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 The	
  Future	
  of	
  Aging	
  |	
  The	
  Emerging	
  View	
  	
  
	
  Insights	
  from	
  Mul0ple	
  Expert	
  Discussions	
  Around	
  the	
  World	
  
Context	
  
Global	
  aging	
  and	
  demographic	
  shi=s	
  were	
  key	
  themes	
  to	
  emerge	
  from	
  the	
  first	
  
Future	
  Agenda	
  program.	
  Since	
  then,	
  the	
  topic	
  has	
  grown	
  in	
  recogni0on,	
  focus	
  
and	
  concern	
  for	
  a	
  wide	
  range	
  of	
  individuals,	
  organiza0ons	
  and	
  governments.	
  
Future	
  Agenda	
  
The	
  Future	
  Agenda	
  is	
  the	
  world’s	
  largest	
  open	
  foresight	
  program	
  	
  
that	
  accesses	
  mul0ple	
  views	
  of	
  the	
  next	
  decade	
  	
  
so	
  all	
  can	
  be	
  beJer	
  informed	
  and	
  s0mulate	
  innova0on.	
  
Looking	
  Forwards	
  
Organisa0ons	
  increasingly	
  want	
  to	
  iden0fy	
  and	
  understand	
  
	
  both	
  the	
  an0cipated	
  and	
  unexpected	
  changes	
  	
  
so	
  that	
  they	
  can	
  be	
  beJer	
  prepared	
  for	
  the	
  future.	
  
Future	
  Agenda	
  1.0	
  Top	
  Insights	
  for	
  2020	
  
From	
  the	
  2010	
  program,	
  52	
  key	
  insights	
  on	
  the	
  next	
  decade	
  were	
  shared	
  
widely	
  and	
  have	
  been	
  extensively	
  used	
  by	
  organiza0ons	
  around	
  the	
  world.	
  
Aging	
  was	
  a	
  key	
  issue	
  to	
  emerge	
  in	
  2010	
  and	
  has	
  grown	
  since.	
  
Future	
  Agenda	
  in	
  Numbers	
  
The	
  first	
  Future	
  Agenda	
  program	
  engaged	
  a	
  wide	
  range	
  of	
  views	
  in	
  
	
  25	
  countries.	
  Future	
  Agenda	
  2.0	
  has	
  doubled	
  the	
  face-­‐to-­‐face	
  interac0on	
  	
  
and	
  significantly	
  raised	
  online	
  sharing,	
  debate	
  and	
  discussion.	
  
Future	
  Agenda	
  1.0	
  
	
  
1	
  HOST	
  
16	
  TOPICS	
  
25	
  COUNTRIES	
  
50	
  WORKSHOPS	
  
1500	
  ORGANISATIONS	
  
Future	
  Agenda	
  2.0	
  
	
  
50	
  HOSTS	
  
25	
  TOPICS	
  
40	
  COUNTRIES	
  
100	
  WORKSHOPS	
  
2500	
  ORGANISATIONS	
  
Future	
  Agenda	
  2.0	
  Topics	
  
The	
  second	
  version	
  of	
  the	
  Future	
  Agenda	
  program	
  is	
  taking	
  place	
  	
  
during	
  2015	
  and	
  has	
  been	
  addressing	
  21	
  topics	
  via	
  100	
  events	
  in	
  
	
  50	
  ci0es	
  in	
  40	
  countries	
  in	
  partnership	
  with	
  around	
  50	
  core	
  hosts.	
  
Ageing	
  
CiOes	
  
Company	
  
ConnecOvity	
  
Data	
  
EducaOon	
  
Energy	
  
Food	
  
Government	
  
Health	
  
Learning	
  
Loyalty	
  
Payments	
  
Privacy	
  
Resources	
  
Transport	
  
Travel	
  
Water	
  
Wealth	
  
Work	
  
Aging2.0	
  Partnership	
  
Discussions	
  on	
  the	
  future	
  of	
  aging	
  were	
  undertaken	
  in	
  partnership	
  with	
  
Aging2.0.	
  Dedicated	
  events	
  focused	
  on	
  aging	
  plus	
  insights	
  from	
  topics	
  such	
  as	
  
the	
  future	
  of	
  data,	
  health	
  and	
  work	
  have	
  all	
  added	
  more	
  views	
  to	
  the	
  mix.	
  	
  
Ini0al	
  
Perspec0ves	
  
Q4	
  2014	
  
Global	
  
Discussions	
  
Q1/2	
  2015	
  
Insight	
  
Synthesis	
  
Q3	
  2015	
  
Sharing	
  	
  
Output	
  
Q4	
  2015	
  
Future	
  of	
  Aging	
  Events	
  
Four	
  future	
  of	
  aging	
  events	
  were	
  held	
  in	
  Hong	
  Kong,	
  Sydney,	
  London	
  and	
  Palo	
  Alto,	
  
CA.	
  These	
  were	
  hosted	
  by	
  The	
  Jade	
  Club,	
  AMP,	
  Saga	
  plc	
  and	
  the	
  Stanford	
  Center	
  on	
  
Longevity.	
  A	
  fi=h	
  event	
  will	
  be	
  hosted	
  by	
  AARP	
  in	
  Washington	
  DC	
  on	
  Oct	
  2nd	
  2015.	
  
The	
  Future	
  of	
  Aging	
  |	
  The	
  Emerging	
  View	
  	
  
This	
  document	
  provides	
  an	
  overview	
  of	
  what	
  we	
  heard	
  from	
  mul0ple	
  expert	
  
voices	
  around	
  the	
  world	
  –	
  on	
  the	
  future	
  of	
  aging,	
  how	
  it	
  is	
  changing,	
  what	
  is	
  
driving	
  this	
  change	
  and	
  how	
  it	
  may	
  evolve	
  over	
  the	
  next	
  decade.	
  
