Handbook of the Economics of Population Aging

Author: Piggott   John;Woodland   Alan  

Publisher: Elsevier Science‎

Publication year: 2016

E-ISBN: 9780444538437

P-ISBN(Paperback): 9780444538420

Subject: C92 Demographic;R1 Preventive Medicine , Health

Keyword: 预防医学、卫生学,人口学

Language: ENG

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Description

Handbook of the Economics of Population Aging, Volume 1A, provides the economic literature on aging and associated subjects, including social insurance and healthcare costs. This text explores the economic literature on aging and associated subjects, including social insurance, health care costs, the interests of policymakers, and the role of academics. As the first of two volumes, users will find it a great resource on the topics associated with the economics of aging.

Together with its companion, volume 1B, this work includes literature that has appeared in general economics journals, in various field journals in economics, especially, but not exclusively, those covering labor market and human resource issues, information from interdisciplinary social science and life science journals, and data presented in papers by economists published in journals associated with gerontology, history, sociology, political science, and demography, amongst others.

  • Provides the latest economics literature on aging and its associated subjects, including the aspects of social insurance and healthcare costs
  • Includes valuable data from a variety of general economics journals and interdisciplinary social and life science publications
  • Critical text for policymakers and academics that describes and analyzes valuable information since the inception of the study of the science of population aging in the late 1970s

