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Category: Health

Ferguson – America will run deficits until 2080

Tuesday, 04 January 2011 09:26 Written by Eric Garland 0 Comments

Perhaps you did or did not make it through the entire lecture and Q&A with Prof Niall Ferguson in yesterday’s post. Either way, you may have missed the key forecast that underlies all of his thinking about the future of the American economic system:

The U.S. is poised to run major budget deficits in addition to its current debt through 2080.

Take a second to think about that.

This morning’s papers, in advance of the Republican takeover of the House of Representatives, are reporting the upcoming “serious budget cuts” to be proposed by the new house members. It makes for good copy – after all, things might soon be different!

Let’s look at the actual projections from the Congressional Budget Office.

US Budget Deficit through 2080

Ferguson points out that there is not currently the political will to reverse this trend since it involves the sweeping entitlements of Medicare and Medicaid. These two programs alone will, by 2080, equal the entire size of the United States government in 2010, never mind military and education and all the rest. Ferguson is not bullish on the notion that future generations of politicos will stare into the eyes of retiring Baby Boomers and say, “sorry, no pensions for you, and you can buy your own healthcare.”

So America, despite its headlines, will still engage in deficit spending unless something very drastic and unexpected comes to pass. That’s an important long view to have as the politicians take to the airways.

Forecasting works: Functional foods 1999 – 2009

Friday, 04 September 2009 03:55 Written by Eric Garland 0 Comments

foodtechToday, the airwaves are filled with advertisements for consumer foods that aren’t simply nourishing but portrayed as practically medicine. A slew of softdrinks are marketed as hangover cures, energy, memory enhancers, cognitive enhancers, help with clairvoyance, and fuel for flight. Fish isn’t just fish, it’s OMEGA-3 FATTY ACIDS. And somewhere along the way, trans-fats replaced “Ebola virus” as the world’s deadliest substance. Is this random or could you see it coming?

Food as medicine was a theme we predicted for 2010 way back in 1999 when studying the future of food and health for a group of global consumer product manufacturers. The world seemed to be at a turning point at that moment, with a number of trends appearing to collide in the decade to come:

  • Super-size and family value packs had reached their apex, due to increasing penetration of fast food and big-box retail throughout the world
  • Obesity epidemic reaching a pitch, not only in America but also in unexpected places like France, Greece, China
  • Litigious American culture had finally apexed with its war on cigarette liability, and a new target was likely to be next
  • Biotechnology was promising new technological abilities for all plant life (this was the era of the Human Genome Project and techno-positive rhetoric was off the chart)
  • Boomers were aging, and increasingly interested in immortality on the cheap
  • Sustainability was increasing as a concern, and farming would be one of the most effected industries
  • The “Slow Food Movement” was beginning to point back to heirloom breeds of livestock and produce and encourage local diversity in favor of industrial solutions

Read more ...

Healthcare: Is it reform or transformation?

Thursday, 23 July 2009 13:42 Written by Eric Garland 2 Comments

Future brightspots will result from this mess

Wednesday, 24 September 2008 14:44 Written by Eric Garland 0 Comments

Here at Competitive Futures we regularly tell clients, “Just because something is a disaster doesn’t mean it will be a disaster for everyone.” History is filled with stories of leaders who perceived danger early, acted appropriately, and profited.

I’m a bit fatigued of straining about this financial mess, and naturally began to ask, “OK, what’s going to be positive out of this?” Despite the ugliness here, there will likely be many positive developments resulting from this crisis of business and governance. One example is quite close to home for me.

My father is in his 28th year running the Rutland Agway, a store dedicated to farm, home, and garden in Central Vermont. Recent economic trends have sent both farming and manufacturing to far-flung states or countries. Giant retailers like Home Depot came to take a piece of the diminishing supply of disposable income in the state. For local stores, things got pretty tight for a moment.

Fleeing jobs and rocketing fuel oil prices are putting a massive financial strain on rural households. How are they responding? By going local – planting gardens like never before. Staying at home, avoiding pricey vacations – and sprucing up the backyard with fertilizer and lawn mowers. And suddenly, times are better in the home and garden business. (On top of it, Vermonters are back to eating their own delicious local foods!)

What else could be positive about this? Think it through – there will plenty of time to think about disaster soon enough.

Nice time to check the foundation of industries

Monday, 22 September 2008 15:48 Written by admin 0 Comments

It seems that the fundamentals of the banking industry were unsound, and that ultimately this led to a collapse. It’s a question of structural assumptions – what is underpinning our industry? What might change? When could a tipping point come? These heady questions are often left to us futurist-types, but it seems like this week it would be a good idea for everybody.

For example, I would like to propose a betting pool on when the healthcare industry in America will need/receive its bailout. Between the demographics of the Boom generation’s retirement and the massive wasteful spending of our current system, the now $2 trillion industry has been forecast to increase to $4 trillion by around 2020.

My assumption – which I state here – is that this is structurally unsound. The economy as a whole will crack long before we get to $4 trillion. If we don’t change the structure of the industry, it will require one of those bailouts. What year do you figure it might be? 2015? 2023? 2025?

What about your industry? What assumptions are you using to justify the long-term profitability of your company? This isn’t gloom and doom, things might be great for you. But what’s the structural long-term?

This is a good week to ask those questions. The implications of failing to do so seem quite clear.

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This is the official trend blog of Competitive Futures, a management consultancy that provides trend research and analysis for business and government around the world. Here, we update you on interesting trends we see as part of our work for our clients.


For managing partner Eric Garland's new author and speaker blog, please consult and bookmark http://www.ericgarland.co

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