[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-113369-en":3,"doc-seo-113369-105":29,"detail-sidebar-cat-0-en-105":90},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":4,"is_deleted":4,"is_public":20,"is_downloadable":20,"audit_status":20,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":13,"seo_description":14,"update_tm":27,"read_time":28},113369,1374391975076,"Riley","https://ap-avatar.wpscdn.com/avatar/14000253ca4ec9f6853?x-image-process=image/resize,m_fixed,w_180,h_180&k=1783305029341752051",8,"Research & Report","When We’re Sixty-Four - Opportunities and Challenges for Public Policies in a Population-Aging Context in Latin America","When We’re Sixty-Four examines how population aging reshapes public policy priorities in Latin America. It develops a conceptual framework for demographic trends, linking aging to public spending pressures across education, pensions, and health care. The analysis evaluates macroeconomic consequences, intergenerational trade-offs, and policy options to build human capital. It further addresses health system challenges and the design of long-term care, focusing on demand, provision models, and cost sustainability.","Pub lic Disclosure Authorized Pub lic Disclosure Authorized Pub lic Disclosure Authorized Pub lic Disclosure Authorized  \nWhen We’re Sixty-Four  \nOpportunities and Challenges for Public Policies in a Population-Aging Context in Latin America  \nRafael Rofman and Ignacio Apella  \nINTERNATIONAL DEVELOPMENT IN FOCUS  \nWhen We’re Sixty-Four  \nOpportunities and Challenges for Public Policies in a Population-Aging Context in Latin America  \nRAFAEL ROFMAN AND IGNACIO APELLA  \n© 2020 International Bank for Reconstruction and Development / The World Bank 1818 H Street NW, Washington, DC 20433  \nTelephone: 202-473-1000; [Internet: www.worldbank.org](Internet: www.worldbank.org)[ ](Internet: www.worldbank.org)Some rights reserved  \n1 2 3 4 23 22 21 20  \nBooks in this series are published to communicate the results of Bank research, analysis, and operational experience with the least possible delay. 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The boundaries, colors, denominations, and other information shown on any map in this work do not imply any judgment on the part of The World Bank concerning the legal status of any territory or the endorsement or acceptance of such boundaries.  \nNothing herein shall constitute or be considered to be a limitation upon or waiver of the privileges and immunities of The World Bank, all of which are specifically reserved.  \nRights and Permissions  \nThis work is available under the Creative Commons Attribution 3.0 IGO license (CC BY 3.0 IGO) [http://](http://)[ ](http://)[creativecommons.org/licenses/by/3.0/igo. Under the Creative Commons Attribution license](creativecommons.org/licenses/by/3.0/igo. Under the Creative Commons Attribution license), you are free to copy, distribute, transmit, and adapt this work, including for commercial purposes, under the following conditions:  \nAttribution—Please cite the work as follows: Rofman, Rafael, and Ignacio Apella. When We’re Sixty-Four: Opportunities and Challenges for Public Policies in a Population-Aging Context in LatinAmerica.  \nInternational Development in Focus. Washington, DC: World Bank. doi:10.1596/978-1-4648-1605-5.  \nLicense: Creative Commons Attribution CC BY 3.0 IGO  \nTranslations—If you create a translation of this work, please add the following disclaimer along with the attribution: This translation was not created by The World Bank and should not be considered an official World Bank translation. The World Bank shall not be liable for any content or error in this translation. Adaptations—If you create an adaptation of this work, please add the following disclaimer along with the attribution: This is an adaptation of an original work by The World Bank. Views and opinions expressed in the adaptation are the sole responsibility of the author or authors of the adaptation and are not endorsed by The World Bank.  \nThird-party content—The World Bank does not necessarily own each component of the content contained within the work. The World Bank therefore does not warrant that the use of any third-partyowned individual component or part contained in the work will not infringe on the rights of those third parties. The risk of claims resulting from such infringement rests solely with you. If you wish to re-use a component of the work, it is your responsibility to determine whether permission is needed for that re-use and to obtain permission from the copyright owner. Examples of components can include, but are not limited to, tables, figures, or images.  \nAll queries on rights and licenses should be addressed to World Bank Publications, The World Bank Group, 1818 H Street NW, Washington, D","cbCaioxQznzOQSDQ","https://ap.wps.com/l/cbCaioxQznzOQSDQ","pdf",5031236,1,185,"English","en",105,"# CHAPTER 1 Population Aging\n## Introduction\n## A conceptual framework\n## Demographic trends\n## Aging and public spending\n## The macroeconomic dimension\n## Policy to increase human capital amid population aging\n# CHAPTER 2 Demographic Trends\n## Introduction\n## Dawn of the aged economy\n## Demographic destiny\n# CHAPTER 3 The Role of Demography and Policy in Shaping Future Public Spending\n## The intergenerational state\n## Public spending on education, pensions, and health care\n## Public spending on education\n## Public spending on pensions\n## Public spending on health and long-term care\n## The future of public spending in Latin America\n## Conclusions\n# CHAPTER 4 Demographic Transition and Macroeconomic Challenges and Opportunities\n## Introduction\n## The macroeconomy\n## The macroeconomic consequences of aging\n## Reversal of the first dividend and consequences of aging\n## Structural changes, restrictions, and policies\n## Conclusions\n# CHAPTER 5 The Challenges for Health Systems\n## Introduction\n## Health expenditure projections and population aging\n## Mortality and morbidity profiles of an older population\n## The benefit generosity component\n## Conclusions\n# CHAPTER 6 Long-Term Care for Older People\n## Introduction\n## Demand for long-term care\n## Models of long-term care provision\n## Meeting the cost of long-term care\n## Conclusions","[{\"question\":\"What core framework guides the report’s analysis of population aging?\",\"answer\":\"The report presents a conceptual framework that connects demographic trends to policy choices, especially how aging affects public spending and macroeconomic 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