Passage to Methuselah: some demographic consequences of continued progress against mortality.

How will progress against mortality affect the size and age composition of the United States population over the next century? To gain some insight into this question, three scenarios are examined: no future progress against mortality; steady reductions in mortality at all ages at a rate of 2 per cent per year; and a radical breakthrough in the year 2000 that cuts mortality in half. All three scenarios substantially shift the composition of the US population toward older ages, steady progress resulting in the most radical change. If mortality is reduced 2 per cent per year, by 2080 almost two-fifths of the population would be above age 65 and the number of centenarians would approach 19 million. The social, economic, and public health consequences of this new demography, although speculative and uncertain, are so important that detailed analysis and planning are warranted.