Ageing is an unavoidable process in human life.Everybody including you and me is getting older. However, to live longer does not mean to live well. Do we still have opportunities to choose the way we would like to live? This is a significant issue related to existence integrity and what we should think about. First, ageing sometimes accompanies disabilities. We have to be concerned about what the health care needs of the elderly are, and then know how to meet their demand. Second, who should offer the demand? How could their demand be satisfied? Whose responsibility is it, family's or government's? Next, we should explore the discrepancies between the actual care and anticipative care of the elderly with disabilities and reasons of these discrepancies, and find the way to solve the problems. This study is to discuss above-mentioned issues, for which we had some observations in Japan in order to explore whether the elderly with disabilities can have opportunities to have the dignity and welfare of life and to provide practical suggestions in establishing long-term care services.