March 2026

The World Is Ageing—What Are the Macroeconomic Implications?

Traditionally, economists and policymakers have focused on a fairly fixed set of determinants of economic growth, such as investment, consumption, unemployment and trade. More recently, however, the powerful, long-term theme of population ageing has steadily moved to the forefront of macroeconomic thought. From Japan to the United States, and from Europe to China, birth rates have fallen below replacement levels while life expectancy has continued to rise, leading countries to experience an expanding share of older citizens relative to...

Ageing like China: China’s pension reform debate enters a new phase

China is undergoing a sharp demographic transition: rapid population ageing, a shrinking labour force, persistently low fertility, and continued urbanisation. Using an overlapping-generations framework, this column shows that the demographic transition is a joint growth and fiscal headwind: the economy slows just as ageing-related spending pressures intensify. A recent retirement age reform mitigates some of the economic and fiscal pressures. However, a credible long-run strategy likely needs a comprehensive approach: sustainability levers, targeted adequacy improvements, and continued efforts to...

Elder justice: How society can protect older adults

About one in 10 older Americans experiences some form of abuse or neglect — something that’s often hidden in plain sight. Why and how do our social support systems fail older adults? On this episode of Aging Forward, lawyer and elder justice expert M.T. Connolly talks about the situations in which elder abuse can occur, how society focuses on preventing aging instead of aging well, and shares her vision of community-based approaches for reducing harm. Read the transcript: Christina Chen, M.D.: It’s estimated that...

The big squeeze on health care—how shifting demographics and geographical divide are reshaping policy

Our world is changing fast, and so are our healthcare needs. Demographic shifts—rapidly aging populations, falling birth rates, swift urbanization—along with an increasing non-communicable disease (NCD) burden are pushing our health systems to focus on chronic disease management and long-term elderly care. Furthermore, the diverse geographies of many countries exacerbate the disparities in health status, access, and outcomes between different locations, such as urban versus rural areas. These problems are particularly acute in low- and middle-income countries (LMICs), whose populations...

Global report identifies 6 trends redefining aging well — with takeaways for US senior living

Aging well increasingly is being defined not simply by longevity or the absence of disease, but by functional ability, social connection, emotional well-being and purpose, according to a white paper from the Global Wellness Institute’s Aging Well Initiative. The paper identifies six key trends shaping how older adults experience wellness, drawing on interviews with 18 experts across eight countries: the United States, Australia, Indonesia, Japan, India, Singapore, Thailand and the United Kingdom. The report, “What Is Happening with Aging Well? Views from...

Inertia is the real danger for ageing populations: Alexandra Miles

I recently read the book Time Bomb: When Ageing Explodes by Giles Merritt, which lays out why demography is one of Europe’s most underestimated economic threats. The argument is unsettling: ageing is already reshaping economies, politics and social contracts, and its effects will intensify. At the core of the challenge is a shrinking workforce. Merritt highlights how Europe’s post-war prosperity rested on a favourable worker-retiree balance, with five workers to each pensioner. Today, it is below 3:1 in much of Europe...

South Korea. Six in Ten Incheon Districts Enter Super-Aged Society

Incheon is transforming from a "young city" into a "rapidly aging city." The Incheon Social Service Agency released results of its 6th Community Welfare Survey on the 9th, warning that demand for care, medical services, and mobility support could surge within the next five to ten years. Incheon's elderly dependency ratio growth rate stands at 38.4%, which is 5.6 percentage points higher than the national average of 32.8%. Six of the city's ten districts have already entered super-aged society status:...

The Real Fertility Crisis 2025: The pursuit of reproductive agency in a changing world

By UNFPA Millions of people around the world are unable to have the number of children they want – whether they want more, fewer, or none at all. Recently, fertility declines are making headlines, with women all too often blamed for these demographic shifts. Some governments are employing drastic measures to incentivize young people to make fertility decisions in line with national targets. But the real crisis is that the most consequential reproductive decision a human being can make – when, whether...

The Impact of Pension System Reforms on Elderly Labor Force Participation: A Comparative Study of Germany, the United States, and Brazil

By Amos Kupaza Objective: This study provides the first harmonized, micro‑level comparative analysis of pension reform effects on elderly labor force participation in three paradigmatic welfare regimes: Germany (coordinated market economy, conservative‑corporatist welfare), the United States (liberal market economy, liberal welfare), and Brazil (dualistic economy, conservative‑informal welfare). We test the institutional mediation hypothesis: that reform effects are systematically shaped by labor market structures, social protection arrangements, and production regimes. Methods: We employ harmonized microdata from IPUMS-CPS (USA) and IPUMS-International (Germany, Brazil) , comprising 495,000 person‑year observations spanning 2000–2023....

China outlines strategy to address population aging

China will advance a proactive national strategy in response to population aging, according to the government work report submitted on Thursday to the country's top legislature for deliberation. The report prioritizes elderly care services in rural areas. Minimum basic old-age benefits for rural and non-working urban residents will be raised, and the country's unified national management system for basic old-age insurance funds will be scaled up. The government will work to increase the supply of public-interest elderly care services, according to...