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Lecture 8

Lecture 8 - Health and Aging

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Western University
Health Sciences
Health Sciences 2000A/B
Leichelle Little

LECTURE 8: HEALTH AND AGING Aging and the Labor Market • Baby boomers o The group of people who were born between 1946 and 1965 o Parents and possibly grandparents o Nearly one out of three Canadians is a Baby Boomer (4.9 million) • The number of seniors aged 65 and over increased 14.1% between 2006 and 2011 to nearly 5 million. This rate of growth was higher than that of children aged 14 and under (0.5%) and people aged 15 to 64 (5.7%) • In 2036, Canadian seniors will make up 23-25% of the entire population • In 2011, for the first time that there were more people aged 55 to 64, typically the age group where people leave the labour force, than aged 15 to 24, typically the age group where people enter it • Dependency ratio = [(number of people aged 0 – 14 and those aged 65 and over) / number of people aged 15 – 64] x 100 o An age-population ratio of those typically not in the labour force (the dependent part) and those typically in the labour force (the productive part). It is used to measure the pressure on productive population Economic Views on Aging • Productive aging o Any activity by an older individual that contributes to producing goods or services, or develops the capacity to produce them (whether or not the individual is paid for this activity) o Emphasizes staying in the labour market • Active aging o Reflects the need for partnerships between citizens and society, with the aim of a comprehensive, non-coercive and reflective approach • Activation aging o Compromise between active and productive aging by focusing on the labour market, pension reform and family policy Economic & Fiscal Implications of Canada’s Aging Population • Demographic shift o The oldest members of the large baby boom generation now reaching retirement age, the aging of the Canadian population is soon set to accelerate o The ratio of the elderly to the working-age population is expected to nearly double over the next 20 years o A higher fertility rate and higher levels of immigration could help slow population aging but would not prevent it • Economic implications o Over the next 20 years, the number of working-age Canadians for every senior will fall from about 5 today to 2.7 by 2030 o Unless productivity growth and labour market participation improve, population aging is expected to lead to significantly slower increases in real output and income and increase the possibility of labour shortages • Public finance implications o Through slower economic growth, population aging is expected to reduce the growth rate of government revenues, limiting public expenditures at rates as high as in the past o Population aging will affect public finances by putting upward pressure on public expenditures, notably for age-related programs such as health care and elderly benefits Aging and the Health Care System • Canadian Constitution 101 o Provinces (not the federal government) are responsible for health care o Provinces are also responsible for other pricey services like education o While the federal government does provide money for health care, constitutionally they do not have to and can attach strings to the money they give to provinces • Seniors in Ontario o In 2011, there were 1,878,325 Ontarians aged 65 years and older, representing 14.6 per cent of the province’s overall population o The number of those 65 years and older is expected to double over the next two decades o The top 10 per cent of older Ontarians, characterized as having the most complex issues, accounts for 60 per cent of our annual spending on health care for this population o At the same time, the healthiest 50 per cent of our older population accounts for only 6 per cent of our overall annual spending on health care for older adults • Baby boomers and health care costs o While accounting for only 14.6 per cent of our current population, nearly half of our health care spending occurs on their behalf • Aging at home strategy – Ontario will have invested close to $1.1 billion in the delivery of an integrated continuum of community-based services so seniors can stay healthy and live more independently in their homes • Ontario’s action plan for health care – goal is to deliver health care that puts patients at the centre of the system, responds to their needs and makes it easier for providers to coordinate care Seniors Strategy Key Findings • Promoting Health and Wellness • Strengthening Primary Care for Older Ontarians o Mandate Community Care Access Centres (CCACs), Community Support Services (CSS), and community mental health agencies providing care or service co-ordination support must identify and notify a patient’s primary care provider of their name, their role, their contact details, and the services being co-ordinated for the patient/client • Enhancing the Provision of Home and Community Care Services o The Ministry of Health and Long-Term Care should support agencies to formalize a Standardized Collaborative Care Model that can allow acuity-based wait-list and care co- ordination assignments between CCACs and select CSS agencies. This will allow both sector organizations to play
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