Chapter

Chapter 1: The Global Demography of Aging: Facts, Explanations, Future

1. Introduction

2. Population Aging

2.1. Trends and Projections

2.2. Reliability of Population Projections

3. The Demographic Transition and Population Aging

3.1. The Historic Demographic Transition

3.2. The Ongoing Demographic Transition in Developing Countries

4. The Demographic Determinants of Population Aging

4.1. Decline in Fertility

4.1.1. Theoretical Framework

4.1.2. Developed Countries

4.1.2.1. The Cost of Children

4.1.2.2. The Role of Education

4.1.2.3. The Accessibility of Birth Control

4.1.2.4. The Baby Boom and Bust

4.1.3. Developing Countries

4.1.3.1. The Decline in Child Mortality

4.1.3.2. Anticipated Future Support from Children

4.1.3.3. Contraceptives and Family Planning Programs

4.1.3.4. Education

4.1.3.5. The Impact of Social Media

4.1.4. The Future of Fertility

4.2. Increase in Life Expectancy

4.2.1. Developed Countries

4.2.2. Developing Countries

4.2.3. The Future of Mortality

4.3. Migration as a Determinant of the Age Structure

5. The Nature of Aging

5.1. The Rise of Noncommunicable Diseases

5.1.1. The Prevalence and Economic Costs of Dementia

5.1.2. The Risk Factors of NCDs and Policy Implications

5.2. The Question of Compression or Expansion of Morbidity

5.3. Living Arrangements for the Elderly

5.3.1. Developed Countries

5.3.2. Developing Countries

6. Open Research Questions

7. Concluding Remarks

References

Part II: Economic Impacts of Population Aging

Chapter 2: Macroeconomics, Aging, and Growth

1. Introduction

2. Population Aging

3. Population Aging, Dependency, and Redistribution of Income Across Generations

4. Reallocation Systems

5. The Changing Age Pattern of Consumption

6. Population Aging and Economic Growth in Comparative Steady States

7. The Golden Rule Case

8. International Comparisons of Support Systems for Elderly

9. Population Aging and Capital Market Equilibrium with Transfers

10. Secular Stagnation

11. Dynamic Analysis of Population Aging

12. Special Topics on Population Aging, Saving, and Capital Intensification

12.1. Population Aging and Saving: Will Saving Rates Decline?

12.2. The Role of PAYGO Transfers, Public and Private, Implicit Debt, Asset Accumulation, and Capital Intensity

12.3. Public Sector Transfers

12.4. Open and Closed Economies in an Aging World

12.5. Will Population Aging Cause an Asset Price Meltdown?

12.6. How Much Population Aging Is Optimal?

13. Population Aging and Human Capital Intensification

14. Aging and Productivity Growth

14.1. Age and Productivity of Workers

14.2. Endogenous Growth and Population Aging

15. Political Economy of Population Aging and the Public Sector

16. Policy Issues

17. Research Directions

17.1. Fertility, Mortality, and Possibly Health Status

17.2. Intergenerational Transfers

17.3. Age at Retirement

17.4. Global Perspective

17.5. Technological Progress and Endogenous Growth

18. Conclusions

References

Chapter 3: Migration and the Demographic Shift

1. Introduction

2. Trends in Population Aging and International Migration

3. Age and Migration: Supply-and-Demand Framework

3.1. Theoretical Determinants of Migration: Supply-Push and Demand-Pull Factors

3.2. Age and Migration: Empirical Studies with Individual Data

3.3. Age and Migration: Empirical Studies with Aggregate Data

3.4. Changing Migration Patterns: Mobility of the Elderly and Demand for Eldercare

4. Aging and Migration: Implications for Labor Markets, Public Budgets, and Political Economy

4.1. Aging, Migration, and Labor Markets

4.2. Aging, Migration, and Public Budgets

4.3. Aging, Migration, Welfare, and Political Economy Aspects

4.4. Aging and Individual Attitudes Toward Immigrants

5. Migration, Aging, and Health

6. Conclusions

References

Chapter 4: Global Demographic Trends: Consumption, Saving, and International Capital Flows

