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©
Learning from from the Future

     Discontinuous Change
 
     The Aging Story
 
     Japan as Bellweather
 
     Key Challenges
 
          Livable Communities
      

          Long term Care
      

          Economic & Fiscal Issues
      

          Social Security and the
      
          Safety Net


                                     ©
What Is Your Image Of
    The Future?




                   ©
Of all the 65 year olds
   who ever lived,
           2/3
    are alive today




A Discontinuous Change
                          ©
Age Wave In Action

MALE                                     FEMALE




   681 Days until the first Boomer turns 65
                                         ©
Life Expectancy at Birth in the United States




Years




                              Men   Women
                                    ©
Over 65 in Georgia




8th fastest growing right now
                            ©
Young & Old in Georgia

                 Percent 19
                 and under
                 #19 in U.S.

                 Percent 65
                 and over
                 #42 in U.S.




                     ©
27 Florida’s by 2025
States where at least 20% of
The population will be elderly




                                 ©
Generations 2025




                   Post
 Generation X
                   Millennial …
 …now 45-60
                   now 1-19

                    ©
Tomorrow’s Aged are Different

   Chronic conditions
 
  Educated & tech savvy
  Greater gaps in wealth
  Achievement oriented & adventurous
  Men moving inward, women moving
   outward
  Women travel alone or without husband,
   reverse not true



                                  ©
Estimated Health Status
                Elderly in Georgia
             Year                     Total Pop.                      Require                          Cost per
                                                                       IADL                             person
                                                                     Assistance


            2005                              852,000                            60,833                          $10,983


            2025                          1,668,000                            119,095                           $58,732



Source: “Georgia’s Aging Population,” a report to the Healthcare Georgia Foundation. http://gbpi.org/pubs/
specialreport/20051005.pdf
                                                                                                             ©
©
Mathews & Turnbull 2007
                          ©
Working…

   In 1950 half of 70-
 
   year old men
   worked full time.
  Today in Atlanta
   region 67% of
   people over 55 are
   not working at all.


 ARC 2006 Survey report



                                     ©
Time Online, 7-29.2002
                         ©
©
Grand Circle Travel photo
Traveling…
     Right now, 88% of 55
 
     and older persons drive
     their own cars

     20% of those over 65
 
     not longer drive in U.S.

     57 % expect “to be
 
     driven” in the future

     13% expect to use
 
     transit
 ARC 2006 Survey report



                                       ©
Living…

     As in rest of country
 
     about 75% of
     seniors plan to live
     in their current home
     “as long as
     possible.”



 ARC 2006 Survey report



                                    ©
We Are Not Alone




                   ©
Age Wave In Japan




                    ©
Japan’s Population Pyramid




                      ©
Japan’s Elder Care
        87%            cared for in Family
                43% daughters or daughters-in-law
              

               7% sons or sons-in-law

               37% spouses



        13%    have hired caretakers, other
           kinds of help, or no caretaker.



Source: Japanese Women Now

                                              ©
Japan’s Social Expenditures

             1970s, social expenditures 6% of
        
             Japan’s national income.
                1992 up to18%.

                2025 predicted 27%



          70% of the social-welfare budget goes
        
          to programs for the aged
         4% for services to children




Sources: Statistical Handbook of Japan and AsiaTimes Online
                                                              ©
Japan’s Economic Solutions
     Employers are keeping the elderly
 
     working longer
          Modify jobs to suit the elderly (e.g. more
      

          lighting, fewer physical barriers)
          Utilize their knowledge and skills
      

     Companies are creating products for the
 
     elderly
          Accessible cars
      

          Care-bots
      

     Families are expected to provide care
 



                                               ©
What Age Wave Means Here




                    ©
©
1950 Average New Home




980 square feet for 3.4 people

                          ©
Today’s Average New Home




2600 square feet for 2.6 people

                          ©
5,000 Sq. Ft. Homes




                      ©
Ultimate Age Wave Question…
  Increasingly, 65-somethings will be
 facing large homes with dark
 bedrooms, lots of yard work, and a
 rusting basketball hoop over the
 garage. How many graying boomers
 will actually live in those 5000sf
 McMansions? Will you? But who
 else can afford them?


                               ©
Need to Age the Home
     1st Floor Master
                             Rocker switches
                          
     Dual Suites              Lower, even adjustable
                         
                              counters
     Wide hall ways
 
     Ramps, slopes         Decrease    size &
 
     Contrasting Steps
 
                              cost by one-half
     Multi-family
 
                              going forward
     Apartments added
 

                              from 2009 – but
     Co-housing
 

                              how?

