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The senior population is booming. Caregiving is struggling to keep up

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The senior population is booming. Caregiving is struggling to keep up


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In November 2022, Beth Pinsker’s 76-year-old mother began to get sick.

Ann Pinsker, an otherwise healthy woman, had elected to have a spinal surgery to preserve her ability to walk after having back issues. What Ann and Beth had thought would be a straightforward recovery process instead yielded complications and infections, landing Ann in one assisted living facility after another as her daughter navigated her care.

Eventually, by July of the following year, Ann died.

“We thought she’d be back up to speed a few weeks after hospital stay, rehab, home, but she had complications, and it was all a lot harder than she thought,” Beth Pinsker, a certified financial planner and financial planning columnist at MarketWatch who has written a book on caregiving, told CNBC.

It wasn’t Pinsker’s first time navigating senior care. Five years before her mother’s death, she took care of her father, and before that, her grandparents.

But throughout each of those processes, Pinsker said she noticed a significant shift in the senior caregiving sector.

“From the level of care that my grandparents received to the level of care that my mom received, prices skyrocketed and services decreased,” she said.

It’s evocative of a larger trend across the sector as the senior population in the U.S. booms and the labor force struggles to keep up.

Recent data from the U.S. Census Bureau found that the population of people ages 65 and older in the country grew from 12.4% in 2004 to 18% in 2024, and the number of older adults outnumbered children in 11 states — up from just three states in 2020.

Along with that population change came other shifts, including increased demand for care for older people.

According to the U.S. Bureau of Labor Statistics, the prices for senior care services are rising faster than the price of inflation. In September, the Consumer Price Index rose 3% annually, while prices for nursing homes and adult day services rose more than 4% over the same period.

But the labor force hasn’t necessarily kept up with the surge.

The demand for home care workers is soaring as the gap widens, with a projected 4.6 million unfulfilled jobs by 2032, according to Harvard Public Health. And McKnight’s Senior Living, a trade publication that caters to senior care businesses, found that the labor gap for long-term care is more severe than any other sector in health care, down more than 7% since 2020.

‘A critical labor shortage’

That shortage is primarily driven by a combination of low wages, poor job quality and difficulty climbing the ranks, according to experts.

“This is coming for us, and we are going to have this create an enormous need for long-term care,” Massachusetts Institute of Technology economist Jonathan Gruber told CNBC.

Gruber said the country is entering a period of “peak demand” for aging baby boomers, creating a situation where rising demand and pay do not sufficiently match up, leading to a “critical labor shortage.”

On top of that, the jobs at nursing homes are often strenuous and vary in skills depending on the specific needs of each senior, he said, leading nursing assistants to be staffed in difficult jobs that often only pay slightly more than a retail job, despite requiring more training.

According to the BLS’ most recent wage data from May 2024, the average base salary for home health and personal care aides was $16.82 per hour, compared with $15.07 per hour for fast food and counter workers.

“If we can create a better caring system with an entitlement to all care for those who need it, that will free millions of workers to make our economy grow, so this is a drag on economic growth,” Gruber said.

Pinsker said she saw that shortage play out firsthand. At one of the assisted living facilities she toured for her mother, she noticed nurses wheeling residents into the dining hall for lunch at 10:30 a.m., an hour and a half before lunch would be served, because the home did not have enough caregivers to retrieve them at noon.

“They were bringing them in one at a time, whoever was available, seating them in rows at their tables, and just leaving them there to sit and wait,” Pinsker said. “This was their morning activity for these people in this nursing home. … They just don’t have enough people to push them around. That’s what a staffing shortage looks like in real time.”

Pinsker said her mother was placed in a nursing rehab facility, unable to walk or get out of bed, and that her facility had zero doctors on the premises. Most often, she said the facility was just staffed with business-level caretakers who change bedpans and clothing.

“They don’t have enough doctors and registered nurses and physical therapists and occupational therapists and people to come and check blood pressure and take blood samples and that sort of stuff,” she said. “They’re short on all ends of the staffing spectrum.”

Filling the gap

Gruber said there are three directions he thinks the country could go in to solve the labor gap: Pay more for these jobs, allow more immigration to fill the jobs or set up better career ladders within the sector.

