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Benjamin McKeown

Japan's Rural Aging Population - The Atlantic - 0 views

  • , young people have been fleeing this rural village, lured by the pull of Japan’s big cities like Tokyo and Osaka
  • Tochikubo’s school now has eight children, and more than half of the town’s 170 people are over the age of 50
  • Japan is slowly becoming something like one big city-state
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  • with the majority of the population centered in an urban belt that runs through the cluster of Tokyo, Osaka, and Nagoya,
  • bullet train.
  • n 1950, 53 percent of Japan’s population lived in urban regions; by 2014, 93 percent did.
  • It is mostly young people who move to the cities
  • Bear attacks near settlements in Japan’s north are increasing as humans stop pruning back trees and maintaining their land. Wild boars have been ravaging farmland across the island of Honshu.
  • predicted that 896 cities, towns, and villages would be extinct by 2040. Dozens of towns will see the number of young people drop significantly, as the share of elderly people grows, he predicted. Overall, Japan’s population is expected to shrink from a peak of 128 million in 2010 to 97 million by 2050.
  • apanese towns are wrestling with dilemmas like how to run their governments with fewer tax dollars, and how to provide services for an increasingly needy population with fewer workers. To make this all the more challenging, governance is strained by the population decline as well: In Yamagata Prefecture, 45 percent of seats in the local assembly race in 2015 were uncontested because of a lack of candidates.
  • Other regions of the world will soon have to face these challenges, too. Just about every developed country is aging and urbanizing, though Japan is doing so the fastest
  • The reasons that Japan’s rural population is shrinking
  • Jobs are increasingly clustered in cities, and the jobs that remain in the countryside require fewer workers than they did half a century ago. “There are very few economic opportunities outside major cities,
  • Japan has few major learning centers located outside major cities, Mock said. That means as young people increasingly pursue college educations, they leave for the cities, and often don’t return.
  • “They graduate high school, they go to university in Tokyo, they start working in Tokyo, and they set up their lives in Tokyo and never come back,
  • Of the 500 or so teenagers who graduate high school in Minamiuonuma every year, only about 100 remain in the city after graduating. Everybody else goes off to college, and only 40 come back after graduating from college on average, the mayor, Shigeo Hayashi, told me.
  • the country’s falling fertility rate. Japan's fertility rate fell by a third between 1972 and 2015;
  • When a population is shrinking and most of that population lives in urban centers, that spells problems for rural areas like Tochikubo and Minamiuonuma, unless there is a lot of immigration.
  • The problem is not necessarily that Japan will run out of money t
  • someone needs to be around to provide these services.
  • Right now, the decline of these places is happening fast, within a generation or two. If it can be a more gradual process, perhaps then basic social services can at least survive for long enough to provide for the remaining residents.
  • One obvious solution to reversing, or at least slowing, rural Japan’s decline would be to open up the country to immigration
  • Just 1.8 percent of the country’s population is foreign-born, compared to 13 percent of the population in the United States.
  • But Japan is a country whose national identity is, in some ways, based upon racial homogeneity. Proposals to significantly increase immigration have gone nowhere, and polls consistently find that two-thirds of Japanese are against large-scale immigration.
  • And it’s unlikely that immigrants, even if they were allowed in, would move to rural areas where there are few jobs even for the people who want to stay.
  • In Minamiuonuma, for instance, city leaders talk about their newly-built global IT park, where start-ups can set up offices for low rent, and a business academy for people interested in creating their own business. They built a brand-new hospital and medical college to attract doctors and nurses, and are in the process of building a series of homes for active retired people in the hope that retirees will want to relocate to the city. Like almost every other shrinking city, Minamiuonuma sends brochures to young people from the region to try to get them to come home. But still, the population continues to shrink
  • Other areas are trying to grow the population they have by increasing the birth rate.
  • Niigata Prefecture, which is expected to be among the regions hardest-hit by population decline.
  • Niigata will lose 40 percent of its women aged 20 to 40 by 2040
  • Declining Birthrate Countermeasures Division
  • Niigata sponsors matchmaking events for its young people, and even invited a matchmaking company to come in and pair rural men with women living in cities like Tokyo. “For our division, one of the most important things is making couples,”
  • The fertility rate of women in Niigata has fallen from nearly four babies per woman in 1950 to 1.43 babies per woman in more recent years.
  • Niigata is focusing on making it easier for women to have babies and still work. The prefecture is giving certifications to companies that have good parental leave policies in the hope that doing so will motivate companies to be more flexible, but it has no real sway over what companies decide
  • reducing interest payments for families who borrow money to pay for their children’s education
  • But the prefecture hasn’t seen a significant uptick in marriages,
  • or in births.
  • When I asked them about supporting births outside of marriage, officials told me such a thing wouldn’t be acceptable in Japan. Even telling couples to get married doesn’t necessarily go over well. “We are the public sector. It’s difficult for us to say, ‘You should marry as soon as possible, you’re mature enough to have babies,’” she said.
  • Yubari, for instance, a town on the northern island of Hokkaido, which lost 90 percent of its population between 1960 and 2014, declared bankruptcy in 2007
  • Since then, it has drastically cut back on services such as public buses and snow removal, merged schools, laid off government employees, and cut funds for public parks. It relocated residents from public housing on the outskirts of town to apartments close to the city center.
  • In some places, adapting has meant that elderly people are working for longer
  • people who might have wanted to retire at 65 are still tilling the fields at 75.
  • “Sixty is the new 40. The question is, will 80 be the new 60?”
  • They’re most concerned about the disappearance of a way of life—that no young people will come to the village and learn how to farm rice without machines or how to weave cloth or make sake. “It’s difficult for us to give knowledge to the younger generation,” F
Benjamin McKeown

