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International Journal of Epidemiology 2002;31:776-781
© International Epidemiological Association 2002

Symposium Theme: Ageing

Population ageing in the United States of America: implications for public programmes

Joshua M Wiener and Jane Tilly

The Urban Institute, 2100 M Street, NW, Washington, DC 20015, USA.E-mail: jwiener@ui.urban.org

The first 150 words of the full text of this article appear below.

Like the rest of the world, the US is an ageing society. This will place substantial additional pressure on publicly-funded health, long-term and income support programmes for older people. This paper analyses the demographic changes that the US faces and how they will affect those programmes, concentrating on the factors that may affect the economic burden that these programmes impose.

Demographic change and its consequences for health care

An ageing society
Like the rest of the world, the US is an ageing society (Table 1Go). Between 2000 and 2050, the number of older people is projected to increase by 135%. Moreover, the population aged 85 and over, which is the group most likely to need health and long-term care services, is projected to increase by 350%. Over this time period, the proportion of the population that is over the age of 65 will increase from 12.7% in 2000 to 20.3% in 2050; the proportion of the population that is age . . . [Full Text of this Article]

Implications for organization and delivery of health care
Shift from acute to chronic illnesses
Health and long-term care workforce issues
Public programmes for older people

Acute care financing
Long-term care financing
Retirement income
Economic importance

Factors potentially affecting the economic burden

Disability rates
Size of the economy
Privatization
Conclusion

The economy
Importance of political decision-making

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