The benefits of an ageing population This paper This paper scopes the current literature on “the ageing population”. It focuses particularly on the facts of ageing, and what the literature considers to be some of the benefits of an ageing population, particularly in the spheres of economics and health care. Context and Trends The first thing to say about an ageing population is that it has come about due to people living longer, which is a good thing in its own right. When the pension age was set at 65, it was envisaged that people would not live for much longer after that. Today, despite the pension age remaining at 65, the average Scottish man and woman can expect to live to 73.8 years and 79.0 respectively – a social and scientific achievement in its own right. Speaking to the Lisbon Council on 28 September 2004, Berglind Ásgeirsdóttir, Deputy Secretary General of the OECD, stated: “There are few things more annoying than endlessly hearing about the “burden” which population ageing is putting on society. Increased longevity and better health are not burdens on society, they are extremely good news. Speaking of the ‘burden’ they impose will only be valid if we fail to restructure society and its institutions to reflect these new realities. Older people offer tremendous potential value to businesses, the economy and society. A modern social protection system has to help society in making the necessary adjustments. In particular, longer lives mean better opportunities to contribute to society over a longer lifetime. It offers better possibilities to enjoy an active life over a longer period.” Along with a decline in mortality, the other main reason for an ageing population is declining fertility. The average rate within the OECD is now 1.6 children per woman, well below the replacement level of 2.1. A population that is living longer, combined with a population where births are declining leads to a growing number and proportion of elderly people. An Ageing population is obviously not unique to Scotland. It is a global trend that is particularly stark in Europe. Some facts and figures: Worldwide, the population aged 60 and over is growing faster than any other age group The 60+ population is forecast to double to 1.2 billion by 2025 By 2050, the 60+ population is forecast to reach 2 billion, which would be the first time in history that the over 60s outnumber those aged under 14 The ageing trend is particularly pronounced in Europe which, by 2025 will have 8 of the 10 “oldest” populations – ie the highest % of people over 60 – among countries worldwide with at least 10 million people By 2050, it is estimated that 35% of the European population will be over 60 compared with 20% today Challenges for policy makers It has been argued that these developments require a rethink of the rigid distinctions that define age and give it boundaries, and that we view ageing as a lifelong and society-wide phenomenon, not a phenomenon exclusively pertaining to older people. “This….change in the world’s population parallels the magnitude of the industrial revolution – traditionally considered the most significant social and economic breakthrough in the history of humankind since the Neolithic period… From this point onward, policies for older persons, younger persons and those in between, must be designed with an ageing society in mind, society where soon, every third individual will be over the age of 60. International, national and local communities must begin now to adjust and design their infrastructures, policies, plans and resources.” (UN). Within the OECD, Berglind Ásgeirsdóttir points out that there are big differences in the proportion of men and women working past the age of 50. She claims that some countries pension systems function in a way that encourages workers to retire early. She argues: “The parameters of public pension systems need to be adjusted by, for example, increasing the retirement age or at least making sure that people do not retire much earlier. Here the case of Austria is interesting. Every second man aged 50 and over retires on grounds of disability. We need, to link benefits to life expectancy, and provide appropriate actuarial adjustments to benefits for early and late retirement. In other words “making work pay” is crucial. OECD studies show that most countries are now moving in this direction. They are closing down pathways into early retirement embodied in pension systems and changing the calculation of pensions in a way that ensures working longer actually pays. But more needs to be done, even though such reforms are politically unpopular, as we know from the recent Austrian, French and Italian reforms. Our societies need the reforms in order to take full advantage of the great achievement of longer life expectancy. We also need to preserve the intergenerational contract which glues our pension systems. There are also big differences in the proportion of women who work in OECD countries. Only 50% have paid employment. I do believe that initiatives to better reconcile work and family life offer a ‘double dividend’ – encouraging greater labour force participation by mothers as well as influencing fertility rates. This is even more important since on average across OECD more women than men are now graduating with a tertiary education degree. That it is difficult to reconcile work and family can be illustrated through the fact that 40 per cent of Swiss women with a tertiary degree have no children.” Ageing populations also reinforce the importance of lifelong learning. Currently, the incidence of training for older workers is in general much lower than it is for middle aged workers. Efforts to encourage people to work longer must be combined with effective employment services for older jobseekers. These kind of arguments are made in the work of Jim McCormick of the Scottish Council Foundation (2004), and the OECD (2005, p6) who argue that “in the face of population ageing, it is vital to improve labour market retention and hiring prospects for the over- 50s.” 2 The benefits of an ageing population A study into “The Benefits of an Ageing Population” has been carried out by Judith Healy of the Australian National University. Basing her work on the situation in Australia, she argues that there are many benefits and new opportunities emerging from an ageing population. Specifically On Healthcare An ageing population does not necessarily mean a sicker population burdening the public finances with health care demands The baby boomer generation is projected to be healthier, more active and more productive than preceding generations Advances in medical science and easier access to improved therapies will lesson the burden of disease amongst older people On average, over one quarter of ill health care costs over a lifetime are attributable to the last year of life but the cost of the last year does not rise with age – if anything, she argues, it appears to fall On the Economy The baby boomer generation is, generally, wealthier than the previous generation of retirees, largely due to the higher rates of home ownership Older workers today have a growing capacity than previous generations to work beyond a retirement age of 65 as they are healthier and better educated , and the nature of work in a modern economy is less physically demanding than it has been in the past Wider benefits Wealthier retirees may be attracted to the voluntary sector, and are more likely to be involved in community activities Grand-parenting has been shown to benefit the grand-children It is likely that older communities will be more law abiding, since older people are statistically less inclined to commit crimes against property and people Older people are also more likely to attend musical concerts, theatres and art galleries than younger people – thus it is likely that the arts will benefit from ageing communities Studies show that satisfaction with life increases as we get older An ageing population will also ultimately result in a declining population. Population growth has been a norm since the 18th century, and many people have taken continued population growth and its (supposed) merits for granted. However, by the end of this century, it is possible that the global population will be falling. While population decline brings the problems that have been mentioned, in the media and elsewhere of a declining workforce and GDP, modest population decline, over time, could also have advantages. Specifically, David Coleman (2004) of the University of Oxford has argued Problems of overcrowding and congestion would be ameliorated, making the environment more protected 3 Unsatisfactory infrastructure, like city housing hastily constructed to cope with growth can be demolished Labour shortages might reduce unemployment, poverty and inequality through higher wages, and promote capital substitution and labour productivity as wages rise Although overall GDP may fall, GDP per capita may rise Governments have not always sought to grow their populations. In the UK, the Royal Commission on Population (1949) and the later Population Panel in 1973 both felt that an end to population growth would moderate problems of food imports and balance of payments. Indeed the Government Population Panel of 1973 stated that "Britain must face the fact that its population cannot go on increasing indefinitely" and called on the government to "define its attitude to questions concerning the level and rate of increase of population.” The Netherlands has long considered itself to be over-populated and up to the 1950s, as in the UK, it sought to encourage emigration to ease population pressures. In the US, the Commission on Population Growth and the American Future (1972) saw an end to US population growth, although not a decline, as on balance, advantageous. Indeed, on environmental grounds, the prospect of population decline is usually welcomed (from Coleman 2004). Other work on Ageing The Economic and Social Research Council (ESRC) is currently undertaking work on the implications of an ageing population. The ESRC’s Annual Debates this year focus on Ageing Britain and the issues this raises. To tie in with this, ESRC has