Abstract
According to Rosenberg (2000), the impact of population aging on the expenditures associated with the health and social care system could be classified into two broad competing schools of thought, according to the way aging is modelled. First, the crisis theorists draw heavily on age—and sex-standardised utilisation rates and costs, in which change over time is driven by changes in the projected size of the older population and control is made for variables that affect expenditure decisions at the macro level, such as the level and growth of national income. The crisis theorists conclude that growth in the older population generates significant costs for the health and social care system that are not sustainable given current methods of healthcare organisation and finance. Second, the manageable theorists argue that growth in the older age population is only a component, and that other factors such as labour force participation, capital stock, investment, taxes, disposable income, consumption and savings are also associated with increases in health and social care expenditures. Then, devising policies to preserve the current system of publicly funded universal health and social care service components needs to be addressed (Rosenberg 2000; McNamee and Stearns 2003).
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Olivares-Tirado, P., Tamiya, N. (2014). Long-Term Care Expenditures in Japan. In: Trends and Factors in Japan's Long-Term Care Insurance System. SpringerBriefs in Aging. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7875-7_3
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