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Tobias Malm's avatar

"It’s not easy to see how this asymmetry could be justified. Children have the same need for support as old people."

I don’t think that claim holds up. If we’re talking about the elderly who need the kind of intensive care we normally associate with children (help with basic daily tasks, constant supervision, and support with bodily functions), then they are significantly worse off than most children. A more accurate comparison would be sick children, such as pediatric cancer patients, rather than the general population of children.

To give a sense of scale: in the UK alone, dementia currently costs the economy around £42 billion per year, and that figure is projected to nearly double to about £90 billion by 2040 as more people develop the condition and require care. Most of this cost isn’t just medical treatment, but long-term social care and unpaid caregiving by families and friends.

The birth-rate problem can, in principle, be addressed in two ways: by creating more people, or by ensuring that existing people remain healthy and productive for longer. From a person-affecting perspective, the latter is clearly preferable to the former. From that, it follows that resources should be directed less toward increasing the number of children and more toward preventing age-related disease and addressing aging itself.

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James's avatar

> It’s not easy to see how this asymmetry could be justified. Children have the same need for support as old people. One might argue that parents can provide for their children – but that may not be enough, and even if it is, it leaves parents financially worse off. That doesn’t seem fair, especially since children are a positive externality, benefiting all of society

It’s pretty easy to see why this is the case right? It is because the government mediates an insurance program for old age. If the pension system were not mediated by the government, “taxes” would be lower but people would end up buying the same good as old-age insurance. It just wouldn’t show up in the government statistics. I agree directionally with your point, but this just seems like a bad way to frame it because there is a pretty obvious explanation for this.

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