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Ageing and Health: The Politics of Better Policies [Pehme köide]

(London School of Economics and Political Science), (University of Michigan, Ann Arbor), (University of Newcastle upon), (University of Pennsylvania), (University of Oxford), (University of Michigan, Ann Arbor), (University of Oxford)
  • Formaat: Paperback / softback, 184 pages, kõrgus x laius x paksus: 229x152x11 mm, kaal: 280 g, Worked examples or Exercises
  • Sari: European Observatory on Health Systems and Policies
  • Ilmumisaeg: 05-Aug-2021
  • Kirjastus: Cambridge University Press
  • ISBN-10: 110897287X
  • ISBN-13: 9781108972871
Teised raamatud teemal:
Ageing and Health: The Politics of Better PoliciesSuurem pilt
  • Formaat: Paperback / softback, 184 pages, kõrgus x laius x paksus: 229x152x11 mm, kaal: 280 g, Worked examples or Exercises
  • Sari: European Observatory on Health Systems and Policies
  • Ilmumisaeg: 05-Aug-2021
  • Kirjastus: Cambridge University Press
  • ISBN-10: 110897287X
  • ISBN-13: 9781108972871
Teised raamatud teemal:
Püsilink: https://www.kriso.ee/db/9781108972871.html
Märksõnad:
Ageing societies can be healthy and productive- if they get the politics right. This book argues that the population ageing crisis can be solved through policies that reduce inequalities between and within generations. It then explores the political coalitions needed to support policymaking that avoids pitting generations against each other.

One of the most important political and economic challenges facing Europe and elsewhere is the ageing of societies. Must ageing populations create conflict between generations and crisis for health systems? Our answer is no. The problem is not so much demographic change as the political and policy challenge of creating fair, sustainable and effective policies for people of all ages. This book, based on a large European Observatory study, uses new evidence to challenge some of the myths surrounding ageing and its effects on economies and health systems. Cataclysmic views of population ageing are often based on stereotypes and anecdotes unsupported by evidence. How we address ageing societies is a choice. Societies can choose policies that benefit people of all ages, promoting equity both within and between generations, and political coalitions can be built to support such policies. This title is available as Open Access on Cambridge Core.

