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SHAPING THE FUTURE HOW CHANGING DEMOGRAPHICS CAN POWER HUMAN DEVELOPMENT

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4.<br />

AGEING<br />

SOCIETIES:<br />

NEW OPPORTUNITIES TO THRIVE<br />

People in Asia-Pacific live far longer today than they<br />

did a half-century ago, testifying to the success of<br />

the region’s human development, with its better<br />

nutrition, education, health care and economic<br />

well-being. As societies age, they face both challenges<br />

and opportunities. From a human development<br />

perspective, human well-being must extend to all<br />

ages and stages of life, a commitment echoed in<br />

the call of Agenda 2030 to leave no one behind.<br />

Population ageing is an inevitable consequence<br />

of demographic transition. Globally, more than 2<br />

billion people in the world will be over age 60 by<br />

2050; more than 1 billion will live in Asia-Pacific.<br />

In 2005, the region, for the first time in its history,<br />

had more older people than children under age five.<br />

Given the current speed of ageing in Asia-Pacific,<br />

countries have limited time to prepare for an older<br />

society. Many will face ageing at lower levels of<br />

socioeconomic development than was the case<br />

in developed Western countries that aged over a<br />

longer period of time, allowing them to become<br />

economically prosperous first. A number of Asia-Pacific<br />

countries will have to simultaneously juggle<br />

traditional human development issues, such as<br />

low levels of education and health, and needs for<br />

pensions and other forms of support for the aged.<br />

Current financial conditions and the narrow window<br />

during which these changes have to be made will<br />

only heighten some of the complexities.<br />

given disadvantages imposed by gender discrimination<br />

throughout their lives. This manifests, for<br />

example, in more limited earnings and savings.<br />

The challenges of ageing should not overshadow its<br />

opportunities—or the rights of older people, which<br />

are the same as for all other age groups. Older<br />

people are a vital social resource, and societies do<br />

well when they encourage them to share lifetimes of<br />

understanding and experience. When countries leave<br />

the elderly behind, by contrast, national well-being<br />

falters. Countries perform best when they invest<br />

in pension systems, access to health care and the<br />

social inclusion of older people. 1<br />

Managing ageing is a complex and dynamic process.<br />

Until now, Asia-Pacific governments have mainly<br />

focused on youth development, poverty reduction,<br />

job creation and the eradication of infectious diseases,<br />

paying less attention to the issues of older<br />

persons. Given the direction of demographics,<br />

however, it is time to begin integrating ageing issues<br />

across all elements of national development<br />

planning, whether in transport or housing, labour<br />

or health care. Ageing is already a serious issue in<br />

East Asia. Other subregions have some breathing<br />

time—but not much. All countries need to begin<br />

preparing for what lies ahead.<br />

Growing numbers of older people may contend with<br />

issues of income security, access to health services,<br />

and community recognition and participation. The<br />

traditional family support system is under pressure,<br />

a trend intensified by shrinking family size and in<br />

some cases the migration of children to cities in<br />

search of work. More and more older people will<br />

live alone—many will be women, as they live longer.<br />

Women as a whole will face greater vulnerabilities,<br />

119

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