The 2030 Problem: Caring for Aging Baby Boomers
Open accessAbstract
Objective.To assess the coming challenges of caring for large numbers of frail elderly as the Baby Boom generation ages. Study Setting.A review of economic and demographic data as well as simulations of projected socioeconomic and demographic patterns in the year 2030 form the basis of a review of the challenges related to caring for seniors that need to be faced by society. Study Design.A series of analyses are used to consider the challenges related to caring for elders in the year 2030: (1) measures of macroeconomic burden are developed and analyzed, (2) the literatures on trends in disability, payment approaches for long‐term care, healthy aging, and cultural views of aging are analyzed and synthesized, and(3)simulations of future income and assets patterns of the Baby Boom generation are developed. Principal Findings.The economic burden of aging in 2030 should be no greater than the economic burden associated with raising large numbers of baby boom children in the 1960s. The real challenges of caring for the elderly in 2030 will involve: (1) making sure society develops payment and insurance systems for long‐term care that work better than existing ones, (2) taking advantage of advances in medicine and behavioral health to keep the elderly as healthy and active as possible, (3) changing the way society organizes community services so that care is more accessible, and (4) altering the cultural view of aging to make sure all ages are integrated into the fabric of community life. Conclusions.To meet the long‐term care needs of Baby Boomers, social and public policy changes must begin soon. Meeting the financial and social service burdens of growing numbers of elders will not be a daunting task if necessary changes are made now rather than when Baby Boomers actually need long‐term care.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
By 2030, the baby boomer generation will be 66-84 years old, and nearly one fifth of Western-world inhabitants will be over 65.
“In 2030, this generation will be aged 66–84 years, meaning that nearly one in five people living in the Western world will be over the age of 65 years71.”
From The four epidemiological stages in the global evolution of inflammatory bowel disease (2021) · cites this paper as [71]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Older Adults' Reasons for Using Technology while Aging in Place
Peek, S. T. M., Luijkx, K. G., Rijnaard, M. D., Nieboer, M. E., van der Voort, C. S., Aarts, S., van Hoof, J., Vrijhoef, H. J., & Wouters, E. (2015) · Gerontology · doi:10.1159/000430949 · Cited by 19,803 · see citing works
Statistical Abstract of the U nited S tates
(2005) · Wiley eBooks · doi:10.1002/0471667196.ess2527 · Cited by 8,872 · see citing works
BERKMAN, L. F., & SYME, S. L. (1979) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a112674 · Cited by 5,341 · see citing works
Neer, R. M., Arnaud, C. D., Zanchetta, J. R., Prince, R., Gaich, G. A., Reginster, J.-Y., Hodsman, A. B., Eriksen, E. F., Ish-Shalom, S., Genant, H. K., et al. (2001) · New England Journal of Medicine · doi:10.1056/nejm200105103441904 · Cited by 4,602 · see citing works
Kahn, R. L. (1998) · Cited by 4,295 · see citing works
Fetal origins of coronary heart disease
Barker, D. J. P. (1995) · BMJ · doi:10.1136/bmj.311.6998.171 · Cited by 3,570 · see citing works
The Spread of the Obesity Epidemic in the United States, 1991-1998
Mokdad, A. H. (1999) · JAMA · doi:10.1001/jama.282.16.1519 · Cited by 2,365 · see citing works
Stuck, A. E., Walthert, J. M., Nikolaus, T., Büla, C., Hohmann, C., & Beck, J. C. (1999) · Social Science & Medicine · doi:10.1016/s0277-9536(98)00370-0 · Cited by 1,853 · see citing works
Translating cell biology into therapeutic advances in Alzheimer's disease
Selkoe, D. J. (1999) · Nature · doi:10.1038/399a023 · Cited by 1,588 · see citing works
Social Disengagement and Incident Cognitive Decline in Community-Dwelling Elderly Persons
Bassuk, S. S., Glass, T. A., & Berkman, L. F. (1999) · Annals of Internal Medicine · doi:10.7326/0003-4819-131-3-199908030-00002 · Cited by 991 · see citing works
The Economic Value Of Informal Caregiving
Arno, P. S., Levine, C., & Memmott, M. M. (1999) · Health Affairs · doi:10.1377/hlthaff.18.2.182 · Cited by 680 · see citing works
Chronic disability trends in elderly United States populations: 1982–1994
Mantón, K. G., Corder, L. S., & Stallard, E. (1997) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.94.6.2593 · Cited by 679 · see citing works
Mantón, K. G., & Gu, X. (2001) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.111152298 · Cited by 663 · see citing works
From the Health Care Financing Administration
Wilensky, G. R. (1991) · JAMA · doi:10.1001/jama.1991.03470200020007 · Cited by 635 · see citing works
Singha, T. M. (2003) · Journal of Nepal Medical Association · doi:10.31729/jnma.1154 · Cited by 587 · see citing works
HEALTH CARE FINANCING ADMINISTRATION
Submission, H. E. (2000) · Health Care on the Internet · doi:10.1300/j138v04n01_15 · Cited by 532 · see citing works
Aging, Health Risks, and Cumulative Disability
Harper, D. W., & Forbes, W. F. (1998) · New England Journal of Medicine · doi:10.1056/nejm199808133390716 · Cited by 516 · see citing works
Improving outcomes in chronic illness.
