Counting from one to two in China—a bigger leap than it seems
Something is afoot with China’s one-child policy, but no-one seems entirely sure what might be changing and when (see here and here). Everyone agrees that the policy has been “successful” in its original intent, by official account reducing China’s anticipated population over the past almost three decades by 400 million. At the same time, everyone also agrees that the policy has resulted in excesses that must be addressed sooner rather than later.
Chinese officials appear most concerned about the ageing of the population. They face two separate challenges here. First, by 2050, China will have more than 438 million people over the age of 60, roughly 25 percent of the country’s total population. China’s leaders are desperately concerned about maintaining a strong and active labor force to ensure continued economic growth. Of course, people over 60 can continue to lead productive lives, working well into their seventies or even eighties, but China will need to improve its health care system to ensure their health care needs are met in the process.
Second, the skewed age demographic has brought about the “Four-two-one” problem, in which one child is responsible for caring for two parents and four grandparents, has been actively discussed for well over a decade. With a dearth of facilities to help care for the elderly, there is no doubt that the burden will be great on these only children, and recent polls suggest that many do not feel prepared to shoulder such a burden—even simply to take care of their parents, much less their grandparents.