Population Aging in China Policy Priorities and LTC

中国人口老龄化: 政策发展与长期照护保险 Population Aging in China: Policy Priorities and LTC Insurance 杜鹏, 中国人民大学老年学研究所 Du, Peng Institute of Gerontology, Renmin University of China

Outline Population ageing Policy priorities Long term care insurance

I. Population ageing in China The latest 2010 China National Population Census gives us a chance to review the ageing process and policies to meet the challenges of population ageing. The census data proves population ageing in China has been more rapid than expected due to the baby boomers entering the old age and longer life expectancy, there are 178 million elderly population aged 60 and over( account for 13. 26%) and 119 million aged 65 and over(8. 87%).

Population Ageing in China 10 中国老年人口比例�化 9 8 7 6 比例（%） 5 4 3 2 1 0 1953 1964 1982 1990 年份 2000 2010

2011 By the end of 2011, 185 million aged 60+, account for 13. 7%; 123 million aged 65+, 9. 1%.

Oldest countries in the world in 2011 65岁及以上人口比例 资料来源: Carl Haub, 2011 World Population Data Sheet.

Migration flow in China, 1995 -2000

Migration The current 220 million migrant workers contribute the labor force and services to the development of the eastern developed area, but also cause the soaring population ageing in the western rural areas. Therefore, the top ranking ageing provinces or municipalities is Chongqing and Sichuan, instead of Shanghai and Beijing. The new national ageing situation calls for new strategies and policies.

National strategy on population Control the population size around 1. 5 billion. Keep the fertility level around 1. 8 in next three decades. Avoid too high or too low fertility level.

Projected increase of Aged population by 2050

Millions Population aging in China, 2000 -2100 Year

Population pyramid in 2009

Population pyramid, 1950 -2050 1950 Male 2000 Female 2050 Age 80+ 75 -79 7074 6569 6064 5559 5054 4549 4044 3539 3034 2529 2024 1519 1014 5 -9 0 -4 Male Female Sources: World Population Prospects: The 2004 Revision (2005). Male Female

II. Policy priorities Law, policy and administrative system. Improvement of social safety net. Long term care insurance and services. Social support system for the older adults. Promoting social participation of elders.

National Strategy Research In the past three years, China has been conducting the national strategy on ageing research programs; The key research programs include: Family planning policy and the support for the elderly, population migration and its impacts on the elderly, Aging and health, Economic status of the elderly,

Intergenerational relationship, Aging and disability, Aging and culture change, Age discrimination and age abuse, Community services for the elderly, Social participation.

The priorities for review and appraisal include the following five key areas: The laws and policies on protecting the rights and wellbeing of the elderly, The social safety net and its adequacy to the elderly, Long term care needs and insurance system, The social service system, Policies and implementation of active ageing and social participation system.

III. Long term care insurance LTC insurance as the policy direction Improving population policy and the care Social support system Article in the Law on the elderly Increasing needs of the older persons Available data International experiences

Economic resources of the elderly, 2004 Other Children Pension Work Age

Long Term Care Older persons with ADL problems, %

Long Term Care Number in 10, 000 Projection of long term care needs Female Male Year

Key challenges Availability of data Timing of the LTC insurance system Governmental initiatives LTC insurance and services Administration of the LTC funds Capacity building of care givers

Thank you Email: dupeng 415@yahoo. com. cn