Four	
  Key	
  Themes	
  
Across	
  the	
  the	
  discussions	
  so	
  far,	
  issues	
  related	
  to	
  aging	
  
seem	
  to	
  be	
  touching	
  upon	
  and	
  connec0ng	
  with	
  four	
  underlying,	
  	
  
and	
  interwoven,	
  themes	
  with	
  different	
  emphasis	
  in	
  different	
  countries.	
  
Agelessness	
  
Working	
  
Longer	
  
Aging	
  in	
  
Community	
  
Care	
  for	
  the	
  
Aging	
  
Agelessness	
  
Agelessness	
  
Culture	
  catches	
  up	
  with	
  demographics	
  and	
  age-­‐based	
  limita0ons	
  fade.	
  New	
  
opportuni0es	
  for	
  older	
  people	
  to	
  par0cipate	
  in	
  society	
  emerge,	
  although	
  many	
  
are	
  only	
  available	
  to	
  the	
  healthy	
  and	
  wealthy,	
  crea0ng	
  a	
  new	
  set	
  of	
  challenges.	
  
Lifespan	
  Limits	
  	
  
	
  On	
  a	
  global	
  scale,	
  life	
  expectancies	
  in	
  developed	
  regions	
  are	
  con0nuing	
  to	
  rise	
  
in	
  the	
  21st	
  century	
  and,	
  although	
  most	
  people	
  assume	
  that	
  there	
  are	
  biological	
  
limits	
  on	
  life	
  span,	
  so	
  far	
  there	
  is	
  liJle	
  evidence	
  that	
  we	
  are	
  approaching	
  them.	
  
Culture	
  ShiT	
  
	
  The	
  culture	
  that	
  guides	
  people	
  through	
  life	
  today	
  is	
  a	
  culture	
  that	
  	
  
evolved	
  around	
  shorter	
  lives.	
  The	
  urgent	
  challenge	
  now	
  is	
  to	
  create	
  	
  
cultures	
  that	
  support	
  people	
  through	
  ten	
  and	
  more	
  decades	
  of	
  life.	
  	
  
Re-­‐defining	
  Purpose	
  
Life-­‐plans	
  will	
  need	
  to	
  recognise	
  lengthy	
  ‘old-­‐age’,	
  	
  
driving	
  a	
  search	
  for	
  purpose	
  into	
  and	
  beyond	
  the	
  tradi0onal,	
  	
  
but	
  arbitrary,	
  no0on	
  of	
  re0rement.	
  
The	
  Bigger	
  Opportunity	
  
	
  Predic0ons	
  about	
  economic	
  disaster	
  change	
  to	
  discussions	
  of	
  economic	
  
growth	
  if	
  people	
  remain	
  produc0ve	
  into	
  advanced	
  ages.	
  We	
  are	
  experiencing	
  
one	
  of	
  the	
  greatest	
  opportuni0es	
  to	
  improve	
  quality	
  of	
  life	
  at	
  all	
  ages.	
  	
  
MulO-­‐GeneraOonal	
  Travel	
  
Many	
  elect	
  to	
  travel	
  together	
  as	
  mul0-­‐genera0on	
  groups	
  of	
  both	
  families	
  and	
  
mixed	
  friends.	
  They	
  look	
  for	
  vaca0ons	
  that	
  keep	
  everyone	
  happy	
  and,	
  as	
  such,	
  
stress	
  many	
  systems	
  based	
  on	
  delivering	
  segmented	
  experiences.	
  
Life-­‐long	
  Learning	
  
Educa0on	
  is	
  a	
  high	
  priority	
  for	
  all	
  na0ons	
  to	
  remain	
  compe00ve	
  in	
  a	
  global	
  
market	
  place:	
  It	
  is	
  increasingly	
  available	
  on	
  line.	
  Widespread	
  internet	
  access	
  
allows	
  governments	
  to	
  make	
  life-­‐long	
  learning	
  available	
  for	
  those	
  who	
  want	
  it.	
  
The	
  GeneraOon	
  Divide	
  
The	
  perspec0ve	
  gap	
  grows	
  between	
  the	
  expecta0ons	
  of	
  the	
  young,	
  	
  
who	
  are	
  increasingly	
  global	
  in	
  their	
  outlook,	
  and	
  the	
  more	
  	
  
tradi0onal	
  views	
  of	
  more	
  senior	
  and	
  experienced	
  colleagues.	
  	
  
Intra	
  and	
  Inter-­‐generaOonal	
  Harmony	
  	
  
Mutually	
  nega0ve	
  stereotypes	
  between	
  young	
  and	
  old	
  are	
  are	
  offset	
  by	
  a	
  
growing	
  interest	
  in	
  youth	
  serving	
  the	
  elderly.	
  The	
  wisdom	
  of	
  elders	
  is	
  again	
  
respected	
  and	
  sought	
  by	
  younger	
  genera0ons.	
  
Unequal	
  Futures	
  
New	
  technologies,	
  new	
  economic	
  opportuni0es	
  and	
  new	
  lifestyle	
  choices	
  for	
  
older	
  people	
  will	
  be	
  very	
  unevenly	
  distributed,	
  leading	
  to	
  extreme	
  inequali0es	
  
within	
  and	
  between	
  ageing	
  popula0ons.	
  
DisrupOve	
  Voices,	
  DisrupOve	
  Impacts	
  
Senior	
  ac0vism	
  will	
  grow	
  with	
  the	
  demographic.	
  Policy	
  will	
  increasingly	
  reflect	
  
the	
  will	
  of	
  older	
  people:	
  especially	
  in	
  housing/communi0es,	
  health	
  and	
  
employment,	
  leading	
  to	
  intergenera0onal	
  tensions	
  over	
  choices	
  made.	
  
Working	
  Longer	
  
Working	
  Longer	
  
	
  For	
  those	
  who	
  have	
  inadequate	
  re0rement	
  savings,	
  the	
  most	
  obvious	
  	
  
solu0on	
  is	
  to	
  work	
  longer.	
  One	
  major	
  poten0al	
  barrier,	
  however,	
  	
  
is	
  that	
  employers	
  remain	
  ambivalent	
  about	
  older	
  workers.	
  	