“It’s not rocket science — you’ve either got to pay more, or you’ve got to let in way more people. … There are wonderful, caring people all over the world who would like to come care for our seniors at the wages we’re willing to pay, and we just have to let them in,” Gruber said.

He’s also part of an initiative in Massachusetts focused on making training more affordable for nurses to be able to climb the career ladder and pipelines to fill the shortages, which he said helps staff more people.

For Care.com CEO Brad Wilson, an overwhelming demand for senior care made it clear to the company that it needed to set up a separate category of job offerings. Care.com, which is most known for listing child care service jobs, met the demand and rolled out additional senior care options, as well as a tool for families trying to navigate what would work best for their situations and households.

Wilson said the company sees senior care as a $200 billion to $300 billion per year category. Now, it’s the company’s fastest-growing segment.

“We’ve heard from families that it’s an enormous strain as they go through the senior care aspect of these things, because child care can be a little bit more planned, but sometimes your adult or senior care situation is sudden, and there’s a lot to navigate,” he said.

Care.com is also increasingly seeing demand rise for “house managers,” Wilson said, who can help multiple people in a single household, as caregiving situations evolve.

“I can’t underscore enough … this is the most unforeseen part of the caregiving journey, and it’s increasingly prevalent,” he added.

And as the senior population booms, so too does the so-called sandwich generation, whose members are taking care of both their aging parents and their young children. Wilson said his family is in the thick of navigating caring for older family members while also raising three children.

“By 2034, there will actually be more seniors in this country than children,” Wilson said, citing Census Bureau statistics. “Senior care is in a crisis. It’s actually the very much unseen part of the caregiving crisis today, and we’re really trying to bring some visibility to it and share that we have solutions that can help people.”



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NaBFID signs pact with PDCOR to expand advisory support for state projects – The Times of India

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NaBFID signs pact with PDCOR to expand advisory support for state projects – The Times of India


The National Bank for Financing Infrastructure and Development (NaBFID) has signed a Memorandum of Agreement with Projects Development Company of Rajasthan Limited (PDCOR) to strengthen advisory services for state and city-level infrastructure projects.The agreement will also allow both institutions to jointly explore financing and transaction advisory opportunities, including transaction structuring, commercial and technical due diligence, and support for financial closure of projects undertaken by state governments and urban local bodies across India, according to PTI.“This collaboration seeks to enhance access to long-term institutional finance for State Governments and Urban Local Bodies, while strengthening the infrastructure advisory and financing ecosystem,” Rajkiran Rai G., Managing Director of NaBFID, said.He added that the partnership would help both institutions jointly pursue project advisory opportunities, develop replicable financing frameworks, accelerate financial closures and mobilise capital across the infrastructure value chain.Monika Kalia, DMD-CFO, NaBFID, said the tie-up would leverage the strengths of both organisations to provide much-needed advisory support to states and urban local bodies for impactful urban infrastructure projects.Dileep Chingapurath, Chief Executive Officer, PDCOR, said the agreement would address the long-felt need for end-to-end professional support to structure and mobilise sustainable financing solutions, particularly for state governments and their agencies.“Through this collaboration, both institutions aim to enhance the quality of project preparation, mobilise institutional capital more effectively and accelerate the implementation of sustainable infrastructure projects across states and municipalities,” he said.NaBFID is a Development Financial Institution focused on long-term infrastructure financing, while PDCOR is an undertaking of the Government of Rajasthan.