The End of China's One-Child Policy Isn't Enough | TIME - 0 views

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  • Such practices have historically harmed poor women and women of color disproportionately around the world.
  • Is this any better? Not if you choose to have three children.
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  • Until China promotes a fully rights-based, voluntary family planning program, it is supporting the continued oppression of Chinese families through coercive reproductive policies.
  • This is true whether the state is trying to limit family size, deny a woman access to birth control, or force her to keep a pregnancy she wishes to end.
  • When women have access to quality health care, they lead more empowered and fulfilling lives. The advantages of a fully voluntary approach to family planning, where individuals and couples make free and informed decisions on how often to have children, are well documented. Studies show, for example, that when a woman is able to voluntarily decide if and when to have children, and how many, she tends to go further in school, and is more adaptable and resilient during times of hardship.
  • advance women’s rights over their own bodie
Benjamin McKeown

City at centre of Brazil's Zika epidemic reeling from disease's insidious effects | Glo... - 0 views

  • “Women from the periphery also tend to get pregnant more easily,” Rocha said. “The weather is hot and they wear shorts so they are more exposed [to insect bites].”
  • Most of the women whose babies she has been treating are from the poorer parts of the city or the state, where rubbish collection is sporadic and the lack of running water means residents have to store their own, creating potential mosquito breeding sites.
  • “Previously, people didn’t always want to let us into their homes,” she said. “But the army is respected and so residents are more likely to let us in.”
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  • According to Cristiane Penaforte, the executive secretary of health monitoring in the city, the presence of uniformed soldiers reassures the public.
  • “We need the population to join in, to change their attitudes to rubbish and the environment.”
  • “This is a major public health challenge, and Brazil’s municipalities have limited finances,” Dr Jailson Correia, Recife’s health secretary, says. Rocketing inflation and the plummeting value of Brazil’s currency, the real, is taking its toll. When the city asked for R$29m (£4.9m/$7m) from the federal health ministry to tackle the epidemic, it was given just R$1.3m (£200,000/$300,000). “We are just doing all we can now. We’ll have to count the cost later,” Correia said.
Benjamin McKeown

Bold steps: Japan's remedy for a rapidly aging society - The Globe and Mail - 0 views

