The number of seniors is growing rapidly worldwide. The population of adults aged 60 years and over will grow from 901 million in 2015 to 1.4 billion in 2030 and 2.1 billion in 2050. The number of ‘oldest old’ — those aged 80 years and older — will grow from 125 million in 2015 to 434 million in 2050. Declining birth rates reduce the Caregiver Support Ratio, the ratio of available caregivers to those who need care, hence adequate care for older adults is often lacking.
In the USA, the number of potential family caregivers aged 45 to 64 divided by the number of oldest old is projected to decline from more than seven in 2010 to less than three by 2050. It is hard to find and train good paid caregivers — many are ‘imported’ from other countries such as the Philippines. Hence there are too few people to care for growing numbers of seniors. Many caregivers are also illegal immigrants; U.S. policies made the situation there worse. The problem is more dire in some other countries. Japan’s population aged 65 and over is projected to grow from a current level of 25% to 40% by 2055. The country will need to add one million senior care workers and nurses by then.
Ron Baecker is an Emeritus Professor of Computer Science at the University of Toronto and author of Computers and Society: Modern Perspectives (OUP, 2019).Gary Feldman, MD, FAAP, FABMG,is a retired physician who was the Public Health Officer of Ventura County and Riverside County in California for 14 years.They are two of theco-authors of The COVID-19 Solutions Guide.
The COVID-19 Solutions Guide, published in mid-June, described the effects of the first wave of the virus on senior care in North America as follows:
“As of early June, over one-third of the known COVID-19 deaths in the U.S. have been to residents and staff living and working in nursing and long-term care homes. As of early May, a shocking 82% of the known virus deaths in Canada have been to those in long-term care. A Canadian Forces report commissioned by the province on Ontario, released in late May, reported numerous incidents of poor infection control, residents being denied food or being fed improperly, residents being treated roughly, and staffing problems. A flurry of lawsuits is expected. In Ontario, a $50 million suit was filed on May 1, 2020, alleging that one of Canada’s largest operators of senior residences and long-term care facilities lacked “proper sanitation protocols and adequate testing to prevent the spread of COVID-19”. In the United States, nursing homes have sought emergency protection from lawsuits alleging improper care.”