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Austerity, Ageing and the Future of
Public Spending on Older People
!
!
Monday November 26th, 2012 !
British Library!
Pensioner incomes and fiscal austerity
Carl Emmerson
Presentation at Strategic Society Centre event on “Austerity, Ageing
and the Future of Public Spending on Older People” at the British
Library, 26 November 2012


© Institute for Fiscal Studies
Pensioner incomes and fiscal austerity

          •  Pre-crisis trends


          •  Impact of considerable fiscal austerity in this parliament


          •  Reform options for continued austerity post March 2015 that
             would affect pensioners




© Institute for Fiscal Studies
Pensioner incomes and fiscal austerity

          •  Pre-crisis trends
                     –  pensioners relatively favoured by tax and benefit reforms from 1997
                        to 2010




© Institute for Fiscal Studies
Distributional impact of tax and benefit changes
                       April 1997 to April 2010
                    30%                                                  All
                                                                         Working-age without children
                    25%                                                  Households with children
     Change in net income




                    20%                                                  Pensioners

                    15%
                    10%
                            5%
                            0%
                        -5%
              -10%
              -15%                                    Income decile group
                                 Poorest 2     3    4    5    6     7     8      9 Richest       All
© Institute for Fiscal Studies
                                     Source: Adam, Browne & Johnson (2012).
Pensioner incomes and fiscal austerity

          •  Pre-crisis trends
                     –  pensioners relatively favoured by tax and benefit reforms from 1997
                        to 2010
                     –  average pensioner income at highest level relative to average
                        population-wide income since (at least 1961)




© Institute for Fiscal Studies
Median pensioner income as % of overall median

                               100%
                                   95%
                  Average income




                                   90%
                                   85%
                                   80%
                                   75%
                                   70%
                                   65%
                                   60%
                                         1961
                                         1963
                                         1965
                                         1967
                                         1969
                                         1971
                                         1973
                                         1975
                                         1977
                                         1979
                                         1981
                                         1983
                                         1985
                                         1987
                                         1989
                                         1991
                                         1993
                                         1995
                                         1997
                                         1999
                                         2001
                                         2003
                                         2005
                                         2007
                                         2009
                                                                   Year


© Institute for Fiscal Studies
                                     Source: Adam, Browne & Johnson (2012).
Pensioner incomes and fiscal austerity

          •  Pre-crisis trends
                     –  pensioners relatively favoured by tax and benefit reforms from 1997
                        to 2010
                     –  average pensioner income at highest level relative to average
                        population-wide income since (at least 1961)
                     –  chances of being in income-poverty now lower for pensioner than for
                        non-pensioner




© Institute for Fiscal Studies
Relative poverty rate by age and time, broad
          income

                                          40%
           % below 60% of median income


                                                        1978-1982
                                          35%
                                                        2003-2009
                                          30%
                                          25%
                                          20%
                                          15%
                                          10%
                                          5%
                                          0%
                                                25    30     35    40     45    50      55    60     65   70   75
                                                                                Age

                                                 Note: Broad income includes imputed rental income for
© Institute for Fiscal Studies
                                                 owner occupiers. Source: Brewer and O’Dea (2012).
Pensioner incomes and fiscal austerity

          •  Pre-crisis trends
                     –  pensioners relatively favoured by tax and benefit reforms from 1997
                        to 2010
                     –  average pensioner income at highest level relative to average
                        population-wide income since (at least 1961)
                     –  chances of being in income-poverty now lower for pensioner than for
                        non-pensioner
          •  Impact of considerable fiscal austerity in this parliament
                     –  pensioners not immune from this
                     –  but certainly relatively protected from tax rises and benefit cuts




© Institute for Fiscal Studies
Distributional impact of tax and benefit changes
                       January 2011 to April 2014
                            0%

                        -1%
     Change in net income




                        -2%

                        -3%

                        -4%

                        -5%

                        -6%                                                 All
                                                                            Working-age without children
                        -7%                                                 Households with children
                                                                            Pensioners
                        -8%
                                 Poorest 2     3     4       5   6      7    8      9 Richest      All
                                                         Income decile group
                                     Note: Excludes Universal Credit and some measures affecting
© Institute for Fiscal Studies
                                     the very rich. Source: Adam, Browne & Johnson (2012).
Pensioner incomes and fiscal austerity

