In 2022, the world population reached 8 billion with 40% growth in the last 40 years alone. This rising population is partly due to people living longer, with the number of people aged 65 and over increasing by 623 million in the past two decades alone. By 2040, this older population is set to reach 1.3 billion. Yet the global fertility rate has halved since the 1950s.
By 2040, this older population is set to reach 1.3 billion. Yet the global fertility rate has halved since the 1950s.
Figure 1: the global population has exploded in the last 70 years
These demographic trends have proved persistent in the face of a pandemic, the obesity crisis and the ongoing struggle to find cures for killer diseases such as cancer and diabetes.
If anything, they are speeding up:
The increase in the number of over 65s seen in the last 20 years matches that of the previous seven decades 
Life expectancies have risen from a global average of 49 years in 1955 to 72 years today, a 47% increase
The pandemic led to a ‘baby bust’ in many countries, with the UK experiencing its lowest-ever fertility rate in 2020 
Several emerging markets are facing ageing populations too
While ageing populations have been thought of as a developed market phenomenon, by 2050 two-thirds of the world’s elderly will live in emerging markets. One of the most significant demographic timebombs is in China, where the one-child policy has left an ageing population dependent on fewer and fewer working people. This is labelled the 4-2-1 problem, where a single child cares for two parents and four grandparents.
In many ways, ageing populations are to be welcomed: they reflect improvement in nutrition, medical advances, sanitation and education. An ageing population is a proxy for human progress. However, it also brings significant challenges for governments and economies, particularly as falling birth rates reduce the labour force of tomorrow. This puts a strain on revenues and spending. It also brings about shifts in consumption patterns, with profound implications for investors.
The chart below shows that the old-age dependency ratio (the number of over 65s relative to the number of adults of working age) is set to increase across the world's major economies over the next five years to 2027, and then sharply in the years to 2050. It is Japan that faces the biggest challenge. In 2050, there will be 80 pensioners in Japan for every 100 adults of working age.
This brings a number of important questions:
How will their economy function with no workers?
Who’s going to pay for pensions and healthcare?
Who’s going to care and support the elderly people that need help?
Figure 2: the old-age dependency ratio is set to increase in major economies
Ageing populations are not the only demographic trend to watch
Urbanisation has been an important phenomenon, with implications for the way people work, live and consume. Until 2009, more people lived in rural than in urban areas. This has flipped in the decade since, with 55% of the world’s population now living in towns and cities. China, India and Nigeria are particular hotspots for urbanisation.
Internal and international migration
Migration is also important. It has always been a feature of human progress, with people moving to find new opportunities. More recently, climate change and war have also pushed more people away from their homes. The number of forcibly displaced people was over 70 million in 2018, including close to 26 million refugees. This is a persistent problem for governments – few have found politically acceptable ways to deal with mass immigration.
Lower fertility rates
Global fertility rates are declining rapidly, which presents a major problem for economic growth. Put simply. economic output in a given economy is a function of labour and productivity. Setting aside productivity, the implications of falling births are quite straightforward: fewer people, means fewer workers, which means lower economic output.
What challenges do demographic trends create for governments?
Governments must wrestle with rising pension and healthcare costs.
Strain on healthcare
Although the average man in the UK can now expect to live to almost 80, his average healthy life expectancy is only 63 years – he will spend 17 years with some form of health condition, such as high blood pressure, type II diabetes or heart disease. This puts a considerable strain on government finances, only partially compensated by lower spending on areas such as education. As more people spend a longer time in ‘not good’ health, this will create undesirable economic outcomes: people may not be able to work, for example, or may need to fund expensive and ongoing medical care themselves.
Ageing populations mean fewer taxpayers
At the same time as costs are growing, a larger retired population leads to fewer people in work paying taxes. This holds back GDP growth and productivity. The ageing of the workforce may also depress investment. Countries with ageing populations face the prospect of shrinking economies.
Governments are visibly struggling with the implications of this difficult balance. Taxes may need to rise on a shrinking working population to pay for the needs of an ageing population. The alternative is for governments to run significant deficits to support public spending. However, both options are politically uncomfortable.
Urbanisation requires new infrastructure
Governments need to ensure that there is the requisite infrastructure to support the incoming population, including adequate housing, infrastructure and education.
China, for example, has experienced unprecedented rates of urbanisation. Between 1978 and 2018, its urban population increased from 170 million to 837 million. Given China’s GDP growth, its accelerated approach has been largely considered a success, though there have been challenges.