set up a discussion forum where people can contribute views and opinions on the topic. It has also arranged for a debate on the implications of ageing to be held at the Centre for Contemporary Arts in Glasgow on 6 December 2005, between 6.00pm and 8.30pm, with the following remit: “AGEING BRITAIN: SHADES OF GREY As the number of those over 65 continues to increase and we enjoy much better health than our predecessors, what challenges does this pose for our society? By 2025 the number of people in Britain over the age of 60 will outnumber those under 25. What challenges does this pose for our society? Is it too late to head off a pension crisis? How deeply ingrained is age discrimination in our society? Can society better tap into the resources of experience and knowledge that older people offer? Is there adequate and appropriate care for the elderly? How can we ensure compassion in end of life care, and dignity in death?” The Centre for Policy on Ageing (CPA) carries out work which is primarily directed towards informing and influencing service providers, with its approach being to discover and advocate what older people themselves want and need. CPA, as an independent centre of research and reference, aims to: formulate and encourage social policies which will enable everyone to live life in older age as fully as possible promote informed debate about issues affecting older age groups 4 stimulate awareness of the needs of older people and encourage the spread of good practice Its policy and research department is responsible for developing its policies. Community Service Volunteers in Scotland has conducted some work looking at the experience of a typical group of retired active volunteers engaged in health and development projects. The study indicates that older people enjoy volunteering and that it gives them a sense of purpose and shape to life. It concludes that the retired and senior volunteer programme provides useful services to the community and improves the quality of life of the volunteers. The National Audit Office has carried out a study entitled Welfare to work: tackling the barriers to the employment of older people. This study considers the employment position of older people and the benefits to the UK economy of an economically active older population. It makes the point that there are individual and business benefits from the employment of older people. For many, being out of work can result in poverty, insecurity and social exclusion; working can help combat these. Benefits for employers arise, for example, from the reliability of older workers which can lead to lower staff turnover, greater productivity and skills retention. It is estimated that the relatively lower level of employment among older workers costs the economy £19-£31 billion a year in lost output and taxes and increased welfare payments. A study for the think-tank Catalyst (2004) concludes that the fears of a demographic timebomb are overstated. “For over 20 years anxieties have been growing in all industrialised economies that ageing populations threaten our collective futures. Some worry about the damaging impact on economic growth. Others that the growing numbers of older people will bankrupt pension, health and other welfare support systems for the elderly. Some fear even worse consequences, with democratic society falling apart as intergenerational conflict becomes the new "class war". In April 2002 a United Nations conference in Madrid summed up this darkening mood when it debated the possibility that the greatest threat to the quality of life in developed countries – more than war, disease and natural disaster – is the ageing of their populations.” The Catalyst report argues that these demographic concerns are greatly exaggerated. Moreover it rejects the logic that the human success story of longer lives is turned into a problem. However, they do admit that action needs to be taken to deal with the implications of changing age structures in society. They argue that we need to encourage policy makers to make it possible for older people to lead active and independent lives longer, and remove any social and institutional barriers which prevent them from doing so. Brainstorming In the spirit of Future’s thinking, I had a brainstorm session with colleagues in SPICe to consider what some of the potential benefits of an ageing population may be. Comments made included: 5 Problems reduced Crime Dieing young / being widowed young Shortage of baby sitters/child minders/volunteers/playing fields Cost of educating young people Rush hour traffic congestion Lack of affordable housing Problems increased Paying for pensions/health care Shortage of bungalows Shortage of recruits for the military Greater reluctance to innovate or accept change But problems increased by less than expected Paying for pensions - don't pay generous pensions/benefits so early and people will carry on working longer Paying for health care - don't provide expensive health care to the non working and people will carry on working longer Bungalows - poorer pensioners will sell their bungalows