Fiscal sustainability in Japan: what to tackle?
Publication date: Available online 26 August 2019Source: The Journal of the Economics of AgeingAuthor(s): Selahattin İmrohoroğlu, Sagiri Kitao, Tomoaki YamadaAbstractJapan leads advanced economies in terms of the speed and magnitude of demographic aging and has the highest debt to GDP ratio. Furthermore, public pension, medical and long-term care (LTC) expenditures are projected to far outpace revenues and create even more severe fiscal burdens. In this paper, we develop an accounting model populated with overlapping generations of individuals and incorporate social insurance programs in detail, use most recent estimates...
Source: The Journal of the Economics of Ageing - August 27, 2019 Category: Health Management Source Type: research

Do Private Household Transfers to the Elderly Respond to Public Pension Benefits? Evidence from Rural China
Publication date: Available online 8 August 2019Source: The Journal of the Economics of AgeingAuthor(s): Plamen Nikolov, Alan AdelmanAbstractAging populations in developing countries have spurred the introduction of public pension programs to preserve the standard of living for the elderly. The often-overlooked mechanism of intergenerational transfers, however, can dampen these intended policy effects, as adult children who make income contributions to their parents could adjust their behavior in response to changes in their parents’ income. Exploiting a unique policy intervention in China, we examine using a difference-...
Source: The Journal of the Economics of Ageing - August 10, 2019 Category: Health Management Source Type: research

Indirect costs of adult pneumococcal disease and productivity-based rate-of-return to PCV13 vaccination for older adults and elderly diabetics in Denmark
Publication date: Available online 8 August 2019Source: The Journal of the Economics of AgeingAuthor(s): JP Sevilla, Andrew Stawasz, Daria Burnes, Peter Bo Poulsen, Reiko Sato, David Bloom (Source: The Journal of the Economics of Ageing)
Source: The Journal of the Economics of Ageing - August 10, 2019 Category: Health Management Source Type: research

Is there a connection between welfare regimes and inter-age reallocation systems?
Publication date: Available online 8 August 2019Source: The Journal of the Economics of AgeingAuthor(s): Joze Sambt, Tanja Istenič, Lili VarghaAbstractPrevious research connecting transfers and welfare regimes is to some extent limited, as it focuses mainly on either public or private transfers or it takes into account only certain age groups. This paper uses the recently developed National Transfer Accounts (NTA) methodology that enables comprehensive measurement of (1) public and (2) private intergenerational transfers (the ones that go through monetary transactions and those that result from the family provision of wel...
Source: The Journal of the Economics of Ageing - August 10, 2019 Category: Health Management Source Type: research

The role of self-employment in ireland’s older workforce
Publication date: Available online 6 August 2019Source: The Journal of the Economics of AgeingAuthor(s): Anne Nolan, Alan BarrettAbstractA feature of employment at older ages that has been observed in many countries, including Ireland, is the higher share of self-employment. This pattern of higher self-employment rates may reflect lower rates of retirement among the self-employed compared to employees, as well as transitions into self-employment at older ages. While the US literature finds evidence for both explanations, the non-US literature is more ambiguous. In this paper, we use data from four waves of the Irish Longit...
Source: The Journal of the Economics of Ageing - August 7, 2019 Category: Health Management Source Type: research

Editorial Board
Publication date: May 2019Source: The Journal of the Economics of Ageing, Volume 13Author(s): (Source: The Journal of the Economics of Ageing)
Source: The Journal of the Economics of Ageing - May 25, 2019 Category: Health Management Source Type: research

The rising longevity gap by lifetime earnings – Distributional implications for the pension system
This study uses German social security records to provide novel evidence on cohort trends of the heterogeneity in life expectancy by lifetime earnings and, additionally, documents the distributional implications of this earnings-related heterogeneity. We find a strong association between lifetime earnings and life expectancy at age 65 and show that the longevity gap is increasing across cohorts. For West German male employees born 1926–28, the longevity gap between top and bottom decile amounts to about 4 years (about 30%). This gap increases to 7 years (almost 50%) for cohorts 1947–49. We extend our analysis to th...
Source: The Journal of the Economics of Ageing - May 23, 2019 Category: Health Management Source Type: research

The rising longevity gap by lifetime earnings - distributional implications for the pension system
This study uses German social security records to provide novel evidence on cohort trends of the heterogeneity in life expectancy by lifetime earnings and, additionally, documents the distributional implications of this earnings-related heterogeneity. We find a strong association between lifetime earnings and life expectancy at age 65 and show that the longevity gap is increasing across cohorts. For West German male employees born 1926-28, the longevity gap between top and bottom decile amounts to about 4 years (about 30%). This gap increases to 7 years (almost 50%) for cohorts 1947-49. We extend our analysis to the househ...
Source: The Journal of the Economics of Ageing - May 17, 2019 Category: Health Management Source Type: research