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Explained: On way to 4th largest, how India slipped to 6th rank & what it means for 3rd largest economy dream – The Times of India

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Explained: On way to 4th largest, how India slipped to 6th rank & what it means for 3rd largest economy dream – The Times of India


While India will be the sixth largest economy in FY27, it is likely to overtake both the UK, and Japan to bag the fourth spot in FY28. (AI image)

In April 2025 when the International Monetary Fund (IMF) released its World Economic Outlook, India was seen overtaking Japan to become the world’s fourth largest economy by the end of 2025-26. One year later, India has slipped to the sixth position on the largest economies rankings, with the United Kingdom reclaiming its spot as the fifth largest economy.In fact, IMF’s latest World Economic Outlook (April 2026) sees India sitting at the sixth spot this financial year too. This projection comes even as India has grown better than expected in FY26 and is seen retaining its tag of being the world’s fastest growing major economy.What has led to the sudden fall? Why has India dropped to the sixth position, falling behind the UK, instead of overtaking Japan to become the fourth largest economy? And what does this setback mean for its dream of becoming the third largest economy by the end of this decade? We decode:

Data drive: India projected as 4th largest, but fell to 6th spot

First let’s look at some IMF data to see which way the Indian economy was headed in April 2025, and what the April 2026 outlook data suggestsAs per April 2025 estimates of IMF, India’s economy would have been at $4601.225 billion at the end of FY 2025-26, overtaking Japan which was estimated at $4373.091 billion. The UK at the 6th spot was projected to have a nominal GDP of $4040.844 billion.However, as per the April 2026 estimates, India’s economy had a nominal GDP of $4,153 billion at the end of FY 2025-26, with the UK overtaking it with $4,265 billion GDP. Japan’s GDP is seen at $4,379 billion.As the above estimates show, India’s GDP estimates have seen a drop over one year, while UK’s nominal GDP has grown better than expected. Japan has been steady.So, what went wrong? Blame the rupee and GDP data itself!

Rupee Depreciation Blow & New GDP Series

The first thing to understand is that IMF’s data on the size of a country’s nominal GDP is in dollar terms. Hence, with global rankings based on dollar‑denominated GDP, they are highly sensitive to exchange rate movements. The biggest party pooper for India’s dream of becoming the fourth largest has been the rupee’s slide. The Indian currency has depreciated more than expected over the last year, dropping from 84.57 versus the US dollar in 2024 to 88.48 in 2025, as per IMF data. The IMF estimates see it at 92.59 this year.Several factors have contributed to the rupee’s decline, including capital outflows, uncertainty related to India-US trade deal up until February, and the recent Middle East conflict which has raised crude oil prices and India’s import bill. Also, the RBI while actively managing volatility in the forex market, is not targeting any particular level of the rupee.Arun Singh, Chief Economist, Dun & Bradstreet India says that India’s recent slip to sixth place in global GDP rankings does not reflect a weakening of the economy, but is largely the result of currency conversion effects and a one‑time statistical revision.The rupee’s depreciation from 2024 to 2026, has mechanically compressed India’s GDP in dollar terms, effectively halving apparent growth despite strong domestic expansion, says Arun Singh.According to Ranen Banerjee, Partner and Leader, Economic Advisory Services, PwC India, GDP in US dollar terms would shave off with rupee depreciation. “We have had almost 7-8% depreciation over the last few months owing to the conflict and portfolio outflows. Thus, in effect in US dollar terms, it is close to shaving out almost a year’s nominal GDP,” he tells TOI.And it’s not just about the Indian economy. The United Kingdom which has overtaken India to bag the 5th spot again also has economic factors working in its favour. UK’s GDP growth at 0.5% has recently beaten forecasts of 0.1% by a wide margin. Not only that, its currency – pound – has actually appreciated against the US dollar.The second factor that has impacted the rankings is India’s adoption of a new base year for its latest GDP series. As per the new data, which also makes use of a more refined methodology, the size of India’s nominal GDP in rupee terms has gone down. Sample this: As per the older base year of 2011-12, India’s GDP at the end of 2025-26 would have been Rs 35,713,886 crore. But under the new series, it is estimated to be Rs 34,547,157 crore. The new calculation methodology and base year revision presents a more accurate picture of the size of the Indian economy.Hence the currency effect has been compounded by a one‑time downward revision following India’s shift to a new GDP base year, which has lowered reported nominal levels without affecting real activity.

New GDP Series: Top 10 Points To Know

Does India’s drop to 6th indicate fundamental weakness?

