Demographic Change and Fiscal Sustainability in Asia
Lee, Sang-Hyop; Kim, Jungsuk; Park, Donghyun | April 2016
Abstract
Changes in the population age structure can have a significant effect on fiscal sustainability since they can affect both government revenues and expenditures. For example, population aging will increase expenditures on the elderly while reducing potential growth and hence revenues. In this paper, we project government revenue, expenditure, and fiscal balance in developing Asia up to 2050. Using a simple stylized model and the National Transfer Accounts data set, we simulate the effect of both demographic changes and economic growth. Rapidly aging economies like the Republic of Korea; Japan; and Taipei,China, are likely to suffer a tangible deterioration of fiscal sustainability under their current tax and expenditure system. On the other hand, rapid economic growth can improve fiscal health in poorer economies with relatively young populations and still-growing working-age populations. Overall, our simulation results indicate that Asia’s population aging will adversely affect its fiscal sustainability, pointing to a need for Asian economies to further examine the impact of demographic shifts on their fiscal health.
Citation
Lee, Sang-Hyop; Kim, Jungsuk; Park, Donghyun. 2016. Demographic Change and Fiscal Sustainability in Asia. © Asian Development Bank. http://hdl.handle.net/11540/8813.ISSN
2313-6537 (Print)
2313-6545 (e-ISSN)
Keywords
Health Care Financing
Financial Security
Financial Assistance
Aged Health
Health Care System
Health Care Policy
Access to Health Care
Public Expenditure
Insurance Companies
Fiscal Administration
Medical Costs
Aid Financing
Pension Funds
Medical Costs
Health Costs
Rural Population
Urban Population
Public Health Finance
Health Financing
Health Care Financing
Financial Policy
Health Sector Reform
Health Care Cost Control
Multiemployer pension plans
Keogh plans
Individual retirement accounts
Pension plans
Employee pension trusts
Pension trusts
Nursing homes
Long-term care facilities
Hospices
Accounts payable
Vouchers
Insurance carriers
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