1. Introduction

Part I. The Overlapping Generations Model

2. The Auerbach and Kotlikoff (1987) Model

2.1 Steady States and Transitions

2.2 Market Structure and Intergenerational Links

2.3 OLG Models and Demographic Trends

3. Extensions to the Model and Methodological Challenges

3.1 Expectations of Demographic Trends and Institutional Arrangements

3.2 Heterogeneity Within Cohorts

3.3 Aggregate and Idiosyncratic Uncertainty

3.4 Moving Away From the Simplest Preferences: Labor Supply and Habits

4. Demographic Trends and Savings

4.1 Closed Economy

4.2 Open Economy

4.2.1 Labor Mobility

4.2.2 Capital Mobility

Part II. A Multiregion Model of the World Economy

5. Demographic Data and Projections

6. Model

6.1 Economic Environment

6.1.1 Preliminaries

6.1.2 Technology

6.1.3 Demographics

6.1.4 Household Preferences

6.1.5 Household Endowments

6.1.6 Household Budget Constraint

6.1.7 Government Budget Constraint

6.1.8 Commodities, Assets, and Markets

6.2 Equilibrium

7. Calibration

7.1 Preliminaries

7.2 The Four Regions

7.3 Technological Parameters

7.4 Demographic Parameters

7.5 Preferences and Endowments Parameters

7.6 Government Policy Parameters

8. Numerical Results

8.1 Baseline Scenario

8.2 Alternative Scenarios in Low-Income Region

8.2.1 Fast Productivity Convergence

8.2.2 Fast Convergence in Longevity in Low-Income Region

8.2.3 Investment Risk in Low-Income Region

8.2.4 Additional Experiments

8.3 Summing Up

9. Conclusion

References

Chapter 5: Insurance Markets for the Elderly

1. Introduction

2. Risks Faced by the Elderly

2.1. Income Risks

2.1.1. Job Displacement and Labor Income Risks

2.1.2. Investment Income Risks

2.1.3. Housing Wealth

2.1.4. Decline of Defined Benefit Pension Plans

2.2. Health and Health Expenditure Risks

2.3. Longevity/Mortality Uncertainty

2.4. Morbidity/Long-Term Care Risks

3. Insurance Markets

3.1. Health Insurance Market

3.1.1. US Health Insurance System for the Elderly

3.1.1.1. Medicare

3.1.1.2. Medicaid

3.1.1.3. Employer Coverage for Retirees

3.1.1.4. Medicare Supplemental Insurance

3.1.2. Health Insurance Reform in the United States

3.1.3. Health Insurance System in Other OECD Countries

3.2. Annuity Insurance Market

3.2.1. Theory of the Demand of Annuities

3.2.2. Under-Annuitization Puzzle and Its Solutions?

3.2.2.1. Information Problems in Annuity Insurance Market

3.2.2.2. High Loadings of Annuities

3.2.2.3. Bequest Motives

3.2.2.4. Behavioral Explanations

3.2.3. Reverse Mortgage

3.3. Life Insurance Market

3.3.1. Front-Loaded Premiums and Reclassification Risk Insurance

3.3.2. Life Settlement Market and Its Welfare Effects

3.3.3. Why Do Life Insurance Policyholders Lapse?

3.4. Long-Term Care Insurance Market

3.4.1. Basic Facts of Long-Term Care Arrangements

3.4.2. Why Is the Private LTC Insurance Market so Small?

3.4.2.1. Informational Barriers in the LTC Insurance Market

3.4.2.2. Strategic Rational Nonpurchase

4. Interactions Between Social Insurance and Private Insurance Programs

4.1. Medicaid and Long-Term Care Insurance

4.2. Medicare and Private Health Insurance

4.2.1. Medicare and Medigap

4.2.2. Medicare and Medicare Advantage

4.2.3. Medicare and Employer-Sponsored Health Insurance

4.2.4. Medicaid and Medicaid Managed Care

5. Summary and Directions for Future Research

5.1. Interaction Between Insurance Markets and Labor Markets

5.2. A Portfolio Approach to Households Insurance Demands

5.3. Insurer-Side Risks and Regulation

References

Chapter 6: Intergenerational Risk Sharing

1. Introduction

2. Intergenerational Risk Sharing and Aging

2.1. Types of Risks and Potential for Risk Sharing

2.2. Distinguishing Risk Sharing from Redistribution

2.3. Limits to the Scope of This Chapter

2.4. The Role of Population Aging

3. Intergenerational Risk Sharing Under Various Settings

3.1. The Closed Endowment Economy

3.2. Intertemporal Smoothing

3.3. The Production Economy

4. Pension Arrangements in the Market Economy

4.1. General Features of the Market Economy

4.2. Classification of Pension Arrangements

4.3. Retirement Arrangements

4.4. Individual and Firm Decisions

4.5. Macroeconomic Equilibrium

5. IRS Through Pensions

5.1. IRS in Stylized Pension Arrangements

5.1.1. Pay-As-You-Go

5.1.2. Notional Defined Contribution Schemes

5.1.3. Funded Pension Schemes

5.1.4. Discussion of Demographic Risks

5.1.5. Aging and the Role of Factor Prices