Wagner, E. H., Austin, B. T., & Korff, M. V. (1996) · PubMed · Cited by 498 · see citing works
Aging, Health Risks, and Cumulative Disability
Vita, A. J., Terry, R. B., Hubert, H. B., & Fries, J. F. (1998) · New England Journal of Medicine · doi:10.1056/nejm199804093381506 · Cited by 493 · see citing works
Finch, C. E., & Tanzi, R. E. (1997) · Science · doi:10.1126/science.278.5337.407 · Cited by 490 · see citing works
Does childhood health affect chronic morbidity in later life?
Blackwell, D. L., Hayward, M. D., & Crimmins, E. M. (2001) · Social Science & Medicine · doi:10.1016/s0277-9536(00)00230-6 · Cited by 424 · see citing works
Miller, E. A., & Weissert, W. G. (2000) · Medical Care Research and Review · doi:10.1177/107755870005700301 · Cited by 416 · see citing works
Successful Aging: Predictors and Associated Activities
Strawbridge, W. J., Cohen, R. D., Shema, S. J., & Kaplan, G. A. (1996) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a008900 · Cited by 416 · see citing works
A Survey of Leading Chronic Disease Management Programs: Are They Consistent with the Literature?
Wagner, E. H., Davis, C., Schaefer, J. K., Korff, M. V., & Austin, B. T. (2002) · Journal of Nursing Care Quality · doi:10.1097/00001786-200201000-00008 · Cited by 377 · see citing works
The Journey of Life: A Cultural History of Aging in America.
Fox, R. W., & Cole, T. R. (1993) · Journal of American History · doi:10.2307/2079718 · Cited by 294 · see citing works
Crimmins, E. M., Saito, Y., & Reynolds, S. L. (1997) · The Journals of Gerontology Series B · doi:10.1093/geronb/52b.2.s59 · Cited by 256 · see citing works
The Past and Future of Home‐ and Community‐Based Long‐Term Care
Weissert, W. G., Cready, C. M., & Pawelak, J. E. (2005) · Milbank Quarterly · doi:10.1111/j.1468-0009.2005.00434.x · Cited by 221 · see citing works
A survey of leading chronic disease management programs: are they consistent with the literature?
