Hastings Cent Rep. 2018 Sep;48 Suppl 3:S57-S61. doi: 10.1002/hast.915.
Many older people need external support for their daily living. A large minority of older adults with low or modest pension incomes face financial strains from the high cost of illness, and many older people in urban areas live in social isolation. Indeed, population aging has become a policy topic of concern. The policy debate since the end of the twentieth century about the future of public pensions and health and long-term care programs has increasingly framed the growing numbers of older people in alarmist terms. Unfounded claims about the unaffordability and unsustainability of social policies supporting older people have become common currency, often disguised as concerns about intergenerational justice. Such claims and concerns hinder clear thinking about proper social and fiscal policies, housing, health care, and labor markets to safeguard the well-being of older people in aging societies.
许多老年人需要外部支持才能维持日常生活。少数养老金收入较低或适中的老年人因疾病费用高昂而面临经济压力,许多城市老年人都处于社会孤立状态。事实上,人口老龄化已经成为一个备受关注的政策议题。自 20 世纪末以来,关于公共养老金以及医疗和长期护理计划未来的政策辩论,越来越多地以危言耸听的方式来描述不断增长的老年人口。关于支持老年人的社会政策负担不起且不可持续的毫无根据的说法已变得很常见,这些说法常常伪装成对代际公正的关切。这些说法和担忧阻碍了人们对适当的社会和财政政策、住房、医疗保健和劳动力市场进行清晰思考,从而无法保障老龄化社会中老年人的福祉。