正文
死亡率模式保持不变 何必为长寿烦恼
这个人口统计学上的“危机”有几个组成部分。养老金费用是其中之一。现在出生的人,如果60岁退休、活至100岁,那么退休后的时间就和工作的时间一样长了。社会正趋向显而易见的解决方式——弹性退休制,让人们可以在工作和退休间自由权衡。
Achieving these extended lifespans costs money. Not necessarily much, because healthy lifestyle is a more important contributor to longevity than medical treatment. But we all die, either from the remaining diseases we have not yet learnt to cure, or the accumulated effects of old age itself. So medical and care costs will inevitably be an increasing fraction of national income. But this is money the public really wants to spend. It resists attempts to control the grotesque costs of private US healthcare. “More for the National Health Service” is always the British electorate’s top spending priority.
实现寿命的延长要花钱。并不一定需要很多钱,因为就长寿而言,健康的生活方式比医疗保健更重要。但人都不免一死,要么死于那些我们还不知道如何治愈的绝症,要么死于年老本身带来的累积效应。因此,医疗和护理费用在国民收入中的比重将不可避免地上升。然而这份钱是公众确实想花的。美国控制私人医疗保健极高费用的尝试遭到了公众的抵制。“多向国民医疗服务体系(NHS)投入”一直都是英国选民对政府支出的头号要求。
Then there is the burden of an ageing population on a younger workforce. Here we are caught in a squeeze between the growing numbers of the elderly and a lower birth rate. In Europe today, the median age at which women have their first child is over 30. But we do not know whether these women, pursuing careers before starting a family, will ultimately have fewer children or just later children: completed family size is the key variable.
其二是老龄化人口对青壮年劳动力造成的负担。我们面对老龄人口日益增长和出生率降低的两头夹击。在当今的欧洲,女性生育第1胎的年龄中值超过了30岁。但是我们不知道这些先立业后生育的女性,最终将生育更少的孩子,还是仅仅选择晚生孩子:最终家庭中人口的数量才是关键变量。
Prediction is hard, especially about the future. Gloomy prognostications, sometimes of population explosion, then of secular stagnation, have repeatedly been falsified. But one certainty is that all the issues of concern result from developments that give us more choices – the choice between higher material living standard and more leisure, the indulgence of spending more looking after ourselves, and the opportunity for women to have careers as well as, or along with, family lives.
预测本来就很难,预测未来就更难了。那些悲观的预言,一会儿是人口爆炸一会儿是长期经济停滞,已经一次又一次的被证伪了。但有一点是肯定的,那就是所有这些令人担心的问题都是由一些新动向带来的,这些新动向让我们拥有了更多选择——是要更高的物质生活水平还是要更多的闲暇时间,要不要尽情花更多钱用于健康护理,女性也有了兼顾事业和家庭(或是在家庭之外也拥有一份事业)的机会。
What is not to like about these developments? Why should we care about lower gross domestic product per capita, or higher public spending as a share of national income if it is the consequence of things that make us better off?
这些新动向哪一点不好?如果人均国内生产总值(GDP per capita)没那么高或者公共支出占国民收入比重上升只是因为我们的生活变得更好了,我们又何须忧虑呢?
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