Wagner, E. H., Davis, C., Schaefer, J., Korff, M. V., & Austin, B. (1999) · PubMed · Cited by 207 · see citing works
Kane, R. A., Kane, R. L., & Ladd, R. C. (1998) · doi:10.1093/oso/9780195122381.001.0001 · Cited by 199 · see citing works
Freedman, V. A., & Martin, L. G. (1999) · Demography · doi:10.2307/2648084 · Cited by 196 · see citing works
Persistent, Consistent, Widespread, and Robust? Another Look at Recent Trends in Old-Age Disability
Schoeni, R. F., Freedman, V. A., & Wallace, R. B. (2001) · The Journals of Gerontology Series B · doi:10.1093/geronb/56.4.s206 · Cited by 192 · see citing works
The Past and Future of Home- and Community-Based Long-Term Care
Weissert, W. G., Cready, C. M., & Pawelak, J. E. (1988) · Milbank Quarterly · doi:10.2307/3350034 · Cited by 192 · see citing works
Contribution of chronic conditions to aggregate changes in old-age functioning
Freedman, V. A., & Martin, L. G. (2000) · American Journal of Public Health · doi:10.2105/ajph.90.11.1755 · Cited by 176 · see citing works
Where Are The Missing Elders? The Decline In Nursing Home Use, 1985 And 1995
Bishop, C. E. (1999) · Health Affairs · doi:10.1377/hlthaff.18.4.146 · Cited by 169 · see citing works
Singer, B. H., & Manton, K. G. (1998) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.95.26.15618 · Cited by 162 · see citing works
Daviglus, M. L., Liu, K., Greenland, P., Dyer, A. R., Garside, D. B., Manheim, L. M., Lowe, L. P., Rodin, M. B., Lubitz, J. D., & Stamler, J. (1998) · New England Journal of Medicine · doi:10.1056/nejm199810153391606 · Cited by 159 · see citing works
Health Spending In 1998: Signals Of Change
Levit, K. R., Cowan, C. A., Lazenby, H. C., Sensenig, A. L., McDonnell, P., Stiller, J. M., Martin, A., & The National Health Expenditure Accounts Team (2000) · Health Affairs · doi:10.1377/hlthaff.19.1.124 · Cited by 158 · see citing works
Health Spending Growth Up In 1999; Faster Growth Expected In The Future
Heffler, S., Levit, K. R., Smith, S. D., et al. (2001) · Health Affairs · doi:10.1377/hlthaff.20.2.193 · Cited by 142 · see citing works
Kubzansky, L. D., Berkman, L. F., Glass, T. A., & Seeman, T. E. (1998) · Psychosomatic Medicine · doi:10.1097/00006842-199809000-00012 · Cited by 135 · see citing works
Shea, S., & Basch, C. E. (1990) · American Journal of Health Promotion · doi:10.4278/0890-1171-4.4.279 · Cited by 114 · see citing works
The Amount, Distribution, and Timing of Lifetime Nursing Home Use
Murtaugh, C. M., Kemper, P. F., Spillman, B. C., et al. (1997) · Medical Care · doi:10.1097/00005650-199703000-00003 · Cited by 102 · see citing works
Three Decades Of Health Care Use By The Elderly, 1965–1998
Lubitz, J. D., Greenberg, L. G., Gorina, Y., Wartzman, L., & Gibson, D. (2001) · Health Affairs · doi:10.1377/hlthaff.20.2.19 · Cited by 100 · see citing works
Aggregate Changes in Severe Cognitive Impairment Among Older Americans: 1993 and 1998
Freedman, V. A., Aykan, H., & Martin, L. G. (2001) · The Journals of Gerontology Series B · doi:10.1093/geronb/56.2.s100 · Cited by 99 · see citing works
Characteristics of elderly nursing home residents: data from the 1995 National Nursing Home Survey.
Dey, A. N. (1997) · PubMed · Cited by 98 · see citing works
Can Social Insurance For Long-Term Care Work? The Experience Of Germany
Cuellar, A. E., & Wiener, J. M. (2000) · Health Affairs · doi:10.1377/hlthaff.19.3.8 · Cited by 96 · see citing works
Trends in Health and Ability to Work Among the Older Working-Age Population
Crimmins, E. M., Reynolds, S. L., & Saito, Y. (1999) · The Journals of Gerontology Series B · doi:10.1093/geronb/54b.1.s31 · Cited by 92 · see citing works
Psychiatric disorders in the nursing home: A selective review of studies related to clinical care
Rovner, B. W., & Katz, I. R. (1993) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.930080112 · Cited by 75 · see citing works
Does remarriage expand perceptions of kinship support among the elderly?
