Parent Care: The Latest, Greatest Challenge for Baby Boomers
Madame President, distinguished head table guests, members of The Empire Club, ladies and gentlemen...I stand here in the footsteps of Dr. Angus Reid, our founder, who addressed this body in 1991.
While our company name today is well known across this country, it wasn't always the case. In fact, Angus's speech that dealt with the Constitution, Quebec separatism and the Quebec Referendum was actually the very first time he appeared in Toronto, and arguably to the nation, on a dais that would propel his remarks so extensively into the public domain.
That speech was commented on far and wide and signaled not only the insights of one of Canada's most renowned public opinion thinkers that would soon evolve into the renown that he justifiably bears today, but also was the prologue of one of Canada's most defining moments in the twentieth century.
My presentation today deals with "Parent Care: The Latest, Greatest Challenge for Baby Boomers". While being here marks another landmark for our company, on the surface, parent care may not sound as important as the nation's constitution. But I have learned never to underestimate the power of social trends in changing the very backbone of our country. And I believe that parent care is one of those issues.
This address today is a prologue for what will play out over the course of the next two decades and will have such an impact on our society, its institutions, its health care dimensions and literally millions of Canadian families that it will change the way we think about ourselves - and act with each other - forever.
David Foot's seminal work, Boom, Bust & Echo, which outlined the impact of a growing and aging population in Canada, is upon us as a nation. Indeed, our national grey boom will affect all of the touchstones that we have - advertising, consumer goods and services, tourism and travel, accommodations and housing, and health care in the years to come. Even this past weekend, Canada's Minister of Citizenship and Immigration, Denis Coderre, pointed out that over the next five years Canada will need at least one million more skilled workers, drawn mainly through immigration, not only to keep up with our pace of growth but particularly to replenish the places left by those in the workforce who are retiring.
Given this, it should also be no surprise that the Ontario Government last week announced its intention to rid barriers of mandatory retirement for those over the age of 65 in the province. The workplace, employers, benefit plans for employees - these will all be predictably affected over the next number of years as 15 per cent of our current workforce will be within 10 years of retirement by the end of this decade. Not to be subtle, boomers who are now between 37 and 55 years old currently make up 47 per cent of the workforce and in 10 years, half of them will be over 55.
Today in this country, there are more people over the age of 55 than under age 15. Two and a half million Canadians are currently between 60 and 69. 2.7 million Canadians are currently over 70 and when you comprise these two groups, it makes up 5,250,000 adults or 22 per cent of the adult Canadian population. Well over two out of you at every table here today.
Finally, by 2006, three million Canadians will be over 70 and in 2011; one million will be over 80.
Those are a lot of numbers to digest in terms of demographics. But they underscore that in a country where we're living longer and where the boomer bulge is leaving a deep wake behind it, it is about to have an enormous impact on our health care system and will challenge our long-term care plans. And those plans are on the cusp of an explosion - ranging from long-term care insurance and home-care services, to new public and private care and housing facilities to name a few. Even health care workers will face dwindling ranks as upwards of 25 per cent of physicians indicate they, themselves, will want to retire in the next decade. Get this - more SARS, more West Nile - and fewer health care workers to combat them. Not a pretty picture.
And we will have choices to make - public funding, role playing for private and public sectors are but the tip of the... well, the tipping point for our society writ large. But the impact will likely be felt most for families as they cope with not only the social and financial assistance that might be required to address elder-care issues, but also the complex feelings that can often overwhelm individuals in terms of comfort and caring for their loved ones.
It is to this issue and this issue alone that I want to confine my remarks today.
Because as you can tell, this is simply too large an issue to identify the tangle of cause and effect that Canadians will likely have to deal with over the next decade or more.
But what we can start with is what Canadians believe on some of these issues drawn from polling done two weeks ago by Ipsos-Reid for this event today and over the last couple of months for our clients RBC Financial, The Alzheimer Society of Canada and Aventis Pharma, all of which have been publicly released.
As of two weeks ago, 73 per cent of adult Canadians told us that they have living parents or in-laws.
(Please see attached release for chart)
Of this group, over half (55%) believe they will have to provide some form of care for their parents or in-laws in the future. This represents 9.6 million adults, or 40 per cent of Canada's adult population who feel this way right now.
(Please see attached release for chart)
What's more, 42 per cent of those with parents or in-laws are actually concerned that they'll have to care for them when they get older. This is evident in every part of the country, more so in Atlantic Canada and in Ontario and among younger Canadians as one-third of Canadian adults with parents or in-laws believe that their parents will need social or financial assistance.
(Please see attached release for chart)
In short, that's 24 per cent of the adult population or almost 5.8 million Canadian adults who believe that, in the future, they will have to step up to the plate and help with caring for their parents.
(Please see attached release for chart)
The fact is, of course, for some, this might not happen. Those between 18-34 years of age have the greatest level of anxiety about the future, but a lot can change over the next many years depending upon the accumulated retirement wealth of that boomer group and what they can buy in terms of their extended care or what is provided through the public health care system. But what's important is that these expectations today will no doubt frame the impending debate on what to do about this grey boom, which will drive this issue well into the future.
In some respects, the future has already begun with 25 per cent of Canadian adults indicating that Alzheimer Disease has already been diagnosed for someone in their family circle.
(Please see attached release for chart)
As a backdrop to this, 88 per cent of all Canadians believe that as the population ages, the effects of this disease on the Canadian health care costs will be dramatic - not to mention their own personal, emotional and social costs within their own families.