Muu info

The mythical 'demographic timebomb' can be defused through policies that reduce inequalities between and within generations.
List of Figures
xiii
List of Tables
xv
List of Boxes
xvi
Acknowledgements xvii
1 Introduction
1(23)
1.1 Two Very Different Narratives Depicting Ageing Societies
5(4)
1.2 What Are the Consequences of Seeing Population Ageing in a Negative Light?
9(2)
1.3 Are Policy Concerns about Population Ageing Evidence-Based?
11(2)
1.3.1 Population Ageing Will Not Become a Major Driver of Health Expenditure Growth
11(1)
1.3.2 Population Ageing Will Lead to Changes in Paid and Unpaid Work, but These Can Be Managed
12(1)
1.4 The Coronavirus Pandemic: Intergenerational Conflict or Revealing Consequences of Longstanding Inequalities?
13(1)
1.5 Win-Win Policy and Politics: the Life-Course Approach
14(3)
1.6 The Book in Brief
17(4)
1.7 Conclusion
21(3)
2 Older People in Europe
24(14)
2.1 Diversity and Inequality
24(9)
2.1.1 Income Insecurity Varies across the European Region, but It Is Better to Be on the Margins in Northern & Western Europe Than in Eastern Europe
26(2)
2.1.2 Most Older People Are Not in Paid Work but the Odds of Not Working Are Higher in Eastern Europe Than in Northern and Western Europe
28(1)
2.1.3 Older People in Eastern Europe Are Most Likely to Live in Multigenerational Households
29(1)
2.1.4 The Health of Older People Varies across Regions
30(3)
2.2 What Do Commonly Used Data Say about Population Ageing and Its Effects on Society?
33(5)
3 Ageing Equally: Politics, Health and Solidarity
38(21)
3.1 The `Greedy Geezer' Narrative
39(4)
3.2 The Demand-Side Explanation for Win-Lose Policies: Partially, but Only Partially, Correct
43(5)
3.2.1 Older People Do Make Up a Large Share of Voters
44(1)
3.2.2 Sometimes Older Adults Prefer Win-Lose Policies, and Act Politically to Try to Get Them
45(2)
3.2.3 Social Policy Preferences of Older and Younger People Are Often Not As Different As We Expect
47(1)
3.3 Older Voters Do Not Vote As a Bloc
48(3)
3.4 The Supply-Side Explanation for Win-Lose Policies Is Also Partly, but Only Partly, Right
51(3)
3.4.1 There Is Some Evidence of Politicians Responding to Demands from Older Voters When Making Social Policy Choices
51(1)
3.4.2 Policy Is Mainly a Response to Factors Other Than Pressure from Older People
52(2)
3.5 Weighing the Evidence
54(3)
3.5.1 Are Older People `Greedy', Rationally Demanding or Deserving?
54(2)
3.5.2 Social Policies Generally Result Mainly from Considerations Unrelated to Demand from Voters
56(1)
3.6 Conclusion
57(1)
3.7 Appendix
57(2)
4 The Coalitional Politics of Win-Wins
59(25)
4.1 Introduction
59(7)
4.1.1 Intra- and Intergenerational Solidarity Across Europe
59(7)
4.2 Intra- and Intergenerational Solidarity in an Era of Austerity
66(3)
4.3 The Politics of Healthy Ageing
69(5)
4.3.1 Why is the Win-Win So Difficult to Achieve?
70(4)
4.4 Coalitions and Healthy Ageing
74(5)
4.5 New Challenges
79(3)
4.6 Conclusion
82(2)
5 Unequal Ageing: the Politics of Ageing As the Politics of Health Inequalities
84(23)
5.1 Introduction
84(1)
5.2 Unequal Ageing: Who Gets to Be Old?
85(11)
5.2.1 Gender Inequalities in Health
85(1)
5.2.2 Ethnic Inequalities in Health
86(2)
5.2.3 Socioeconomic Inequalities in Health
88(1)
5.2.4 Geographical Inequalities in Health
89(3)
5.2.5 Intersectional Inequalities
92(1)
5.2.6 Trends in Health Inequalities
93(2)
5.2.7 COVID-19 Pandemic and Health Inequalities
95(1)
5.3 What Causes Health Inequalities?
96(7)
5.3.1 Material Resources: the Social Determinants of Health
96(3)
5.3.2 Explaining Geographic Inequalities in Health
99(4)
5.4 Beyond the Social Position and Place: the Political Economy Approach
103(2)
5.5 Conclusion
105(2)
6 The Implications of Win-Win and Win-Lose Policies for the `Ageing Crisis'
107(19)
6.1 Introduction
107(1)
6.2 Win-Win Policies and Healthy Ageing
108(9)
6.2.1 The English Health Inequalities Strategy as a Win-Win Strategy
109(4)
6.2.2 German Reunification: Drawing Lessons from an Unusual Win-Win
113(4)
6.3 Win-Lose Policies and the Implications for Healthy Ageing
117(7)
6.3.1 Austerity Politics and Ageing in the UK
118(4)
6.3.2 Health Inequalities and the "Americanization" of European Political Economy
122(2)
6.4 Conclusion
124(2)
7 Conclusion
126(8)
7.1 Tearing Down Straw Men
127(2)
7.2 Equity, Intergenerational and Other
129(1)
7.3 After the Straw Men: Understanding the Politics of Ageing and Health
130(1)
7.4 Getting to a Win-Win
131(3)
Bibliography 134(28)
Index 162
Scott L. Greer is Professor of Health Management and Policy, Global Public Health and Political Science at the University of Michigan and Senior Expert Advisor on Health Governance for the European Observatory on Health Systems and Policies. Julia Lynch is Professor of Political Science at the University of Pennsylvania. Aaron Reeves is Associate Professor in the Department of Social Policy and Intervention, University of Oxford. Michelle Falkenbach is a PhD Candidate at the University of Michigan School of Public Health. Jane Gingrich is Professor of Comparative Political Economy in the Department of Politics and International Relations, University of Oxford. Jonathan Cylus is Head of London Hubs, European Observatory on Health Systems and Policies, London School of Economics and the London School of Hygiene and Tropical Medicine. Clare Bambra is Professor of Public Health in the Population Health Sciences Institute, Newcastle University.