Curran, S. R., McLanahan, S., & Knab, J. (2003) · Social Science Research · doi:10.1016/s0049-089x(02)00046-7 · Cited by 65 · see citing works
Aggregate Changes in Severe Cognitive Impairment Among Older Americans
Freedman, V. A., Aykan, H., & Martin, L. G. (2001) · Cited by 64 · see citing works
Uhlenberg, P. R. (2000) · The Gerontologist · doi:10.1093/geront/40.3.276 · Cited by 62 · see citing works
The Poor, the Rich, and the Insecure Elderly Caught in Between
Holden, K. A., & Smeeding, T. M. (1990) · Milbank Quarterly · doi:10.2307/3350096 · Cited by 59 · see citing works
Cohort Differences in Disability and Disease Presence
Reynolds, S. L., Crimmins, E. M., & Saito, Y. (1998) · The Gerontologist · doi:10.1093/geront/38.5.578 · Cited by 57 · see citing works
Posner, R. A. (1995) · Medical Entomology and Zoology · Cited by 52 · see citing works
Teitelbaum, M. S., Winter, J., & Longman, P. (2004) · Foreign Affairs · Cited by 49 · see citing works
Who cares for them? : workers in the home care industry
Feldman, P. H., Sapienza, A. M., & Kane, N. M. (1990) · Cited by 47 · see citing works
Dustan, H. P. (1996) · Archives of Internal Medicine · doi:10.1001/archinte.1996.00440160034007 · Cited by 46 · see citing works
Factors important in the purchase of partnership long-term care insurance.
McCall, N., Mangle, S., Bauer, E. J., et al. (1998) · PubMed · Cited by 43 · see citing works
Peterson, P. G. (1996) · Medical Entomology and Zoology · Cited by 36 · see citing works
Assessing Knowledge of Retirement Behavior
National Research Council (1996) · National Academies Press eBooks · doi:10.17226/5367 · Cited by 36 · see citing works
Organizational Characteristics Associated with Agency Position in Community Care Networks
Banaszak‐Holl, J., Allen, S., Mor, V., et al. (1998) · Journal of Health and Social Behavior · doi:10.2307/2676345 · Cited by 35 · see citing works
Risk for Cardiovascular Disease in the Elderly and Associated Medicare Costs: The Framingham Study
Schauffler, H. H., D’Agostino, R. B., & Kannel, W. B. (1993) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(18)30730-x · Cited by 32 · see citing works
Improving transportation for a maturing society
Eberhard, J. R. (1997) · PsycEXTRA Dataset · doi:10.1037/e453922008-001 · Cited by 31 · see citing works
Nonmoney income and the elderly: The case of the tweeners
Smeeding, T. M. (1986) · Journal of Policy Analysis and Management · doi:10.1002/pam.4050050403 · Cited by 29 · see citing works
Kotz, C. M., Billington, C. J., & Levine, A. S. (1999) · Clinics in Geriatric Medicine · doi:10.1016/s0749-0690(18)30066-1 · Cited by 28 · see citing works
Expanding Coverage: Reflections On Recent Efforts
Bilheimer, L. T., & Colby, D. C. (2001) · Health Affairs · doi:10.1377/hlthaff.20.1.83 · Cited by 17 · see citing works
Living Longer, Contributing Longer
Butler, R. N. (1997) · JAMA · doi:10.1001/jama.1997.03550160092044 · Cited by 15 · see citing works
The Hidden Age Revolution: Emergent Integration of All Ages
Riley, M. W. (1998) · Cited by 15 · see citing works
Living in the community with disability : service needs, use, and systems
Allen, S., & Mor, V. (1998) · Springer eBooks · Cited by 14 · see citing works
Russell, L. B. (1998) · New England Journal of Medicine · doi:10.1056/nejm199810153391612 · Cited by 14 · see citing works
Toward an Equitable, Universal Caregiver Policy:
Stone, R., & Keigher, S. M. (1994) · Journal of Aging & Social Policy · doi:10.1300/j031v06n01_05 · Cited by 14 · see citing works
Managed Competition with Prefunding: The Solution for Long-Term Care?
