzu Chi Hospital. Already implemented in countries such as Canada, Australia, New Zealand, Singapore, Finland, and Japan, social prescribing highlights the importance of addressing the underlying social determinants of health and acknowledges that health challenges cannot be fully addressed through medical treatments alone. For example, traditional medical advice in tackling obesity often focuses on weight loss strategies, but the root cause may be financial limitations that restrict access to healthier food options. While exercise and dietary changes can help, a more comprehensive approach that considers broader social determinants is needed.

This holistic approach includes non-medical interventions, such as fostering interpersonal relationships, encouraging social participation, promoting physical activity, and offering therapies like art and horticulture. Trained volunteers, public health nurses, and home care providers connect patients to these resources. The effectiveness of such interventions is then tracked and adjusted, if needed.

Another key concept is “compassionate communities,” which help build healthier neighborhoods. In Taiwan, where the population is aging rapidly, the government has been promoting compassionate community programs that include age-friendly and dementia-friendly initiatives. Such programs foster warmer and more supportive interactions among residents.

Statistics show that in the last year of life, terminally ill patients rely on non-medical caregivers—such as family, friends, and community members—for 95 percent of their care. Healthcare providers account for only five percent. This underscores the insufficiency of a purely medical approach in addressing well-being.

For instance, an elderly man battling a serious illness may need constant care from his wife, who also handles daily household tasks. In such situations, neighbors can offer support by helping with grocery shopping, taking out the garbage, or running other errands, thereby alleviating the caregiver’s burden.

Everyone has the capacity to help others. Strengthening community members’ ability to support one another, while using external resources to fill gaps, is key to achieving meaningful and lasting improvements.

By adopting a holistic approach to health—integrating medical care with social and community-based support—we can more effectively tackle health challenges. True well-being is achieved not solely through medicine but through collective efforts that foster a supportive environment for health and care.

關鍵字

科学と医学で菜食の勧め

菜食するのは動物を守ると共に、環境保護にもなり、
世の中や社会、健康、教育のあらゆる面でプラスの影響をもたらす。

慈済の教育価値を見つめ直す

十一月二十七日、慈済大学の管理職たちが校務に関する報告をしました。慈済大学附属中学校は、開校二十五周年記念行事の一つとして、バイリンガルクラスによる英語の劇を上演し、六年生の生徒たちが、トルコのマンナハイ国際学校をテーマに、『月星空の下の愛』を演じました。また、仏陀の故郷への恩返しの劇では、シッダールタ王子の話からラージギルのサンディープ君の物語まで演じました。

上人は、小学部の子供たちが偉大な仏陀を演じるのは容易ではなく、演劇とは言っても、一挙手一投足全てが実際の教育となっていること、純真な心で演じた児童の演技は人々に感動を与え、人心の浄化に役立ったことなどに言及しました。「私はいつも皆さんに、生命の価値を見つめ直すよう言っていますが、教育の価値も見つめ直す必要があると思います。台湾や世界にどんな影響を与えたでしょうか。このような行動は見せびらかすためではなく、自分を肯定し、自分のために履歴を残すことになるのです。しかし、欠点があれば、直ちに直さなければなりません。良く出来たならば奨励し、優秀な教育方式は残し、健全な校風を築いて国際的な模範となる名誉を享受するのです。子供たちに良い教育を与えると同時に、私たちも大きな達成感が得られます」。

上人は、「『菜食の勧め』を続け、環境汚染と気候変動の科学的研究から人類の食生活が地球に与える影響を分析し、炭素の排出を抑えて汚染を減らすのです」と念を押しました。菜食習慣による炭素排出量削減が科学的分析による数値として示されれば、人々は比較的容易に受け入れることができます。また、医学と生理学の観点からも、健康に有益だということを、研究結果の数値で示すことができます。動物を護り、環境保護を望んで菜食をしている人は、善良で愛を持っています。菜食は、社会にも、健康や教育の面にもプラスの影響を与え、世の中がまた一段階昇格します。

