The Future of Work NORA Interdisciplinary Seminar North Carolina Education and Research Center 26 August 2009 John Howard, M.D., M.P.H., J.D. Public Health Law Program Centers for Disease Control and Prevention U.S. Department of Health and Human Services Washington, D.C. 1 Changes to the Future of Work • Workforce – Age – Gender – “Retirement” • Employment – Flexible or “Precarious” – Multiple Generations – Physically Dispersed • Hazards – New Technologies – Organization of Work and Stress – MSDs and Robotics 2 Objectives • State three demographic changes occurring in the American workforce • Identify two changes in the employment relationship • Describe the occupational safety and health impact of a changing workforce and the steps needed to protect workers 3 Overview • • • • • • • • • • Workforce growth Chronologically-gifted workers Diversity Skill sets Global and physically dispersed Meaning of retirement Balance between work and life Multi-generational workforce Disengaged from work Occupational safety and health impact 4 Occupational Safety and Health Act • “Congress declares it to be its purpose and policy … – To assure as far as possible every working man and woman in the Nation safe and healthful working conditions and – To preserve our human resources--” “By providing for research in the field of occupational safety and health, including the psychological factors involved, and by developing innovative methods, techniques, and approaches for dealing with occupational safety and health problems.” 5 6 Growth Curves for U.S. Workers Expected Labor Force and Labor Force Demand 250 200 Millions of People 150 Labor Needed 100 Labor Available 50 2030 2028 2026 2024 2022 2020 2018 2016 2014 2012 2010 2008 2006 2004 2002 0 Source: Employment Policy Foundation analysis and projections of Census/BLS and BEA7data. Screeching to a Halt: Growth in the Working-Age Population 1970-2010 200% 2010-2050 150% 100% 50% 0% -50% Mexico Brazil India China South Korea Australia Canada US Netherlands Spain France UK Russia Italy Japan Source: Deloitte Research/UN Population Division (http://esa.un.org/unpp/) It’s 2008: Do You Know Where Your Talent Is? Why Acquisition and Retention Strategies Don’t Work, p. 6 8 Germany Dramatically Different Patterns of Growth by Age Percent Growth in U.S. Population by Age: 2000-2010 3. Rapid growth in the over-55 workforce 80% 60% 48% 40% 18% 20% 5% 0% -20% 5% 2. Few younger workers entering 16-24 15% 25-34 -9% 35-44 45-54 55-64 65+ Age of Workers 1. Declining number of mid-career workers Source: U.S. Census Bureau 9 . . . Continuing Into the Future Percent Growth in U.S. Workforce by Age: 2000-2020 80% 73% 54% 60% 40% 20% 7% 8% 7% 3% 0% -10% -20% under 14 15-24 25-34 35-44 45-55 55-64 65+ Age of Workers Source: U.S. Census Bureau 10 In 2000, A Fairly “Young” World . Under 5% 5% to 12.4% 12.5% to 20% .. Above 20% Percent of Population Age 60+ in 2000 Source: U.S. Census Bureau 11 . . . Rapidly Aging by 2025 Under 5% 5% to 12.4% 12.5% to 20% Above 20% Percent of Population Age 60+ in 2025 Source: U.S. Census Bureau 12 Why? Dramatic Increase in Life Expectancy Average Life Expectancy at Birth in the U.S. 80 75 70 65 60 55 50 45 40 1900 1910 1920 1930 1940 1950 1960 1970 1980 1990 2000 Source: U.S. Social Security Administration 13 “Sudden” Boom in Life Expectancy Life Expectancy at Birth: 1000 - 2000 Age 80 76.5 70 60 50 47 40 30 35 36 1400 1600 38 30 25 20 10 0 1000 1200 1800 1900 Source: U.S. Census Bureau, 2000 2000 14 And a Dramatic Drop in Birth Rates Total Fertility Rate: 1960 ▀ and 2000 ▀ 7 1960 2000 5.9 Total Fertility Rate 6 5 4 3.6 3.3 2.0 3.1 2.9 2.8 3 2 4.0 1.7 2.5 1.7 1.6 2.5 2.0 1.4 1.8 1.3 1.2 1 0 US UK France Canada Japan Germany Italy China Source: Age Wave India 15 Reasons for Birth Rate Decline • Economic – Children as liability – Versus asset – 30% more income • Social – Germany • Rabenmutter – E.U. (Fascism) – WorkLife Balance? 