  
Infeasible	
  ReOrement	
  
	
  For	
  many,	
  re0rement	
  at	
  age	
  65	
  is	
  economically	
  infeasible.	
  	
  
The	
  reality	
  is	
  that	
  few	
  workers	
  can	
  fund	
  a	
  30	
  year	
  re0rement	
  	
  
with	
  a	
  40	
  year	
  career.	
  Neither	
  can	
  socie0es.	
  	
  
Cost	
  of	
  Older	
  Workers	
  
	
  The	
  cost	
  of	
  older	
  workers	
  is	
  a	
  real	
  issue	
  for	
  employers.	
  Offering	
  bridge	
  jobs	
  or	
  
flexible	
  work	
  arrangements	
  such	
  as	
  flex	
  hours	
  and	
  part-­‐0me	
  work	
  will	
  allow	
  
employers	
  to	
  retain	
  the	
  exper0se	
  of	
  older	
  workers	
  while	
  reducing	
  costs.	
  	
  
Societal	
  Benefit	
  
	
  85%	
  of	
  Americans	
  aged	
  65-­‐69	
  report	
  no	
  health-­‐based	
  limita0ons	
  on	
  paid	
  	
  
work	
  or	
  housework.	
  Similar	
  trends	
  are	
  evident	
  in	
  Europe.	
  Socie0es	
  that	
  	
  
find	
  ways	
  to	
  tap	
  older	
  peoples’	
  contribu0ons	
  will	
  benefit	
  greatly.	
  	
  	
  
Wisdom	
  Workers	
  
Focus	
  is	
  on	
  enabling	
  reinven0on	
  stemming	
  from	
  opportuni0es	
  created	
  by	
  	
  
non-­‐linear	
  career	
  paths	
  and	
  innova0on	
  networks,	
  giving	
  rise	
  to	
  the	
  ‘wisdom	
  
worker’	
  -­‐	
  where	
  experience	
  is	
  the	
  cri0cal	
  addi0on	
  to	
  skills	
  and	
  intelligence.	
  
‘Bleisure’	
  and	
  ‘SabbaOcaOon’	
  
Travel	
  con0nues	
  to	
  evolve	
  in	
  line	
  with	
  changing	
  work	
  paJerns	
  and	
  career	
  
aspira0ons;	
  being	
  able	
  to	
  work-­‐away,	
  take	
  longer	
  breaks	
  off-­‐grid,	
  and	
  even	
  
job-­‐share	
  and	
  job-­‐switch,	
  become	
  significant	
  drivers	
  of	
  future	
  travel	
  offers.	
  
Age	
  Diversified	
  Workforces	
  
	
  The	
  demographic	
  changes	
  underway	
  are	
  fundamentally	
  altering	
  	
  
virtually	
  all	
  aspects	
  of	
  life	
  as	
  we	
  know	
  it.	
  Workforces	
  are	
  becoming	
  	
  
older	
  and	
  more	
  age	
  diversified	
  than	
  ever	
  in	
  history.	
  	
  
SupporOng	
  the	
  Ageing	
  Workforce	
  
As	
  major	
  economies	
  suffer	
  from	
  increasing	
  dependency	
  ra0os,	
  the	
  challenge	
  
	
  of	
  suppor0ng	
  an	
  increasingly	
  older	
  workforce	
  demands	
  rethinking	
  of	
  life-­‐long	
  
learning	
  and	
  broader	
  acceptance	
  of	
  the	
  cost	
  of	
  part-­‐0me	
  flexible	
  jobs.	
  
Senior-­‐preneurship	
  Flourishes	
  
Products	
  and	
  services	
  aimed	
  at	
  the	
  ageing	
  popula0on	
  will	
  proliferate.	
  But	
  
seniors	
  will	
  also	
  be	
  ac0vely	
  involved	
  in	
  innova0on	
  themselves,	
  developing	
  
new	
  economic	
  opportuni0es	
  for	
  all,	
  both	
  within	
  and	
  beyond	
  the	
  ageing	
  space.	
  
Cross-­‐generaOonal	
  CollaboraOon	
  
Tapping	
  into	
  the	
  exper0se	
  of	
  part-­‐0me	
  older	
  workers	
  and	
  the	
  re0red	
  is	
  
supported	
  both	
  by	
  the	
  elderly,	
  who	
  seek	
  to	
  remain	
  ac0ve	
  and	
  make	
  a	
  
difference,	
  and	
  the	
  young	
  who	
  can	
  help	
  share	
  and	
  apply	
  their	
  knowledge.	
  	
  
Increased	
  Wellbeing	
  
	
  Both	
  paid	
  and	
  unpaid	
  work	
  are	
  associated	
  with	
  enhanced	
  well-­‐being,	
  	
  
delayed	
  disability,	
  decreased	
  mortality	
  risk,	
  and	
  onset	
  of	
  	
  
fewer	
  diseases	
  and	
  associated	
  func0onal	
  impairments.	
  
Aging	
  in	
  Community	
  
Aging	
  in	
  Community	
  
Individuals,	
  families	
  as	
  well	
  as	
  healthcare	
  payers	
  desire	
  to	
  keep	
  older	
  	
  
people	
  living	
  healthy	
  and	
  independent	
  loner.	
  This	
  requires	
  upgraded	
  
infrastructure,	
  transporta0on	
  systems	
  and	
  thoughkul	
  products	
  and	
  services.	
  	
  
AdapOng	
  for	
  Ageing	
  PopulaOons	
  	
  
In	
  developed	
  countries,	
  80%	
  of	
  older	
  people	
  will	
  live	
  in	
  ci0es	
  by	
  2050,	
  while	
  
ci0es	
  in	
  developing	
  countries	
  will	
  house	
  25%	
  of	
  the	
  older	
  popula0on.	
  Planners	
  
are	
  adap0ng	
  urban	
  environments	
  to	
  support	
  healthy	
  ageing	
  of	
  popula0ons.	
  