and move into flats Military recruits – greater reliance on technology will reduce the need for personnel Specifically with regards to environmental benefits, immediate thoughts are: “Targets to reduce fuel poverty in elderly people may see better energy efficiency, and so less energy use and emissions Increased use of public transport, either through concession cards or necessity = less emissions and congestion Is it appropriate to suggest that older people develop a different perspective on some environmental matters eg use of shopping bags rather than plastic bags as that’s what they are used to? Perhaps this mindset will lessen in the future as people are used to a more throwaway society Same goes for things like, hand-washing clothes - older people may do now, will they in the future? Early retirement, perhaps opens up opportunities for volunteering - in environment and elsewhere” Other ideas included: “Maybe healthy old people can provide good role models for healthy lifestyles (if that’s one of the reasons why they’ve survived longer) If the overall ratio of adults to children is greater, there is an opportunity for more nurturing of children and more adult time put into their care and development (childcare, coaching, teaching support etc) There may be greater opportunity for more varied and satisfying careers over a longer healthy lifespan – eg women may have time to bring up children and then 6 go onto a longish career. Captains of industry can achieve what they want to, and then use their experience elsewhere eg teaching etc Older people may develop more articulate and effective consumer power, effectively being in the vanguard of driving up consumer standards to the benefit of all consumers Older people may be able to develop methods of working smarter rather than harder, possibly having a more reliable and mature attitude to work An older population will have beneficial impacts on a variety of economic sectors (eg various care and health services, travel and transport services etc) Older people may be more involved in campaigning and volunteering (environmental impact?) Other thoughts stemming from this brainstorm included: Reduced aggression, violence??? Reclaiming town centres at night??? More lifetime experience and wisdom will make a positive contribution to the political process, and possibly encourage a more stable society?” Capital stock and wealth may lead to more investment opportunities and “business angels”. Ross Burnside Senior Research Specialist – SPICe 7 Sources Alliance for Health and the Future. Facts and Figures. An Ageing Population: the European Facts and Figures. Available at: http://www.healthandfuture.org/about_us/facts_and_figures/index.html Ásgeirsdóttir, Berglind (2004). What does the future hold? Demography, Jobs and Public Finances. Talk to the Lisbon Council, Brussels (28 September 2004). Available at: http://www.oecd.org/dataoecd/14/39/33793242.doc Catalyst (2002) The Challenge of longer life: economic burden or social opportunity. Available at: http://www.catalystforum.org.uk/pubs/pub6.html Coleman, David (2004). Europe at the cross-roads – must Europe’s population and workforce depend on new migration? Oxford Centre for Population Studies: Working Paper Series no 21. Available at: http://www.apsoc.ox.ac.uk/Oxpop/publications%20files/WP21.pdf Community Service Volunteers (2004). Retire into action: a study of the benefits of volunteering to older people. Edinburgh: Community Service Volunteers. Economic and Social Research Council information on its work on the Ageing Society. Available at: http://www.esrc.ac.uk/ESRCInfoCentre/about/CI/CP/Our_Society_Today/ageing/index.asp x?ComponentId=13140&SourcePageId=5433#0 Healy, Judith (2004). The Benefits of an Ageing Population. The Australia Institute. Available at: http://www.tai.org.au/Publications_Files/DP_Files/DP63%20summary.pdf House of Lords Select Committee on Economic Affairs (2003). Aspects of the Economics of an Ageing Population. London: House of Lords. Available at: http://www.publications.parliament.uk/pa/ld200203/ldselect/ldeconaf/179/179.pdf House of Lords Select Committee (2004) Government response to Aspects of the Economics of an Ageing Population. London: House of Lords. Available at: http://www.publications.parliament.uk/pa/ld200304/ldselect/ldeconaf/129/129.pdf McCormick, Jim (2004). Healthy Ageing: A whole-life agenda. Edinburgh: Scottish Council Foundation. National Audit Office (2004). Welfare to work: tackling the barriers to the employment of older people. London: National Audit Office. Available at: http://www.nao.org.uk/pn/03-04/03041026.htm OECD (2005). Ageing populations: high time for action. Meeting of G8 Employment and Labour Ministers, London, 10-11 March 2005. Available at: http://www.oecd.org/dataoecd/61/50/34600619.pdf Population Reference Bureau (2005). 2005 World Population Datasheet. Available at: http://www.prb.org/pdf05/05WorldDataSheet_Eng.pdf 8 United Nations Division for Social Policy and Development. Implications of an Ageing Society. Available at: http://www.un.org/esa/socdev/ageing/ageing/ageimpl.htm 9