Graying of Cuba poses big problems for stagnant economy
By Vanessa Bauzá
Havana Bureau
Havana · With her cane propped on the stoop behind her, 86-year-old Maria Rodriguez lays out tubes of toothpaste, packets of coffee and thermometers on the narrow steps of a run-down central Havana building on a busy boulevard.
After 30 years in the tobacco industry, she now supplements her $3.50 monthly pension peddling odds and ends to passersby.
Today's profits: roughly 25 cents.
It is a meager retirement, not unlike that of many other aging Cubans who spend their golden years counting pesos from small pensions, and supplementing them with dollars from black market sales or remittances from relatives abroad.
Up and down the popular sidewalk, the faces of those trying to eek out a living hawking pens, cigarettes, soaps, lollipops or peanut-filled paper funnels are mostly elderly, snapshots of the fastest growing sector of Cuban society.
Cuba's high life expectancy, averaging 76 years, combined with an extremely
low birthrate and a steady stream of young migrants have created a graying
boom which
will make it one of the oldest countries in Latin America by the end
of the decade.
Across the world, populations are steadily aging. The United Nations
expects the number of people over 60 to triple in the next half-century
to nearly 2 billion and urges
even developed countries to address the implications for their pension
systems and long-term care programs.
With Cuba's social security system already straining under a stagnant
economy, a significant elderly population creates challenges both in the
immediate future and for a
potential post-Castro transition to a market economy, experts say.
According to Cuba's 2002 census 14.7 percent of Cubans are over 60,
a number similar to the older populations of Argentina and Chile. But by
2010, demographers
estimate that figure will jump to 18 percent, surpassing many countries
in the region. By 2025 one in four Cubans will be over 60 and by 2050 an
estimated 40 percent of
the island's population will be in their golden years with about 156
seniors for every 100 children, presuming no major demographic shifts,
officials said.
``I can say in about 40 or 50 years Cuba will not only be one of the
oldest countries in Latin America, but in the world," said Juan Carlos
Alfonso, director of the
Population and Housing Census at Havana's National Statistics Office.
Supplementing pensions
Cuba sets its minimum, though not mandatory, retirement age at 55 for
women and 60 for men, one of the lowest in the region. On average, those
who reach 60 are
expected to live another 20 years. That means Cubans spend a significant
number of years depending on state-funded pensions.
Rodriguez and other elderly have limited options to supplement their livelihood.
``Sales are very bad,'` she said. ``The police have told me to leave, but I sell what I can."
Rodriguez's home is a small room divided by a cardboard wall for privacy
from her estranged husband who lives in the other half. Housing in Havana,
after all, is at a
premium.
She has no money to fix the patches of plaster that have fallen from the ceiling so on a recent rainy night a puddle of water spreads across her floor.
Across the street, Georgina Garzon, 73, sits in her doorway hoping a
stream of school children walking noisily down the sidewalk will be enticed
to buy her striped
candies for a peso apiece.
A few blocks away Jose Navarro, 80, sells Granma and Juventud Rebelde
newspapers from a yellow stool. He gets by thanks to his granddaughter,
a hotel worker who
lives on the island's eastern tip and occasionally sends $20 for food
and medicine.
``Life is very expensive," said the former construction worker who receives
a 100-peso monthly pension, about $4. ``Some people make 400 pesos a month
and they say
that's not enough. Imagine me."
According to a 1997 study by Havana's Center of Psychological and Sociological
Research, most of the 60 seniors interviewed said pensions either ``do
not cover
minimum everyday needs or they only satisfy those [needs]'` but do
not allow for recreational activities. Although Cuba's social security
spending on the elderly and
handicapped was five times greater in 1996 than in 1971, ``the aging
which is on the way will require greatly increased spending in this area
in the future," the study said.
The rapidly aging population means economic recovery under a transition
would also have to be accelerated, said Hans de Salas-del Valle, a research
associate at the
University of Miami's Institute for Cuban and Cuban-American Studies.
``In strictly developmental terms it's going to be an enormous challenge
for Cuba," de Salas-del Valle said. ``You have the intrinsic challenge
of going from a centrally
planned economy to a market economy. Then you have the fact that this
is a rapidly aging population."