The growth in basic infrastructure and services in urban areas has not kept up with urban population growth, impacting workforce quality and efficiency
Coal has powered rapid growth in the manufacturing sector, which has had a hugely negative impact on the environment
Local government debt has been pushed to unsustainable levels, which has worsened due to the recent housing market slump 
The balance of global economic power
Demographics can also change the balance of global economic power. Countries with ageing populations are likely to become less wealthy over time, while other countries will rise up. By the end of this century, the United Nations projects that Africa, which had less than one-tenth of the world’s population in 1950, will be home to 3.9 billion people, or 40% of humanity. This has long-term geopolitical and environmental consequences..
Figure 3: the world’s least developed economies will have a growing working age population
According to research from McKinsey & Company, just 11% of investable assets in the US will be held by people younger than 45 by the end of this decade.
Despite the risks presented by shifting demographics, there are opportunities for long-term investors.
A greater number of over-65s will bring age-related diseases that need to be treated – dementia, cancer, high blood pressure, arthritis or cardiovascular disease. There is also likely to be an increased focus on medical research that can address diseases that have proved difficult to treat – Alzheimer’s, for example. The OECD has said global healthcare spending is likely to outpace GDP through to 2030, reaching 10.2% of GDP from 8.8% in 2018
There will be other notable trends in healthcare expenditure. For example, recent analysis from institutional investor PGIM found that by 2070, real (inflation adjusted) annual spending on nursing homes will be $325 billion greater than it is today. They also estimate that spending on medicine and drugs will climb by more than $40 billion annually over the next 50 years due to the ageing of the US population.
This is another potential beneficiary of ageing populations. As people live longer, they are likely to find cash-strapped governments less willing to support them in old age. That means they will need to save up to support themselves. According to research from McKinsey & Company, just 11% of investable assets in the US will be held by people younger than 45 by the end of this decade.
Not only does this create a significant tailwind for various parts of the financial services industry – investment management, platforms or pension providers – it may also influence the performance of financial markets themselves. As large demographic cohorts move towards retirement, it may change the demand for government bonds, or income-generative equities. While any adjustments are likely to be gradual, it can influence the price of assets at the margin.
Countries with favourable demographics
India, Africa and East Asia all have favourable demographics, with young, fast-growing populations. This is a tailwind for economic growth. Companies that are exposed to these regions – such as consumer goods companies – should have a natural advantage. As such, this can be a fertile area to look for opportunities.
Demographics are not deterministic. However, they will influence broad consumption patterns, the outlook for government spending, and provide support for specific sectors. As investors, we need to recognise the opportunities and risks shifting demographics can create.
For more of our research on the next decade visit our megatrends hub.
 World population reaches 8bn as it grows older, Financial Times, 16 November 2022
 Births in England and Wales: 2021, Office for National Statistics, 9 August 2022
 Ageing and health, World Health Organization, 1 October 2022
 Shifting Demographics, United nations, un.org [accessed December 2022]
Health state life expectancy all ages UK, Office for National Statistics, 4 March 2022
What is happening to life expectancy in England?, The Kings Fund, 10 August 2022
 The macroeconomic and fiscal impact of population ageing, European Central Bank, No.296/ June 2022
 T. Honga N. Yua Z. Maob S. Zhang, Government-driven urbanisation and its impact on regional economic growth in China, Cities, Volume 117, October 2021
 Q. Ye, S. Qijiao, Z. Xiaofan, Q. Shiyong and T. Lindsay, China’s New Urbanisation Opportunity: A Vision for the 14th Five-Year Plan, Coalition for Urban Transitions, May 2020
 Megalopolis: how coastal west Africa will shape the coming century, The Guardian, 27 October 2022
 Health spending set to outpace GDP growth to 2030, OECD, oecd.org [accessed December 2022]
 Silver Lining: The Investment Implications of an Aging World, PGIM, 16 March 2016
 Silver Lining: The Investment Implications of an Aging World, PGIM, 16 March 2016
By necessity, this briefing can only provide a short overview and it is essential to seek professional advice before applying the contents of this article. This briefing does not constitute advice nor a recommendation relating to the acquisition or disposal of investments. No responsibility can be taken for any loss arising from action taken or refrained from on the basis of this publication. Details correct at time of writing.
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