In recent years, there has been a profound shift in the demographic structure in China, with an increasingly severe trend towards aging. This study employs a comparative analysis based on recent data from China and other 26 countries to highlight the unique features of Chinas aging society. Despite having a similar trend of declining birth rates as developed countries, Chinas elderly dependency ratio is higher than that of developing countries. This phenomenon will inevitably impact the Chinese value of filial piety, while also presenting an opportunity for the development of the elderly market, particularly in home-based care. However, due to the nascent stage of Chinas elderly care market, significant gaps still exist. To address this, the paper adopts Japan as a case study and highlights favorable measures that Japan has implemented which may be considered opportunistic for future home-based care market in China. Finally, feasible suggestions are provided to address the imbalance between supply and demand in the home-based care market.