NATIONAL LONGEVITY DEVELOPMENT PLANS: GLOBAL OVERVIEW 2019 (First Edition) National Longevity Development Plans Global Landscape Overview 2019: First Edition Longevity Initiatives Classification and Executive Summary 4 94 Level of Comprehensiveness Infographic Summary 17 United Kingdom 95 Ranking Countries on the Strength, Scope and Relevance 18 Netherlands 98 of their Government-Led Longevity Projects and Initiatives Scale and Scope of Government Longevity 19 Singapore 101 Development Plans Industrial Strategies, National Master Plans, Independent 28 South Korea 104 or Municipal Government Programs Insolvency Predictions for Government-Funded Schemes 30 Israel 107 Health-Adjusted Life Expectancy vs. Life Expectancy 33 Switzerland 110 Age Dependency Annual Dynamic 40 Hong Kong 113 Report Methodology 53 Japan 116 National Longevity Development Plans Global Landscape Overview 2019: First Edition Switzerland - Strong Bioscience Initiative, Diverse Policies for the United States of America 119 207 Elderly in a Small Geographic Area. Hong Kong - Tiger economy, Detailed Schemes for the Elderly Spain 122 222 with an Emphasis on Preventive Care. Japan - Elderly Population, Age-Friendly Urban Planning, European Union 125 244 Robotics for the Elderly and Joint Research Initiative with the UK. United States of America - Economic Giant with a Strong China 128 260 Scientific Base and Large Longevity Industry. United Kingdom - Global Science Hub, Industrial Strategy Spain - Elderly Population Twice the Age of its Democratic 131 271 for an Ageing Society, a Joint Research Initiative with Israel. Institutions, Rapidly Production of Diverse Programs. Netherlands - Tradition of Spending on Prevention and EU - Continental Coordinating Power, a Clear Interest in Fostering 147 289 Commercialization of Public Research. International Research Cooperation and Setting Standards. Singapore - Tiger Economy, Diverse Government Programs, China - Economic Giant with a History of Intervention in National 159 301 AgeTech and Continuing Education for the Elderly. Demographics, and a 5-year Plan on Elderly Care. South Korea - Tiger Economy, Master Plans for Age-Friendly 175 Conclusion 314 Cities and Care Services. Israel - National Master Plan on Ageing, Strong Political 192 Disclaimer 315 Support for Elderly, Joint Research Initiative with the UK. Report Purpose, Score and Structure 4 The purpose of this report is to offer an overview of government initiatives from around the world which were enacted in recognition of the demographic challenge each country faces. It is our hope that cataloging various government initiatives may offer the British government some idea of the building blocks available for the construction of what would become the world’s first Longevity National Development Plan. We also aim to demonstrate how far the UK is already ahead of the game in this regard, and is therefore, the cradle of the fourth industrial revolution. The first chapter, National Longevity Development Plans Global Landscape Overview 2019 identifies the broad categories of a government initiative to be considered: different orders of magnitude ranging from small municipal programs to national industrial strategies; and the different areas of intervention, from the financial to the biomedical. These categories are used to developing a methodology for evaluating various initiatives and ultimately ranking countries according to the likelihood of their Longevity-related projects to yield tangible deliverables like increased Healthy Longevity. The subsequent chapters serve as country-specific overviews of government initiatives designed to combat the the silver tsunami in their own way, ranging from technocratic tiger economies such as Singapore and Hong Kong to large parliamentary democracies such as Spain and, of course, the UK. A broad spectrum of foreign examples of government initiatives is shown here. Some have a more biomedical focus, some a more digital, some national and some municipal, depending the economic conditions and political traditions of each nation. But more importantly, some are more integrated\comprehensive than others, and all exhibit varying degrees of long-termism. This is a result not of circumstance but of political will. And, as evidenced by the multitude of UK government initiatives listed here, there is no shortage of political will to address the ageing population challenge in the UK, which is one of the reasons the nation was ranked as #1 in our proprietary analysis of the strength and relevance of its Longevity initiatives. It is the recommendation of this report that this political will now be directed at developing a National Healthy Longevity Development Plan, and that this initiative start with the creation of a Blueprint and