Japan PM says country on the brink over falling birth rate

Link: https://www.bbc.com/news/world-asia-64373950

Excerpt:

Japan’s prime minister says his country is on the brink of not being able to function as a society because of its falling birth rate.

Fumio Kishida said it was a case of “now or never.”

Japan – population 125 million – is estimated to have had fewer than 800,000 births last year. In the 1970s, that figure was more than two million.

Birth rates are slowing in many countries, including Japan’s neighbours.

But the issue is particularly acute in Japan as life expectancy has risen in recent decades, meaning there are a growing number of older people, and a declining numbers of workers to support them.

Japan now has the world’s second-highest proportion of people aged 65 and over – about 28% – after the tiny state of Monaco, according to World Bank data.

Author(s): George Wright

Publication Date: 23 Jan 2023

Publication Site: BBC

China’s population falls for first time since 1961

Link: https://www.bbc.com/news/world-asia-china-64300190

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Excerpt:

China’s population has fallen for the first time in 60 years, with the national birth rate hitting a record low – 6.77 births per 1,000 people.

The population in 2022 – 1.4118 billion – fell by 850,000 from 2021.

China’s birth rate has been declining for years, prompting a slew of policies to try to slow the trend.

But seven years after scrapping the one-child policy, it has entered what one official described as an “era of negative population growth”.

The birth rate in 2022 was also down from 7.52 in 2021, according to China’s National Bureau of Statistics, which released the figures on Tuesday.

In comparison, in 2021, the United States recorded 11.06 births per 1,000 people, and the United Kingdom, 10.08 births. The birth rate for the same year in India, which is poised to overtake China as the world’s most populous country, was 16.42.

Deaths also outnumbered births for the first time last year in China. The country logged its highest death rate since 1976 – 7.37 deaths per 1,000 people, up from 7.18 the previous year.

Author(s): Kelly Ng

Publication Date: 17 Jan 2023

Publication Site: BBC

Monopsony in Professional Labor Markets: Hospital System Concentration and Nurse Wage Growth

Link: https://www.ineteconomics.org/perspectives/blog/monopsony-in-professional-labor-markets-hospital-system-concentration-and-nurse-wage-growth

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PDF of working paper: https://www.ineteconomics.org/uploads/papers/WP_197-Allegretto-HospCons.pdf

Excerpt:

Rolling waves of consolidation have significantly decreased the number of hospital systems in the U.S., leading to dominant regional systems. Increased concentration potentially affects industry quality, prices, efficiency, wages, and more. Much of the consolidation research is focused on merger events and estimating effects on the merged entities. In contrast, our new working paper is not based simply on merger data but takes account of the overall increase in consolidation across the country without respect to cause.

Specifically, we use the intensity of changes in hospital system consolidation in metropolitan statistical areas (MSAs) over two periods to estimate its effect on the wage growth of higher-earning professional workers—in this case registered nurses. We focus on registered nurses as a homogeneous group of workers with some degree of industry-specific education and skills. Registered nurses represent the largest single occupational classification in hospitals and urgent care centers, representing one in four workers.

Understanding the dynamics of local healthcare labor markets is critical given the importance of the sector for the U.S. economy; even more so in the wake of the pandemic amid continued uncertainty around long-term effects (e.g., early retirements, career shifts, education delays). Moreover, labor shortages among hospital-based nurses, which may be a symptom of monopsony, have been endemic in the industry for many years. The wages of nurses were stagnant between 1995 and 2015 despite increasing demand for healthcare over the same timeframe even as it was the only sector that added employment during the Great Recession. Explanations for the stagnation of nurse wages—in one of the more highly unionized professional occupations in the country—are not readily apparent.

Author(s): Sylvia Allegretto and Dave Graham-Squire

Publication Date: 19 Jan 2023

Publication Site: Institute for New Economic Thinking

France: Over 1 million march against raising retirement age

Link: https://apnews.com/article/france-retirement-age-limit-protests-866eb86aea5cf0d39894b96d2888c26f

Excerpt:

At least 1.1 million people protested on the streets of Paris and other French cities Thursday amid nationwide strikes against plans to raise the retirement age — but President Emmanuel Macron insisted he would press ahead with the proposed pension reforms.

