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Keith's avatar

Great post. Emil seems to have been writing more posts recently and this has become one of my favourite Substacks. I loved the comparison with writing fiction and the temptation that must be resisted to write, '...and then a miracle happens...' That's just cheating. Yet perhaps magic really will come to our rescue in the form of AI. Then the economy won't need any children and all of us can die childless with a clear conscience.

Unfortunately I'm one of those very average IQ people who never learnt to do Maths, so the math-y posts go over my head. But I love the rest of it. And I do understand that the Maths is necessary to really understand things properly and sort the truth from the lies. It's just that I'm happy to read the conclusions rather than try to understand the workings-out.

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Leo Hesting's avatar

Trigger warning: some aspects of "elder care" are unpleasant and may offend the squeamish.

I will use the term or euphemism "senior" to refer to "old person". The group "old people" consists of boomers and also people/generations older yet. But many of those "older senior" folks will have died off before some of these consequences have played themselves out; say beginning in another 10 years or so. Another way of saying this is, persons who are now 10 or fewer years away from their own deaths, are going to be more or less served by systems currently in place.

The real-world part has a "solution" or outcome to this problem of "too many old people, not enough young people" that appears simple, inevitable/unavoidable, and sort of semi-terrible. It amounts to "work till you die" or slightly more pleasantly stated "seniors doin' it for themselves" (repurposing Annie Lennox's "Sisters are doin' it for themselves").

The idea, or scheme, of working some number of decades, and then retiring and letting younger people do all the work for you, support you, is pretty clearly not going to play out in the same way that we might have imagined, or hoped.

I live in an area with brain drain (currently and historically, nearly every place on earth suffers from brain drain except for a relatively-very-few hotspots that are attractants) and this also amounts to "youth drain." My area is (fantastically) beautiful here but winters are hard. A guy involved in the local senior community (he's old himself) makes the following point: "No matter how much money you have in the bank, no matter how great your long-term-care insurance might be, if the young people simply aren't here, then you're simply not gonna get the care." He refers in part to end-of-life care and/or "assisted living" but the principle applies more broadly.

Many of my peers are retired now, but a relative of mine who is of retirement age, with limited means, works 4 days per week, plus lives alone so takes care of household chores, etc. Any "vacations" are trips - day trips or longer - to and subsidized by children. There really isn't a brighter alternative for this person in the future. I'm not sure what will happen as time goes on but the general outline, or rather-small-set of possible outcomes, is/are kind of clear to anyone. None of it much resembles any vision of "golden years" or relaxing in an easy retirement.

In other words, for a whole lot of people, "retirement" is going to involve a lot more work than one might prefer, or have imagined.

Technology can help. People talk of AI chatbots and/or robotic pets such as are apparently working out well in Japan. Simpler things like stair assists and Roomba floor cleaners will make a difference. Cooking for oneself instead of going out to a restaurant is an obvious way to address the imbalance of ages - as a result of fewer young waiters and waitresses, this seems inevitable.

But, rather than "just give up eating anything other than what you cook for yourself", alternatives or ways of compensating would be for seniors to invite each other over for dinner, participate in potlucks, perhaps even deliver each other meals. I had a thing going on like that with another senior friend (weekly shared dinners), which arrangement lasted a couple of years and worked out very nicely.

When it comes to the harder, and more unpleasant care, ranging from podiatric care to bedpan-changing and dealing with other excreta, well, I just don't see a lot of alternative. People in their 60s and 70s and 80s are - this seems unavoidable - going to have to help people in their 80s and 90s. The brute physical tasks like lifting a person out of bed, would have to be done by folks fairly fit, but this doesn't have to be a strapping man in his 30s. I'm pushing 70 but am still strong - quite able to lift, for example, a small frail elderly woman, carry her out to a car even, if I had to. Will I still be able to do that when I'm 80? I don't know, but with wheelchair ramps and hospital beds and gurneys - plus minivans and/or equivalent functionality - a lot can be accomplished.

Who lifts the obese person who weighs, say, 180 kg/400 lbs? Well, and what a weird coincidence like Emil points out in his article - we have a solution for that that just appeared on the scene "in the nick of time" - the new drugs with weird names like Mounjaro, Ozempic, Wegovy, Zepbound, who in the heck comes up with these names?

Really it's just a matter of adjustment. People rail against the younger generations for feeling entitled. So for example, being a college student nowadays certainly is different from what it used to be. And multitudes of employers attest to the widespread - though not at all universal - lack of diligence, responsibility, work ethic among the young).

Others rail against the old who feel entitled to slacking off in their "golden years" and basically being treated splendidly while doing nothing themselves.

I think we're all just going to have to get used to the idea that we're going to have to work a littler harder, take on a little more responsibility, put up with a little more unpleasantness, than we had imagined or might prefer. We have a lot of tools and will one way or another (have to) adapt to the changed circumstances.

The economics part - about national debt, seems intractable. Eventually "too many (paper) dollars relative to too few goods" means, prices must shift dramatically - say, going up by a factor of four. Also the United States has a terrible debt load; a history professor once taught me that 1) "debtors love inflation" and 2) the biggest debtor in the world, was the U.S. government. That was a long time ago and it's still the case. China holds a lot of U.S. debt - I hope we (I'm American) don't get to a war with China but if anything like that happened, including perhaps a "trade war", the U.S. could just cancel that debt. "I'm not gonna pay ya - go suck wind." Refusing to pay one's debts is commonly considered taboo on the international scene 'cause it'd blow up confidence in the U.S. government. Meaning nobody'd want to buy U.S. Treasury bonds any more. I get that, but if the damage were limited to one particular party/entity (China) perhaps the trick could be pulled off.

Of course this could also happen semi-automatically. Civil war in China's a distinct possibility. If the Sovereign Wealth Fund of the People's Republic of China (PRC) holds some billions of American debt/T-bills (I don't know the right terminology - sorry) and then the PRC ceases to exist, well, the temptation is obvious. Maybe this seems like a ridiculous scenario but it resembles others I've seen come to pass. For example I had some audio CDs of music performances by Czechoslovakian orchestras and performers - the copyright was held by the Czechoslovakian government. If I decided to give away - or for that matter even sell - copies of those CDs, who would be the entity that'd come after me?

/ramble

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