  • Ms. Shimamura worked part-time in a hotel for years, and at the age of 65 began working full-time as a janitor – retiring only when she was 85.
  • long-term-care insurance program
  • Here, she has food, shelter, scheduled activities and the attentive care of a Filipino health care worker.
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  • hospital's long-term-care ward
  • Japanese leaders have made radical changes to the way health care is delivered in recent decades, most notably with the introduction of long-term-care insurance in 2000. The system is far from perfect, but Japan has been unafraid to improve the system as they learned its faults, and as an economic boom gave way to zero growth.
  • ut Japan's government, businesses and society are facing these challenges earlier than others, allowing the world to learn and benefit from their stumbles, innovations and experiments.
  • 5 per cent of Japan's population is currently over the age of 65,
  • where the hospital says there are no trainee nurses.
  • this demographic is forecast to make up a full 40 per cent of the country's population by 2060
  • 2010 and 2060, the percentage of Japanese citizens over the age of 75 will more than double from 11 per cent to 27 per cent
  • he absolute number of old people will soon level off in Japan, but the proportion of the population who are young is declining rapidly: The percentage of Japanese younger than 19 years old, who constituted 40 per cent of the population in 1960, will decline to just 13 per cent in 2060.
  • apan's total population peaked in 2010 at around 127 million people and has already begun to decline. In 2014, the country lost a record 268,000 people, as deaths continued to outstrip births.
  • ging society is a reality, as well as a business opportunity.
  • Lawson Inc.,
  • "seniors' salon" with a blood pressure monitor, pamphlets on municipal health care services and nursing homes, and on-staff social workers.
  • he store also has a special section featuring adult diapers, special wipes for bathing the elderly, straw cups, a gargling basin and detergent that is tough on urine and perfect for bed mats and wheelchair coverings. Staff will also deliver heavier items, such as bags of rice or water, to local residents.
  • Prime Minister Shinzo Abe's administration is concerned about how Japan's aging and shrinking work force will slow down the national economy. One piece of Mr. Abe's so-called Abenomics revival program – which also includes getting more women in the workplace – is an emphasis on new medical technologies, including experimental regenerative medicine and cell therapy. The hope is that with two new acts governing regenerative medicine to help commercialize technologies more quickly, the Japanese government can save money on future health care costs while spurring the creation of a valuable new industry – particularly in bio-medical hubs such as the one in Kobe, which features a gleaming new mini-city of medical buildings, research centres and hospitals on a man-made island near the port city's airport.
  • macro level, Japan's predicament is prosperity, which is always followed by lower fertility rates and higher life expectancy. At 83.4 years, Japan has the longest life expectancy at birth in the world, according to the Organisation for Economic Co-operation and Development (OECD). Many Japanese people are also fearful of the type of immigration that has sustained slow population growth in the industrialized West.
  • The elderly in Japan, similar to seniors across Asia, are less likely to live with their children
  • women, after decades of opting out of a career after giving birth, are also being encouraged by the government to re-enter the work force, something that may eventually help boost Japan's declining labour numbers, as the government hopes, but also prevents women from acting as caregivers.
  • small baby boom "echo" took place between 1971 and 1974
  • Liberal Democratic Party to expand the country's health care system as Japan aged, but by the 1990s, the enormous price tag raised the spectre of tax hikes.
  • Japan chose to supplement its national pension plan with long-term-care insurance (LTCI), which was implemented in 2000.
  • one of the most generous long-term-care systems in the world in terms of coverage and benefits."
  • People pay into the system starting in their 40s and are eligible to receive benefits starting at 65, or earlier in the case of illness.
  • assigns the person a care level.
  • allowing the patient to choose between competing institutions and service providers offering everything from home visits, bathing and help getting groceries to paying for short stays in hospitals or long-term residence in nursing homes and specialized group homes for dementia patients.
  • The LTCI system covers up to $2,900 a month in services, as opposed to cash payment, and does require "co-payments" from patients. LTCI co-payments are capped or waived for low-income individuals, and the system saves money by providing options other than full-on institutionalization.
  • has demonstrated to other governments around the world that it pays to adjust programs before problems become systemic.
  • The LTCI system was originally designed to alleviate the strain on family caregivers, but that hasn't entirely happened. Research shows that LTCI, in terms of freeing up family carers to work and have more free time for themselves, has only marginally benefited caregivers, and only then from wealthier families.
Benjamin McKeown