Changing	
  Travel	
  MoOvaOons	
  
Demographic	
  shi=s	
  and	
  technology	
  developments	
  influence	
  when	
  and	
  why	
  	
  
we	
  need	
  to	
  travel.	
  Mo0va0ons	
  for	
  work	
  and	
  leisure	
  mobility	
  blur,	
  and	
  dynamic	
  
pricing	
  and	
  the	
  sharing	
  economy	
  deliver	
  greater	
  efficiency	
  in	
  the	
  system.	
  	
  
Triple-­‐Access	
  SoluOons	
  
Focus	
  should	
  be	
  upon	
  developing	
  a	
  balanced	
  triple-­‐access	
  system	
  	
  
of	
  transport,	
  physical	
  proximity	
  and	
  digital	
  connec0vity	
  system	
  that	
  	
  
may	
  transcend	
  the	
  tradi0onal	
  remits	
  of	
  government	
  departments.	
  	
  
Autonomous	
  Vehicles	
  
Led	
  by	
  urban	
  delivery	
  pods	
  and	
  long	
  distance	
  trucks,	
  	
  
the	
  rise	
  of	
  automa0cally	
  driven	
  vehicles	
  leads	
  to	
  the	
  	
  
reinven0on	
  of	
  the	
  travel	
  experience	
  around	
  infotainment.	
  
Mainstreaming	
  of	
  Design	
  for	
  Ageing	
  
Consumer	
  products	
  increasingly	
  incorporate	
  the	
  perspec0ve	
  	
  
of	
  older	
  users	
  into	
  the	
  design	
  process	
  –	
  and	
  in	
  so	
  doing,	
  	
  
make	
  them	
  simpler	
  and	
  easier	
  to	
  use	
  for	
  all.	
  	
  
Living	
  Longer	
  -­‐	
  Not	
  Lonelier	
  
In	
  some	
  countries	
  we	
  shape	
  a	
  more	
  connected	
  world	
  in	
  which	
  older	
  people	
  feel	
  
significant	
  and	
  worth	
  something.	
  Physical	
  solu0ons	
  such	
  as	
  co-­‐located	
  care	
  homes	
  and	
  
crèches	
  recreate	
  historical	
  connec0ons	
  between	
  the	
  ageing	
  and	
  wider	
  society.	
  	
  	
  	
  
In	
  Need	
  of	
  Belonging	
  	
  
Small	
  communi0es	
  exist	
  in	
  mega	
  ci0es	
  to	
  provide	
  a	
  sense	
  of	
  community	
  	
  
and	
  social	
  wellbeing.	
  Looking	
  ahead,	
  the	
  more	
  responsive	
  ci0es	
  will	
  	
  
seek	
  to	
  enable	
  communi0es	
  to	
  mould	
  their	
  neighbourhoods.	
  	
  	
  
Commodifying	
  InOmacy	
  
	
  Increasing	
  isola0on	
  drives	
  adop0on	
  of	
  innova0ve	
  products	
  (such	
  as	
  	
  
social	
  robots),	
  new	
  services	
  and	
  business	
  models	
  that	
  help	
  people	
  	
  
meet	
  physical	
  and	
  emo0onal	
  needs	
  for	
  connec0on.	
  	
  
Care	
  for	
  the	
  Aging	
  
Care	
  for	
  the	
  Aging	
  
As	
  the	
  popula0on	
  ages,	
  the	
  healthcare	
  sector	
  changes	
  the	
  way	
  in	
  which	
  it	
  
delivers	
  support,	
  with	
  more	
  coordina0on	
  among	
  service	
  providers	
  and	
  more	
  	
  
in-­‐home	
  care.	
  There	
  is	
  also	
  a	
  frank	
  conversa0on	
  about	
  people’s	
  “right	
  to	
  die”.	
  	
  
Visualising	
  Future	
  Needs	
  
Predic0ve	
  analysis,	
  gene0c	
  profiling	
  and	
  credit	
  systems	
  combine	
  to	
  give	
  us	
  
sight	
  of	
  our	
  personal	
  future	
  care	
  needs.	
  We	
  adjust	
  behaviours;	
  we	
  are	
  aware	
  of	
  
long-­‐term	
  impacts	
  of	
  our	
  ac0ons	
  and	
  take	
  ownership	
  of	
  personal	
  care	
  budgets.	
  
HolisiOc	
  Health	
  Planning	
  
There	
  will	
  be	
  a	
  wholesale	
  shi=	
  in	
  health	
  focus	
  from	
  short-­‐term	
  problem-­‐
solving	
  to	
  long-­‐term,	
  healthy-­‐life	
  planning	
  and	
  management,	
  with	
  GPs	
  
(ini0ally)	
  shi=ing	
  their	
  role	
  to	
  become	
  whole-­‐life	
  health	
  coaches.	
  
Life	
  Worth	
  Living	
  	
  
We	
  shi=	
  the	
  system	
  from	
  one	
  focused	
  on	
  care	
  with	
  the	
  needs	
  of	
  the	
  ins0tu0on	
  
a	
  priority	
  to	
  one	
  focused	
  on	
  enhancing	
  quality	
  of	
  life	
  and	
  dignity.	
  There	
  is	
  a	
  rise	
  
in	
  pallia0ve	
  care	
  and	
  societal	
  par0cipa0on	
  giving	
  more	
  meaning	
  to	
  later	
  life.	
  
Parent	
  Care	
  
A	
  greater	
  recogni0on	
  of	
  the	
  social	
  and	
  economic	
  benefits	
  of	
  family	
  caregivers.	
  
Organisa0ons	
  develop	
  programs	
  and	
  support	
  for	
  their	
  working	
  caregivers	
  
looking	
  a=er	
  their	
  parents	
  as	
  well	
  as	
  their	
  children.	
  	
