Date: 20 November 2015
Thank you Laurie and thank you very much
to the National Press Club for allowing me to deliver this address today
on a topic that I think will come to dominate federal politics for many
years to come.
I remember well my first interview as the new
Minister for Mental Health and Ageing in 2010 after being appointed to
what I thought was a really exciting portfolio by Julia Gillard after
the election. My first interview was with a journalist I knew very well,
a journalist in Adelaide. His first question to me was ‘What are you
going to do about the problem of ageing?’ In interview after interview
after that I got every permutation of that question asked to me. I was
asked about the burden of ageing, I was asked about the crisis of
ageing. I was even asked by one journo what I was going to do to fix
ageing. These were not rogue journalists. These were thoughtful,
professional journalists who were simply reflecting a very deep
hostility to ageing that I think permeates our society and many
societies around the world.
This hostility has a personal dimension
reflected in widespread ageism and age discrimination that older
Australians experience day in and day out. These experiences happen in
the workplace, they happen in health care settings and in the delivery
of a wide range of services including insurance and the like.
More often though older Australians -
particularly older women - would raise with me a softer form of ageism
than outright legal discrimination. A complaint instead about being
constantly patronised as they went about their daily business. A number
of women in their 60s told me stories about young shop assistants
greeting them with a fixed smile and a ‘hello dear, and how has your day
been so far’ in a patronising tone. One woman even confessed to me that
she just wants to punch them. I didn’t include that in my book, I
didn’t think it did much for my theme of intergenerational empathy, but I
think it gives you a bit of an insight into the frustrations of many
baby boomer women.
The political hostility towards ageing is a
hostility towards the trend of ageing rather than the individuals who
are involved. It reflects the orthodox view that you hear not just in
Australia, but all around the world that population ageing will cripple
the economy, will cripple the labour market, it will bust the federal
budget and it will usher in a gerontocracy which sees older voters use
their sheer weight of numbers to entrench their privileges at the
expense of everyone else.
The work of a federal minister is really an
extraordinary privilege. It gets you talking to some of the smartest
academics and experts, and meeting with some of the most innovative
businesses and service providers in your area. But most valuably,
particularly as a federal minister, you get to talk to vast numbers of
Australians across the nation and listen to their views about your
policy area. All of those insights over three years as Minister for
Ageing convinced me of a couple of things.
Firstly, that the orthodox view about the economic and budgetary impact of ageing is heavily exaggerated here in Australia.
And secondly, that older Australians are
deeply unsettled by modern society’s attitude towards age, and are
deeply concerned and nervous about things that matter deeply to them.
Their health, their financial security and their ongoing connection to a
community that they feel they did so much to help build.
The first thing to recognise in this area is
that there is indeed something quite profound happening to our
population profile. The truth is that, for several decades, Australia
has not been an ageing society. The deep improvements made to Australian
life expectancy were primarily made decades ago.
During the nineties and the noughties,
Australia’s working age cohort was two thirds of the population, the
highest rate ever achieved in our history. Particularly because all of
the Baby Boomer Generation and Generation X, my generation, were working
at the time, helping to drive 20 years of very, very strong economic
growth.
But also, for decades now, the size of the
over 65 cohort of the population has hovered pretty steadily at 10-12
per cent of the population reflecting the very modest size of the birth
cohorts that were born during the Depression and World War Two when
birth rates were historically low.
But 2011 was a demographic tipping point. The
oldest of the Baby Boomers, that generation that sang ‘I hope I die
before I get old’ turned 65 and started to qualify for the age pension.
Now there are almost 6 million Baby Boomers in Australia starting to
move into their third age of life. Today there are 50 per cent more
Australians in their early 60s than there were just 10 years ago. And by
2030, there will be 6 million over 65s in Australia, up from 3 million
only a couple of years ago.
As we know, Australia is hardly unique in
this respect. Many other nations also had very significant baby booms in
the middle of the last century.
But Australia is better placed I think than
any other nation in the world to manage this very profound shift in our
population profile. In part that’s a product of very good public policy,
particularly around retirement incomes that stretches back to the
1980s, as well as our relatively strong economic and fiscal position at
present. But we will primarily do better than other nations because of
our vastly more robust economic and demographic projections over coming
decades.
Now it must be said that long term population
projections have a pretty sorry record in this country. In 1888 The
Daily Telegraph confidently foresaw an Australia of 60 million people by
the time we would come to celebrate our bicentenary in 1988.
By contrast, the Australian Government in the
1940s at the height of World War Two predicted that, by 1980, we would
only be a nation of 8 million people that would then begin to shrink.
