For many years now, a growing number of economists, policy makers, and civil society groups have pointed to the limits of using only GDP as the primary measure of national economic progress. Accordingly, a progressively greater focus has been placed on the concept of well-being and its optimal...

This paper examines economic challenges posed by the combination of an ageing and declining population in Hungary and develops policy-oriented recommendations for addressing them. The authors identify the scale and specific properties of the demographic problem in Hungary where the population...

Japan’s health-care system has provided universal access to care and contributed to the outstanding health status of the Japanese. Public spending has been kept below the OECD average through high co-payment rates and reductions in medical fees. However, with continued upward pressure on...

One area where spending discipline will become increasingly important in Hungary is health care. This paper describes the structure of the health care system, highlights outstanding weaknesses and considers ways to make financing more stable and sustainable. The slow progress in modernising the...

In Finland, as in most OECD countries, the ageing of the population is one of the major long-term policy challenges. This paper first explores the scale of the demographic changes in Finland, the relevant institutions and their effect on the decision to retire. In light of the increase in the...

Over the past decade, Portugal has experienced imbalances and inefficiencies in the public sector that have impeded better economic performance. Though Portugal’s total spending as a proportion of GDP is somewhat below the EU average, the rapid and uncontrolled growth of its primary current...

The Chilean authorities plan to raise budgetary allocations over the medium term for a variety of social programmes, including education, health care and housing. This incremental spending will need to be carried out in a cost-efficient manner to make sure that it yields commensurate...

Norway, like most OECD countries, will experience a significant ageing of its population, although it will be less dramatic. Moreover, it starts from an enviable position: employment rates of older people are among the highest in the OECD, pension outlays are currently relatively low and...

Population ageing will reduce economic growth and increase the amount of resources that need to be transferred to the elderly, putting pressure on retirement-income- and healthcare insurance systems. The Netherlands is better placed than most OECD countries to meet these pressures because it has...

This paper provides new projections on the fiscal impact of age-related spending for OECD countries over the next half century. These results are based on national models using an agreed upon set of assumptions about macroeconomic and demographic developments for all countries. Recent reforms to...