  
Caregiver	
  Marketplaces	
  
Recogni0on	
  of	
  the	
  trillion	
  dollar	
  informal	
  caregiver	
  economy	
  	
  
drives	
  new	
  solu0ons	
  aimed	
  at	
  educa0ng,	
  suppor0ng	
  and	
  	
  
empowering	
  family	
  caregivers.	
  	
  
Living	
  While	
  Dying	
  
We	
  will	
  see	
  policy,	
  product	
  and	
  service	
  innova0ons	
  in	
  the	
  field	
  of	
  end-­‐of-­‐life	
  
planning.	
  Businesses	
  and	
  professions	
  will	
  come	
  to	
  recognise	
  the	
  need	
  to	
  
provide	
  more	
  (end-­‐of)	
  life-­‐style	
  choices	
  to	
  individuals	
  and	
  consumers.	
  
The	
  Healthcare	
  Debt	
  Time-­‐Bomb	
  
The	
  rising	
  cost	
  of	
  healthcare	
  results	
  in	
  ra0oning	
  and	
  the	
  end	
  of	
  universal	
  
healthcare.	
  Individual	
  health	
  budgets,	
  preven0on	
  technology,	
  migra0on	
  and	
  
working	
  longer	
  all	
  increase	
  as	
  new	
  approaches	
  seek	
  to	
  improve	
  efficiency.	
  	
  
Welfare	
  Reboot	
  
As	
  increasing	
  inequality	
  in	
  Europe	
  leads	
  to	
  social	
  unrest,	
  healthcare	
  and	
  
welfare	
  systems	
  are	
  stressed	
  and	
  rethought.	
  Ideological	
  views	
  are	
  replaced	
  by	
  
pragma0c	
  solu0ons	
  that	
  recognise	
  the	
  fundamentals	
  for	
  an	
  ageing	
  popula0on.	
  
HalOng	
  Alzheimer's	
  	
  
Stopping	
  mental	
  degrada0on	
  from	
  Alzheimer’s	
  makes	
  	
  
quality	
  ageing	
  more	
  possible	
  by	
  improving	
  	
  
cogni0on	
  and	
  slowing	
  the	
  rate	
  of	
  decline	
  
Mass	
  Medical	
  Tourism	
  
Medical	
  tourism	
  goes	
  main-­‐stream	
  as	
  low-­‐cost	
  cardiac	
  	
  
surgery	
  and	
  broader	
  healthcare	
  provision	
  join	
  	
  
den0stry	
  and	
  cosme0c	
  surgery	
  to	
  have	
  global	
  impact	
  
Looking	
  Ahead	
  
	
  Rather	
  than	
  move	
  forward	
  by	
  happenstance,	
  we	
  need	
  strategic	
  thinking	
  	
  
about	
  how	
  to	
  best	
  use	
  added	
  decades	
  of	
  life.	
  Helping	
  individuals	
  and	
  na0ons	
  	
  
visualize	
  and	
  prepare	
  is	
  essen0al	
  to	
  ensure	
  that	
  longer	
  lives	
  are	
  high	
  quality.	
  
Some	
  QuesOons	
  
Some	
  QuesOons	
  
From	
  these	
  discussions	
  on	
  and	
  around	
  the	
  future	
  of	
  aging,	
  there	
  seems	
  to	
  	
  
be	
  a	
  number	
  of	
  key	
  ques0ons	
  to	
  be	
  addressed	
  by	
  governments,	
  companies	
  	
  
and	
  individuals	
  –	
  some	
  global	
  and	
  some	
  more	
  local	
  or	
  regional	
  in	
  focus.	
  
1.  Will	
  we	
  find	
  and	
  agree	
  common	
  approaches	
  for	
  aging	
  globally,	
  or	
  will	
  regional	
  and	
  na0onal	
  
priori0es	
  be	
  the	
  norm	
  for	
  coopera0on	
  for	
  the	
  next	
  decade?	
  
2.  Will	
  society	
  integrate	
  across	
  the	
  genera0ons	
  to	
  take	
  advantage	
  of	
  each	
  others’	
  contribu0ons,	
  
or	
  will	
  intergenera0onal	
  harmony	
  fall	
  prey	
  to	
  discrimina0on,	
  rent-­‐seeking	
  and	
  prejudice?	
  	
  
3.  What	
  impact	
  will	
  the	
  growing	
  number	
  of	
  older	
  voters	
  have	
  on	
  the	
  poli0cal	
  landscape?	
  How	
  will	
  
they	
  allocate	
  resources	
  between	
  programs	
  to	
  support	
  today’s	
  older	
  people	
  versus	
  inves0ng	
  in	
  
tomorrow’s	
  genera0ons?	
  
4.  What	
  approaches	
  for	
  integrated,	
  intergenera0onal	
  community-­‐living	
  will	
  successfully	
  scale?	
  	
  
5.  What	
  models	
  of	
  engagement	
  will	
  allow	
  companies	
  to	
  benefit	
  from	
  the	
  skills	
  and	
  experience	
  of	
  
older	
  workers	
  while	
  respec0ng	
  the	
  changing	
  physical	
  and	
  social	
  needs	
  of	
  older	
  workers?	
  	
  
	
  
Future	
  Agenda	
  
84	
  Brook	
  Street	
  
London	
  
W1K	
  5EH	
  
+44	
  203	
  0088	
  141	
  
futureagenda.org	
  
The	
  world’s	
  leading	
  open	
  foresight	
  program	
  
What	
  do	
  you	
  think?	
  