世界に目を向けると、様々な憂慮すべき出来事が報道されています。上人は、慈済の学校が教師と学生を導くことで、人々が一層敬虔な心を持ち、人心が愛と善に向かうことを期待しています。花蓮は、「海の彼方に日が昇れば、山を照らす」場所ですが、海から昇る太陽は、光明を意味しています。そして、慈済の教育は花蓮に起源を発しているため、いつもその責任と使命を携えて光明と善良な教育の気風をもたらすべく、先頭に立っているのです。「信心を得てやる気さえ起こせば、今からでも遅くはありません。もしこれ以上先延ばしにしていたら、どうしようもなくなり、沈んでいく教育の気風を盛り上げることはできません。今この時に教育を伝承するのも、人間(じんかん)を庇護する力となるのです」。

幸いにも慈済があることに感謝

世界二百余りの国のうち、六十八の国と地域に慈済人がいます。この六十年間に百三十六の国と地域で、苦難にある人に人道ケアや支援を行って来ました。慈済人のいない国では、国境を越えて皆で一緒に緊急援助をしたり、施療活動をしたりして来ました。

昨年十一月九日、上人は歳末祝福式典で次のように開示しました。「世界各地にいる慈済人から報告が来ると、『幸いに』と言う言葉が私の脳裏に浮かびます。人間(じんかん)に苦難が多くても、幸いに慈済人がいるからです。特に慈済人がいる国では、災害が発生しても比較的迅速に被災者の支援に行けるのです。慈済人がいない国では、近隣の国の慈済人が、力を合わせて慈善救済に行きます。たとえ災害が過ぎて暫く経った頃でも、抱擁して慰めの言葉をかけることで、被災者の悲痛な心を落ち着かせると同時に、困難な時期を乗り越えられるよう、生活支援をすることができます」。

「私が常々言っているように、災害に遭った人を支援しに行く時は、相手に『感じてもらえる』ことが大切です。即ち、彼らが慈済の救済金や買い物カードを受け取った時、その金額が彼らにとって役に立ち、困難を乗り越えられると感じてもらうことであり、その場しのぎで少しばかり施すのではありません。そして、私たちがこんなに大人数で、時間と労力を費やし、遠くへ出掛けて奉仕したことを無駄にしないためでもあるのです」。

上人は、平穏で繁栄した社会で何事もなく生活できるという自分の幸福を知って大切にし、更に社会に幸福をもたらすべきだと言いました。「微々たるものであっても結集すれば、社会に幸福をもたらすことができます。人助けできるのは、私たちの幸せです。台湾には善良な人が多く、自分の能力でなし得る範囲内での善行は、生活に影響しないばかりか、広く世の衆生と良縁を結んでいるのです。助けられた人が落ち着くのを見ると、私たちも心が安らぎ、喜び、それ以上何も求めるものはありません。このような心境は最も喜びに溢れていて、これが即ち菩薩心なのです」。

(慈済月刊六九八期より)

慈済モザンビーク連絡所は11月1日、エンジア小学校に授業用の椅子を寄贈した。先生と生徒はより快適な学習環境が得られるようになる。(攝影・エズラ・ミリーズ)

菜食するのは動物を守ると共に、環境保護にもなり、
世の中や社会、健康、教育のあらゆる面でプラスの影響をもたらす。

慈済の教育価値を見つめ直す

十一月二十七日、慈済大学の管理職たちが校務に関する報告をしました。慈済大学附属中学校は、開校二十五周年記念行事の一つとして、バイリンガルクラスによる英語の劇を上演し、六年生の生徒たちが、トルコのマンナハイ国際学校をテーマに、『月星空の下の愛』を演じました。また、仏陀の故郷への恩返しの劇では、シッダールタ王子の話からラージギルのサンディープ君の物語まで演じました。

上人は、小学部の子供たちが偉大な仏陀を演じるのは容易ではなく、演劇とは言っても、一挙手一投足全てが実際の教育となっていること、純真な心で演じた児童の演技は人々に感動を与え、人心の浄化に役立ったことなどに言及しました。「私はいつも皆さんに、生命の価値を見つめ直すよう言っていますが、教育の価値も見つめ直す必要があると思います。台湾や世界にどんな影響を与えたでしょうか。このような行動は見せびらかすためではなく、自分を肯定し、自分のために履歴を残すことになるのです。しかし、欠点があれば、直ちに直さなければなりません。良く出来たならば奨励し、優秀な教育方式は残し、健全な校風を築いて国際的な模範となる名誉を享受するのです。子供たちに良い教育を与えると同時に、私たちも大きな達成感が得られます」。