          •  Pre-crisis trends
                     –  pensioners relatively favoured by tax and benefit reforms from 1997
                        to 2010
                     –  average pensioner income at highest level relative to average
                        population-wide income since (at least 1961)
                     –  chances of being in income-poverty now lower for pensioner than for
                        non-pensioner
          •  Impact of considerable fiscal austerity in this parliament
                     –  pensioners not immune from this
                     –  but certainly relatively protected from tax rises and benefit cuts
          •  Reform options for continued austerity post March 2015 that
             would affect pensioners


© Institute for Fiscal Studies
Some reform options

          Many possible reforms that would affect pensioners – here are three
          that would rationalise the tax and benefit system:
          1.  Impose NICs on earned income of pensioners
                     –  would raise £0.8 billion a year
                     –  but would weaken work incentives for a relatively responsive group
          2.  Restrict Winter Fuel Allowance and free TV-licences to those
              receiving Pension Credit
                     –  would raise £1.4 billion
                     –  might reduce fuel spending and incomplete take-up of pension credit
                        means poorest would lose the most
          3.  Impose Capital Gains Tax at death
                     –  would raise £0.6 billion and remove distortion to hold assets until death
                     –  but would (slightly) weaken incentive to save
© Institute for Fiscal Studies
Conclusions

          •  Which groups should lose relatively less, and which should lose
             relatively more, is a political choice
          •  Reforms should be made in the context of a clear strategy for tax
             reform and for the design of a coherent tax and benefit system
          •  Some context for that choice is:
                     –  state pension and pension credit are 55% of social security
                        spending, with other benefits to pensioners a further 14%
                     –  last 15 years have seen relatively favourable trends for pensioner
                        incomes
                     –  pensioners are being made worse off by fiscal austerity in this
                        parliament; but relatively protected compared to other groups
                     –  proposed (Dilnot) long-term care reform would cost £1.7 billon p.a.



© Institute for Fiscal Studies
Pensioner incomes and fiscal austerity
Carl Emmerson
Presentation at Strategic Society Centre event on “Austerity, Ageing
and the Future of Public Spending on Older People” at the British
Library, 26 November 2012


© Institute for Fiscal Studies
Austerity, ageing and the future of
public spending on older people

José Iparraguirre

Chief Economist, Age UK




British Library, 29 November 2012
Outline
•  OBR projections – ageing no cause for concern
•  Age-related and age-driven spending
•  Age-expenditure profiles and modifiable spending
•  The inexact art of economic forecasts
•  Distributional implications of policy recommendations
•  Universal payments – the crucial small beer
OBR projections – ageing no cause for concern
OBR projections – ageing no cause of concern
OBR projections – ageing no cause for concern




                                                +2.2
                                                ppts
Age-driven and Age-related spending

                                             Age-related spending change
                                             Advanced Economies, 2011-30
                     8.0                                                       Rep.(of(Korea(
                     7.0                                                             USA(
                     6.0                                                    G;20(
                                                                 Average(
                                                            UK
                     5.0
 (% points of GDP)




                     4.0

                     3.0

                     2.0
                                    Sweden(
                            Estonia(
                     1.0

                     0.0

                     -1.0

                     -2.0           Italy(               Countries

                                                                                    Source: IMF
Age-driven and Age-related spending




Not all age-related spending is driven by ageing…
Age-driven and Age-related spending

                                             Age-driven spending change
                                            Advanced Economies, 2011-30
                     1.5

                                                                                USA(
                     1.3
                                                                           Austria(
 (% points of GDP)




                     1.0

                                Luxembourg(
                     0.8
                                  Sweden(
                           UK
                     0.5


                     0.3


                     0.0
                                                        Countries

                                                                          Source: IMF
Age-expenditure profiles and modifiable spending
                        Age Profiles of Public Expenditure on Health, 2010
                3,500


                3,000


                2,500
  (£ million)




                2,000


                1,500


                1,000


                 500


                   0
                         0
                         3
                         6
                         9
                        12
                        15
                        18
                        21
                        24
                        27
                        30
                        33
                        36
                        39
                        42
                        45
                        48
                        51
                        54
                        57
                        60
                        63
                        66
                        69
                        72
                        75
                        78
                        81
                        84
                        87
                        90
                        93
                        96
                        99
                                                Age
Age-expenditure profiles and modifiable spending
                        Age Profiles of Public Expenditure on Health, 2010
                3,500


                3,000


                2,500
  (£ million)