Join	
  In	
  |	
  Add	
  your	
  views	
  into	
  the	
  mix	
  
	
  
www.futureagenda.org	
  
	
  
	
  
Track	
  Facilitator	
  –	
  Aging:	
  Stephen	
  Johnston,	
  Aging2.0	
  (stephen@aging2.com)	
  

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Future Agenda - Future of Aging - Emerging View - Sept 2015

  • 1.  The  Future  of  Aging  |  The  Emerging  View      Insights  from  Mul0ple  Expert  Discussions  Around  the  World  
  • 2. Context   Global  aging  and  demographic  shi=s  were  key  themes  to  emerge  from  the  first   Future  Agenda  program.  Since  then,  the  topic  has  grown  in  recogni0on,  focus   and  concern  for  a  wide  range  of  individuals,  organiza0ons  and  governments.  
  • 3. Future  Agenda   The  Future  Agenda  is  the  world’s  largest  open  foresight  program     that  accesses  mul0ple  views  of  the  next  decade     so  all  can  be  beJer  informed  and  s0mulate  innova0on.  
  • 4. Looking  Forwards   Organisa0ons  increasingly  want  to  iden0fy  and  understand    both  the  an0cipated  and  unexpected  changes     so  that  they  can  be  beJer  prepared  for  the  future.  
  • 5. Future  Agenda  1.0  Top  Insights  for  2020   From  the  2010  program,  52  key  insights  on  the  next  decade  were  shared   widely  and  have  been  extensively  used  by  organiza0ons  around  the  world.   Aging  was  a  key  issue  to  emerge  in  2010  and  has  grown  since.  
  • 6. Future  Agenda  in  Numbers   The  first  Future  Agenda  program  engaged  a  wide  range  of  views  in    25  countries.  Future  Agenda  2.0  has  doubled  the  face-­‐to-­‐face  interac0on     and  significantly  raised  online  sharing,  debate  and  discussion.   Future  Agenda  1.0     1  HOST   16  TOPICS   25  COUNTRIES   50  WORKSHOPS   1500  ORGANISATIONS   Future  Agenda  2.0     50  HOSTS   25  TOPICS   40  COUNTRIES   100  WORKSHOPS   2500  ORGANISATIONS  
  • 7. Future  Agenda  2.0  Topics   The  second  version  of  the  Future  Agenda  program  is  taking  place     during  2015  and  has  been  addressing  21  topics  via  100  events  in    50  ci0es  in  40  countries  in  partnership  with  around  50  core  hosts.   Ageing   CiOes   Company   ConnecOvity   Data   EducaOon   Energy   Food   Government   Health   Learning   Loyalty   Payments   Privacy   Resources   Transport   Travel   Water   Wealth   Work  
  • 8. Aging2.0  Partnership   Discussions  on  the  future  of  aging  were  undertaken  in  partnership  with   Aging2.0.  Dedicated  events  focused  on  aging  plus  insights  from  topics  such  as   the  future  of  data,  health  and  work  have  all  added  more  views  to  the  mix.     Ini0al   Perspec0ves   Q4  2014   Global   Discussions   Q1/2  2015   Insight   Synthesis   Q3  2015   Sharing     Output   Q4  2015  
  • 9. Future  of  Aging  Events   Four  future  of  aging  events  were  held  in  Hong  Kong,  Sydney,  London  and  Palo  Alto,   CA.  These  were  hosted  by  The  Jade  Club,  AMP,  Saga  plc  and  the  Stanford  Center  on   Longevity.  A  fi=h  event  will  be  hosted  by  AARP  in  Washington  DC  on  Oct  2nd  2015.  
  • 10. The  Future  of  Aging  |  The  Emerging  View     This  document  provides  an  overview  of  what  we  heard  from  mul0ple  expert   voices  around  the  world  –  on  the  future  of  aging,  how  it  is  changing,  what  is   driving  this  change  and  how  it  may  evolve  over  the  next  decade.  
  • 11. Four  Key  Themes   Across  the  the  discussions  so  far,  issues  related  to  aging   seem  to  be  touching  upon  and  connec0ng  with  four  underlying,     and  interwoven,  themes  with  different  emphasis  in  different  countries.   Agelessness   Working   Longer   Aging  in   Community   Care  for  the   Aging  
  • 13. Agelessness   Culture  catches  up  with  demographics  and  age-­‐based  limita0ons  fade.  New   opportuni0es  for  older  people  to  par0cipate  in  society  emerge,  although  many   are  only  available  to  the  healthy  and  wealthy,  crea0ng  a  new  set  of  challenges.  
  • 14. Lifespan  Limits      On  a  global  scale,  life  expectancies  in  developed  regions  are  con0nuing  to  rise   in  the  21st  century  and,  although  most  people  assume  that  there  are  biological   limits  on  life  span,  so  far  there  is  liJle  evidence  that  we  are  approaching  them.  
  • 15. Culture  ShiT    The  culture  that  guides  people  through  life  today  is  a  culture  that     evolved  around  shorter  lives.  The  urgent  challenge  now  is  to  create     cultures  that  support  people  through  ten  and  more  decades  of  life.    
  • 16. Re-­‐defining  Purpose   Life-­‐plans  will  need  to  recognise  lengthy  ‘old-­‐age’,     driving  a  search  for  purpose  into  and  beyond  the  tradi0onal,     but  arbitrary,  no0on  of  re0rement.  
  • 17. The  Bigger  Opportunity    Predic0ons  about  economic  disaster  change  to  discussions  of  economic   growth  if  people  remain  produc0ve  into  advanced  ages.  We  are  experiencing   one  of  the  greatest  opportuni0es  to  improve  quality  of  life  at  all  ages.    
  • 18. MulO-­‐GeneraOonal  Travel   Many  elect  to  travel  together  as  mul0-­‐genera0on  groups  of  both  families  and   mixed  friends.  They  look  for  vaca0ons  that  keep  everyone  happy  and,  as  such,   stress  many  systems  based  on  delivering  segmented  experiences.  
  • 19. Life-­‐long  Learning   Educa0on  is  a  high  priority  for  all  na0ons  to  remain  compe00ve  in  a  global   market  place:  It  is  increasingly  available  on  line.  Widespread  internet  access   allows  governments  to  make  life-­‐long  learning  available  for  those  who  want  it.  