China to end one-child policy and allow two - BBC News - 0 views

  • as demographers and sociologists raised concerns about rising social costs and falling worker numbers.
  • "to improve the balanced development of population'' and to deal with an aging population, according to the statement from the Community Party's Central Committee carried by the official Xinhua News Agency (in Chinese) on Thursday.
  • about 30% of China's population is over the age of 50. The total population of the country is around 1.36 billion.
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  • The Communist Party began formally relaxing national rules two years ago, allowing couples in which at least one of the pair is an only child to have a second child.
  • Critics say that even a two-child policy will not boost the birth rate enough, the BBC's John Sudworth reports.
  • that despite the relaxation of the rules, many couples may opt to only have one child, as one-child families have become the social norm.
  • And for those women who want more than two children, nor will it end the state's insistence on the right to control their fertility, he adds.
  • "As long as the quotas and system of surveillance remains, women still do not enjoy reproductive rights,"
Benjamin McKeown

Why Ebola is terrifying and dangerous: It preys on family, caregiving, and human bonds. - 0 views

  • 75 percent of Ebola victims are women, people who do much of the care work throughout Africa and the rest of the world. In short, Ebola parasitizes our humanity.
  • Its kill rate: In this particular outbreak, a running tabulation suggests that 54 percent of the infected die, though adjusted numbers suggest that the rate is much higher. Its exponential growth: At this point, the number of people infected is doubling approximately every three weeks, leading some epidemiologists to project between 77,000 and 277,000 cases by the end of 2014. The gruesomeness with which it kills: by hijacking cells and migrating throughout the body to affect all organs, causing victims to bleed profusely. The ease with which it is transmitted: through contact with bodily fluids, including sweat, tears, saliva, blood, urine, semen, etc., including objects that have come in contact with bodily fluids (such as bed sheets, clothing, and needles) and corpses. The threat of mutation: Prominent figures have expressed serious concerns that this disease will go airborne, and there are many other mechanisms through which mutation might make it much more transmissible.
Benjamin McKeown

Europe needs many more babies to avert a population disaster | World news | The Guardian - 0 views

  • “We have provinces in Spain where for every baby born, more than two people die. And the ratio is moving closer to one to three.”
  • Spain has one of the lowest fertility rates in the EU, with an average of 1.27 children born for every woman of childbearing age, compared to the EU average of 1.55.
  • hundreds of thousands of Spaniards and migrants leave in the hope of finding jobs abroad.
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  • The result is that, since 2012, Spain’s population has been shrinking.
  • The paradox is that as police and security forces battle to keep them at bay
  • Record numbers of economic migrants and asylum-seekers are seeking to enter the European Union this summer and are risking their lives in the attempt
  • In Portugal, the population has been shrinking since 2010.
  • Portugal’s population could drop from 10.5 million to 6.3 million by 2060.
  • In Italy the retired population is soaring, with the proportion of over-65s set to rise from 2.7% last year to 18.8% in 2050.
  • Germany has the lowest birthrate in the world: 8.2 per 1,000 population between 2008 and 2013,
  • On average, Britain’s population grew at a faster rate over the last decade than it has done over the last 50 years.
  • a direct threat to economic growth as well as pensions, healthcare and social services.
  • the grey vote.
  • “During the same time frame, expenditures on pensions rose by more than 40%. We’re moving closer to being a gerontocratic society – it’s a government of the old.”
  • In 2012, the regional government launched a multi-pronged initiative to address the falling fertility rate, with plans to roll out measures such as home and transport subsidies for families and radio advertisements urging women to have more children.
  • The region of Galicia is one of the few in Spain that has addressed the issue.
  • “these issues will only be solved by a miracle.”
  • ack of financial security that prompts many Italians to live with their parents well into their 30s. The difficulty for mothers to return to the workplace also means women must make considerable sacrifices if they decide to have children.
  • give low-income couples a monthly “baby bonus” of €80
  • The youth jobless rate hit 44.2% in June, while overall it stood at 12.3%.
  • By 2060 the government expects the population to plunge from 81 million to 67 million,
  • In order to offset this shortage, Germany needs to welcome an average of 533,000 immigrants every year, which perhaps gives context to the estimate that 800,000 refugees are due to come to Germany this year.
  • Only Scandinavia appears to be weathering the demographic storm with any success, partly thanks to generous parental leave systems, stable economies, and, in the cases of Sweden and Norway, high net immigration.
  • n Sweden it is possible to combine motherhood with a working life,”
Benjamin McKeown

