| Economic and policy implications of improving longevity. | |
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MedLine Citation:
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PMID: 16131358 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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With all the rhetoric surrounding the impending "entitlement crisis" produced by the "graying of America," there has been surprisingly little serious analysis of the social and economic implications of increased longevity and the doubling of the number of elderly people that will occur in this country over the next 30 years. This article identifies five critical areas in which the effect of demographic change will be significant. First, patterns of work life and labor-force participation will almost inevitably change. Second, government expenditures now financed largely by payroll and federal income taxes will increase, whereas those financed by state and local property taxes will fall, at least proportionately. Third, the post-World War II pattern of suburbanized, automobile-dependent communities will pose special challenges to serving an aging population, and new adaptations will need to be developed. Fourth, intrafamily caregiving patterns will necessarily change. Fifth, the level of disability and dependence of older people, for which the rate of change is inherently unpredictable, will have a major effect on all these and other phenomena. Whether one views the net effect of all these changes as a positive or a negative, it is necessary to begin thinking a lot harder and more systematically about all of them. |
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Authors:
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Bruce C Vladeck |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of the American Geriatrics Society Volume: 53 ISSN: 0002-8614 ISO Abbreviation: J Am Geriatr Soc Publication Date: 2005 Sep |
Date Detail:
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Created Date: 2005-08-31 Completed Date: 2005-11-10 Revised Date: 2008-03-10 |
Medline Journal Info:
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Nlm Unique ID: 7503062 Medline TA: J Am Geriatr Soc Country: United States |
Other Details:
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Languages: eng Pagination: S304-7 Citation Subset: IM |
Affiliation:
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Health Sciences Advisory Services, Ernst & Young, LLP, 5 Times Square, New York, NY 10018, USA. Bruce.Vladeck@ey.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aging Caregivers Disabled Persons Economics* Employment / economics Family Relations Financial Management Financing, Government / economics Forecasting Health Expenditures / classification Humans Longevity* Public Policy* Retirement / economics Social Isolation Suburban Population Taxes Time Factors United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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