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The Future of Ageing Insights from Discussions Building on an Ini4al Perspec4ve by: Laura Carstensen | Ken Smith | Dominika Jaworski | Stanford Center on Longevity

Future of Ageing - Insights from Discussions Building on an initial perspective by Prof. Laura Carstensen, Ken Smith and Dominika Jaworski at Stanford Center on Longevity

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 The  Future  of  Ageing      Insights  from  Discussions  Building  on  an  Ini4al  Perspec4ve  by:    Laura  Carstensen  |  Ken  Smith  |  Dominika  Jaworski  |  Stanford  Center  on  Longevity  

Context  The  ini4al  perspec4ve  on  the  Future  of  Ageing  kicked  off  the    

Future  Agenda  2.0  global  discussions  taking  place  through  2015.    This  summary  builds  on  the  ini4al  view  and  is  updated  as  we  progress.  

Ini4al  Perspec4ves  Q4  2014  

Global  Discussions  Q1/2  2015  

Insight  Synthesis  Q3  2015  

Sharing    Output  Q4  2015  

Lifespan  Limits      On  a  global  scale,  life  expectancies  in  developed  regions  are  con4nuing  to  rise  in  the  21st  century  and,  although  most  people  assume  that  there  are  biological  limits  on  life  span,  so  far  there  is  liUle  evidence  that  we  are  approaching  them.  

Age  Diversified  Workforces    The  demographic  changes  underway  are  fundamentally  altering    virtually  all  aspects  of  life  as  we  know  it.  Workforces  are  becoming    

older  and  more  age  diversified  than  ever  in  history.    

Culture  Shi?    The  culture  that  guides  people  through  life  today  is  a  culture  that    evolved  around  shorter  lives.  The  urgent  challenge  now  is  to  create    cultures  that  support  people  through  ten  and  more  decades  of  life.    

Looking  Ahead    Rather  than  move  forward  by  happenstance,  we  need  strategic  thinking    

about  how  to  best  use  added  decades  of  life.  Helping  individuals  and  na4ons    visualize  and  prepare  is  essen4al  to  ensure  that  longer  lives  are  high  quality.  

Societal  Benefit    85%  of  Americans  aged  65-­‐69  report  no  health-­‐based  limita4ons  on  paid    work  or  housework.  Similar  trends  are  evident  in  Europe.  Socie4es  that    

find  ways  to  tap  older  peoples’  contribu4ons  will  benefit  greatly.      

Infeasible  ReDrement    For  many,  re4rement  at  age  65  is  economically  infeasible.    The  reality  is  that  few  workers  can  fund  a  30  year  re4rement    

with  a  40  year  career.  Neither  can  socie4es.    

Increased  Wellbeing    Both  paid  and  unpaid  work  are  associated  with  enhanced  well-­‐being,    

delayed  disability,  decreased  mortality  risk,  and  onset  of    fewer  diseases  and  associated  func4onal  impairments.  

Working  Longer    For  those  who  have  inadequate  re4rement  savings,  the  most  obvious    

solu4on  is  to  work  longer.  One  major  poten4al  barrier,  however,    is  that  employers  remain  ambivalent  about  older  workers.    

Cost  of  Older  Workers    The  cost  of  older  workers  is  a  real  issue  for  employers.  Offering  bridge  jobs  or  flexible  work  arrangements  such  as  flex  hours  and  part-­‐4me  work  will  allow  employers  to  retain  the  exper4se  of  older  workers  while  reducing  costs.    

The  Bigger  Opportunity    Predic4ons  about  economic  disaster  change  to  discussions  of  economic  

growth  if  people  remain  produc4ve  into  advanced  ages.  We  are  experiencing  one  of  the  greatest  opportuni4es  to  improve  quality  of  life  at  all  ages.    

Life  Worth  Living    We  shif  the  system  from  one  focused  on  care  with  the  needs  of  the  ins4tu4on  a  priority  to  one  focused  on  enhancing  quality  of  life  and  dignity.  There  is  a  rise  in  pallia4ve  care  and  societal  par4cipa4on  giving  more  meaning  to  later  life.  

Intra  and  Inter-­‐generaDonal  Harmony    Mutually  nega4ve  stereotypes  between  young  and  old  and  inequality  are    

replaced  with  a  growing  interest  in  youth  serving  the  elderly.  The  wisdom  of  elders  is  again  respected  and  sought  by  younger  genera4ons.  

Care  for  the  Ageing  As  the  popula4on  ages,  the  healthcare  sector  changes  the  way  in  which  it  

delivers  support,  with  more  coordina4on  among  service  providers  and  more    in-­‐home  care.  There  is  also  a  frank  conversa4on  about  people’s  “right  to  die”.    

AdapDng  for  Ageing  PopulaDons    In  developed  countries,  80%  of  older  people  will  live  in  ci4es  by  2050,  while  

ci4es  in  developing  countries  will  house  25%  of  the  older  popula4on.  Planners  are  adap4ng  urban  environments  to  support  healthy  ageing  of  popula4ons.  

MulD-­‐GeneraDonal  Travel  Many  elect  to  travel  together  as  mul4-­‐genera4on  groups  of  both  families  and  mixed  friends.  They  look  for  vaca4ons  that  keep  everyone  happy  and,  as  such,  

stress  many  systems  based  on  delivering  segmented  experiences.  

