Martin Wolf speaks to Andrew J Scott: Can societies age gracefully?
Jan 13, 2025
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Andrew J. Scott, a professor at the London Business School and author of "The Longevity Imperative," discusses the positive implications of aging populations. He argues that rather than fearing rising elderly demographics, we should celebrate them. The conversation emphasizes the need for innovative policies focused on healthspan over lifespan, and acknowledges societal inequalities affecting health outcomes. Scott urges a shift in perspective towards aging as an opportunity, challenging existing pension systems and advocating for proactive health measures.
Chronological age is an inadequate metric for well-being, as many over-65s remain active and engaged well into their later years.
To effectively support an aging population, policies must focus on enhancing the participation of older adults in the workforce and addressing health inequalities.
Deep dives
Understanding Aging: Chronological vs. Physiological
Chronological age does not accurately reflect how individuals age, making it a poor metric for measuring well-being in an aging population. The discussion highlights various concepts of aging, including biological age, subjective age, and physiological age, emphasizing that many elderly individuals remain mentally and physically active well into their 90s. This malleability of aging suggests that merely increasing life expectancy without addressing health quality leads to a decline in overall wellness. The current health system excels in prolonging life but often falls short in maintaining a healthy lifespan, requiring a shift in focus to enhance the quality of life as people age.
The Impact of Societal Aging Trends
Recent trends reveal a slowdown in life expectancy gains in countries like the US and UK, prompting questions about the future of aging demographics. This stagnation occurs as most gains in life expectancy are concentrated in older age groups, specifically from 70 to 90 years. The implications of an aging society may lead to heightened concerns about pensions, healthcare demand, and the potential burden of age-related diseases. The notion of treating aging as a societal achievement, rather than a problem, advocates for redefining policies and systems to support aging effectively.
Reimagining Economic Growth and Labor Force Participation
Current economic discussions typically simplify the old-age dependency ratio, overlooking the potential contributions of older adults in the workforce. With significant numbers of older individuals remaining active, policies should focus on enhancing their participation rather than merely adjusting retirement ages. A proactive approach to labor market policies that provide support and resources for older workers can have substantial economic benefits. By emphasizing a more comprehensive understanding of productivity in older age groups, societies can counteract the perceived burdens associated with aging populations.
Addressing Longevity and Inequality
Inequality plays a crucial role in determining health outcomes as life expectancy varies significantly based on socioeconomic status, particularly in affluent nations. In the US, incidents of midlife mortality, particularly related to the opioid crisis and other health disparities, illustrate how access to resources directly impacts longevity. Policies aimed at supporting health across different socioeconomic strata are essential to mitigate these inequalities in longevity and healthspan. Shifting the narrative from viewing aging as a burden to recognizing it as an opportunity necessitates a collaborative societal effort to improve health outcomes for all age groups.
Increasingly elderly populations seen in countries such as Japan and Italy are set to become the norm everywhere in the coming decades. But will a more senior demographic make the cost of state pensions and healthcare unaffordable? And will it kill economic growth? Not necessarily so, according to today’s guest, Andrew J Scott, director of economics at the Ellison Institute of Technology Oxford. He believes that the rapidly growing cohort of over-65s is something to celebrate. But he also warns that we need to radically rethink many of the policies that delivered this widespread longevity in the first place.
Martin Wolf is chief economics commentator at the Financial Times. You can find his column here