16 Reversal in the Works? • • Total Fertility Rate vs. Human Development Index – Life expectancy – Average income – Level of education • ↑ Fertility above HDI 0.9 • Change in assumptions? • Ultimate outcome of development – May not be a collapsing pop – But zero pop growth • Source: Myrskyla et al, Nature (August 6, 2009) 17 Slower Workforce Growth: Can Labor “Imports” Make Up the Difference? • New immigrants (those entering U.S. post-1990) – 50.3% of civilian workforce growth (1990-2001) • Assuming today’s levels of immigration remain constant – Immigrants will account for 50% of workforce growth (20062015) – Immigrants will account for 100% of growth (2016-2050) • But, labor “imports” are decreasing – U.S. immigration restrictions for “authorized” immigrants – Border fences and other methods may increase – Opportunities in developing countries • Even if assumption holds, immigration is not expected to make up the difference between labor demand and labor supply 18 Econ 101 • All other things being equal (including productivity) • Slower workforce growth means slower growth in the level of goods and services an economy can provide 19 Diversity 2005-2050 Immigration • US population will increase to 438 million by 2050 – 82% from immigrants arriving and their US-born descendants – Of 117 million people added • 67 million will be immigrants, primarily from Mexico and Central and South America • 50 million will be US-born children or grandchildren • White, Non-Hispanic and White, Hispanic – White, Hispanic population will triple in size and will account for most of the US population growth from 2005 to 2050 – White, non-Hispanic population will be 47% by 2050 – Hispanics will be 29% of US population in 2050, compared with 14% in 2005 20 Diversity 2005-2050 Gender • Women head of household – In 1950, 9.3% households headed by singles (only a fraction were women) – 1n 1995, nearly 30% of households headed by women • In 1999, womens workforce participation rate peaked at 60% after years of growth • Until 2015, share of workforce will increase for women – After 2015, woman’s participation rate will decrease at a faster rate than men’s • Work participation rates for Latinas are among the lowest among the top ethnic groups • White, non-Hispanic, working-age population is expected to have the biggest decrease. but this group has the highest female participation rate 21 Needed Skills in Short Supply • Over the next decade, only 30% of US 20 year/olds will obtain a college degree, but 2/3’s of new jobs will require a college degree • Key skill sets will be in critically short supply: – # students that declared their major in computer science has declined for past 4 years—now 39% lower than in 2000 – Other shortages: engineering, physical & biological sciences • A growing number of high school dropouts • Fewer high school graduates with vocational training • Labor “imports” decreasing due to security restrictions and opportunities in rapidly developing countries Source: In part, The Seventh-Annual Workplace Report, Challenges Facing the American Workplace, Summary of Findings,” Employment Policy Foundation, 2002; India Daily, October 12, 2005, citing McKinsey & Co. Research; Computing Research Association, March 2005; Information Week, August 16, 2004; Holding on to Global Talent: Foreign-born stars are heading home. 22 When I was growing up, my parents used to say to me, "Tom, finish your dinner. People in China and India are starving." Today I tell my girls, "Finish your homework. People in China and India are starving for your jobs." —Thomas Friedman, The World is Flat Source: “The New York Times' Thomas Friedman on Globalization,” CIO Magazine, March 25, 2005 23 Global and Physically Dispersed • Labor shortages and cost drivers – Will lead to more “off shoring” or “smart shoring” • Global Workplaces – Corporations operate as digitally connected communities of various employees, contractors and partners – Regional “hotspots” like Hong Kong, Bangalore, Dubai, Singapore • Physically Dispersed Workplaces – Increasingly, work can be done anywhere, anytime rather than in fixed locations on 9 to 5 schedules – Virtual workplaces dispersed in time and location 24 Webster's Definition of Retirement • to disappear • to go away • to withdraw Source: Webster's New Twentieth Century Dictionary 25 “Gold Watch” Age Comparisons (1960 vs. 1995) 68 1960 1995 67.2 66 64 66.2 66.5 66.2 66.5 65.2 64.5 64.5 63.6 62 62.3 60 60.5 62.7 60.6 59.2 58 56 France Germany Italy Canada UK US Japan Source: Center for Strategic and International Studies 26 Expected Years of “Post-Retirement” (Gendell, Bureau of Labor Statistics, January 2008) Period of Time Years PostRetirement Males Years PostRetirement Women 1950-1955 12.0 13.6 1965-1970 13.5 16.7 1980-1985 16.0 20.5 1990-1995 17.2 21.3 2000-2005 19.0 23.1 27 More Years Spent in “Retirement” Than Your In Your “Career” 35 30 + 30 25 20-25 19.4 Years 20 13.6 15 10 5 1.2 0 1900 1980 1990 2000 Source: Age Wave, based on U.S. data, and The Concours Group 2010 28 Shifting the Old WorkLife Balance 0 Age 10 20 Education 30 40 50 Work 60 70 80 Leisure Source: Demography is De$tiny, The Concours Group and Age Wave, 2003 29 . . . To a “Cyclic” Life Paradigm 0 Age 10 20 Education 30 40 50 Work 60 70 80 Leisure Source: Demography is De$tiny, The Concours Group and Age Wave, 2003 30 . . . Evolving to a “Blended Lifestyle” 0 Age 10 20 Education 30 40 50 Work 60 70 80 Leisure Source: Demography is De$tiny, The Concours Group and Age Wave, 2003 31 Cutting Back Has New Meaning: Cyclic Work The most popular pattern for working after “retirement” is not part-time, but moving back and forth between periods of working and not working. 49% 39% 12% Working full-time Working part-time Moving back and forth between working full-time and not working Source: The New Employee/Employer Equation, The Concours Group and Age Wave, 2004 32 New Life Stage • Opportunities – Satisfaction – Exploration – Productivity • Reinvention – Entrepreneurial – Charitable – Flexible • Potential for rejuvenation of the economy? Source: Demography is De$tiny, The Concours Group and Age Wave, 2003 33 Managing A “Multi-Generational” Workforce Traditionalist Born: 1928-1945 Boomer Born: 1946-1964 Generation X Generation Y Born: 1965-1980 Born: 1980-2000 Four generations (cultures) are being asked to coexist in the early 21st century workplace Source: Based in part on “Meeting the Challenges of Tomorrow's Workplace,” CEO Magazine, 2005 34 Disengaged from Work? • National – Dependency Ratio • Number of children and elderly compared with number of working-age Americans – 59 per 100 in 2005 – 72 per 100 in 2050 • Individual – Is that all there is? • Traditionalists choosing different work for 2nd career • X and Y disillusioned with “traditional” work – Generational Attitudes About “Getting Ahead” • Attitudinal Diversity 35 Falling Desire for Jobs with Greater Responsibility 1992 80% 2002 69% 60% 54% 41% 31% 14% 15% Under 23 years old (Gen-Y in 2002) 23-37 years old (Gen-X in 2002) 38-57 years old 58 or more years old (Boomers in 2002) Source: Generation & Gender in the Workplace, An Issue Brief by Families and Work Institute 36 Declining Desire for Jobs with Greater Responsibility By Gender Employees Wanting Jobs with Greater Responsibility Men Women 57% 68% 52% 1992 2002 36% 1992 2002 Source: Generation & Gender in the Workplace, An Issue Brief by Families and Work Institute 37 Lower Alignment with the Organization 65 70 60 50 61 57 45 53 52 48 39 40 44 32 30 35 28 20 10 0 I really care about the fate I’m willing to put in effort I find my values and the of this organization beyond that normally organization’s are similar (agree) expected to help the (agree) organization be successful (agree) Y X Boomer Traditionalist Source: The New Employee/Employer Equation, The Concours Group and Age Wave, 2004 38 Impact on Occupational Health & Safety 39 The Alaska v. Florida Comparison 40 Do Older Workers Cost More? 41 General Health: Better Now 42 Study of Aging Workers • In 2003, NIOSH asked National Research Council to: – Characterize the older adult workforce over next 2030 years – Identify the key policy and research issues – Address retirement patterns and characteristics of the older adult workforce and their jobs – Conduct workshop on differential effects of environmental hazards 43 National Research Council Study (2004) • Life course perspective emphasizes aging productively (functional category) versus age (status category) • Begin early to detect age-related changes that can be adversely affected by working conditions • Disease risk factors should be addressed to extend years of healthy working • Promote research to capture precursors of age-related changes 44 Proportion of 50 yr-olds Still Employed at Subsequent Ages by Age Attained and Class (U.S.) 80 70 60 50 60 65 70 40 