Who Will Pay Coping With Aging Societies Climate Change And Other Long Term Fiscal Challenges

Aging populations. Weather shocks. Scarce water. Globalization. Security threats. Policymakers today confront a number of developments that threaten to burden public budgets for decades to come, or bankrupt some entirely. This book argues that governments need to make policy changes now to take account of the potential fiscal consequences of these developments. After describing how, if at all, analysts, national governments, and international organizations currently address these long-term issues, the book stresses the vital need for a multipronged approach, involving strengthened analyses, greater attention to long-term issues and risk factors in budgeting, and institutional reforms that address the myopic biases of politicians and the public.

This paper presents a snapshot of changes in the world’s health and demographic conditions. The paper highlights that in most parts of the world, individuals are healthier and living longer, thanks to improved health services and living conditions and the more widespread use of immunization, antibiotics, and better contraceptives. Although this trend is likely to continue, hopes are fading in some regions where progress slowed or stopped in the 1990s, primarily as a result of the AIDS epidemic. Moreover, most regions of the developing world will not reach the Millennium Development Goals for health by 2015.

This paper describes why the international community needs to act now to stand a chance of meeting the Millennium Development Goals (MDGs). The paper gives example of Ethiopia, one of the poorest countries in the world, with an estimated per capita income of about US$100. According to the World Bank, recent national household surveys find 44 percent of the people in Ethiopia cannot meet basic needs. The paper discusses that Ethiopia in many ways epitomizes why the MDGs are important and why more money is needed to achieve them.

In this important and timely collection, some of the best minds in gerontology and bioethics -- including Nancy Dubler, Rick Moody, Andrew Achenbaum, Robert Hudson, and Robert Binstock -- explore the ethical, social, and political challenges of an aging society. A unique combination of disciplines and perspectives -- from economics to nursing, psychology to theology -- this valuable synthesis of theory and practice provides frameworks and analyses for considering the ethical issues of both individual and societal aging. The contributors address the major policy challenges of Social Security, Medicare, and prescription drugs as well as ethical issues ranging from individual autonomy to family responsibility to distributive justice. Specific topics covered include end-of-life decision making, family relations across generations, age-based intergenerational policies, and the reform of Social Security. Contributors:W. Andrew Achenbaum, Ph.D., University of Houston, Houston; Vern L. Bengtson, Ph.D., University of Southern California, Los Angeles; Robert H. Binstock, Ph.D., Case Western Reserve University; Christine E. Bishop, Ph.D., Brandeis University; Thomas R. Cole, Ph.D., University of Texas Medical School at Houston; Peter A. Diamond, Ph.D., Massachusetts Institute of Technology; Nancy Neveloff Dubler, LL.B., Albert Einstein College of Medici Msgr. Charles J. Fahey, Fordham University; Lucy Feild, Ph.D., R.N., Partners Human Research Quality Improvement Program; Martha B. Holstein, Ph.D., DePaul University; Robert B. Hudson, Ph.D., Boston University; Eric R. Kingson, Ph.D., Syracuse University; Ronald J. Manheimer, Ph.D., University of North Carolina at Ashevil Kyriakos S. Markides, Ph.D., University of Texas Medical Branch; Daniel C. Marson, J.D., Ph.D., University of Alabama at Birmingham; H. Rick Moody, Ph.D., AARP Peter R. Orszag, Ph.D., Brookings Institution; Rachel Pruchno, Ph.D., University of Medicine and Dentistry of New Jersey--School of Osteopathic Medici Norella M. Putney, Ph.D., University of Southern California, Los Angeles; Michael Smyer, Ph.D., Boston Colle Bruce Stuart, Ph.D.,University of Maryl Melanie A. Wakeman, Ph.D., California State University, Los Angeles; Steven P. Wallace, Ph.D., University of California at Los Angeles; John B. Williamson, Ph.D., Boston College.

This upper level textbook provides a coherent introduction to the economic implications of individual and population ageing. Placing economic considerations into a wider social sciences context, this is ideal reading not only for advanced undergraduate and masters students in economics, health economics and the economics of ageing, but also policy makers, students, professionals and practitioners in gerontology, sociology, health-related sciences and social care. This volume discusses the fiscal implications of ageing, health economics and long-term care. Fiscal policy issues include generational accounting and national transfer accounts, the relationship between ageing, public expenditure and fiscal policy, the age profiles of public expenditures and taxes, and the relationship between ageing, capital and labour taxation. Health economics with regard to ageing comprises healthy and disability-free life expectancy, the relationship between health inequalities and age, the macroeconomic implications of population health, the socio-economic determinants of health, the interaction between ageing and both individual and aggregate health expenditure, and economic approaches to valuing later life. This volume closes with an exposition of the economics of formal and informal care, as well as questions around insurance, risk and the so-called `sandwich generation'.

The book focuses on how to enhance the political incentives on democratically-elected governments to protect the interests of future generations.

This important book brings together some of the best known international scholars working within a critical gerontology perspective. Together, they review and update our understanding of how the field has developed over the last twenty-five years and, through the lens of 'passionate scholarship', provide a challenging assessment of the complex practical and ethical issues facing older people, and those who conduct research on ageing, in the 21st century. The contributions extend the critical gerontological approach conceptually, methodologically and practically. They offer close and scholarly analysis of policies affecting the lives of older people and provide insights into why research is done in particular ways. Special attention is paid to feminist contributions and new approaches to working in partnership with older people; age discrimination and ageism; the impact of neo-liberal policies and the passage of various human rights instruments; the re-medicalisation of later life; the participation of older people in research; and justice between generations. The editors and contributors offer suggestions for promoting change, and an exciting set of visions and perspectives for the renewal and development of critical gerontology in the years ahead. Critical Perspectives on Ageing Societies will be a valuable resource for all students, academics and practitioners interested in ageing and the life course.

Natural disaster risk is emerging as an increasingly important constraint on economic development and poverty reduction. This paper first sets out the key stylized facts in the area-that the costs of disaster have been increasing, seem set to continue to increase, and bear especially heavily on the poorest. It then reviews the key economic issues at stake, focusing in particular on the actual and prospective roles of, and interaction between, market instruments and public interventions in dealing with disaster risk. Key sources of market failure include the difficulty of risk spreading and, perhaps even more fundamental, the Samaritan's dilemma: the underinvestment in protective measures associated with the rational expectation that others will provide support if disaster occurs. Innovations addressing each of these are discussed.