Both very obviously wrong.
Unlike many countries in Europe and Asia,
Australia experienced a strong echo boom, what the rest of us call
Generation X and Generation Y.
Together with one of the developed world’s
higher birth rates and pretty much the highest immigration rate anywhere
in the world, Australia’s population is likely to grow strongly for
decades to come.
Treasury, the ABS and the Productivity
Commission all predict that Australia will be a nation of 40 million
people by the middle of this century. Twice the size we were in 2000 and
fully five times as big as Australia was in 1950.
Critically, from an economic perspective,
these projections will see Australia’s workforce continue to grow
relatively strongly by about 1per cent every year over the next four
decades. By the middle of the century, even after the retirement of the
entire Baby Boomer generation and many of their children, Treasury’s
Intergenerational Report that was published earlier this year predicted a
participation rate in 2055 of 62 per cent in the labour market, only a
couple of per cent lower than the labour participation rate we see
today.
Indeed average hours worked in the economy
per man, woman and child - probably the best indicator of labour market
strength - will in 2055 be about the same level it was in the mid 1990s.
The picture in much of the rest of the world
however is very different, particularly in the three largest export
markets for Australia; China, Japan and South Korea. All three of those
countries share the lack of an echo boom, very low birth rates and
negligible immigration.
Japan’s workforce has been shrinking for the
best part of two decades and is now shrinking by about 1 million workers
every single year.
In the next 25 years, 500 of Japan’s 1800
local government areas or municipalities will simply disappear because
of population shrinkage. By the middle of the century, Japan’s
population is likely to be about a third smaller than it is today,
returning to the size Japan was in 1950.
China’s Baby Boomers who emerged after the
end of China’s civil war began turning 65 this year, marking the end of a
period of just extraordinary growth in that country’s workforce.
After growing by 100 million people in the
decade to 2005, China’s workforce is now flat and over the next ten to
fifteen years will begin to shrink, shrinking by 80 million workers
during the decade starting 2025.
Now it goes without saying that Australia
will over the coming decades face a range of economic challenges, as we
always have. Some of them will be external as the world faces its own
twists and turns in the global economy. Others are ours alone to manage
and navigate, like the skills agenda, innovation and maintaining strong
productivity growth. But the demographic fundamentals of our economy
will remain strong in the future. Such that Treasury this year projected
that the best measure of national prosperity, average household
incomes, will almost double in real terms over the next 40 years.
That is to say that in the face of this very
significant shift in our population profile, the average Australian’s
purchasing power will rise from $66,000 today to $117,000 in 2055 after
accounting for inflation.
The doomsday commentary around population
ageing tends to focus more on the impact to government budgets,
particularly the commonwealth budget. Obviously a much larger number of
older Australians will increase spending on healthcare, aged related
pensions and aged care.
But again, the likely impact for Australia is
eminently manageable. Treasury has modelled these impacts in great
detail since 2002 in its regular Intergenerational Reports, the most
recent of which was published earlier this year, you may remember the
ads by Dr Karl.
Over the four reports since 2002, projected
increases in spending have moderated substantially. Mainly that’s
because of vastly improved baselines for economic and demographic growth
for the future; but also in part because government reforms, notably
pricing changes to the Pharmaceutical Benefits Scheme, have
substantially reined in commonwealth costs.
Overall the Intergenerational Reports have
been I think a very valuable initiative begun by Peter Costello, with
only a couple of qualifications.
Firstly, their value lies mainly in their
ability to transcend the electoral cycle. That value will be lost if we
continue to see the report being politicised in the way in which we saw Tony Abbott and Joe Hockey politicise the fourth Intergenerational Report in 2015.
I also think Treasury should consider a
slightly broader focus on the fiscal side. While a great deal of
attention is paid for example to projected spending changes on the age
pension, none at all is paid to the tens of billions that is notionally
spent on superannuation tax concessions in any of the four Reports.
And finally, we must recognise that the
report examines areas of spending increases in coming decades that
frankly are not connected to population ageing.
The most important of these is healthcare.
The headline projections on healthcare spending often suggests that the
big increases that are coming our way are all due to population ageing.
In actual fact, ageing accounts for a small
part of the projected increase, perhaps as little as 10 per cent
according to this year’s Report from Treasury. This year’s report also
provides some perspective I think on the rather hysterical debate within
the media and the parliament that we saw last year over age pension
entitlements.
Even if we maintain existing indexation
arrangements, indexed to wages rather than inflation, and an eligibility
age of 67 years, rather than 70 years, pension spending in Australia
remains well below 4 per cent of GDP into the 2050s, which will be about
one third of the OECD average.