Emboldened by the mass show of resistance, French unions announced new strikes and protests Jan. 31, vowing to try to get the government to back down on plans to push up the standard retirement age from 62 to 64. Macron says the measure – a central pillar of his second term — is needed to keep the pension system financially viable, but unions say it threatens hard-fought worker rights.

Out of the country for a French-Spanish summit in Barcelona, Macron acknowledged the public discontent but said that “we must do that reform” to “save” French pensions.

….

In a country with an aging population and growing life expectancy where everyone receives a state pension, Macron’s government says the reform is the only way to keep the system solvent.

Unions propose a tax on the wealthy or more payroll contributions from employers to finance the pension system instead.

Polls suggest most French people oppose the reform, and Thursday was the first public reaction to Macron’s plan. Strikes severely disrupted transport, schools and other public services, and more than 200 rallies were staged around France.

….

Under the planned changes, workers must have worked for at least 43 years to be entitled to a full pension. For those who do not fulfil that condition, like many women who interrupted their career to raise children or those who studied for a long time and started working late, the retirement age would remain unchanged at 67.

Those who started to work under the age of 20 and workers with major health issues would be allowed early retirement.

Protracted strikes met Macron’s last effort to raise the retirement age in 2019. He eventually withdrew it after the COVID-19 pandemic hit.

Retirement rules vary widely from country to country, making direct comparisons difficult. The official retirement age in the U.S. is now 67, and countries across Europe have been raising pension ages as populations grow older and fertility rates drop.

Author(s): SYLVIE CORBET and JADE LE DELEY

Publication Date: 19 Jan 2023

Publication Site: Associated Press

Millions march in France against Macron’s pension cuts

Link: https://www.wsws.org/en/articles/2023/01/20/fxax-j20.html

Excerpt:

Two million people struck or marched in protests yesterday called by union federations against President Emmanuel Macron’s pension cuts. Polls show around 80 percent of the population oppose the cuts, which would increase the minimum retirement age to 64 with a minimum pay-in period of 43 years. Strike calls were widely followed by rail and mass transit workers, school staff, and electricity and refinery workers, and 200 protest marches were held in cities across France.

Trade unions reported that 400,000 people marched in Paris, 140,000 in Marseille, 38,000 in Lyon, 60,000 in Bordeaux, 50,000 in Toulouse and Lille, 55,000 in Nantes and 35,000 in Strasbourg. Moreover, many smaller cities saw large turnouts that surprised police authorities. There were 25,000 in Orléans, 21,000 in Le Mans, 20,000 in Nice, 19,000 in Clermont-Ferrand, 15,000 in Tours, 13,000 in Pau, 10,000 in Chartres, 9,000 in Angoulême and 8,000 in Châteauroux.

Author(s): Alex Lantier, Anthony Torres

Publication Date: 20 Jan 2023

Publication Site: World Socialist Web Site

Incidence of COVID-19 Among Persons Experiencing Homelessness in the US From January 2020 to November 2021

Link: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2795298

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JAMA Netw Open. 2022;5(8):e2227248. doi:10.1001/jamanetworkopen.2022.27248

Excerpt:

Question  How many cases of COVID-19 in the US have occurred among people experiencing homelessness?

Findings  In this cross-sectional study of 64 US jurisdictional health departments, 26 349 cases of COVID-19 among people experiencing homelessness were reported at the state level and 20 487 at the local level. The annual incidence rate of COVID-19 was lower among people experiencing homelessness than in the general population at state and local levels.

Meaning  The findings suggest that incorporating housing and homelessness status in infectious disease surveillance may improve understanding of the burden of infectious diseases among disproportionately affected groups and aid public health decision-making.

Author(s): Ashley A. Meehan, MPH1; Isabel Thomas, MPH1,2; Libby Horter, MPH1,3; et al

Publication Date: August 18, 2022

Publication Site: JAMA Open Network

Nine States Began the Pandemic With Long-Term Deficits

Link: https://www.pewtrusts.org/en/research-and-analysis/articles/2022/12/16/nine-states-began-the-pandemic-with-long-term-deficits

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Twenty states recorded annual shortfalls in fiscal year 2020, when the coronavirus pandemic triggered a public health crisis, a two-month recession, and substantial volatility in states’ balance sheets. States can withstand periodic deficits, but long-running imbalances—such as those carried by nine states—can create an unsustainable fiscal situation by pushing off some past costs for operating government and providing services onto future taxpayers.

