Erewhon has a population of 5 million people. It is a population with an age distribution typical of most developed countries with about 15% of the population over the age of 65, and the population is ageing. Most live in cities, with two big cities each with a medical school, and city living is increasing and there are some thriving towns and some depressed industrial areas and large sparsely populated rural areas.
For decades to come need and demand will increase faster than the resources available. Society will need to maximise value from the resources it allocates for public services including healthcare and to do this ten questions need to be addressed
For most people, old age is feared because it is associated with disability and disease, and it is true that the prevalence of disease increases decade by decade. However, the ageing process is not the principal cause of disabling disease, and many of the disabling diseases of old age are preventable.