The Shape of Things to Come
"Preparing Minnesota for the Age Wave," a report released this summer under the combined aegis of the Minnesota Department of Human Services, Minnesota Department of Health, and the Minnesota Board on Aging, folds into several hundred pounds of familiar material numerous fascinating insights.
Here's a passage that cites data from the Rand Corporation's wittily titled 2007 report, Obesity and Disability: The Shape of Things to Come:
[D]isability rates among non-elderly are on the rise, with obesity as the suspected cause of these increases. "If historical obesity trends were to continue through 2020 without other changes in behavior or medical technology, the proportion of individuals reporting fair or poor health would increase by about 12 percent for men and 14 percent for women, compared with 2000. Up to one-fifth of health expenditures would be devoted to treating the consequences of obesity. And rising disability rates could offset past reductions in disability." (They also expect that the nursing home population would likely grow 10-25 percent more than historical disability trends predict.)
In other words, there'd be two health-care cost crises: an aging population and a heavier one. In fact, the latter could someday outweigh the former (sorry).
One partial solution to the coming economic challenge of the aging population is to allow people to work longer. Many employers are already embracing this. My own father worked almost to the day he died, at age 80. He enjoyed it, and his employer was very flexible about his hours and time off.
Certainly, many older workers are going to need the money, given how little they're saving for retirement.
And why is that? Because we're spending more than we make. The most recent data show that Americans have a negative saving rate, for the first time since the Great Depression. That has led some to propose a wildly radical solution—thrift.
It's not a panacea. The poor don't have any money to save. And people like Yale's Jacob Hacker have suggested that saving has declined because there's less and less money that middle-income people can save, given the rising housing, health-care, and other costs they're having to bear.
Still, I'd like to find out how the majority of people, who could put some money aside, actually spend their cash, in order to account for the negative savings rate. I have my suspicions—for instance, too much dining out. (That could also account for the rise in obesity.) But I haven't found any hard info. Any help out there?
Two other questions: Has the health of the U.S. economy become too dependent on buying stuff? What would happen if people started saving, say, 10 percent of their income rather than spending that amount? The short-term answer is, probably, recession. But long term?
One thing seems obvious: We have to watch our consumption calories.


Recent Comments