The Most Important Thing, and It's Almost a Secret - The New York Times - 0 views

  • The number of extremely poor people (defined as those earning less than $1 or $1.25 a day, depending on who’s counting) rose inexorably until the middle of the 20th century, then roughly stabilized for a few decades. Since the 1990s, the number of poor has plummeted.• In 1990, more than 12 million children died before the age of 5; this toll has since dropped by more than half. • More kids than ever are becoming educated, especially girls. In the 1980s, only half of girls in developing countries completed elementary school; now, 80 percent do.
  • Granted, some 16,000 children still die unnecessarily each day. It’s maddening in my travels to watch children dying simply because they were born in the wrong place at the wrong time.
  • The world’s best-kept secret is that we live at a historic inflection point when extreme poverty is retreating. United Nations members have just adopted 17 new Global Goals, of which the centerpiece is the elimination of extreme poverty by 2030.
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  • oung journalists or aid workers starting out today will in their careers see very little of the leprosy, illiteracy, elephantiasis and river blindness that I have seen routinely.
  • “The next two decades can be even better and can become the greatest era of progress for the world’s poor in human history,
  • globally, inequality is diminishing, because of the rise of poor countries.
  • Cynics argue that saving lives is pointless, because the result is overpopulation that leads more to starve. Not true. Part of this wave of progress is a stunning drop in birthrates.
  • Haitian women now average 3.1 children; in 1985, they had six. In Bangladesh, women now average 2.2 children. Indonesians, 2.3. When the poor know that their children will survive, when they educate their daughters, when they access family planning, they have fewer children.
Benjamin McKeown

Fact Sheet: Attaining the Demographic Dividend - 0 views

  • The demographic dividend is the accelerated economic growth that may result from a decline in a country's birth and death rates and the subsequent change in the age structure of the population. With fewer births each year, a country's young dependent population declines in relation to the working-age population. With fewer people to support, a country has a window of opportunity for rapid economic growth if the right social and economic policies are developed and investments made.
  • The first step, in fact, is a transition from high birth and death rates to low birth rates and child death rates—a process referred to as the "demographic transition."
  • While child survival has greatly improved in developing countries, birth rates remain high in many of them. To achieve the economic benefits of the demographic dividend, developing countries must substantially lower both birth and child death rates.
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  • One in four women in developing countries wants to avoid becoming pregnant or delay or space their births but is not using a modern family planning method.
  • sub-Saharan Africa, women in the region today have on average 5.1 children
  • Investment in voluntary family planning helped Thailand accelerate economic growth and provides a model for sub-Saharan African countries.
  • his shifted the age structure of Thailand's population, providing a critical first step toward achieving the economic benefits of a demographic dividend.
  • Rwanda is one of several countries in eastern and southern Africa where investments in voluntary family planning and child survival have led to significantly lower fertility.
  • If the impressive progress continues, Rwanda will, by 2030, have achieved the demographic conditions necessary for accelerated economic growth.
  • While family planning is necessary for establishing the conditions for a demographic dividend, investments in child health, education, and gender equality are critical additional steps that contribute to family planning use and economic growth.
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