(Please see attached release for chart)
We are also starting to see the effects of aging not only in the workplace as older workers begin to retire, but in terms of those who are increasingly dealing with eldercare. A study done by us for Aventis recently of employees with benefit plans (approximating 71 per cent of the Canadian workforce) identified that one-third (32%) are responsible for eldercare... and 12 per cent are responsible for children under the age of 18 and eldercare responsibilities.
(Please see attached release for chart)
The survey also revealed, for the one-third of these workers who care for elderly family members, they average 23 hours of care-giving per month and 17 per cent (or one-in-six of these workers) indicate they'll have to take more time off in the next two years for those responsibilities.
(Please see attached release for chart)
The impact becomes clear when 35 per cent of plan members agree that it's becoming harder to balance their work, home and life because of this stretch in caring for young and old alike, and it's a recognition of the future when over half (53%) of that workforce indicates that they would be willing to pay higher premiums for eldercare health coverage.
(Please see attached release for charts)
On the home front, a third of Canadians are worried about where they'll live when they get older.
(Please see attached release for chart)
But on the flip side, you'll be delighted to know, almost as many (31%) think they would enjoy living with their children and their family. While this may be an admirable sentiment, recent numbers compiled by us for the Royal Bank's 10th annual housing survey released last month put that hope in today's context - five per cent of the adult population currently have parents or in-laws living with them, of which one-in-six made renovations or modifications to their homes, while another 12 per cent of the adult population expects that their parent or parents will live with them as they get older. Roughly 17 per cent of the adult population thinks that the noise they either hear or will hear at the refrigerator late at night will come from their parents, not their adolescent teenagers arriving home late and looking for munchies.
(Please see attached release for chart)
The impact on the housing community is apparent -if the move-in factor comes to fruition, a quarter of this group says they'll have to buy a bigger home, with another quarter renovating their current home. The Royal Bank study showed that when it comes to renovations, ground floor accessibility for wheel-chairs and bathrooms may top the list inside of the house, but outside of the house may be equally crucial with trying to find the right balance between being in neighbourhoods that are close to friends and relatives as well as health and medical facilities.
(Please see attached release for chart)
But the pressure with respect to these changes shouldn't just be viewed among those who will be compelled to care for parents or in-laws. Rightfully so, almost half of Canadian adults (47%) are concerned that they're going to be a burden to someone when they get older - and those who are most likely to think so are not only the age of 55 (51%) but run the range on virtually all the demographic fronts - with geography playing a bigger role, particularly in Atlantic Canada and Alberta.
(Please see attached release for chart)
Let me close off then with two clear statistics that I think must be considered over the next number of years. The first is that only 36 per cent of Canadians have discussed with their parents or in-laws their long-term care plans so that they know what to do if they should need assistance as they age.
(Please see attached release for chart)
I am reminded that a few years ago, the prostate cancer issue was one that very few of us ever talked about; yet, today, it is very much more out in the open with advocates and others who speak of survivors or those afflicted by the disease in a way which is, compared to a decade ago, truly astonishing.
In that light, I believe strongly that what this country needs is to be able to start talking about this issue within the family setting. There is no question that policy mentors and other health care professionals have already been engaged in scenario planning and have identified many of the issues for some time. But it seems to me that the place to start is at home and making it "o.k." to discuss these matters among parents and children alike.
Frankly, if I can drive to work every day and hear radio commercials about preplanning my funeral and how to talk about it, there should be equal time given to this station in life before I get there.
Yes, we're all sensitive to both the subject and of our financial and emotional boundaries. I can't imagine me sitting down with my dad 20 years ago and saying, "so what do you want to do when you're infirm and how much is in the bank to carry you forward?" But I should have, because 20 years later, my brother and sister-in-law are living the very care scenario that many others are today in looking after my mother under their roof. It sure would have been easier to plan for, even 10 years ago, if we had bridged that information gap that existed then.
This dialogue has to start somewhere and it's got to start now at home. It does not have to be a worrisome venture if many Canadians come to grips with the issue and at least do some rudimentary planning. But while the price will be measured in not only personal dollars and the avenues of care in our health care system to meet this new reality, perhaps the most unwarranted measurement is that today two-thirds (63%) of Canadians say they will feel guilty unless they can adequately provide their parents or in-laws either help or social assistance when the time comes.
(Please see attached release for chart)
Clearly, guilt solves nothing and creates a level of anxiety and false expectations that can be alleviated well in advance if the dialogue begins so the care can be shared and structured on a basis between those who may need help and those who will provide it.
We can talk of institutional response, growing concerns with our health care and long-term care infrastructure, policies and politics, but what really matters is how we are personally responding to our own personal demographic evolution, this aging revolution.
The results show almost 10 million Canadian adults who believe they will have to help care for their parents or in-laws, almost six million who may have to provide financial or social assistance, and four million who currently are or will experience eldercare in their own home.
What is compelling about these public opinion numbers, is that the effects are already washing up on the shores of people's lives, ranging from homes to workplaces to guilt.
And what is perhaps the largest challenge is not to solely put pressures on our leaders to prepare and respond to these matters, but to begin at home - a national challenge to begin the dialogue between parents, in-laws, and other family members as to what plans, desires and needs should be considered for the future. We owe it ourselves in our respective families to take responsibility and begin talking, today.
Thank you very much.
For more information, please contact:
John Wright
Senior Vice-President
Ipsos-Reid Public Affairs
(416) 324-2900