Currently, Cuba's social safety net provides free medical care, cheap
meals at soup kitchens, subsidized housing and day centers for some elderly
but many programs fall
short of the demand.
Services are stretched
In a country of 11 million people, Cuba currently has 14,453 ``Grandparent
Circles" that provide meals, entertainment and medical care for 658,000
seniors living at
home. In addition, 10,815 elderly Cubans reside in 127 assisted living
facilities.
``We seek to provide social integration and even provide certifications
for the elderly to work,'` Roberto Dieguez told the EFE news service this
week as part of ``Day of
the Elderly Adult," a program to raise awareness about assistance programs
for the elderly on the island. Dieguez, who is an expert with the office
of Elder Services and
Social Work at Cuba's Public Health Ministry, said the program also
provides home nursing care, food, housekeeping and laundry services to
nearly 95,000 other elderly
Cubans.
In the upscale Havana neighborhood of Vedado, Casa de Abuelos or "grandparents'
home," boasts a sunny porch and spotless dining area. It provides up to
60 senior
citizens with three meals a day for the equivalent of about $1 a month.
An occupational therapist and social worker help women in the crafts workshop
while the men
play dominoes.
But this home is the only one of its kind in a municipality that could use at least five such programs, said an administrator.
Likewise, in central Havana, a former convent turned senior center provides
meals for about 25 seniors and functions as a nursing home for another
40. The shared
rooms are Spartan but clean and the menu is simple, often bland, generally
consisting of rice, soup, eggs and occasionally a small piece of chicken
or croquettes. Costs
range from $1 to $2 a month. But again social workers say the demand
outpaces the available space. Despite the help seniors get at the center,
some still sell their
cigarette and coffee rations to buy medications that are often unavailable
at state-subsidized pharmacies and must be bought on the black market.
In Cuba, most seniors still live with their children or other relatives, with only 9 percent living in group homes or alone.
As the sole caretaker of her blind, 95-year-old mother and her mentally
retarded daughter, Juana Rodriguez covers their medications, vitamins and
fortified diet by
renting a room in her Old Havana home to tourists for $20 a night.
About a third of private entrepreneurs in Cuba are retirees and Rodriguez
feels lucky the government
approved her request to work in the coveted room rental business.
Without the extra income, her family's combined $6.50 monthly state assistance would never be sufficient, she said.
"If it weren't for the room rental we'd go hungry," Rodriguez, 58, said.
"The pension doesn't cover my mother's needs. My great worry is that something
will happen to
me. She depends on me for everything."
Like all other Cuban families, they receive food rations each month,
which include 6 pounds of rice per person, 1 pound of beans or peas, eight
eggs, a pound of chicken
and a pound of fish. Along with utilities and rent, the state-subsidized
food costs only a few Cuban pesos. But rations generally only last a week
or 10 days, leaving
Rodriguez to buy higher-priced food for her family at the farmers'
market or dollar stores.
Rodriguez has discarded the possibility of putting her mother, Giraldina,
in a nursing home. "She talks about going to a nursing home and her hair
stands on end,"
Rodriguez said. "She wants to die in her bed."
Staying at home
As more Cubans reach retirement age, government officials are counting on families to continue caring for them at home to keep costs down.
``The idea is to help families so the elderly can stay home," said Enrique
Vega Garcia, director of Elder Services and Social Assistance at the Public
Health Ministry.
Adding soup kitchens, training more social workers to make house calls
and creating flexible shifts to keep people at work beyond the minimum
retirement ages could
ease the burden for the elderly and their families, he said.
``The biggest challenge is for elderly people to associate growing old with health, to get them to the last stage of their life without a handicap," Vega Garcia said.
On the streets of Old Havana, Ramon Suarez Dominguez's biggest challenge
is simply surviving. The 70-year-old receives the equivalent of a $2.50
monthly pension. He
makes a little extra change by reselling plastic soft drink bottles
that he picks out of Dumpsters. Lately, things have gotten worse. He hobbles
along with a weak leg and
the bottles are becoming harder to find.
``Sometimes I go two days without eating," he said. Still, he prides his independence over economic necessity.
``Sometimes I think I should go to a home for the elderly,'` he said. ``But I don't want it to come to that."
Staff writer Vanessa Bauza can be reached at vmbauza1@yahoo.com. Information from EFE News Service was used in this report.
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