30 20 10 0 White Collar Blue Collar Service 45 U.S. Bureau of Census 1981-2000 Aging: A Balance of Factors • Possible Limitations – Mental Capacity – Chronic Conditions – Physical Capacity • Compensating Factors? – Attitude – Judgment – Flexibility – Experience 46 Mental Capacity Does long work experience advantage older workers in thinking through problems in comparison to new workers? Can older workers be trained in new technologies? Is the modern workplace too complex or too technical for the older workers? Do older workers bring more experiential intelligence to the job? 47 Mental Capacity • Laboratory Tests – Cognition speed • Information retrieval slower, unless material is familiar – Learning and recall slower, but equally successful in the end – Greater retention, higher learning achievement and more likely to complete a new field of study than younger workers 48 Mental Capacity: Relevance to On-the-Job Performance • Lab tests do not translate well to actual work settings • Factors other than psychometric cognitive abilities appear important to perform well at work – How well worker gets along with co-workers – Desire to perform well • Individual measures are quite sensitive to occupational class 49 Age and Chronic Conditions 50 Workers with >1 Chronic Condition by Age (U.S.) 70 60 50 40 30 20 10 0 >1 51-64 65-74 85 Non-workers 51 HRS 1998 Chronic Diseases in US • 83% of all population over age 65 have a chronic condition • 23% have 5 or more chronic conditions • Over 85 years have the most chronic conditions • By 2015, 150 million Americans will have at least one chronic condition 52 Diagnoses Among Disability Female Pensioners by Age (Sweden 1990-1993) 70 60 50 40 30 20 10 0 <29 Psych Disorders 30-44 Cardiovascular 45+ MSD 53 Höög & Stattin, 1996 Physical Capacity: Can Older Workers Keep Up? • Physiology – Maximal strength at 20-30 years – O2 uptake reduced to 70% (max) by 65 years – Older adults work closer to capacity • Match Ability to Job Requirements – Change in industry from manufacturing to services – Change in job duties from physical to mental – Concept is important in physiology, occupational medicine, and in the law of discrimination 54 Work Settings: Employing Older Workers • Decreased performance – For physically demanding work only • Work uncommonly demands maximal effort • Non-physical advantages that older workers bring to a job are rarely measured • Workers abilities matched to the job results in less morbidity – Accommodation thinking rare in industry1 • May change with ADA Amendments Act of 2008 • Workers are changing (aging) and jobs are changing 1 Eur J App Phys 2003 89:536 55 It All Depends on What You Mean by Work! 56 Trends in Workplace Physical Stressors As the U.S. service sector increases and manufacturing jobs decrease, are physical stressors decreasing in US jobs? 57 Exposure to Physical Stressors E.U. 1990-2000 50 40 30 20 10 0 Painful/Tiring Positions 1990 Handling Heavy Loads 1995 2000 58 Working Conditions in the EU – Euro. Fnd. Exposure to Physical Hazards (EU) By Type of Work Contract (1995) 60 50 40 30 20 10 0 Repetitive Tasks Repetitive Movement Permanent Employment Painful/Tiring Work Postures Fixed-term Temporary 59 Working Conditions in the EU – Euro. Fnd. Aging Productivity • Injury risk and its consequences differ in older workers • Medical costs rise with age – Estimated 25% increase from age 40 to 50 to 35% from age 50 to 60 • BUT, age is less a factor in health care costs than the presence of such risk factors as smoking, obesity, lack of exercise, and diabetes! • There is indeed such a thing as “aging productively” or “healthy aging”! 