Experts are confident that India’s growth story is intact and fundamentally strong, a fact that is reflected in projections of it continuing to be the world’s fastest growing major economy. They see technical factors behind the current slip, rather than any deterioration in economic fundamentals.It’s also interesting to note that while India will be the sixth largest economy in FY27, in the upcoming financial year, it is likely to overtake both the UK, and Japan to bag the fourth spot.Arun Singh of Dun & Bradstreet India explains this resilience with numbers:IMF World Economic Outlook (April 2026) data show that India’s GDP at current prices in domestic currency rose strongly from ₹318 trillion in 2024 to ₹346.5 trillion in 2025 and further to ₹384.5 trillion in 2026, translating into robust nominal growth of about 8.9% in 2024–25 and nearly 11% in 2025–26, among the fastest globally. In contrast, other large economies recorded more moderate domestic nominal growth – around 5% in the US, roughly 4% in China, 3–5% in the UK, 3–3.5% in Germany, and lower or volatile growth in Japan – underscoring India’s strong underlying momentum. In times of global economic turmoil, while GDP growth is expected to take some hit, most agencies and experts have pegged India’s growth to be strong. Incidentally, the IMF has even marginally raised its GDP growth forecast for FY27 to 6.5% despite the ongoing Middle East conflict.

IMF World Economic Outlook –  Growth Projections

“In India, growth for 2025 is revised upward by 1.0 percentage point relative to October, to 7.6 percent, reflecting the better-than-expected outturn in the second and third quarters of the fiscal year and sustained strong momentum in the fourth quarter,” IMF said in its latest outlook. “For 2026, growth is revised upward moderately by 0.3 percentage point (0.1 percentage point relative to January) to 6.5 percent, led by positive contributions from the carryover of the strong 2025 outturn and the decline in additional US tariffs on Indian goods from 50 to 10 percent, which outweigh the adverse impact of the Middle East conflict. Growth is projected to stay at 6.5 percent in 2027,” it added.

Will India become 3rd largest anytime soon?

The rupee depreciation and the nominal GDP revision has also pushed back India’s dream of becoming the third largest economy by the end of this decade. In the October 2025 estimates, IMF had said that India will overtake Germany to become third largest by FY30. However, the April 2026 projections see it reaching the third rank only by FY 2030-31.Experts point to the rupee’s depreciation versus the dollar to note that the road ahead is likely to be uncertain. Madan Sabnavis, Chief economist, Bank of Baroda is confident that India will continue to do well in the coming years.“We will definitely improve in terms of GDP growth which will be higher than that of other countries especially UK and Japan which are just above us. However, the rupee value will finally determine how India gets placed on the global scale,” he told TOI.Ranen Banerjee of PwC India sees rupee beginning to get support with the conflict containment, relatively lower oil prices and portfolio flow reversals with valuations getting attractive in recent times. “Thus, we should not be experiencing any further sharp depreciation of the rupee in the immediate term provided the conflict does not escalate and oil prices relatively softening from their highs and come down to a range of $85-90 a barrel,” he says.For Arun Singh of Dun & Bradstreet, looking ahead, India’s relative position in US dollar‑based GDP rankings will remain highly sensitive to currency movements rather than domestic growth dynamics. “Continued global dollar strength or capital‑flow volatility may cause periodic slippage in rankings despite robust fundamentals. Sustaining external macro stability and limiting undue rupee volatility will be crucial for India’s strong growth performance to translate more fully into higher global economic rankings,” Arun Singh told TOI.The Indian economy, largely driven by domestic fundamentals, is not immune to external shocks. High US tariffs of 50% from August 2025 to early February, and the ongoing US-Iran war have spelt back-to-back shocks for the economy. Even as experts stress on the resilience of the growth story, the vulnerability to higher crude oil prices, and other global supply chain disruptions is a reality. In such a scenario, India may well have to contend with fluctuating world rankings, while banking on its strong GDP growth to tide over disruptions.



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Video: Why Your Paycheck Feels Smaller

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Video: Why Your Paycheck Feels Smaller


new video loaded: Why Your Paycheck Feels Smaller

Ben Casselman, our chief economics correspondent, explains why wages are not keeping up with inflation and what that means for American workers and the economy.

By Ben Casselman, Nour Idriss, Sutton Raphael and Stephanie Swart

April 18, 2026



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