




The declining birth rates and increasing longevity in advanced economies within Asia pose significant challenges to traditional retirement systems and economic growth. This demographic shift has already reduced annual GDP per capita growth by 0.2 percentage points over the past 25 years, with potential further declines of 0.4% annually over the next quarter-century. To counteract these effects, countries must focus on enhancing productivity, workforce participation, and migration policies.
In response to dwindling birth rates, advanced Asian economies are exploring ways to bolster their labor forces. Increasing workforce participation among older adults and women has become a critical strategy. For instance, Japan has seen a notable rise in labor force participation among those aged 50 to 79, from 55% in 1997 to 56% in 2023. This trend is particularly significant as it contrasts with decreasing participation rates in other regions. Additionally, the number of working individuals aged 65 and older in Japan exceeds that of any European or North American country. The participation rate for prime-working-age women in Japan has also surged from 68% in 1997 to 82% today.
Boosting productivity is another essential tool for mitigating the impact of demographic changes. Historically, advanced Asian economies have experienced robust productivity growth, averaging 1.7% annually over the past 25 years, higher than North America's 1.5% and Western Europe's 0.8%. China's productivity growth has been especially remarkable, averaging 7% annually from 1997 to 2023. However, sustaining such high growth rates will be increasingly difficult as populations decline. Countries must leverage new technologies, including generative AI, to maintain and enhance productivity levels. By integrating advanced technologies into various sectors, these nations can offset the negative effects of shrinking workforces and ensure sustained economic vitality.
Migration presents an alternative solution to address labor shortages caused by low fertility rates. Traditionally, net migration in advanced Asian economies has been low or even negative. However, recent trends indicate a shift, with Japan leading the way in reversing this pattern. Encouraging skilled migration could provide a much-needed influx of workers, supporting economic growth and alleviating pressures on social systems. Moreover, these countries possess certain structural advantages compared to their Western counterparts, having made fewer societal commitments to support seniors. For example, Australia and Japan allocate transfers covering 42% and 51%, respectively, of the gap between elderly labor income and expenditures, compared to 59% in Germany and 76% in France.
To navigate the impending demographic challenges, advanced Asian economies must adopt innovative approaches to retirement systems, emphasizing efficiency rather than expanding deficits. Engaging older workers, harnessing technological advancements, and effectively attracting migrants are crucial steps toward sustaining economic success. By implementing these strategies, these nations can set a precedent for others facing similar demographic shifts, ensuring resilience and continued prosperity.








The healthcare industry is witnessing a transformative shift towards addressing the unique health needs of women. Historically, medical research has often overlooked sex-based differences, leading to suboptimal treatments for female patients. However, recent insights reveal that prioritizing women's health can enhance therapeutic outcomes, drive innovation, and unlock significant economic potential. By integrating sex-specific strategies across research, development, and commercialization, the biopharmaceutical sector can pave the way for more precise and effective healthcare solutions.
Women experience a higher burden of poor health compared to men, partly due to inadequate consideration of sex-based biological differences. This disparity stems from historical exclusion from clinical trials and underfunded research into female-specific conditions. As a result, diagnostic tools and interventions frequently fail to account for women's unique symptoms and physiological traits. Addressing these gaps is crucial for improving quality of life and tapping into new market opportunities.
To bridge this gap, it is essential to recognize the critical role of cellular sex, hormonal impacts, and genetic factors in disease manifestation and treatment efficacy. Emerging evidence underscores the importance of understanding how sex influences immune responses, fat distribution, and metabolism. For instance, Novartis' heart failure drug ENTRESTO demonstrated significantly better outcomes for women, leading to expanded FDA approval and reaching millions more patients. Similarly, UCB's CIMZIA therapy for chronic inflammatory diseases received an indication expansion for pregnant women, highlighting the need for tailored treatments that consider sex-specific safety and efficacy.
The pharmaceutical industry has a unique opportunity to drive innovation by embedding sex-specific approaches throughout its operations. This involves rethinking R&D methodologies, enhancing patient journeys, and refining commercialization strategies. By doing so, companies can address large unmet needs, create targeted therapies for women, and achieve substantial economic returns. Data generation and analysis play a pivotal role in informing decision-making and shaping effective women's health strategies.
R&D organizations can advance personalized medicine by conducting preclinical research using female cell lines and animal models. Increasing basic research into female-specific conditions like endometriosis and polycystic ovary syndrome can lead to breakthroughs in treatment and market potential. Tailoring asset strategies with a women's health lens ensures that development plans account for sex-specific thresholds and desired effects. Designing clinical trials to include diverse female populations and addressing barriers such as transportation and childcare can improve recruitment and completion times. Additionally, disaggregating trial data enables continuous improvement in addressing sex-specific health needs.