                2,000


                1,500


                1,000


                 500


                   0
                         0
                         3
                         6
                         9
                        12
                        15
                        18
                        21
                        24
                        27
                        30
                        33
                        36
                        39
                        42
                        45
                        48
                        51
                        54
                        57
                        60
                        63
                        66
                        69
                        72
                        75
                        78
                        81
                        84
                        87
                        90
                        93
                        96
                        99
                                                Age
The inexact art of economic forecasts

               Independent forecasts of GDP growth
                              2012
The inexact art of economic forecasts

              Independent forecasts of GDP growth
                        2012 and 2016
Distributional implications of policy recommendations
                                            VAT Receipts by Age of Taxpayer
                  140



                  120



                  100
    (£ million)




                   80



                   60



                   40



                   20



                    0
                        16 19 22 25 28 31 34 37 40 43 46 49 52 55 58 61 64 67 70 73 76 79 82 85 88 91 94 97 100
                                                                  Age
Distributional implications of policy recommendations
                      Spending on VAT and Incidence by Income Decile, Retired Households
                   2,500



                   2,000
   (£ thousands)




                   1,500



                   1,000


                                 Receipts
                    500



                      0
                                     2nd



                                            3rd



                                                  4th



                                                         5th



                                                                 6th



                                                                        7th



                                                                              8th



                                                                                    9th



                                                                                          Top
                           1st




                                                        Income Decile
Distributional implications of policy recommendations
                      Spending on VAT and Incidence by Income Decile, Retired Households
                   2,500                                                                         16%

                                                                                                 14%




                                                                                                       (Per cent of Disposable Income )
                   2,000
                                                                                                 12%

                                                                                                 10%
   (£ thousands)




                   1,500

                                                                                                 8%

                   1,000                                                            Incidence
                                                                                                 6%


                                 Receipts                                                        4%
                    500
                                                                                                 2%

                      0                                                                          0%
                                     2nd



                                            3rd



                                                  4th



                                                         5th



                                                                 6th



                                                                        7th



                                                                              8th



                                                                                    9th



                                                                                           Top
                           1st




                                                        Income Decile
Universal benefits – the crucial small beer




                                              Total Public
                                              Expenditure
                                              (TME)…
Universal benefits – the crucial small beer



This is how much
is spent on Winter
Fuel Payments,                                   Total Public
Concessionary                                    Expenditure
Bus Fares, and                                   (TME)…
free TV Licences
together…
Universal benefits – the crucial small beer



This is how much
is spent on Winter
Fuel Payments,                                   Total Public
Concessionary                                    Expenditure
Bus Fares, and                                   (TME)…
free TV Licences
together…




         0.58%
Universal benefits – the crucial small beer


                              Take-up

                              Pension credit:   62%-68%

                              Guarantee credit: 73%-80%
Universal benefits – the crucial small beer


                              Take-up

                              Pension credit:    62%-68%

                              Guarantee credit: 73%-80%



                                  Perceived ineligibility: 65%

                                  Associated stigma:     62%
Thank you!
!
Austerity, Ageing and the Future of
Public Spending on Older People
#austerityageing

James Lloyd, Director, Strategic Society Centre

Monday November 26th, 2012
Q: Is it true that older cohorts have escaped
the effects of the government’s policy
response to the economic crisis?
!
Fiscal policy response? In some respects, yes – for
example, ‘triple-lock’ around the State Pension.

However, £1 billion spending gap has opened up since
2010 in adult social care and is causing real suffering…

… But not getting newspaper headlines.

… DCLG’s main gripe with councils currently is about
weekly bin collections.
But fiscal policy response is only one side of how
public policy has responded.

The other side is monetary policy.

Here, older people have been among biggest
‘losers’ through effects of:

1. Unprecedented low interest-rates
2. Quantitative easing
Many older people attempt to fund retirement
spending through interest earned on savings.

May not be sensible = exposure to ‘interest-
rate risk’.

Low interest rates effectively transfer value
from older people’s savings to their homes,
which monetary policymakers want to prop-up.
Quantitative easing and ‘annuity rates’

About a third of those retiring buy an annuity with
their pension savings. ‘Annuity rate’ is pension
income they receive in exchange for pension
savings

QE widely felt to have accelerated decline in annuity
rates

NB: Annuitisation decisions are permanent
Q: What are the pros and cons of targeting
public spending on older people
proportional to their means?
!
Pros:

Clear rationale: receipt of public spending
is proportional to wealth!