  • 20. The  GeneraOon  Divide   The  perspec0ve  gap  grows  between  the  expecta0ons  of  the  young,     who  are  increasingly  global  in  their  outlook,  and  the  more     tradi0onal  views  of  more  senior  and  experienced  colleagues.    
  • 21. Intra  and  Inter-­‐generaOonal  Harmony     Mutually  nega0ve  stereotypes  between  young  and  old  are  are  offset  by  a   growing  interest  in  youth  serving  the  elderly.  The  wisdom  of  elders  is  again   respected  and  sought  by  younger  genera0ons.  
  • 22. Unequal  Futures   New  technologies,  new  economic  opportuni0es  and  new  lifestyle  choices  for   older  people  will  be  very  unevenly  distributed,  leading  to  extreme  inequali0es   within  and  between  ageing  popula0ons.  
  • 23. DisrupOve  Voices,  DisrupOve  Impacts   Senior  ac0vism  will  grow  with  the  demographic.  Policy  will  increasingly  reflect   the  will  of  older  people:  especially  in  housing/communi0es,  health  and   employment,  leading  to  intergenera0onal  tensions  over  choices  made.  
  • 25. Working  Longer    For  those  who  have  inadequate  re0rement  savings,  the  most  obvious     solu0on  is  to  work  longer.  One  major  poten0al  barrier,  however,     is  that  employers  remain  ambivalent  about  older  workers.    
  • 26. Infeasible  ReOrement    For  many,  re0rement  at  age  65  is  economically  infeasible.     The  reality  is  that  few  workers  can  fund  a  30  year  re0rement     with  a  40  year  career.  Neither  can  socie0es.    
  • 27. Cost  of  Older  Workers    The  cost  of  older  workers  is  a  real  issue  for  employers.  Offering  bridge  jobs  or   flexible  work  arrangements  such  as  flex  hours  and  part-­‐0me  work  will  allow   employers  to  retain  the  exper0se  of  older  workers  while  reducing  costs.    
  • 28. Societal  Benefit    85%  of  Americans  aged  65-­‐69  report  no  health-­‐based  limita0ons  on  paid     work  or  housework.  Similar  trends  are  evident  in  Europe.  Socie0es  that     find  ways  to  tap  older  peoples’  contribu0ons  will  benefit  greatly.      
  • 29. Wisdom  Workers   Focus  is  on  enabling  reinven0on  stemming  from  opportuni0es  created  by     non-­‐linear  career  paths  and  innova0on  networks,  giving  rise  to  the  ‘wisdom   worker’  -­‐  where  experience  is  the  cri0cal  addi0on  to  skills  and  intelligence.  
  • 30. ‘Bleisure’  and  ‘SabbaOcaOon’   Travel  con0nues  to  evolve  in  line  with  changing  work  paJerns  and  career   aspira0ons;  being  able  to  work-­‐away,  take  longer  breaks  off-­‐grid,  and  even   job-­‐share  and  job-­‐switch,  become  significant  drivers  of  future  travel  offers.  
  • 31. Age  Diversified  Workforces    The  demographic  changes  underway  are  fundamentally  altering     virtually  all  aspects  of  life  as  we  know  it.  Workforces  are  becoming     older  and  more  age  diversified  than  ever  in  history.    
  • 32. SupporOng  the  Ageing  Workforce   As  major  economies  suffer  from  increasing  dependency  ra0os,  the  challenge    of  suppor0ng  an  increasingly  older  workforce  demands  rethinking  of  life-­‐long   learning  and  broader  acceptance  of  the  cost  of  part-­‐0me  flexible  jobs.  
  • 33. Senior-­‐preneurship  Flourishes   Products  and  services  aimed  at  the  ageing  popula0on  will  proliferate.  But   seniors  will  also  be  ac0vely  involved  in  innova0on  themselves,  developing   new  economic  opportuni0es  for  all,  both  within  and  beyond  the  ageing  space.  
  • 34. Cross-­‐generaOonal  CollaboraOon   Tapping  into  the  exper0se  of  part-­‐0me  older  workers  and  the  re0red  is   supported  both  by  the  elderly,  who  seek  to  remain  ac0ve  and  make  a   difference,  and  the  young  who  can  help  share  and  apply  their  knowledge.    
  • 35. Increased  Wellbeing    Both  paid  and  unpaid  work  are  associated  with  enhanced  well-­‐being,     delayed  disability,  decreased  mortality  risk,  and  onset  of     fewer  diseases  and  associated  func0onal  impairments.  
  • 37. Aging  in  Community   Individuals,  families  as  well  as  healthcare  payers  desire  to  keep  older     people  living  healthy  and  independent  loner.  This  requires  upgraded   infrastructure,  transporta0on  systems  and  thoughkul  products  and  services.    
  • 38. AdapOng  for  Ageing  PopulaOons     In  developed  countries,  80%  of  older  people  will  live  in  ci0es  by  2050,  while   ci0es  in  developing  countries  will  house  25%  of  the  older  popula0on.  Planners   are  adap0ng  urban  environments  to  support  healthy  ageing  of  popula0ons.  
  • 39. Changing  Travel  MoOvaOons   Demographic  shi=s  and  technology  developments  influence  when  and  why     we  need  to  travel.  Mo0va0ons  for  work  and  leisure  mobility  blur,  and  dynamic   pricing  and  the  sharing  economy  deliver  greater  efficiency  in  the  system.    
  • 40. Triple-­‐Access  SoluOons   Focus  should  be  upon  developing  a  balanced  triple-­‐access  system     of  transport,  physical  proximity  and  digital  connec0vity  system  that     may  transcend  the  tradi0onal  remits  of  government  departments.    
  • 41. Autonomous  Vehicles   Led  by  urban  delivery  pods  and  long  distance  trucks,     the  rise  of  automa0cally  driven  vehicles  leads  to  the     reinven0on  of  the  travel  experience  around  infotainment.  
  • 42. Mainstreaming  of  Design  for  Ageing   Consumer  products  increasingly  incorporate  the  perspec0ve     of  older  users  into  the  design  process  –  and  in  so  doing,     make  them  simpler  and  easier  to  use  for  all.    
