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Population Aging and Sustainability of Health Care Systems in Latin America and the Caribbean 10 May 2012, San José Tim Miller Population Affairs Officer Comisión Económica para América Latina y el Caribe Contact: [email protected]

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Page 1: Population Aging and Sustainability of Health Care Systems in Latin America and the Caribbean 10 May 2012, San José Tim Miller Population Affairs Officer

Population Aging and Sustainability of Health Care Systems in Latin Americaand the Caribbean

10 May 2012, San José

Tim Miller

Population Affairs OfficerComisión Económica para América Latina y el Caribe

Contact: [email protected]

Page 2: Population Aging and Sustainability of Health Care Systems in Latin America and the Caribbean 10 May 2012, San José Tim Miller Population Affairs Officer

Entering a new era

Page 3: Population Aging and Sustainability of Health Care Systems in Latin America and the Caribbean 10 May 2012, San José Tim Miller Population Affairs Officer

Entering a new era

OLD WORLD

Child abundant societies

NEW WORLD

Seniorabundant societies

Page 4: Population Aging and Sustainability of Health Care Systems in Latin America and the Caribbean 10 May 2012, San José Tim Miller Population Affairs Officer

OLD WORLD:

All societies were child abundant in 1950.

0 - 19

20-39

40-59

60+

LargestAge

Group

Page 5: Population Aging and Sustainability of Health Care Systems in Latin America and the Caribbean 10 May 2012, San José Tim Miller Population Affairs Officer

NEW WORLD:

Global dominance of senior abundant societies in 2070.

0 - 19

20-39

40-59

60+

LargestAge

Group

Page 6: Population Aging and Sustainability of Health Care Systems in Latin America and the Caribbean 10 May 2012, San José Tim Miller Population Affairs Officer

Entering a new era

OLD WORLD

YouthfulEconomies

NEW WORLD

AgedEconomies

Definition: An AGED ECONOMY is one in which consumption by older persons exceeds consumption by children and youth.

Page 7: Population Aging and Sustainability of Health Care Systems in Latin America and the Caribbean 10 May 2012, San José Tim Miller Population Affairs Officer

1980: No Aged Economies in the World

2010: 23 Aged Economies

OLD

WO

RLD

Page 8: Population Aging and Sustainability of Health Care Systems in Latin America and the Caribbean 10 May 2012, San José Tim Miller Population Affairs Officer

2040: 89 Aged Economies

2070: 155 Aged Economies

NEW

WO

RLD

Page 9: Population Aging and Sustainability of Health Care Systems in Latin America and the Caribbean 10 May 2012, San José Tim Miller Population Affairs Officer

Entering a new era

OLD WORLD

Declining demographic pressures on health care

systems

NEW WORLD

Increasing demographic pressures on health care

systems

Page 10: Population Aging and Sustainability of Health Care Systems in Latin America and the Caribbean 10 May 2012, San José Tim Miller Population Affairs Officer

Demographic pressures on health systems at lowest level in decades.

OLD WORLD NEW WORLD

Page 11: Population Aging and Sustainability of Health Care Systems in Latin America and the Caribbean 10 May 2012, San José Tim Miller Population Affairs Officer

The Future of Health Care Systems

Page 12: Population Aging and Sustainability of Health Care Systems in Latin America and the Caribbean 10 May 2012, San José Tim Miller Population Affairs Officer

The biggest difference between health care systems

in wealthy countries and those in poorer countries is

how they treat older persons.

Page 13: Population Aging and Sustainability of Health Care Systems in Latin America and the Caribbean 10 May 2012, San José Tim Miller Population Affairs Officer

As countries become wealthier, growing use of health care services among older persons.

Page 14: Population Aging and Sustainability of Health Care Systems in Latin America and the Caribbean 10 May 2012, San José Tim Miller Population Affairs Officer

The Future of Health Care Systems

The main cause of future fiscal problems is likely to be

health care,not pensions.

Page 15: Population Aging and Sustainability of Health Care Systems in Latin America and the Caribbean 10 May 2012, San José Tim Miller Population Affairs Officer

More fiscal pressure from health care than pensions in Latin America and in European Union.

1.5

3.4 3.2

2.3

Page 16: Population Aging and Sustainability of Health Care Systems in Latin America and the Caribbean 10 May 2012, San José Tim Miller Population Affairs Officer

The Future of Health Care Systems

Entering a new era:Aged Health Care Systems

Enormous Transformation to Confront the Growing Epidemic of Cancer,

Heart Disease, Diabetes, etc.

Page 17: Population Aging and Sustainability of Health Care Systems in Latin America and the Caribbean 10 May 2012, San José Tim Miller Population Affairs Officer

Two Recommendations for Monitoring and Projections

1. Comprehensive Monitoring Efforts: Effects of population aging will be widespread. Not just health care, but all

parts of economy. Not just government, but all institutions. Not just a few countries, but almost all.

One such monitoring project is the National Transfer Account project led in the region by CELADE with funding support from Canada’s IDRC. Currently 10 countries in the region are participating with 31 countries throughout the world.

Page 18: Population Aging and Sustainability of Health Care Systems in Latin America and the Caribbean 10 May 2012, San José Tim Miller Population Affairs Officer

Two Recommendations for Monitoring and Projections

2. Projections: Governments should implement long-run projections of their budgets to understand and

adapt to population aging.

Page 19: Population Aging and Sustainability of Health Care Systems in Latin America and the Caribbean 10 May 2012, San José Tim Miller Population Affairs Officer

Thanks!

Tim Miller

Population Affairs OfficerComisión Económica para América Latina y el Caribe

Contact: [email protected]