上人は、「『菜食の勧め』を続け、環境汚染と気候変動の科学的研究から人類の食生活が地球に与える影響を分析し、炭素の排出を抑えて汚染を減らすのです」と念を押しました。菜食習慣による炭素排出量削減が科学的分析による数値として示されれば、人々は比較的容易に受け入れることができます。また、医学と生理学の観点からも、健康に有益だということを、研究結果の数値で示すことができます。動物を護り、環境保護を望んで菜食をしている人は、善良で愛を持っています。菜食は、社会にも、健康や教育の面にもプラスの影響を与え、世の中がまた一段階昇格します。

世界に目を向けると、様々な憂慮すべき出来事が報道されています。上人は、慈済の学校が教師と学生を導くことで、人々が一層敬虔な心を持ち、人心が愛と善に向かうことを期待しています。花蓮は、「海の彼方に日が昇れば、山を照らす」場所ですが、海から昇る太陽は、光明を意味しています。そして、慈済の教育は花蓮に起源を発しているため、いつもその責任と使命を携えて光明と善良な教育の気風をもたらすべく、先頭に立っているのです。「信心を得てやる気さえ起こせば、今からでも遅くはありません。もしこれ以上先延ばしにしていたら、どうしようもなくなり、沈んでいく教育の気風を盛り上げることはできません。今この時に教育を伝承するのも、人間(じんかん)を庇護する力となるのです」。

幸いにも慈済があることに感謝

世界二百余りの国のうち、六十八の国と地域に慈済人がいます。この六十年間に百三十六の国と地域で、苦難にある人に人道ケアや支援を行って来ました。慈済人のいない国では、国境を越えて皆で一緒に緊急援助をしたり、施療活動をしたりして来ました。

昨年十一月九日、上人は歳末祝福式典で次のように開示しました。「世界各地にいる慈済人から報告が来ると、『幸いに』と言う言葉が私の脳裏に浮かびます。人間(じんかん)に苦難が多くても、幸いに慈済人がいるからです。特に慈済人がいる国では、災害が発生しても比較的迅速に被災者の支援に行けるのです。慈済人がいない国では、近隣の国の慈済人が、力を合わせて慈善救済に行きます。たとえ災害が過ぎて暫く経った頃でも、抱擁して慰めの言葉をかけることで、被災者の悲痛な心を落ち着かせると同時に、困難な時期を乗り越えられるよう、生活支援をすることができます」。

「私が常々言っているように、災害に遭った人を支援しに行く時は、相手に『感じてもらえる』ことが大切です。即ち、彼らが慈済の救済金や買い物カードを受け取った時、その金額が彼らにとって役に立ち、困難を乗り越えられると感じてもらうことであり、その場しのぎで少しばかり施すのではありません。そして、私たちがこんなに大人数で、時間と労力を費やし、遠くへ出掛けて奉仕したことを無駄にしないためでもあるのです」。

上人は、平穏で繁栄した社会で何事もなく生活できるという自分の幸福を知って大切にし、更に社会に幸福をもたらすべきだと言いました。「微々たるものであっても結集すれば、社会に幸福をもたらすことができます。人助けできるのは、私たちの幸せです。台湾には善良な人が多く、自分の能力でなし得る範囲内での善行は、生活に影響しないばかりか、広く世の衆生と良縁を結んでいるのです。助けられた人が落ち着くのを見ると、私たちも心が安らぎ、喜び、それ以上何も求めるものはありません。このような心境は最も喜びに溢れていて、これが即ち菩薩心なのです」。

(慈済月刊六九八期より)

慈済モザンビーク連絡所は11月1日、エンジア小学校に授業用の椅子を寄贈した。先生と生徒はより快適な学習環境が得られるようになる。(攝影・エズラ・ミリーズ)

關鍵字