Looks good on Treasury graphs
Cons:

Means testing pensioners disincentivizes
pension saving for retirement

Private pension income reduces entitlement
to means tested support
Cons:

Major policy push for near-universal workplace
pension saving is coinciding with arguments
for more means testing of pensioners
Raises issues of fairness and ‘mis-selling’
Are ‘auto-enrolment’ workplace pension
reforms tenable if direction of policy is more
means testing of pensioners?
Cons:

Effect of means testing on outcomes
Means testing system for Pension Credit only
reaches 2/3 of target group
Numbers matter: 1.3 million pensioners don’t
receive means tested support they should
(DWP)!
Cons:

Why low take-up of means
tested pensioner benefits?

Lots of reasons and lots of
related work by DWP… !
Cons:

So, no properly functioning mechanism for
means testing older people
Extraordinary lack of focus on issue of
feasibility of means testing
!
Q: Should older people be expected to “pay
more” at a time of government austerity, and
if so, how?

!
Good principle: everyone, including older people,
should share the pain of spending cuts proportional
to means

However, debate has got stuck on issue of means-
testing ‘pensioner benefits’.

“Why should older people with expensive homes get
Winter Fuel Payments?”… but does having an
expensive home = ability to pay more through cut in
income?
Is debate on means testing public spending on
older people confusing net wealth with ‘ability to
pay’?

Strange absence of debate on taxation of housing
wealth during time of government austerity.

Rationale for taxing wealth over means testing
public spending is much stronger
!
Q: Is political debate capable of identifying
and protecting cost-effective public
spending on older people, such as
prevention strategies that reduce
‘downstream costs’?
!
Currently – worrying signs that it is not.

Public spending on older people includes:

State Pension
Pension Credit
Winter Fuel Payments
Free bus passes
Free TV licenses
Disability benefits
Adult social care system
NHS expenditure on older people
!
If you means test increasing areas of older
people’s spending, when does this actually
become more expensive for the Exchequer?
!
Key point: a “wealthy pensioner” costs the
same in a hospital bed as a “poor pensioner”.

So, if policymakers have cost-effective
preventative strategies available, it does not
make sense to means test them…

… Even when this looks like a ‘hand-out’ to rich
older people.
Example:

Every year, 25,000 preventable excess winter
deaths occur among the elderly because of
the cold weather.

And, thousands of older people end up in
hospital or GP surgeries with cold-weather
related conditions.
Idea:

Given problems of cold-weather related demands on
NHS, and public spending on State Pension…

… why not take a £100 chunk out of everyone’s State
Pension, give it to them around Winter time and call it
something else that tells them it is for keeping warm?

Rationale: evidence suggests labeling cash transfers to
people is proven to influence behaviour.


!
What does this show?

In future, we will probably need more ‘pensioner
benefits’, not less.

Minimising overall public spending on older people
will require intelligent policymaking that includes:
1.  Investment in prevention among ‘wealthy old’;
2.  Intelligent policy design focused on influencing
    behaviour, such as use of labelling
Further reading:

Paying for Ageing:
Decision time for
households and the state"
•  Is it true that older cohorts have escaped the effects
   of the government’s policy response to the economic
   crisis?

•  What are the pros and cons of targeting public
   spending on older people proportional to their
   means?

•  Should older people be expected to “pay more” at a
   time of government austerity, and if so, how?

•  Is political debate capable of identifying and
   protecting cost-effective public spending on older
   people, such as prevention strategies that reduce
   ‘downstream costs’?

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Austerity, ageing and the future of public spending on older people