States are expected to balance their budgets every year. But that’s only part of the picture of how well revenue—composed predominantly of tax dollars and federal funds—matches spending across all state activities. A look beyond states’ budgets at their own financial reports provides a more comprehensive view of how public dollars are managed. In fiscal 2020, a historic plunge in tax revenue collections and a spike in spending demands were met with an initial influx of federal aid to combat the pandemic. The typical state’s total expenses and revenues grew faster than at any time since at least fiscal 2002, largely thanks to the unprecedented federal aid. But spending growth outpaced revenue growth in all but five states (Idaho, Maryland, Missouri, South Dakota, and Virginia). And 20 states recorded annual shortfalls—the most since 2010 and four times more than in fiscal 2019.

Despite the sudden increase in annual deficits, most states collected more than enough aggregate revenue to cover aggregate expenses over the long-term. But the nine states that had a 15-year deficit (New Jersey, Illinois, Connecticut, Hawaii, Massachusetts, Maryland, Kentucky, New York, and Delaware) —or a negative fiscal balance—carried forward deferred costs of past services, including debt and unfunded public employee retirement liabilities. Between 2006 and 2020, New Jersey accumulated the largest gap between its revenue and annual bills, taking in enough to cover just 91.9% of its expenses—the smallest percentage of any state. Meanwhile, Alaska collected 130.5%, yielding the largest surplus. The typical state’s revenue totaled 102.7% of its annual bills over the past 15 years.

Zooming out from a narrow focus on annual or biennial budgets—which may mask deficits as they allow for shifting the timing of when states receive cash or pay off bills to reach a balance—offers a big-picture look at whether state governments have lived within their means, or whether higher revenue or lower expenses may be necessary to bring a state into fiscal balance.

Author(s): Joanna Biernacka-Lievestro, Alexandre Fall

Publication Date: 16 Dec 2022

Publication Site: Pew

Pensioner at 43? Turkey introduces Early Retirement

Link: https://www.novinite.com/articles/218274/Pensioner+at+43%3F+Turkey+introduces+Early+Retirement

Excerpt:

Over 2 million Turks will be able to retire at any time as long as they have worked for at least 7,200 days. Critics warn of the dangerous consequences of this pre-election move by President Erdogan, writes Deutsche Welle.

The door of the Pension and Social Security Office in Istanbul’s Unkapani district is locked. However, a long line has formed on the sidewalk in front of it – people are waiting for the lunch break to end.

The 49-year-old toy seller Murat, who is among those waiting, started working at the age of 13. Now he wants to know if he can retire immediately. “Actually, 49 is too early,” he admits. “But if the state gives you such an opportunity, you should take advantage of it,” he adds.

….

Similar queues are currently being seen in many places after President Recep Tayyip Erdogan announced that the minimum retirement age would be abolished. According to him, this will affect about 2 million people. Until now, women had the right to retire at 58 and men at 60. From the middle of January, only the time worked will be taken into account. This means that 7,200 days of service will qualify for retirement.

….

Another problem is that the earlier people receive pensions, the earlier they stop making contributions to the insurance system. So it is in danger of collapsing in the long term, says the woman, who did not want to be named. “This is at the expense of future generations,” economist Senol Babuscu told Turkey‘s Karar TV. “How much damage we are doing to future generations remains to be seen.”

The upcoming costs of the Turkish state are also not yet known. But the Labor Minister predicted the bill would come out to at least €5 billion.

Publication Date: 4 Jan 2023

Publication Site: novinite.com

Macron says 2023 will be the year of pension reform in France

Link: https://www.reuters.com/world/europe/frances-macron-says-2023-will-be-year-pension-reform-2022-12-31/

Excerpt:

The coming year will be one of much-delayed pension reform, President Emmanuel Macron told the French in a New Year’s Eve speech on Saturday.

Reforming France’s costly and complicated pension system was a key plank of Macron’s election platform when he came to power in 2017.