Determinants of Health-Care Costs in the oldest-old in Germany
Publication date: Available online 15 May 2019Source: The Journal of the Economics of AgeingAuthor(s): Christian Brettschneider, Andre Hajek, Susanne Röhr, Angela Fuchs, Dagmar Weeg, Silke Mamone, Jochen Werle, Kathrin Heser, Tina Mallon, Janine Stein, Michael Pentzek, Horst Bickel, Birgitt Wiese, Siegfried Weyerer, Michael Wagner, Hendrik van den Bussche, Wolfgang Maier, Martin Scherer, Steffi G Riedel-Heller, Hans-Helmut KönigAbstractThe population of the oldest old often suffers from ill health and causes high health care costs. Yet, this group has rarely been examined. We investigated determinants of health care cost...
Source: The Journal of the Economics of Ageing - May 16, 2019 Category: Health Management Source Type: research

Population Change and the Regional Distribution of Physicians
Publication date: Available online 4 April 2019Source: The Journal of the Economics of AgeingAuthor(s): Michael Kuhn, Carsten OchsenAbstractBased on an intertermporal entry model of the physician market, we analyze how the supply of office-based physicians depends on regional character and on the age-structure of the local population as determinants of the current profitability of physician services, on local population change as a predictor of future demand, and on the extent of equilibrium adjustment within local markets. Using German regional data, we find that the number of general practitioners (GPs) per capita is pos...
Source: The Journal of the Economics of Ageing - April 5, 2019 Category: Health Management Source Type: research

Economic Effects of Demographic Dividend in Brazilian Regions
Publication date: Available online 4 April 2019Source: The Journal of the Economics of AgeingAuthor(s): Diogo Baerlocher, Stephen L. Parente, Eduardo Rios-NetoAbstractExploiting heterogeneity across Brazilian micro-regions over the 1970-2000 period, this paper examines whether the demographic dividend extends beyond a pure accounting effect. Using a Sys-GMM approach, it finds evidence that changes in age structure have only pure accounting effects after controlling for human capital. Therefore, in the case of Brazilian micro-regions, there is a second demographic dividend, which is associated with education. This second di...
Source: The Journal of the Economics of Ageing - April 5, 2019 Category: Health Management Source Type: research

Health effects of caring for and about parents and spouses
Publication date: Available online 26 March 2019Source: The Journal of the Economics of AgeingAuthor(s): Judith Bom, Pieter Bakx, Frederik Schut, Eddy van DoorslaerAbstractInformal caregiving is a potentially attractive alternative to formal care but may entail health costs for the caregiver. We examine the mental and physical health impact of providing informal care and disentangle the caregiving effect – the effect of caring for someone in need – from the family effect – the effect of caring about someone in need. We account for the main sources of endogeneity in the caregiving decision using Arellano-Bond differen...
Source: The Journal of the Economics of Ageing - March 27, 2019 Category: Health Management Source Type: research

The Economics of Ageing and Inequality: Introduction to the special issue
Publication date: Available online 14 March 2019Source: The Journal of the Economics of AgeingAuthor(s): Vadim Kufenko, Klaus Prettner, Alfonso Sousa-Poza (Source: The Journal of the Economics of Ageing)
Source: The Journal of the Economics of Ageing - March 14, 2019 Category: Health Management Source Type: research

Expansion of Public Transfers in China: Who Are the Beneficiaries?
Publication date: Available online 26 February 2019Source: The Journal of the Economics of AgeingAuthor(s): Wang Feng, Ke Shen, Yong CaiAbstractWith expanded fiscal capacity and rising concerns over economic inequality, the Chinese government in the last decade and half has vastly rebuilt and expanded its social welfare regime. Using the National Transfer Accounts (NTA) methodology and both micro-level survey data and macro-level government statistics, this paper examines the distribution of public transfers in education, health care and pension across generations and income groups in 2014 and compare it with those in 2010...
Source: The Journal of the Economics of Ageing - February 27, 2019 Category: Health Management Source Type: research

The Long-Term Impact of Functional Disability on Hospitalization Spending in Singapore
Publication date: Available online 27 February 2019Source: The Journal of the Economics of AgeingAuthor(s): C. Chen, J.T. Lim, N.C. Chia, L. Wang, B. Tysinger, J. Zissimopolous, M.Z. Chong, Z. Wang, G.C. Koh, J.M. Yuan, K.B. Tan, K.S. Chia, A.R. Cook, R. Malhotra, A. Chan, S. Ma, T.P. Ng, W.P. Koh, D.P. Goldman, J. YoongAbstractSingapore is one of the fastest-aging populations due to increased life expectancy and lowered fertility. Lifestyle changes increase the burden of chronic diseases and disability. These have important implications for social protection systems. The goal of this paper is to model future functional di...
Source: The Journal of the Economics of Ageing - February 27, 2019 Category: Health Management Source Type: research