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9780801869075

Policies for an Aging Society

by
  • ISBN13:

    9780801869075

  • ISBN10:

    0801869072

  • Edition: 1st
  • Format: Paperback
  • Copyright: 2002-06-01
  • Publisher: JOHNS HOPKINS UNIV PRESS

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Summary

One in eight Americans today is over the age of 65, and the proportion will increase dramatically in the future. The aging of the population has begun to drive tax and budget decisions and the federal policy agenda, as policy makers and voters look ahead to enormous demands on the health and income security programs. Indeed, it is projected that Medicare and Social Security will constitute nearly half the federal budget in the year 2030, when one in five Americans will be over 65. In Policies for an Aging Society, Stuart H. Altman and David I. Shactman have gathered experts in public and health policy, economics, law, and management to identify the salient issues and explore realistic options. From positions ranging from liberal to conservative, the contributors take a wide view of the philosophical, economic, and programmatic aspects of the social protection programs for elderly Americans. They ask broad questions and propose integrated conceptions of how our society can best provide for the needs of its aging population. Contributors: Henry J. Aaron, Brookings Institution; Robert H. Binstock, Case Western Reserve University; Peter F. Drucker; Lynn M. Etheredge, George Washington University; Victor R. Fuchs, Stanford University; John Geanakoplos, Yale University; Jonathan Gruber, Massachusetts Institute of Technology; Richard D. Lamm, University of Denver; Theodore R. Marmor, Yale University; Jerry L. Mashaw, Yale University; Olivia S. Mitchell, University of Pennsylvania; Alicia H. Munnell, Boston College; Norman J. Ornstein, American Enterprise Institute for Public Policy Research; Mark V. Pauly, University of Pennsylvania; Rudolph G. Penner, Urban Institute; Wendell E. Primus, Center on Budget and Policy Priorities; C. Eugene Steuerle, Urban Institute; Paul N. Van de Water, Social Security Administration; David Wise, Harvard University; Stephen P. Zeldes, Columbia University.

Author Biography

Stuart H. Altman is Sol C. Chaikin Professor of National Health Policy at Brandeis University. David I. Shactman is a senior research associate at Brandeis University.

Table of Contents

Preface vii
Acknowledgments ix
Contributors xi
PART I. INTRODUCTION
Overview: Issues and Options for an Aging Population
3(31)
David I. Shactman
Stuart H. Altman
An International Perspective on Policies for an Aging Society
34(29)
Jonathan Gruber
David A. Wise
PART II. THE ECONOMIC FRAMEWORK
Budget Estimates: What We Know, What We Can't Know, and Why It Matters
63(18)
Henry J. Aaron
Long-Run Budget Projections and Their Implications for Funding Elderly Entitlements
81(28)
C. Eugene Steuerle
Paul N. Van de Water
Increased Public Spending on the Elderly: Can We Afford It?
109(18)
Wendell E. Primus
The Economic Consequences of Funding Growing Elderly Entitlements
127(13)
Rudolph G. Penner
The Entitlement Crisis That Never Existed
140(29)
Joseph White
PART III. POLICY ALTERNATIVES
The Case for Universal Social Insurance
169(30)
Theodore R. Marmor
Jerry L. Mashaw
The Moral Imperative of Limiting Elderly Health Entitlements
199(18)
Richard D. Lamm
The Merits of Changing to Defined Contribution Programs
217(19)
Mark V. Pauly
The Case for Retaining Defined Benefit Programs
236(30)
Alicia H. Munnell
Private Accounts, Prefunding, and Equity Investment under Social Security
266(27)
John Geanakoplos
Olivia S. Mitchell
Stephen P. Zeldes
Changing Retirement Trends and Their Impact on Elderly Entitlement Programs
293(23)
Joseph F. Quinn
Aligning Incentives for a National Retirement Policy
316(17)
Lynn Etheredge
PART IV. POLITICAL REALITIES
Enacting Reform: What Can We Expect in the Current Political Context?
333(13)
Norman J. Ornstein
The Politics of Enacting Reform
346(32)
Robert H. Binstock
The Financial Problems of the Elderly: A Holistic View
378(13)
Victor R. Fuchs
Index 391

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