SupporDng  the  Ageing  Workforce  As  major  economies  suffer  from  increasing  dependency  ra4os,  the  challenge    of  suppor4ng  an  increasingly  older  workforce  demands  rethinking  of  life-­‐long  

learning  and  broader  acceptance  of  the  cost  of  part-­‐4me  flexible  jobs.  

DisrupDve  Voices,  DisrupDve  Impacts  Senior  ac4vism  will  grow  with  the  demographic.  Policy  will  increasingly  reflect  

the  will  of  older  people:  especially  in  housing/communi4es,  health  and  employment,  leading  to  intergenera4onal  tensions  over  choices  made.  

Wisdom  Over  Experience  Differences  between  working  styles  of  young  and  old  will  decrease.  Older  

workers  will  also  become  flexible,  auto-­‐didacts  exploring  mul4ple-­‐careers,  but  with  a  unique  proposi4on  to  employers  valuing  wisdom  over  experience.    

We  have  one  similar  to  this  already.  I  thought  our  group  added  depth  and  nuance  but  not  

necessarily  novelty  

Senior-­‐preneurship  Flourishes  Products  and  services  aimed  at  the  ageing  popula4on  will  proliferate.  But  seniors  will  also  be  ac4vely  involved  in  innova4on  themselves,  developing  

new  economic  opportuni4es  for  all,  both  within  and  beyond  the  ageing  space.  

HolisiDc  Health  Planning  There  will  be  a  wholesale  shif  in  health  focus  from  short-­‐term  problem-­‐solving  to  long-­‐term,  healthy-­‐life  planning  and  management,  with  GPs  

(ini4ally)  shifing  their  role  to  become  whole-­‐life  health  coaches.  

Living  While  Dying  We  will  see  policy,  product  and  service  innova4ons  in  the  field  of  end-­‐of-­‐life  planning.  Businesses  and  professions  will  come  to  recognise  the  need  to  provide  more  (end-­‐of)  life-­‐style  choices  to  individuals  and  consumers.  

Re-­‐defining  Purpose  Life-­‐plans  will  need  to  recognise  lengthy  ‘old-­‐age’,    

driving  a  search  for  purpose  into  and  beyond  the  tradi4onal,    but  arbitrary,  no4on  of  re4rement.  

Unequal  Futures  New  technologies,  new  economic  opportuni4es  and  new  lifestyle  choices  for  older  people  will  be  very  unevenly  distributed,  leading  to  extreme  inequali4es  

within  and  between  ageing  popula4ons.  

Cross-­‐generaDonal  CollaboraDon  Tapping  into  the  exper4se  of  part-­‐4me  older  workers  and  the  re4red  is  supported  both  by  the  elderly,  who  seek  to  remain  ac4ve  and  make  a  

difference,  and  the  young  who  can  help  share  and  apply  their  knowledge.    

The  GeneraDon  Divide  The  perspec4ve  gap  grows  between  the  expecta4ons  of  the  young,    

who  are  increasingly  global  in  their  outlook,  and  the  more    tradi4onal  views  of  more  senior  and  experienced  colleagues.    

The  Healthcare  Debt  Time-­‐Bomb  The  rising  cost  of  healthcare  results  in  ra4oning  and  the  end  of  universal  

healthcare.  Individual  health  budgets,  preven4on  technology,  migra4on  and  working  longer  all  increase  as  new  approaches  seek  to  improve  efficiency.    

Parent  Care  A  widening  recogni4on  of  connec4ng  across  genera4ons  drives  deeper  

awareness  of  social  and  economic  benefits.  Organisa4ons  modify  employment  prac4ces:  Leave  for  ‘parent  care’  is  as  important  as  4me-­‐off  for  child-­‐care.  

Visualising  Future  Needs  Predic4ve  analysis,  gene4c  profiling  and  credit  systems  combine  to  give  us  

sight  of  our  personal  future  care  needs.  We  adjust  behaviours;  we  are  aware  of  long-­‐term  impacts  of  our  ac4ons  and  take  ownership  of  personal  care  budgets.  

Welfare  Reboot  As  increasing  inequality  in  Europe  leads  to  social  unrest,  healthcare  and  

welfare  systems  are  stressed  and  rethought.  Ideological  views  are  replaced  by  pragma4c  solu4ons  that  recognise  the  fundamentals  for  an  ageing  popula4on.  

Living  Longer  -­‐  Not  Lonelier  In  some  countries  we  shape  a  more  connected  world  in  which  older  people  feel  

significant  and  worth  something.  Physical  solu4ons  such  as  co-­‐located  care  homes  and  crèches  recreate  historical  connec4ons  between  the  ageing  and  wider  society.        

Ageing  in  Community  Individuals,  families  as  well  as  healthcare  payers  desire  to  keep  older    

people  living  healthy  and  independent  for  as  long  as  possible.  This  requires  upgraded,  intelligent  housing  and  smart,  connected  infrastructure.  

Caregiver  Marketplaces  Recogni4on  of  the  trillion  dollar  informal  caregiver  economy    drives  new  solu4ons  aimed  at  educa4ng,  suppor4ng  and    

empowering  family  caregivers.    

Commodifying  InDmacy    Increasing  isola4on  drives  adop4on  of  innova4ve  products  (such  as    social  robots),  new  services  and  business  models  that  help  people    

meet  physical  and  emo4onal  needs  for  connec4on.    

Mainstreaming  of  Design  for  Ageing  Consumer  products  increasingly  incorporate  the  perspec4ve    of  older  users  into  the  design  process  –  and  in  so  doing,    

make  them  simpler  and  easier  to  use  for  all.    

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