  • 1. Austerity, Ageing and the Future of Public Spending on Older People ! ! Monday November 26th, 2012 ! British Library!
  • 2. Pensioner incomes and fiscal austerity Carl Emmerson Presentation at Strategic Society Centre event on “Austerity, Ageing and the Future of Public Spending on Older People” at the British Library, 26 November 2012 © Institute for Fiscal Studies
  • 3. Pensioner incomes and fiscal austerity •  Pre-crisis trends •  Impact of considerable fiscal austerity in this parliament •  Reform options for continued austerity post March 2015 that would affect pensioners © Institute for Fiscal Studies
  • 4. Pensioner incomes and fiscal austerity •  Pre-crisis trends –  pensioners relatively favoured by tax and benefit reforms from 1997 to 2010 © Institute for Fiscal Studies
  • 5. Distributional impact of tax and benefit changes April 1997 to April 2010 30% All Working-age without children 25% Households with children Change in net income 20% Pensioners 15% 10% 5% 0% -5% -10% -15% Income decile group Poorest 2 3 4 5 6 7 8 9 Richest All © Institute for Fiscal Studies Source: Adam, Browne & Johnson (2012).
  • 6. Pensioner incomes and fiscal austerity •  Pre-crisis trends –  pensioners relatively favoured by tax and benefit reforms from 1997 to 2010 –  average pensioner income at highest level relative to average population-wide income since (at least 1961) © Institute for Fiscal Studies
  • 7. Median pensioner income as % of overall median 100% 95% Average income 90% 85% 80% 75% 70% 65% 60% 1961 1963 1965 1967 1969 1971 1973 1975 1977 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 Year © Institute for Fiscal Studies Source: Adam, Browne & Johnson (2012).
  • 8. Pensioner incomes and fiscal austerity •  Pre-crisis trends –  pensioners relatively favoured by tax and benefit reforms from 1997 to 2010 –  average pensioner income at highest level relative to average population-wide income since (at least 1961) –  chances of being in income-poverty now lower for pensioner than for non-pensioner © Institute for Fiscal Studies
  • 9. Relative poverty rate by age and time, broad income 40% % below 60% of median income 1978-1982 35% 2003-2009 30% 25% 20% 15% 10% 5% 0% 25 30 35 40 45 50 55 60 65 70 75 Age Note: Broad income includes imputed rental income for © Institute for Fiscal Studies owner occupiers. Source: Brewer and O’Dea (2012).
  • 10. Pensioner incomes and fiscal austerity •  Pre-crisis trends –  pensioners relatively favoured by tax and benefit reforms from 1997 to 2010 –  average pensioner income at highest level relative to average population-wide income since (at least 1961) –  chances of being in income-poverty now lower for pensioner than for non-pensioner •  Impact of considerable fiscal austerity in this parliament –  pensioners not immune from this –  but certainly relatively protected from tax rises and benefit cuts © Institute for Fiscal Studies
  • 11. Distributional impact of tax and benefit changes January 2011 to April 2014 0% -1% Change in net income -2% -3% -4% -5% -6% All Working-age without children -7% Households with children Pensioners -8% Poorest 2 3 4 5 6 7 8 9 Richest All Income decile group Note: Excludes Universal Credit and some measures affecting © Institute for Fiscal Studies the very rich. Source: Adam, Browne & Johnson (2012).
  • 12. Pensioner incomes and fiscal austerity •  Pre-crisis trends –  pensioners relatively favoured by tax and benefit reforms from 1997 to 2010 –  average pensioner income at highest level relative to average population-wide income since (at least 1961) –  chances of being in income-poverty now lower for pensioner than for non-pensioner •  Impact of considerable fiscal austerity in this parliament –  pensioners not immune from this –  but certainly relatively protected from tax rises and benefit cuts •  Reform options for continued austerity post March 2015 that would affect pensioners © Institute for Fiscal Studies
  • 13. Some reform options Many possible reforms that would affect pensioners – here are three that would rationalise the tax and benefit system: 1.  Impose NICs on earned income of pensioners –  would raise £0.8 billion a year –  but would weaken work incentives for a relatively responsive group 2.  Restrict Winter Fuel Allowance and free TV-licences to those receiving Pension Credit –  would raise £1.4 billion –  might reduce fuel spending and incomplete take-up of pension credit means poorest would lose the most 3.  Impose Capital Gains Tax at death –  would raise £0.6 billion and remove distortion to hold assets until death –  but would (slightly) weaken incentive to save © Institute for Fiscal Studies