                                              ©
Infrastructure Needs
                   Sign and document readability
                 
                  Public transportation / walkability
                  Retrofitting homes for better
                   accessibility
                  Re-zoning
                  Small home options
                  Complete communities




Source: Duluth Weekly, September 10, 2007

                                                   ©
Long Term Care
           Programs for in-home care
      
                  Georgia among lowest in nation for Medicaid
              
                  spent on in-home care

           40% of Georgia’s elderly live in rural areas
      
                  Compare to 5% in Massachusetts, 12% in
              
                  Colorado
           Most of Georgia’s long-term care services
      
           are in urban areas



Source: Stateline.org, September 14, 2007

                                                     ©
Aging and Mental Health
               In Georgia, the elderly account for 20% of all
           
               suicides, especially among white males
               Less than 3% of elderly receive treatment
           
               from mental health professionals
               Depression may be linked to other chronic
           
               conditions like cancer, Alzheimer’s disease,
               arthritis, obesity, and heart disease.




Source: Georgia.gov, DHR

                                                     ©
Caregivers

       4.7 potential care givers (Age 20-64) for
  
       each person over 65 in 2005



       3.0 potential caregivers for each person 65+
  
       in 2025




Source: “Georgia’s Aging Population,” a report to the Healthcare Georgia Foundation. http://gbpi.org/pubs/
specialreport/20051005.pdf


                                                                                                             ©
Asimo




        ©
Are we ready for aged workforce?
     Manpower, Inc.: 28,000 employers 25 countries:
 
          14% have strategies to recruit older (over 50) workers
      

          21% have strategies to retain older workers
      



     Boston College study U.S. companies:
 
          37% have strategies to retain older workers
      

          9% have made detailed projections about their aging
      
          workforce

     Most older workers say 9-5, 5-day week does not
 
     work for them




                                                         ©
Impact on Taxes & Spending
        Less income
    


        Beyond the spending wave
    


        Tax exemptions
    




                                   ©
Coming Final Debate Over
Social Security (& Health Care)
      Solvent without changes till 2040 if U.S.
  
      does not default

      Safe at 75% of current benefits beyond
  
      2040 with no changes.

      Options for full benefits past 2040 include
  
      raising retirement age, increasing tax
      about 1.5%, increasing income subject to
      tax, changing formulas for slower benefit
      growth



                                             ©
Learning from from the Future
     Discontinuous Change
 
     The Aging Story
 
     Japan as Bellweather
 
     Key Challenges
 
          Livable Communities
      

          Long term Care
      

          Economic & Fiscal Issues
      

          Social Security and the
      
          Safety Net



                                     ©
Is Aging Just Beginning?
             Medicine of Today and the Future
      Today
  
           Diagnostics—”pauciparameter”
       

           Therapy--reactive
       

           Prevention--minor role
       

      Future
  
           Diagnostics--multiparameter
       

           Therapy--diagnostics-driven and personalized
       

           Prevention--dominant role
       




Extend productive life span by 10-20 years over next 30 years
                                   Dr. Leroy Hood, Inst. Systems Biology


                                                       ©
Mid-21st Century Folk Song
   Happy Birthday Dear Granny
 
  Happy Birthday Dear Granny
  Happy One Hundred and Twenty
   Birthdays, Dear Granny
  Happy Birthday To You




                                  ©

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Demographics, Aging and Our Future