Lucas, D. J. (1996) · Milbank Quarterly · doi:10.2307/3350393 · Cited by 7 · see citing works
Extending the Effectiveness of Home Care Through Low-Cost Adaptive Equipment
Gottlieb, A. S., & G., F. (1999) · Public Policy & Aging Report · doi:10.1093/ppar/10.1.13 · Cited by 1 · see citing works
Living longer, contributing longer
Butler, R. N. (1997) · JAMA · doi:10.1001/jama.278.16.1372 · Cited by 1 · see citing works
Flagged first, then by citations
Research works printed but not linked: 4
- Congressional Budget Office. 1999. CBO Memorandum: Projections of Expenditures for Long-Term Care Services for the Elderly. Washington, DC: Congressional Budget Office based on data from the Social Security Administration and from Eduard Bos. 1994. World Population Projections, 1994-95 Edition. Washington, DC: World Bank.
- Mokdad, A. H., M. K. Serdula, W. H. Dietz, et al. 1999. ''U.S. Obesity Trends in Adults from 1991-1998.'' Journal of the American Medical Association 282 (16): 1519-22.
- Peterson, P. G. 1996. ''Will America Grow Up Before It Grows Old?'' Atlantic Monthly 277 (5): 55-86.
- U.S. Department of Health and Human Services. 2000. Healthy People 2010 (Conference Edition). Washington, DC: U.S. Department of Health and Human Services.
Cited by
Sorted by citations
The four epidemiological stages in the global evolution of inflammatory bowel disease
Kaplan, G. G., & Windsor, J. W. (2021) · Nature Reviews Gastroenterology & Hepatology · doi:10.1038/s41575-020-00360-x · Cited by 1,351 · see citing works
Rajan, K. B., Weuve, J., Barnes, L. L., McAninch, E. A., Wilson, R. S., & Evans, D. A. (2021) · Alzheimer's & Dementia · doi:10.1002/alz.12362 · Cited by 1,268 · see citing works
Johnson, J., Hall, L. H., Berzins, K., Baker, J., Melling, K., & Thompson, C. (2018) · International Journal of Mental Health Nursing · doi:10.1111/inm.12416 · Cited by 371 · see citing works
Warren, J. I., Stein, J. A., & Grella, C. E. (2007) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2007.01.009 · Cited by 138 · see citing works
Strawbridge, L. M., Lloyd, J. T., Meadow, A., Riley, G. F., & Howell, B. L. (2017) · Medical Care · doi:10.1097/mlr.0000000000000653 · Cited by 96 · see citing works
Hoefman, R. J., van Exel, J., & Brouwer, W. B. (2013) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-11-173 · Cited by 101 · see citing works
Sullivan, K. M. (2014) · Journal of Gerontological Social Work · doi:10.1080/01634372.2013.867002 · Cited by 56 · see citing works
Family caregiving in the community up to 8-years after onset of dementia
Jutkowitz, E., Gaugler, J. E., Trivedi, A. N., Mitchell, L. L., & Gozalo, P. (2020) · BMC Geriatrics · doi:10.1186/s12877-020-01613-9 · Cited by 50 · see citing works
Spielauer, M. (2007) · International Journal of Microsimulation · doi:10.34196/ijm.00005 · Cited by 55 · see citing works
- Authors
- Knickman, J. R., & Snell, E. K.
- Affiliations
- Robert Wood Johnson Foundation (US)
- Corresponding author
- Knickman, James R.
- Snell, Emily K.
- ORCID
- Snell, Emily K.
- Venue
- Health Services Research
- Publisher
- Wiley
- Published
- 2002-08
- Volume
- 37
- Issue
- 4
- Pages
- 849-884
- ISSN
- 0017-9124 (ISSN-L)
- 1475-6773
- PMC
- PMC1464018
- OpenAlex
- W2088203115
- Cited by
- 510
- References
- 73
- Citations by year
- 2026: 15 · 2025: 20 · 2024: 14 · 2023: 35 · 2022: 32 · 2021: 40 · 2020: 34 · 2019: 33 · 2018: 23 · 2017: 23 · 2016: 21 · 2015: 36 · 2014: 29 · 2013: 16 · 2012: 29
- FWCI
- 2.79
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Health Services Research (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Keywords
- baby boomers, population aging, long-term care, frail elderly, long-term care insurance, healthy aging, disability trends, community service, social policy, 2030 projections
- MeSH terms
- Aged, Delivery of Health Care, Forecasting, Health Services for the Aged, Health Services Needs and Demand, Humans, Long-Term Care, Population Dynamics, United States
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review