  • 14. Conclusions •  Which groups should lose relatively less, and which should lose relatively more, is a political choice •  Reforms should be made in the context of a clear strategy for tax reform and for the design of a coherent tax and benefit system •  Some context for that choice is: –  state pension and pension credit are 55% of social security spending, with other benefits to pensioners a further 14% –  last 15 years have seen relatively favourable trends for pensioner incomes –  pensioners are being made worse off by fiscal austerity in this parliament; but relatively protected compared to other groups –  proposed (Dilnot) long-term care reform would cost £1.7 billon p.a. © Institute for Fiscal Studies
  • 15. Pensioner incomes and fiscal austerity Carl Emmerson Presentation at Strategic Society Centre event on “Austerity, Ageing and the Future of Public Spending on Older People” at the British Library, 26 November 2012 © Institute for Fiscal Studies
  • 16. Austerity, ageing and the future of public spending on older people José Iparraguirre Chief Economist, Age UK British Library, 29 November 2012
  • 17. Outline •  OBR projections – ageing no cause for concern •  Age-related and age-driven spending •  Age-expenditure profiles and modifiable spending •  The inexact art of economic forecasts •  Distributional implications of policy recommendations •  Universal payments – the crucial small beer
  • 18. OBR projections – ageing no cause for concern
  • 19. OBR projections – ageing no cause of concern
  • 20. OBR projections – ageing no cause for concern +2.2 ppts
  • 21. Age-driven and Age-related spending Age-related spending change Advanced Economies, 2011-30 8.0 Rep.(of(Korea( 7.0 USA( 6.0 G;20( Average( UK 5.0 (% points of GDP) 4.0 3.0 2.0 Sweden( Estonia( 1.0 0.0 -1.0 -2.0 Italy( Countries Source: IMF
  • 22. Age-driven and Age-related spending Not all age-related spending is driven by ageing…
  • 23. Age-driven and Age-related spending Age-driven spending change Advanced Economies, 2011-30 1.5 USA( 1.3 Austria( (% points of GDP) 1.0 Luxembourg( 0.8 Sweden( UK 0.5 0.3 0.0 Countries Source: IMF
  • 24. Age-expenditure profiles and modifiable spending Age Profiles of Public Expenditure on Health, 2010 3,500 3,000 2,500 (£ million) 2,000 1,500 1,000 500 0 0 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 63 66 69 72 75 78 81 84 87 90 93 96 99 Age
  • 25. Age-expenditure profiles and modifiable spending Age Profiles of Public Expenditure on Health, 2010 3,500 3,000 2,500 (£ million) 2,000 1,500 1,000 500 0 0 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 63 66 69 72 75 78 81 84 87 90 93 96 99 Age
  • 26. The inexact art of economic forecasts Independent forecasts of GDP growth 2012
  • 27. The inexact art of economic forecasts Independent forecasts of GDP growth 2012 and 2016
  • 28. Distributional implications of policy recommendations VAT Receipts by Age of Taxpayer 140 120 100 (£ million) 80 60 40 20 0 16 19 22 25 28 31 34 37 40 43 46 49 52 55 58 61 64 67 70 73 76 79 82 85 88 91 94 97 100 Age
  • 29. Distributional implications of policy recommendations Spending on VAT and Incidence by Income Decile, Retired Households 2,500 2,000 (£ thousands) 1,500 1,000 Receipts 500 0 2nd 3rd 4th 5th 6th 7th 8th 9th Top 1st Income Decile
  • 30. Distributional implications of policy recommendations Spending on VAT and Incidence by Income Decile, Retired Households 2,500 16% 14% (Per cent of Disposable Income ) 2,000 12% 10% (£ thousands) 1,500 8% 1,000 Incidence 6% Receipts 4% 500 2% 0 0% 2nd 3rd 4th 5th 6th 7th 8th 9th Top 1st Income Decile
  • 31. Universal benefits – the crucial small beer Total Public Expenditure (TME)…
  • 32. Universal benefits – the crucial small beer This is how much is spent on Winter Fuel Payments, Total Public Concessionary Expenditure Bus Fares, and (TME)… free TV Licences together…
  • 33. Universal benefits – the crucial small beer This is how much is spent on Winter Fuel Payments, Total Public Concessionary Expenditure Bus Fares, and (TME)… free TV Licences together… 0.58%
  • 34. Universal benefits – the crucial small beer Take-up Pension credit: 62%-68% Guarantee credit: 73%-80%
  • 35. Universal benefits – the crucial small beer Take-up Pension credit: 62%-68% Guarantee credit: 73%-80% Perceived ineligibility: 65% Associated stigma: 62%
  • 37. ! Austerity, Ageing and the Future of Public Spending on Older People #austerityageing James Lloyd, Director, Strategic Society Centre Monday November 26th, 2012
  • 38. Q: Is it true that older cohorts have escaped the effects of the government’s policy response to the economic crisis? !
  • 39. Fiscal policy response? In some respects, yes – for example, ‘triple-lock’ around the State Pension. However, £1 billion spending gap has opened up since 2010 in adult social care and is causing real suffering… … But not getting newspaper headlines. … DCLG’s main gripe with councils currently is about weekly bin collections.
  • 40. But fiscal policy response is only one side of how public policy has responded. The other side is monetary policy. Here, older people have been among biggest ‘losers’ through effects of: 1. Unprecedented low interest-rates 2. Quantitative easing
