A demographic and ethnographic exploration of how the aging Japanese society is affecting the family.

This book provides a unique comparative view of the extremely low fertility and drastic population aging in Eastern Asian countries. After discussing demographic and political developments of Japan in detail as a reference case, accelerated changes in Korea, Taiwan and China are interpreted with a comparative cultural view. In addition to the well-known cultural divide between countries with strong and weak family ties, this book proposes another divide between offspring of the feudal family and that of the Confucian family. Included is a discussion of how the discrepancy between the compressed change in the socioeconomic system and the slow change in the family system has resulted in extremely low fertility in Eastern Asia. A comparison of policy development reveals that the sense of overpopulation has caused difficulty in launching pro-natal policy interventions in Eastern Asia, especially in China. Impacts of fertility decline on population aging, total dependency ratio and the timing of population decline in Eastern Asia are analyzed with a stylized model. The remaining Confucian family pattern is especially important in understanding and predicting political development to cope with accelerated population aging. This book is a valuable resource for researchers who are interested in the latest and most surprising demographic phenomena in the region.

This handbook explores the challenges demographic change pose twenty-first century Japan. The first part gives the fundamental data involved, and the subsequent parts address the social, cultural, political, economic and social security aspects of Japan's demographic change.

The United States is in the midst of a major demographic shift. In the coming decades, people aged 65 and over will make up an increasingly large percentage of the population: The ratio of people aged 65+ to people aged 20-64 will rise by 80%. This shift is happening for two reasons: people are living longer, and many couples are choosing to have fewer children and to have those children somewhat later in life. The resulting demographic shift will present the nation with economic challenges, both to absorb the costs and to leverage the benefits of an aging population. Aging and the Macroeconomy: Long-Term Implications of an Older Population presents the fundamental factors driving the aging of the U.S. population, as well as its societal implications and likely long-term macroeconomic effects in a global context. The report finds that, while population aging does not pose an insurmountable challenge to the nation, it is imperative that sensible policies are implemented soon to allow companies and households to respond. It offers four practical approaches for preparing resources to support the future consumption of households and for adapting to the new economic landscape.

Ageing population poses a set of complex policy and dilemmas for social security systems, intensifying the concerns about rising expenditures in health care and long-term care for elderly. In this context, ageing societies has many valuable lessons to learn by studying Japan's experience dealing with its hyper-aged society and particularly from its strategies to ensure the financial sustainability of the Long-Term Care Insurance (LTCI) system. Based on an exhaustive literature review, and the results from six original researches on long-term care expenditures in Japan (LTCE) conducted during a doctoral program, the book provides a comprehensive view in analyzing trends and factors associated with increasing expenditures in the Long-Term Care Insurance system in Japan. The book address relevant topics such as; the main socio-demographic changes experienced by the Japanese society during the last three decades, predictors of the LTCE, measuring efficiency in nursing homes, the impact of the LTCI 2005-reform to contain expenditures, cost-effectiveness of the in-home and community based services and institutional LTCE in the last year of life. The book end with a discussion on futures challenges and strategies oriented to contribute with the sustainability of LTCI system in Japan.

First published in Japanese in 2006 by University of Tokyo Press as Henkasuru shakai no fubyaodao.