September 27, 2023 11:51 AM BST          
          
                                              
         
        
          Our topic for discussion this month is:  
The Implications for Society of Longer Healthy Lives
 
Introduction
Statistical background and useful information sources
 Agenda
Lifespans v Healthspans
- Do we want to live longer if we could do so in good health? Would we want to live to 150? What level of good health? What level of medication input?
- At the moment what is the relationship between increased lifespans and our healthspans? Do we always get a period of ill-health in the last few years? Is there a different relationship for physical health and mental health? What forward path are we currently on?
 Does the Government want us to live longer?
- Would it benefit the country? Would it benefit the world?
- What are the implications for Public Spending on Pensions, Social Care, NHS, Jobs and Infrastructure? Are there unintended consequences e.g. larger prison population, should life still mean life?
- What would be the population, food production, age profile and environment impacts?
- How would it affect our working lives?
- What would be the other societal consequences and unintended consequences of gradually increasing healthspans (and as a result lifespans)?
- What are/should be the Government’s objectives with regard to lifespan and healthspan?
- Are there any ethical considerations? What about euthanasia?
 What can contribute to increasing healthspans?
- How do genetics, lifestyle and environment play a part?
- How does lifestyle play a part? What factors can we control?
- Healthy eating, regular exercise, mental activity and sufficient sleep.
 More stressful lives, mental well-being.
 What are the roles of stress management; practices like mindfulness and meditation; and social engagement?
 What role do our homes and our local infrastructure play?
 
- What is the role of preventative medicine including personalised monitoring and diagnosis? Plus checkups, screening, vaccinations?
 What is the future role of science, technology and innovation?
- Can we increase healthspans faster than lifespans?
- Where is aging research leading?
- Is a period of end of life ill-health inevitable. Do we wear out?
- What shortens our lives? Can the 10 hallmarks of aging be tackled?
 
- Can Senolytic drugs and other clinical trials have a big impact?
 
What should we be doing?
- What is currently going on to promote longer healthy lives? What Government initiatives are there?
- What interventions should we/Government make?
- Overhaul of NHS and Social Care? Funding for sports clubs and other facilities. Cycle paths, ULEZ etc.
- Education on healthy living
- How can we incent people to adopt a healthier lifestyle? What carrots? What sticks? Should we ‘fat shame’? Should ‘unhealthy’ people have to contribute to their NHS treatment? 
- Should we gear the tax system to promote healthy living?
 What is the role of employers in keeping us healthy?
 
- What should be our/the Government’s goal in all this?
 
Notes
Government Initiatives - Get Active: a strategy for the future of sport and physical activity - GOV.UK (www.gov.uk)
APPG and Business Initiative