  • 41. Many older people attempt to fund retirement spending through interest earned on savings. May not be sensible = exposure to ‘interest- rate risk’. Low interest rates effectively transfer value from older people’s savings to their homes, which monetary policymakers want to prop-up.
  • 42. Quantitative easing and ‘annuity rates’ About a third of those retiring buy an annuity with their pension savings. ‘Annuity rate’ is pension income they receive in exchange for pension savings QE widely felt to have accelerated decline in annuity rates NB: Annuitisation decisions are permanent
  • 43. Q: What are the pros and cons of targeting public spending on older people proportional to their means? !
  • 44. Pros: Clear rationale: receipt of public spending is proportional to wealth! Looks good on Treasury graphs
  • 45. Cons: Means testing pensioners disincentivizes pension saving for retirement Private pension income reduces entitlement to means tested support
  • 46. Cons: Major policy push for near-universal workplace pension saving is coinciding with arguments for more means testing of pensioners Raises issues of fairness and ‘mis-selling’ Are ‘auto-enrolment’ workplace pension reforms tenable if direction of policy is more means testing of pensioners?
  • 47. Cons: Effect of means testing on outcomes Means testing system for Pension Credit only reaches 2/3 of target group Numbers matter: 1.3 million pensioners don’t receive means tested support they should (DWP)!
  • 48. Cons: Why low take-up of means tested pensioner benefits? Lots of reasons and lots of related work by DWP… !
  • 49. Cons: So, no properly functioning mechanism for means testing older people Extraordinary lack of focus on issue of feasibility of means testing
  • 50. ! Q: Should older people be expected to “pay more” at a time of government austerity, and if so, how? !
  • 51. Good principle: everyone, including older people, should share the pain of spending cuts proportional to means However, debate has got stuck on issue of means- testing ‘pensioner benefits’. “Why should older people with expensive homes get Winter Fuel Payments?”… but does having an expensive home = ability to pay more through cut in income?
  • 52. Is debate on means testing public spending on older people confusing net wealth with ‘ability to pay’? Strange absence of debate on taxation of housing wealth during time of government austerity. Rationale for taxing wealth over means testing public spending is much stronger
  • 53. ! Q: Is political debate capable of identifying and protecting cost-effective public spending on older people, such as prevention strategies that reduce ‘downstream costs’? !
  • 54. Currently – worrying signs that it is not. Public spending on older people includes: State Pension Pension Credit Winter Fuel Payments Free bus passes Free TV licenses Disability benefits Adult social care system NHS expenditure on older people
  • 55. ! If you means test increasing areas of older people’s spending, when does this actually become more expensive for the Exchequer? !
  • 56. Key point: a “wealthy pensioner” costs the same in a hospital bed as a “poor pensioner”. So, if policymakers have cost-effective preventative strategies available, it does not make sense to means test them… … Even when this looks like a ‘hand-out’ to rich older people.
  • 57. Example: Every year, 25,000 preventable excess winter deaths occur among the elderly because of the cold weather. And, thousands of older people end up in hospital or GP surgeries with cold-weather related conditions.
  • 58. Idea: Given problems of cold-weather related demands on NHS, and public spending on State Pension… … why not take a £100 chunk out of everyone’s State Pension, give it to them around Winter time and call it something else that tells them it is for keeping warm? Rationale: evidence suggests labeling cash transfers to people is proven to influence behaviour. !
  • 59. What does this show? In future, we will probably need more ‘pensioner benefits’, not less. Minimising overall public spending on older people will require intelligent policymaking that includes: 1.  Investment in prevention among ‘wealthy old’; 2.  Intelligent policy design focused on influencing behaviour, such as use of labelling
  • 60. Further reading: Paying for Ageing: Decision time for households and the state"
  • 61. •  Is it true that older cohorts have escaped the effects of the government’s policy response to the economic crisis? •  What are the pros and cons of targeting public spending on older people proportional to their means? •  Should older people be expected to “pay more” at a time of government austerity, and if so, how? •  Is political debate capable of identifying and protecting cost-effective public spending on older people, such as prevention strategies that reduce ‘downstream costs’?