60 Future Research Needs • Conduct Longitudinal Studies of Older Workers – Impact of work risks on older workers – Interactions with chronic health conditions – Socio-Economics Status relationships to: • Hazardous employment • Retirement decisions and barriers to continued work • Surveys – Update National Occupational Exposure Survey (NIOSH and OSHA) – Develop a new Quality of Employment Survey (NIOSH and OSHA) • Develop ability to measure rates by age, gender and ethnicity (BLS) • Aging Productively Management Programs (thesis topic) 61 Older Workers: Some Best Practices and Strategies for Engaging and Retaining Older Workers GAO-07-433T February 28, 2007 • Key Obstacles – – – – Employer perceptions Age discrimination Strong financial incentives to retire Jobs with inflexible schedule or unmodified physical demands • Best Practices – Non-traditional recruiting techniques – Flexible work schedules – Adapt to “retirement” schedules • Strategies – Make federal government model employer for older workers – Consider specific legislation 62 2009 Aging Worker Federal Legislation • Older Worker Opportunity Act of 2009 (S.502) – Would diminish barriers to part-time work for older workers such as loss of health coverage and decreased pension benefits by providing a tax credit to hire older workers • S. 469/H.R. 1198 – Would make it easier for feds to rehire fed retirees part-time without forcing worker to reduce their salary by their pension amount • Phased Retirement Bill – Would allow phased retirement for federal workers • Health Care & Training for Older Workers Act of 2009 (S.281) – Would extend COBRA from time of retirement until seniors become eligible for Medicare at age 65 63 Unknowns About 21st Century Workforce • Will nations change policies to Immigration encourage or discourage immigration? And would it help? Outsourcing • How fast will it develop? Where? • Will more retirees remain active and “recareer” in later life? Retirement • Will the average retirement age change because of social policy changes? 64 Pushing Forward Retirement • In 1935, when America set up its Social Security system, the official pension age was 65 years of age – Three years beyond lifespan of typical American! – State-sponsored retirement was designed to be a brief sunset to life, for a few hardy souls – Now, retirement is becoming as long as whole lives once were! 65 National Dependency Ratio: Index of Health? • US Ratio – 2005: 59/100 – 2050: 72/100 • Another way – 1950 • 16 workers/1 retiree – 2005 • 3.3 workers/retiree – 2020 • 2 workers/retiree 66 Demographic Social Policies • Demographically insane – Job creation schemes that encourage older workers to early retirements • Demographically sane – – – – – Make benefits more portable Encourage immigration Ban mandatory retirement ages Create “gradual” retirement Increase retirement ages for government pensions • Based on the maxim that if something cannot go on forever, it will stop 67 Take Home Points • Do older workers need special accommodations? – A well-designed workplace benefits everyone – Work stations and job tasks need to be matched to the capacity of each worker – Prevention through exercised of sound ergonomic principles is better than post-injury reasonable accommodations • Are there any specific health and safety concerns related to aging workers? – Older workers have fewer injuries, but when one occurs, that injury tends to be more severe and it takes worker longer to get better. – Pay attention to return-to-work programs – Injuries differ in older workers—there are more musculoskeletal injuries (especially involving the low back) • What about safe driving training? – Accidents are increased above age 55 years in every study 68 Remember There is no consistent relationship between aging and work performance! 69 Thank you for your attention! [email protected] 70 References • • • • • • • • • • • • • A slow burning fuse. The Economist (June 27, 2009). http://www.economist.com/specialreports/displaystory.cfm?story_id=13888045 National Research Council. Health and Safety Needs of Older Workers, National Academies Press (2004). Dychtwald K, Erickson T, Morison. It’s Time to Retire Retirement, Harvard Business Review. (March 2006). Erickson T. Testimony, US Senate, Committee on Health, Education, Labor and Pensions. (May 26, 2005). GAO. Older Workers: Enhanced Communication among Federal Agencies Could Improve Strategies for Hiring and Retaining Experienced Workers. GAO-09-206. (February 24, 2009). GAO. Older Workers: Some Best Practices and Strategies for Engaging and Retaining Older Workers. GAO-07-433T. (February 28, 2007). Gendell M. Older workers: increasing their labor force participation and hours of work. Monthly Labor Review. (January 2008). Horiuchi S. Greater lifetime expectation. Nature 405:744–5. June 2000. 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