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Population Ageing - A Threat to the Welfare State? : The Case of Sweden - Tommy Bengtsson

Population Ageing - A Threat to the Welfare State?

The Case of Sweden

By: Tommy Bengtsson (Editor)

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Published: 29th July 2010
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Tommy Bengtsson Population ageing, the shift in age distribution towards older ages, is of immense global concern. It is taking place to a varying degree all over the world, more in Europe and some Asian countries, less on the African continent. The worldwide share of people aged 65 years and above is predicted to increase from 7. 5% in 2005 to 16. 1% in 2050 (UN 2007, p. 11). The corresponding ?gures for developed countries are 15. 5 and 26. 2% and for developing countries 5. 5 and 14. 6%. While population ageing has been going on for some time in the developed world, and will continue to do so, most of the change is yet to come for the developing world. The change in developing countries, however, is going to be much faster than it has been in the developed world. For example, while it took more than 100 years in France and more than 80 years in Sweden for the population group aged 65 and above to increase from 7 to 14% of the population, the same change in Japan took place over a 25-year period (UN 2007, p. 13). The scenario for the future is very similar for most developing countries, including highly populated countries like China, India and Brazil. While the start and the speed differ, the shift in age structure towards older ages is a worldwide phenomenon, stressing the signi?cance of the concept global ageing.

Introductionp. 1
Referencesp. 6
The Ageing Populationp. 7
Introductionp. 7
Fundamentals of Population Ageingp. 8
Consequences of an Ageing Populationp. 12
Can We Increase Fertility?p. 16
Is Immigration the Answer?p. 16
Other Ways to Solve the Problem?p. 19
Summaryp. 20
Referencesp. 21
In This World Nothing Is Certain but Death and Taxes: Financing the Elderlyp. 23
Introductionp. 23
Backgroundp. 24
Are Increased Taxes the Solution?p. 28
Increasing Tax Rates: A Non-solutionp. 29
Increasing the Tax Base: A Partial Solutionp. 36
Discussion and Conclusionsp. 42
Referencesp. 44
A Stable Pension System: The Eighth Wonderp. 47
Introductionp. 47
The Swedish Pension Historyp. 48
Ageing and Pensionsp. 50
Pensions in Sweden: A 4-tier Systemp. 51
Financial Stability in the Swedish Pension Systemp. 54
Political Sustainabilityp. 55
Fairness as an Estimate of Sustainabilityp. 57
A Fair Starting Point?p. 61
When Contributions Deviate from Benefits, i.e. Deviations from the DC Featurep. 61
Indexingp. 62
Concluding Commentsp. 63
Referencesp. 64
Ways of Funding and Organising Elderly Care in Swedenp. 65
Introductionp. 65
The Establishment of Old People's Homesp. 67
The Development of Home Help Servicesp. 70
Times of Reappraisal Around 1990p. 71
Elderly Care of Today and Future Challengesp. 72
Financing of Elderly Carep. 75
Conclusionp. 78
Referencesp. 79
Financing Healthcare: A Gordian Knot Waiting to Be Cutp. 81
Introductionp. 82
The Swedish Healthcare Systemp. 83
Simulating the Development of Inpatient Care 2000-2040p. 86
Some Characteristics of the Simulation Modelp. 88
Base-Case Scenariop. 89
Improved Health Progression with and Without Decreased Risk of Deathp. 90
Incomes of People in Old Agep. 92
Not a Non-issuep. 93
Non-solution One: Technological Developmentp. 94
Non-solution Two: Institutional Changep. 97
Non-solution Three: Explicit Priority Setting (or Do We Believe in the QALY and Nothing but the QALY?)p. 100
Towards a Non-non-solution (or Simulating to Have an Answer)p. 101
Referencesp. 103
Towards a New Swedish Model?p. 109
Introductionp. 109
The Swedish Model So Farp. 110
The Demographic Challengesp. 113
Concluding Discussionp. 117
Referencesp. 118
Indexp. 121
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9783642126116
ISBN-10: 3642126111
Series: Demographic Research Monographs
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 123
Published: 29th July 2010
Publisher: Springer-Verlag Berlin and Heidelberg Gmbh & Co. Kg
Country of Publication: DE
Dimensions (cm): 23.5 x 15.5  x 1.27
Weight (kg): 0.38