5.2. Optimal Pension Arrangements for IRS

5.2.1. Special Case: Period t Is the Final Period

5.2.2. Generational Accounting

5.2.3. An Infinite Horizon

5.2.4. Links to the Literature

6. Alternative Channels for IRS

6.1. Informal Arrangements for IRS

6.2. IRS Through Public Debt and Taxes

6.3. Further Channels for IRS

7. Practical Limitations to IRS

7.1. Long-Run Correlation of Wage and Capital Risks

7.2. Labor Market Distortions and IRS

7.3. Participation Constraints

7.4. Political Commitment

7.5. Budgetary Pressures, Fiscal Constraints, and Reversibility Risk

7.6. Further Complications in Putting Theory to Practice

8. Quantification of the Welfare Gains from IRS

8.1. Measuring the Welfare Gains from IRS

8.2. Complications in Measuring the Welfare Gains

8.3. Introducing or Changing a PAYG Social Security Scheme

8.4. DB Pension Funds

9. Policy Implications

9.1. The Scope for IRS

9.2. Aging and Pension Reform

9.2.1. Raising the Retirement Age

9.2.2. The Introduction of DC Funded Pillars

9.2.3. The Introduction of NDC Schemes

9.2.4. Recent Changes in the Pension Reform Agenda

9.3. Flexibility, Mobility, and the Width of the Solidarity Circle

9.4. Dealing with the Consequences of Changes in Accounting Rules

9.5. The Role of Supervision

9.6. Building Confidence, Transparency, and Fairness

9.7. Reform of Health and Long-Term Care Financing

9.8. The Importance of Combining Risk-Sharing Arrangements

10. Literature Gaps and Directions for Further Research

11. Concluding Remarks

References

Chapter 7: The Political Economy of Population Aging

1. Introduction

1.1. The Political Challenges of Population Aging

1.1.1. Facts on Aging, and Political Consequences

1.1.2. Policies at Stake with Aging

1.2. Features of Social Security Systems and Recent Reforms

1.2.1. Features of Social Security Systems

1.2.1.1. Funded Defined-Contribution System

1.2.1.2. Funded Defined-Benefit System

1.2.1.3. Unfunded Defined-Benefit System

1.2.1.4. Unfunded Defined-Contribution System

1.2.1.5. Pension Benefits and Eligibility

1.2.1.6. Retirement Age

1.2.2. Recent Reforms

1.3. Contribution of This Chapter and Outline

1.3.1. Contribution of This Survey

1.3.2. Outline

2. Why Individuals Support PAYG Social Security

2.1. Dynamic Inefficiency

2.2. Reduced Time Horizon

2.2.1. Central Argument

2.2.2. Population Aging in the Browning Model

2.3. Effect of Social Security on Prices

2.4. Within Cohort Redistribution

2.4.1. Individually Optimal Tax Rates

2.4.1.1. The Retirees

2.4.1.2. The Workers

2.4.2. Variation of the Optimal Tax Rates with the Wage Level

2.4.3. Majority Voting Tax Rate

2.4.4. Effect of a Drop in the Fertility Rate

2.4.5. Myopic Individuals

2.4.6. Other Dimension of Individual Heterogeneity: Differing Life Expectancies

2.5. Risk-Sharing

3. Endogenous Retirement

3.1. Implicit Taxation and Early Retirement

3.1.1. The Political Support for Early Retirement Provisions

3.1.2. The Implicit Taxation on Continued Activity

3.2. Voting on the Retirement Age

3.2.1. One-Dimensional Voting

3.2.1.1. The Retirees

3.2.1.2. The Workers

3.2.1.3. Aggregation of Preferences Through Majority Voting

3.2.1.4. Population Aging

3.2.2. Joint Determination of the Retirement Age and the Contribution Rate

4. The Social Contract

4.1. Sustainability of the PAYG System

4.2. Dynamics of the Political Equilibrium

4.3. Markov Perfect Equilibria

4.3.1. A Median Voter Model with Capital as the State Variable

4.3.2. Probabilistic Voting

4.3.3. The Evolution of Retirement

5. The Transition to a Fully Funded System

6. Quantitative Analysis

6.1. Empirical Estimations

6.2. Simulating the Future Political Evolution of Social Security

6.2.1. Political Sustainability and the Evolution of the Contribution Rates for the Current Systems

6.2.2. Political Sustainability with Endogenous Retirement Age

7. The Political Impact of Aging on Other Public Programs

7.1. Aging and Political Support for Education

7.1.1. Theory

7.1.1.1. With Education Only

7.1.1.2. Joint Education and Social Security

7.1.2. Empirical Evidence

7.1.2.1. Empirics with Education Only

7.1.2.2. Empirics with Several Public Programs

7.1.2.3. Surveys of Voter Preferences

7.2. Aging and Support for Health Care

7.3. Aging and Long-Term Care

7.4. Aging and the Environment

7.5. Capital vs Labor Taxes

8. Conclusion

References

Index

Back Cover

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