Population aging and its economic costs: A survey of the issues and evidence

Citation
Ft. Denton et Bg. Spencer, Population aging and its economic costs: A survey of the issues and evidence, CAN J AGING, 19, 2000, pp. 1-31
Citations number
93
Categorie Soggetti
Public Health & Health Care Science
Journal title
CANADIAN JOURNAL ON AGING-REVUE CANADIENNE DU VIEILLISSEMENT
ISSN journal
07149808 → ACNP
Volume
19
Year of publication
2000
Supplement
1
Pages
1 - 31
Database
ISI
SICI code
0714-9808(200022)19:<1:PAAIEC>2.0.ZU;2-4
Abstract
The aging of the population is expected to result in substantial increases in the costs of maintaining health care and pension programs, and that is a source of widespread concern. However, a proper assessment requires that a ttention be given to all categories of government expenditure, including ed ucation and others associated with younger age groups, and not just those a ssociated with the older population. It requires also that privately provid ed goods and services be considered, since their costs must be charged agai nst the same national income as publicly provided ones. Beyond that, it is important to recognize that population change affects not only the demand s ide of the economy, but also the supply side the economy's productive capac ity. An important conclusion is that while other influences will no doubt p lay a role, demographic effects by themselves are likely to cause governmen t expenditure tall categories, all levels of government combined) to increa se by no more than the rate of growth of the population, and by less than t he rate of growth of the gross domestic product. Taking public and private costs together, and assigning appropriate weights to different age groups, the overall "dependency ratio" can be expected to remain at its current low level for another decade and a half or two decades, and then to rise as th e baby boom generation retires in large numbers. However, the projected fut ure ratio never reaches the levels of the 1950s and 1960s. Although the ove rall "burden" of population aging is manageable, major adjustments will be required in the coming decades, especially in the area of federal/provincia l cost sharing. For the most part, though, the effects of population aging are predictable, slow, and some time off.