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    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
    Show allCollapse
    Citable URI
    http://hdl.handle.net/11540/8813
    Metadata
    Show full item record
    Thumbnail
    ewp-481.pdf (984.0Kb)
    Author
    Lee, Sang-Hyop
    Kim, Jungsuk
    Park, Donghyun
    Theme
    Finance
    Health
     
    Copyright 2016-2021 Asian Development Bank Institute, except as explicitly marked otherwise
    Copyright 2016-2021 Asian Development Bank Institute, except as explicitly marked otherwise