Framework for such a plan, spearheaded by the the All-Party Parliamentary Group for Longevity, in collaboration with a number of relevant cross-sector institutional collaborators. The All-Party Parliamentary Group on Longevity 5 Ranking Countries on the Strength, Scope and Relevance of 6 their Government Longevity-Related Projects and Initiatives POSITION COUNTRY COUNTRY SCORE 5.29 1 United Kingdom 4.36 2 Netherlands 4.15 3 Singapore 4.00 4 South Korea 3.94 5 Israel 3.93 6 Switzerland 3.41 7 Hong Kong 3.10 8 Japan 3.07 9 USA 1.94 10 Spain 1.88 11 European Union 1.85 12 China Government Longevity-Related Projects and Initiatives 7 Analytical Framework Overall, there are 6 levels of proprietary metrics which differ based on the nature of the parameters they consist of. Indicators, their growth rates and their ratios are calculated separately and then integrated in the final metrics system. The whole metrics can also be subdivided into 2 categories based on the logic of the parameters, namely: ● Indicators of potential (or lack thereof); ● Indicators of actual success (or lack thereof). Thus, the ranking system reflects both strengths and opportunities of different countries regarding the development of national longevity strategies. It can be applied for the evaluation of the current state of a country, as well as of its prospects. Some metrics indicators are directly interconnected, since the ratios are derived from single values which are parameters themselves. Total Number of Initiatives Number of The metrics used in this report’s proprietary analysis are divided into 6 levels, according to their Government Longevity Preventive complexity and importance: National Development Plans: Medicine Initiatives 1st level – absolute values – primary values of analysed parameters, both economic and Analytic Framework Metrics Number of health-related; AgeTech Initiatives 2nd level – indexes – includes Inclusive Development Index (IDI), Healthcare Indexes and Melbourne You can review this framework in Number of Mercer Global Pension Index. Initiatives with 3rd level – ratios – includes ratios in 4 main categories: Retirement, Healthcare efficiency, Life a bigger scale by this link - Closed Budgets Aging Analytics Agency Degree of Expectancy and Budget of initiatives; th Industrialisatio 4 level – growth rate of the values– calculated compound annual growth rates of five to six years for Approach and Methodology. n of Longevity the used indexes; Age of th Initiatives 5 level - growth rate of ratios - compound annual growth rates of Ageing Population, Healthy Life Social Security Expectancy and Healthcare Expenditures; Insolvency 6th level - effectiveness ratios - ratios that use growth rates of parameters to analyse Age Budget of cost-effectiveness of expenditures on healthcare. Dependency Industrial Ratio, CAGR (5 Strategy Years) Amount of Normal HALE / Life Capital HALE/Life Retirement Age Expectancy, Committed to Expectancy Men CAGR (5 Years) AgeTech Amount of Healthcare Capital Normal Senior Poverty Employed, Expenditure / Committed to Retirement Age DALY Ratio 75+ Years GDP per Capita, Geroscience Women CAGR (5 Years) R&D Absolute Life Expectancy Healthcare Budget of Healthcare Amount of Early CAGR (5 Retired People Expenditure Employed, Initiatives/ HALE CAGR Expenditure per Capital Retirement Age HALE Integrity Years)/GDP per Proportion /GDP per 70-74 Years Government (5 Years) Capita, CAGR Committed to Men Capita, AAA, Capita Spending (5 Years) Initiatives CAGR (5 Years) Life Expectancy Healthcare Amount of CAGR (5 Years) Healthcare Rate of Expenditure per Capital Early Age GDP, Current Female Life / Health Female Life Expenditure/Go Employed, Budget of Population Capita / Committed to Retirement Age Adequacy HAQ Dependency Prices, CAGR Expectancy, Expenditure per Expectancy vernment 65–69 Years Initiatives/GDP Aging Government Preventive Women Ratio, Old (5 Years) CAGR (5 Years) Capita (Current Spending (65+ Years) Spending, Medicine US$), CAGR (5 CAGR (5 Years) Years) Employed Growth of Whether a Budget of People Aged Health Healthcare Population Country has Inclusive Initiatives/ GDP per Capita, Average Growth Male Life 65+, CAGR (5 Total Number Male Life Population 65 Expenditure per Employed, Efficiency Aged 65+ / Dedicated Sustainability Development Inclusive PPP, CAGR of % of People Expectancy, Years) / Health of Retired Expectancy and over Rate Capita Current 60–64 Years Score, 5 Years Population Minister for Index Score Development (5 Years) in Workforce CAGR (5 Years) Expenditure per PPPs Growth Growth, CAGR Elderly Index Score Capita, CAGR (5 Years) (5 Years) HALE CAGR (5 Number of Budget of Health Number of Years) / Health WHO Healthcare Health GDP per Capita, Number of Both Sexes Life Population 60 Both Sexes Life