01855cas a2200277 a 4500 AALejournalIMF017592 230101c9999 xx r poo 0 0eng d 5.00 USD 9781475595550 1018-5941 BD-DhAAL BD-DhAAL Cuevas, Alfredo. Fiscal Challenges of Population Aging in Brazil / Alfredo Cuevas, Izabela Karpowicz, Carlos Mulas-Granados, Mauricio Soto. Washington, D.C. : International Monetary Fund, 2017. 1 online resource (29 pages) IMF Working Papers <strong>Off-Campus Access:</strong> No User ID or Password Required <strong>On-Campus Access:</strong> No User ID or Password Required Electronic access restricted to authorized BRAC University faculty, staff and students In recent decades, population has been aging fast in Brazil while old age pensions and healthrelated spending have increased. As the population ages, the spending trend threaten to reach unsustainable levels absent reforms. Increasing the retirement age is key, but by itself will not provide sufficient savings to close the pension system financing gap, and reforms reducing replacement rates are necessary. In the area of health, there is scope for improving expenditure efficiency by strengthening outpatient care and regional networks, and developing clinical guidelines for cost-effective treatments and drugs. Reforms are urgent, so that they can be gradual. Mode of access: Internet Karpowicz, Izabela. Mulas-Granados, Carlos. Soto, Mauricio. IMF Working Papers; Working Paper ; No. 2017/099 Full text available on IMF http://elibrary.imf.org/view/journals/001/2017/099/001.2017.issue-099-en.xml IMF e-Library