Access to health care and health rights of older people: Serbian example
Rights in Crisis: Older Persons’ Social and Economic Rights during the Global Recession
description
Transcript of Rights in Crisis: Older Persons’ Social and Economic Rights during the Global Recession
Rights in Crisis: Older Persons’ Social and Economic Rights during the Global Recession
Human Rights Social Forum United Nations, Geneva, 1 April 2014
Isabel Ortiz Director Social Protection Department International Labour Organization
Crisis Transmission Channels1. Income and Employment Pension reforms Negative returns from pension funds Household family income affected
by unemployment and wage cuts Decreased demand for migrant
workers, lower remittances
2. Prices Basic food, agricultural inputs Fuel Medicines, drugs
3. Assets and Credit Loss of savings due to bank failures Loss of savings due to coping
mechanisms Home foreclosures
4. Government Spending on Social Sectors
Education Health Social security
5. Aid Levels - ODA
Older Persons Affected by Global Crisis (I):
The Right to Social Security – Old Age Pensions: A Right Unfulfilled for most
Source: ILO, World Social Security Report 2014 (forthcoming)
Source: Ortiz and Cummins. 2012. A Recovery for All. UNICEF.
The Main Source of Older Persons’ Income is Work – But Labour Demand Falling
Employment to Population Ratios 1990-2011
Only in OECD countries the main source of income for older persons are public pensions... now under reform because of austerity policies
Source: ILO, World Social Security Report 2014 (forthcoming)
Higher Food Prices
Source: Ortiz and Cummins. 2012. A Recovery for All. UNICEF
Older Persons Affected by Global Crisis (II):
Public Expenditures in Crisis Phase I (2008-09) – Fiscal Expansion
Social Protection 25% Fiscal Stimulus Plans 2008-09
Source: Ortiz and Cummins.2013. The Age of Austerity. IPD and the South Centre
Older Persons Affected by Global Crisis (III):
Countries Contracting Public Expenditures
During Second Phase Crisis (2010 onwards)
Source: Ortiz and Cummins.2013. The Age of Austerity. IPD and the South Centre - based on IMF’s World Economic Outlook (October 2012)
55
8937
106111
68
119132
122131
91 94 90
Women Affected by Global Crisis (III cont.):
Number of Countries Contracting Public Expenditures as a % GDP, 2008-16
How are Expenditure Cuts Affecting Older Persons? Austerity Measures in 174 Countries, 2010-13
Source: Ortiz and Cummins. 2013. The Age of Austerity. IPD and the South Centre – based on 314 IMF country reports 2010-2013
100
119
9894
8680
3732
A Crisis of Social Support
131 countries contracting public expenditures in 2014 (91 developing countries) in areas critical to Older Persons
Removing subsidies (food, fuel and others) in 100 countries, despite record-high food prices in many regionsWage bill cuts or caps in 98 countries, reducing the salaries of public-sector civil servants like health and social workers who provide essential services to the populationVAT increases on basic goods and services that are consumed by the poor in 94 countriesRationalizing and narrow targeting safety nets are under consideration in 80 countries, at a time when governments should be looking to scale up benefits though social protection floorsReforming pension and health care systems in 86 and 37 countries Labor flexibilization reforms in 30 countries, eroding workers rights
Source: Ortiz and Cummins. 2013. The Age of Austerity. IPD and the South Centre
Future pensioners receive lower pensions in at least 14 countries of Europe
Source: ILO, World Social Security Report 2014 (forthcoming)
Reduction in theoretical replacement rates for average wage workers retiring at 65 after 40 years, 2006-46 (percentage points of theoretical average wage)
Expansion of old-age pensions in developing countries Contraction in Europe and Former Soviet Union
Source: ILO, World Social Security Report 2014 (forthcoming)
Old Age Pensions: Coverage
Source: ILO, World Social Security Report 2014 (forthcoming)
• June 2012: The Recommendation Concerning National Floors of Social Protection adopted at the 101st session of the ILC in Geneva, by governments, unions and employers.
July 2012: Rio+20 – “The future we want” UNGA A/RES/66/288 Para 156. “We stress the need to provide social protection to all members of society, fostering growth, resilience, social justice and cohesion, including those who are employed in the informal economy. We strongly encourage providing social
protection floors for all citizens”
Social Protection Floors Recommendation 202 approved by world countries
Basic Pillars of Recommendation 202 Social Protection Floors
NATIONAL SOCIAL PROTECTION FLOOR: nationally defined basic social security guarantees
NATIONAL SOCIAL SECURITY SYSTEM Higher levels of protection
Post 2015 Agenda: A Rights-based target and indicator to change the life of older persons by 2030
16
Fiscal Space for Older Persons and Socio-Economic Recovery Exists Even in the Poorest Countries
There is national capacity to fund social protection floors in virtually all countries. There are many options, supported by UN and IFIs policy statements:
• Re-allocating public expenditures• Increasing tax revenues• Increasing contributions • Fighting illicit financial flows• Lobbying for increased aid and transfers• Tapping into fiscal and foreign exchange reserves• Restructuring debt • Adopting a more accommodative macroeconomic framework
(e.g. tolerance to some inflation, fiscal deficit) Ortiz and Cummins. 2012. A Recovery for All. UNICEF
It is not too late: Policies for an Equitable Recovery
Current crisis presents an opportunity to rethink socio-economic policies for an equitable
recovery 1929 financial crash led to a New Deal that radically altered the development model of the day:
Stimulated economic growth and employment Regulated the financial sector Expanded social security
A comparable policy push is needed today It is not too late
Thank you
Contact: Isabel Ortiz, Director Social Protection Department,
International Labour Organization.Email: [email protected]
Visit: www.social-protection.orghttp://www.ilo.org/