The alarm

Shocking birth rate: 5 million fewer workers by 2040

Italy risks a hefty bill from increasingly empty cradles: in September we will lose 134,000 students. Labour force down 11%, spending on health and long term care rises

by Marco Rogari and Claudio Tucci

Crisi delle nascite, denatalità crisi demografica, diminuzione. (Imagoeconomica)

4' min read

4' min read

From school to work. From pensions to welfare, starting with healthcare. From public accounts to growth. In recent months now, all the main statistical observatories, both national and international, have launched repeated alarms related to denatality and, more generally, to the demographic transition.

Cradles increasingly empty

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The general numbers of the problem were recently recalled by Istat: in the last five years, births have fallen from 420,084 in 2019 to around 380,000 in 2023 (in 2024 it will fall again to around 370,000).

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With this trend, barring resounding and unlikely reversals, the population will fall from 59 million today to 54.8 million in 2050 and 46.1 million in 2080. The fertility rate is now only 1.18 children per woman. The effect of this is a slow, silent but inexorable recomposition of the population: the ratio of individuals of working age (15-64) to those of non-working age (0-14 and 65 and over) is set to fall from about three to two in 2023 to about one in 2050, the year in which, by the way, the ratio of employed to retired persons is also expected to approach the fateful '1 to 1'.

In a median scenario, again ISTAT indicates that by 2050 people aged 65 and over could account for 34.5 per cent of the total. In short, we are witnessing a reversal between the young and mature presence in the Italian working-age population, which has undergone a strong acceleration: in fact, we have gone from a 15-34 bracket that was about 3 million more abundant than the 50-74 bracket in 2004, to a situation that has now been completely reversed in which the more mature bracket has over 4 million more people than the younger one.

134,000 pupils in September

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The first effect of all this we are seeing in schools: by September we will have 134,000 fewer students in our classrooms. We will go from 6.9 million pupils this year (from kindergarten to high school) to just under 6.8 million in September 2025. Within 8/9 years, if these trends are not changed, the school population will fall below the 'psychological' threshold of 6 million. Having fewer young people means, in the first instance, having fewer future workers. The mismatch has skyrocketed from 20% in 2019 to 45% today (latest Unioncamere data); the lack of 'skills' (from industry to the energy sector) costs some EUR 44 billion in lost added value.

Fewer workers by 2040

The effect on labour is broader: by 2040 the number of people of working age will fall by around five million. This could lead, Bankitalia recalled in its 2025 report, to a contraction of output estimated at 11 per cent, or 8 per cent in per capita terms.

The OECD even increases the dose. For the period from 2023 to 2060, estimates speak of a 34 per cent drop in the working-age population, among the largest internationally. The number of dependent elderly people for every person of working age in Italy will increase from 0.41, that is, one dependent elderly person for every 2.4 people of working age, to 0.76, that is, one dependent elderly person for every 1.3 people of working age. If we compare this with young people, the Ragioneria Generale dello Stato in its latest estimates warned that in 2080 we risk having 312 elderly people for every 100 young people.

The collapse of GDP

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A further indication comes from the OECD: even assuming that the annual growth of labour productivity remains at the level of the 2006-2019 period (-0.31% in Italy with GDP per capita at -0.20%), the projections show that Italy's GDP per capita will fall at an annual rate of 0.67%, the second worst in the entire reference area of the Paris-based organisation, against the average +0.6% (in any case a sharp slowdown compared to the +1% of 2006-2019). Only Greece will have a greater fall in GDP (-1.8%).

Health spending boom

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On the economic impacts of the demographic trend, the Upb has also addressed the issue in recent days, pointing out that from 2022 to 2070, on the basis of the estimates contained in the 2024 Awg report (the Working group on ageing populations and sustainability) there would be a reduction in pension expenditure on GDP (-1.9 percentage points, to 13.7%) as a result of a significant increase in the retirement age and a significant reduction in the ratio between pension and average salary (due to the contributory method of calculation), while both healthcare spending (+0.1 percentage points of GDP, to 6.4%) and spending on long-term care (+0.5 points, 2.1%) would increase. And the reason is also indicated: by 2043, Istat told us, almost 40 per cent of households will consist of just one person. In particular, it is expected that there will be 6.2 million people over 65 (+38%) and 4 million over 75 (+4%) living alone. The healthcare component and the accompanying allowances, which were paid out in 2023 to almost 2.3 million beneficiaries, together cover 4/5 of the total expenditure for long-term care, Inps recalled.

Welfare spending also up

The remainder is accounted for by other welfare benefits provided at the local level. On this side, the State's General Accounting Office forecasts a continuous growth in welfare spending (pensions, health, long-care term) launching a sort of alarm: the forecasts for the next few years - pointed out Daria Perrotta, who is head of the Mef's 'technical-accounting structure' - show an increasing trend that will reach 25.1% of GDP in 2043 and then decrease also due to the exit of the baby boomers and will fall to 22.7% in 2070, a value in line with the pre-pandemic one.

It is now clear to everyone that these data show that the case of birth defects is now a real emergency. Which can only be tackled with immediate action. Starting with the recovery of the inactive, considered a priority by almost all national bodies and statistical observatories. But in the possible menu of measures to be adopted there is also, as suggested by Upb and Bankitalia, that of including the decisive contribution of (regular) immigrants. What is now certain is that without shock therapy, the demographic winter risks turning into a Siberian winter for our country.

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