Cited by 510Aging, Elder Care, and Social IssuesAging, Health, and DisabilityGeriatric Care and Nursing Homes

The 2030 Problem: Caring for Aging Baby Boomers

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Knickman, James R., Snell, Emily K.·2002·Health Services Research

Abstract

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.

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Crossref · 10.1034/j.1600-0560.2002.56.x

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Research works printed but not linked: 4

  1. 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.
  2. 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.
  3. Peterson, P. G. 1996. ''Will America Grow Up Before It Grows Old?'' Atlantic Monthly 277 (5): 55-86.
  4. U.S. Department of Health and Human Services. 2000. Healthy People 2010 (Conference Edition). Washington, DC: U.S. Department of Health and Human Services.

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Authors
Knickman, J. R., & Snell, E. K.
Affiliations
Robert Wood Johnson Foundation (US)
Corresponding author
  • Knickman, James R.
  • 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
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
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

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