  • 43. Living  Longer  -­‐  Not  Lonelier   In  some  countries  we  shape  a  more  connected  world  in  which  older  people  feel   significant  and  worth  something.  Physical  solu0ons  such  as  co-­‐located  care  homes  and   crèches  recreate  historical  connec0ons  between  the  ageing  and  wider  society.        
  • 44. In  Need  of  Belonging     Small  communi0es  exist  in  mega  ci0es  to  provide  a  sense  of  community     and  social  wellbeing.  Looking  ahead,  the  more  responsive  ci0es  will     seek  to  enable  communi0es  to  mould  their  neighbourhoods.      
  • 45. Commodifying  InOmacy    Increasing  isola0on  drives  adop0on  of  innova0ve  products  (such  as     social  robots),  new  services  and  business  models  that  help  people     meet  physical  and  emo0onal  needs  for  connec0on.    
  • 46. Care  for  the  Aging  
  • 47. Care  for  the  Aging   As  the  popula0on  ages,  the  healthcare  sector  changes  the  way  in  which  it   delivers  support,  with  more  coordina0on  among  service  providers  and  more     in-­‐home  care.  There  is  also  a  frank  conversa0on  about  people’s  “right  to  die”.    
  • 48. Visualising  Future  Needs   Predic0ve  analysis,  gene0c  profiling  and  credit  systems  combine  to  give  us   sight  of  our  personal  future  care  needs.  We  adjust  behaviours;  we  are  aware  of   long-­‐term  impacts  of  our  ac0ons  and  take  ownership  of  personal  care  budgets.  
  • 49. HolisiOc  Health  Planning   There  will  be  a  wholesale  shi=  in  health  focus  from  short-­‐term  problem-­‐ solving  to  long-­‐term,  healthy-­‐life  planning  and  management,  with  GPs   (ini0ally)  shi=ing  their  role  to  become  whole-­‐life  health  coaches.  
  • 50. Life  Worth  Living     We  shi=  the  system  from  one  focused  on  care  with  the  needs  of  the  ins0tu0on   a  priority  to  one  focused  on  enhancing  quality  of  life  and  dignity.  There  is  a  rise   in  pallia0ve  care  and  societal  par0cipa0on  giving  more  meaning  to  later  life.  
  • 51. Parent  Care   A  greater  recogni0on  of  the  social  and  economic  benefits  of  family  caregivers.   Organisa0ons  develop  programs  and  support  for  their  working  caregivers   looking  a=er  their  parents  as  well  as  their  children.    
  • 52. Caregiver  Marketplaces   Recogni0on  of  the  trillion  dollar  informal  caregiver  economy     drives  new  solu0ons  aimed  at  educa0ng,  suppor0ng  and     empowering  family  caregivers.    
  • 53. Living  While  Dying   We  will  see  policy,  product  and  service  innova0ons  in  the  field  of  end-­‐of-­‐life   planning.  Businesses  and  professions  will  come  to  recognise  the  need  to   provide  more  (end-­‐of)  life-­‐style  choices  to  individuals  and  consumers.  
  • 54. The  Healthcare  Debt  Time-­‐Bomb   The  rising  cost  of  healthcare  results  in  ra0oning  and  the  end  of  universal   healthcare.  Individual  health  budgets,  preven0on  technology,  migra0on  and   working  longer  all  increase  as  new  approaches  seek  to  improve  efficiency.    
  • 55. Welfare  Reboot   As  increasing  inequality  in  Europe  leads  to  social  unrest,  healthcare  and   welfare  systems  are  stressed  and  rethought.  Ideological  views  are  replaced  by   pragma0c  solu0ons  that  recognise  the  fundamentals  for  an  ageing  popula0on.  
  • 56. HalOng  Alzheimer's     Stopping  mental  degrada0on  from  Alzheimer’s  makes     quality  ageing  more  possible  by  improving     cogni0on  and  slowing  the  rate  of  decline  
  • 57. Mass  Medical  Tourism   Medical  tourism  goes  main-­‐stream  as  low-­‐cost  cardiac     surgery  and  broader  healthcare  provision  join     den0stry  and  cosme0c  surgery  to  have  global  impact  
  • 58. Looking  Ahead    Rather  than  move  forward  by  happenstance,  we  need  strategic  thinking     about  how  to  best  use  added  decades  of  life.  Helping  individuals  and  na0ons     visualize  and  prepare  is  essen0al  to  ensure  that  longer  lives  are  high  quality.  
  • 60. Some  QuesOons   From  these  discussions  on  and  around  the  future  of  aging,  there  seems  to     be  a  number  of  key  ques0ons  to  be  addressed  by  governments,  companies     and  individuals  –  some  global  and  some  more  local  or  regional  in  focus.   1.  Will  we  find  and  agree  common  approaches  for  aging  globally,  or  will  regional  and  na0onal   priori0es  be  the  norm  for  coopera0on  for  the  next  decade?   2.  Will  society  integrate  across  the  genera0ons  to  take  advantage  of  each  others’  contribu0ons,   or  will  intergenera0onal  harmony  fall  prey  to  discrimina0on,  rent-­‐seeking  and  prejudice?     3.  What  impact  will  the  growing  number  of  older  voters  have  on  the  poli0cal  landscape?  How  will   they  allocate  resources  between  programs  to  support  today’s  older  people  versus  inves0ng  in   tomorrow’s  genera0ons?   4.  What  approaches  for  integrated,  intergenera0onal  community-­‐living  will  successfully  scale?     5.  What  models  of  engagement  will  allow  companies  to  benefit  from  the  skills  and  experience  of   older  workers  while  respec0ng  the  changing  physical  and  social  needs  of  older  workers?      
  • 61. Future  Agenda   84  Brook  Street   London   W1K  5EH   +44  203  0088  141   futureagenda.org   The  world’s  leading  open  foresight  program   What  do  you  think?   Join  In  |  Add  your  views  into  the  mix     www.futureagenda.org       Track  Facilitator  –  Aging:  Stephen  Johnston,  Aging2.0  (stephen@aging2.com)