But his initial proposals provoked weeks of protests and transport strikes just before the COVID-19 pandemic hit. Macron put the initiative on hold as he ordered France into lockdown in early 2020.

….

Macron has long made it clear he wants to raise the retirement age – but this has already met fierce resistance from unions and, according to polls, is deeply unpopular with the public.

Publication Date: 31 Dec 2022

Publication Site: Reuters

Public Health Agencies Try to Restore Trust as They Fight Misinformation

Link: https://khn.org/news/article/public-health-agencies-try-to-restore-trust-as-they-fight-misinformation/

Excerpt:

Across the country, health officials have been trying to combat misinformation and restore trust within their communities these past few years, a period when many people haven’t put full faith in their state and local health departments. Agencies are using Twitter, for example, to appeal to niche audiences, such as NFL fans in Kansas City and Star Wars enthusiasts in Alabama. They’re collaborating with influencers and celebrities such as Stephen Colbert and Akbar Gbajabiamila to extend their reach.

Some of these efforts have paid off. By now, more than 80% of U.S. residents have received at least one shot of a covid vaccine.

But data suggests that the skepticism and misinformation surrounding covid vaccines now threatens other public health priorities. Flu vaccine coverage among children in mid-December was about the same as December 2021, but it was 3.7 percentage points lower compared with late 2020, according to the Centers for Disease Control and Prevention. The decrease in flu vaccination coverage among pregnant women was even more dramatic over the last two years: 18 percentage points lower.

Other common childhood vaccination rates are down, too, compared with pre-pandemic levels. Nationally, 35% of all American parents oppose requiring children to be vaccinated for measles, mumps, and rubella before entering school, up from 23% in 2019, according to a KFF survey released Dec. 16. Suspicion swirling around once-trusted vaccines, as well as fatigue from so many shots, is likely to blame.

Author(s): Laurie Sausser

Publication Date: 3 Jan 2023

Publication Site: Kaiser Health News

Why So Many Accountants Are Quitting

Link: https://www.wsj.com/articles/why-so-many-accountants-are-quitting-11672236016?st=c72oscxvc5a7nzk&reflink=share_mobilewebshare

Excerpt:

More than 300,000 U.S. accountants and auditors have left their jobs in the past two years, a 17% decline, and the dwindling number of college students coming into the field can’t fill the gap. 

The exodus is driven by deeper workplace shifts than baby-boomer retirements. Young professionals in the 25- to 34-year-old range and midcareer professionals between the ages of 45 and 54 also departed in high numbers starting in 2019, according to the Bureau of Labor Statistics. Recruiters who have been luring experienced accountants into new roles say they are often moving into jobs in finance and technology.

The huge gap between companies that need accountants and trained professionals has led to salary bumps and more temporary workers joining the sector. Still, neither development will fix the fundamental talent pipeline problem: Many college students don’t want to work in accounting. Even those who majored in it.

Author(s): Lindsay Ellis

Publication Date: 28 Dec 2022

Publication Site: WSJ

To Attract In-Home Caregivers, California Offers Paid Training — And Self-Care

Link: https://khn.org/news/article/california-paid-training-self-care-in-home-caregivers/

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The class is a little touchy-feely. But it’s one of many offerings from the California Department of Social Services that the agency says is necessary for attracting and retaining caregivers in a state-funded assistance program that helps 650,000 low-income people who are older or disabled age in place, usually at home. As part of the $295 million initiative, officials said, thousands of classes, both online and in-person, will begin rolling out in January, focused on dozens of topics, including dementia care, first-aid training, medication management, fall prevention, and self-care. Caregivers will be paid for the time they spend developing skills.

Whether it will help the program’s labor shortage remains to be seen. According to a 2021 state audit of the In-Home Supportive Services program, 32 out of 51 counties that responded to a survey reported a shortage of caregivers. Separately, auditors found that clients waited an average of 72 days to be approved for the program, although the department said most application delays were due to missing information from the applicants.

The in-home assistance program, which has been around for nearly 50 years, is plagued by high turnover. About 1 in 3 caregivers leave the program each year, according to University of California-Davis researcher Heather Young, who worked on a 2019 government report on California’s health care workforce needs.

Author(s): Laurie Udesky

Publication Date: 9 Dec 2022

Publication Site: Kaiser Health News