  • 1. ©
  • 2. Learning from from the Future Discontinuous Change   The Aging Story   Japan as Bellweather   Key Challenges   Livable Communities   Long term Care   Economic & Fiscal Issues   Social Security and the   Safety Net ©
  • 3. What Is Your Image Of The Future? ©
  • 4. Of all the 65 year olds who ever lived, 2/3 are alive today A Discontinuous Change ©
  • 5. Age Wave In Action MALE FEMALE 681 Days until the first Boomer turns 65 ©
  • 6. Life Expectancy at Birth in the United States Years Men Women ©
  • 7. Over 65 in Georgia 8th fastest growing right now ©
  • 8. Young & Old in Georgia Percent 19 and under #19 in U.S. Percent 65 and over #42 in U.S. ©
  • 9. 27 Florida’s by 2025 States where at least 20% of The population will be elderly ©
  • 10. Generations 2025 Post Generation X Millennial … …now 45-60 now 1-19 ©
  • 11. Tomorrow’s Aged are Different Chronic conditions     Educated & tech savvy   Greater gaps in wealth   Achievement oriented & adventurous   Men moving inward, women moving outward   Women travel alone or without husband, reverse not true ©
  • 12. Estimated Health Status Elderly in Georgia Year Total Pop. Require Cost per IADL person Assistance 2005 852,000 60,833 $10,983 2025 1,668,000 119,095 $58,732 Source: “Georgia’s Aging Population,” a report to the Healthcare Georgia Foundation. http://gbpi.org/pubs/ specialreport/20051005.pdf ©
  • 13. ©
  • 15. Working… In 1950 half of 70-   year old men worked full time.   Today in Atlanta region 67% of people over 55 are not working at all. ARC 2006 Survey report ©
  • 18. Traveling… Right now, 88% of 55   and older persons drive their own cars 20% of those over 65   not longer drive in U.S. 57 % expect “to be   driven” in the future 13% expect to use   transit ARC 2006 Survey report ©
  • 19. Living… As in rest of country   about 75% of seniors plan to live in their current home “as long as possible.” ARC 2006 Survey report ©
  • 20. We Are Not Alone ©
  • 21. Age Wave In Japan ©
  • 23. Japan’s Elder Care   87% cared for in Family 43% daughters or daughters-in-law     7% sons or sons-in-law   37% spouses   13% have hired caretakers, other kinds of help, or no caretaker. Source: Japanese Women Now ©
  • 24. Japan’s Social Expenditures 1970s, social expenditures 6% of   Japan’s national income.   1992 up to18%.   2025 predicted 27% 70% of the social-welfare budget goes   to programs for the aged   4% for services to children Sources: Statistical Handbook of Japan and AsiaTimes Online ©
  • 25. Japan’s Economic Solutions Employers are keeping the elderly   working longer Modify jobs to suit the elderly (e.g. more   lighting, fewer physical barriers) Utilize their knowledge and skills   Companies are creating products for the   elderly Accessible cars   Care-bots   Families are expected to provide care   ©
  • 26. What Age Wave Means Here ©
  • 27. ©
  • 28. 1950 Average New Home 980 square feet for 3.4 people ©
  • 29. Today’s Average New Home 2600 square feet for 2.6 people ©
  • 30. 5,000 Sq. Ft. Homes ©
  • 31. Ultimate Age Wave Question…   Increasingly, 65-somethings will be facing large homes with dark bedrooms, lots of yard work, and a rusting basketball hoop over the garage. How many graying boomers will actually live in those 5000sf McMansions? Will you? But who else can afford them? ©
  • 32. Need to Age the Home 1st Floor Master   Rocker switches   Dual Suites Lower, even adjustable     counters Wide hall ways   Ramps, slopes   Decrease size &   Contrasting Steps   cost by one-half Multi-family   going forward Apartments added   from 2009 – but Co-housing   how? ©
  • 33. Infrastructure Needs Sign and document readability     Public transportation / walkability   Retrofitting homes for better accessibility   Re-zoning   Small home options   Complete communities Source: Duluth Weekly, September 10, 2007 ©
  • 34. Long Term Care Programs for in-home care   Georgia among lowest in nation for Medicaid   spent on in-home care 40% of Georgia’s elderly live in rural areas   Compare to 5% in Massachusetts, 12% in   Colorado Most of Georgia’s long-term care services   are in urban areas Source: Stateline.org, September 14, 2007 ©
  • 35. Aging and Mental Health In Georgia, the elderly account for 20% of all   suicides, especially among white males Less than 3% of elderly receive treatment   from mental health professionals Depression may be linked to other chronic   conditions like cancer, Alzheimer’s disease, arthritis, obesity, and heart disease. Source: Georgia.gov, DHR ©
  • 36. Caregivers 4.7 potential care givers (Age 20-64) for   each person over 65 in 2005 3.0 potential caregivers for each person 65+   in 2025 Source: “Georgia’s Aging Population,” a report to the Healthcare Georgia Foundation. http://gbpi.org/pubs/ specialreport/20051005.pdf ©
  • 37. Asimo ©
  • 38. Are we ready for aged workforce? Manpower, Inc.: 28,000 employers 25 countries:   14% have strategies to recruit older (over 50) workers   21% have strategies to retain older workers   Boston College study U.S. companies:   37% have strategies to retain older workers   9% have made detailed projections about their aging   workforce Most older workers say 9-5, 5-day week does not   work for them ©
  • 39. Impact on Taxes & Spending Less income   Beyond the spending wave   Tax exemptions   ©
  • 40. Coming Final Debate Over Social Security (& Health Care) Solvent without changes till 2040 if U.S.   does not default Safe at 75% of current benefits beyond   2040 with no changes. Options for full benefits past 2040 include   raising retirement age, increasing tax about 1.5%, increasing income subject to tax, changing formulas for slower benefit growth ©
  • 41. Learning from from the Future Discontinuous Change   The Aging Story   Japan as Bellweather   Key Challenges   Livable Communities   Long term Care   Economic & Fiscal Issues   Social Security and the   Safety Net ©
  • 42. Is Aging Just Beginning? Medicine of Today and the Future Today   Diagnostics—”pauciparameter”   Therapy--reactive   Prevention--minor role   Future   Diagnostics--multiparameter   Therapy--diagnostics-driven and personalized   Prevention--dominant role   Extend productive life span by 10-20 years over next 30 years Dr. Leroy Hood, Inst. Systems Biology ©
  • 43. Mid-21st Century Folk Song Happy Birthday Dear Granny     Happy Birthday Dear Granny   Happy One Hundred and Twenty Birthdays, Dear Granny   Happy Birthday To You ©