Even assuming a much higher share of health
increases being attributable to ageing than Treasury says, for example
25 per cent of the total increase instead of 10 per cent - old age
related spending by the commonwealth government increases on my
calculations by about 2.1 per cent of GDP over the next forty years.
On the other hand, the flip side of this
change in our population profile of course means that there will be a
smaller number of children, a reduction in commonwealth spending in
child care, education and family payments which Treasury measures at
about 2.2 per cent of GDP over the same period.
Now that’s not to say that there aren’t
substantial challenges confronting the commonwealth budget. There are;
maintaining our revenue base, dealing with spending pressures,
particularly health care spending pressures. But ageing per se is simply
not going to bust our federal budget.
Instead we could do well to focus a little
bit more on a challenge that Australia is not as well placed to meet.
And that is to ensure as far as we possibly can that the additional
years that we’ve added to life expectancy are good years; years in which
older Australians continue to feel healthy, active, secure and
connected to their communities.
There’s a stereotype taking hold that Baby
Boomers are all healthy and wealthy, and that their retirement is going
to be a long festival of beer and skittles. The truth is vastly more
complex than that. While their cardiovascular systems through lower
smoking rates are in much better shape than their parents, only about 1
in 5 baby boomers is of correct weight. Dementia rates continue to
skyrocket, preoccupying the minds of older Australians and those
approaching old age more than any other health issue in our community.
And, as the OECD reminded us only earlier
this week, our health system is not well set up to deal with multiple or
co morbid chronic diseases which are so typical of older age in a
modern society.
Also, while Kevin Rudd’s big increases to the
single age pension in 2009 halved the number of older Australians
living in poverty, huge numbers still hover around the poverty line.
For example, if Australia used the
British/European definition of poverty - living below 60 per cent of
median household income instead of 50 percent - as many as 4 in 10 aged
pensioners would be officially classified as living in poverty, rising
to an astounding 60 per cent of single older Australians, predominantly
older women.
Now compulsory superannuation will improve
this position into the future. But many Boomers have accrued only a
marginal benefit from the compulsory superannuation system; again,
especially women.
Indeed 50 per cent of women in their early
60s now have a superannuation account of less than $16,000. And two
thirds of the oldest Baby Boomers in their late 60s who are women have
absolutely no superannuation whatsoever.
In the past, high rates of outright home
ownership, that is owning your own home without a mortgage, has acted as
an important hedge against what is by international standards a very
modest age pension. But those rates are also in freefall. Not just for
younger Australians, although very much so for younger Australians, but
for Baby Boomers as well.
This potent cocktail of a modest age pension,
high housing costs for those people who haven’t discharged their
mortgage or are in the private rental market and tiny superannuation
accounts will place a huge number of Baby Boomers right on the financial
edge in their retirement. Which is why of course it was so important
that the Parliament block Tony Abbott’s attempts to cut indexation rates
to the age pension.
In my many discussions with thousands of
older Australians over my time as Minister for Ageing, a long list of
other changes were raised constantly with me about the workplace, about
aged care and particularly about end of life issues. They all deserve
more of our attention in the national political debate than they currently receive.
But I must say I’m broadly optimistic about
ageing issues in Australia. My confidence is based in large part on the
character of Baby Boomers themselves. Since they were teenagers, here in
Australia and so many nations around the world, Baby Boomers have
reshaped every phase of life in their own image. They’ve done so in a
way that hasn’t just benefitted themselves, but has also benefitted all
of us who have followed them.
Things are starting to change. Small things. Modest things. But symbolically important things.
Hollywood, for example, is starting to churn
out movies that involve romance and dare I say it even sex between older
characters. Just simply unheard of not too many years ago.
In real life, the 700,000 or so single
Australians in their 60s are not resigning themselves to a life alone,
as would have happened so much in the past.
Today they are busy logging on to dating
websites built for their generation. I found one indeed that I think had
the incomparable banner “A generation as special as this deserves the
best”. And even some of the most stubborn industries, industries like
retail and hospitality, are finally recognising the need to match their
staffing profile with their emerging customer profile and employing more
older workers than they did historically.
But these are modest beginnings. Living
longer lives is not a problem to be fixed or a burden for society, to
hark back to my early radio interviews. Living longer is something that
the World Health Organisation has properly described as one of
humanity’s greatest triumphs. And it’s about time that our public
discourse in this nation started to celebrate that triumph a little more
than we do.
ENDS
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