economic trends, challenges, and opportunities for insurers
DESCRIPTION
Economic Trends, Challenges, and Opportunities for Insurers. NU’s Annual Executive Conferences New York, NY November 18, 2010 Download at: www.iii.org/presentations. Steven N. Weisbart, Ph.D., CLU, Senior Vice President & Chief Economist - PowerPoint PPT PresentationTRANSCRIPT
Economic Trends, Challenges, and
Opportunities for InsurersNU’s Annual Executive Conferences
New York, NYNovember 18, 2010
Download at: www.iii.org/presentationsSteven N. Weisbart, Ph.D., CLU, Senior Vice President & Chief EconomistInsurance Information Institute 110 William Street New York, NY 10038Office: 212.346.5540 Cell: 917.494.5945 [email protected] www.iii.org
2
Economic (and Related) TrendsThat Will Affect the Industry
in the Next Few Years
3
3 Economic Trends That Will Affectthe Industry in the Next Few Years
Consumers’ Diminished Buying Power, especially for Financial Products
Consumers’ (and Regulators’) Preferences for Managing TMI (Too Much Information)
The Growth/Spread of Financial Services Regulation and the Cost of Compliance
4
Economic Trends That Will Affect theIndustry in the Next Few Years
Consumers’ Diminished Buying Power, especially for Financial Products Economic Environment:
– Slow Income Growth– High Unemployment
Continued Reducing Financial Obligations
Catching Up on Deferred Purchases of Durable Goods (especially cars, eventually houses)
5
Forecast: A Weak RecoveryReal GDP Growth, Yearly, 1970-2014F
Estimates/Forecasts from Blue Chip Economic Indicators, 10/2010 issue.Sources: (GDP) U.S. Department of Commerce at http://www.bea.gov/national/xls/gdpchg.xls.
-3%
0%
3%
6%
9%
Real GDP Growth (%)
The “consensus” forecast is for several years of real yearly GDP growth under 3%--weaker than after most recent recessions
6
Unemployment and UnderemploymentRate “Normality”: Years to Go
2
4
6
8
10
12
14
16
18
Jan00
Jan01
Jan02
Jan03
Jan04
Jan05
Jan06
Jan07
Jan08
Jan09
Jan10
Traditional Unemployment Rate U-3
Unemployment + Underemployment Rate U-6
October 2010 unemployment rate (U-3) was
9.6%. Peak rate in the last 30
years: 10.8% in Nov - Dec 1982
Source: U.S. Bureau of Labor Statistics; Insurance Information Institute.
U-6 hit 17.5% in Oct 2009 but is now
17.0%
January 2000 through October 2010, Seasonally Adjusted (%)
Recession ended in
November 2001
Unemployment kept rising
slightly for 19 months more
Recession began in
December 2007
Recession ended in
June 2009
Gap between U-3 and U-6 is
normally 4 percentage
points but is now 7.4 points
7
The Number of Long-termUnemployed Is Still High*
3275
3204
3233
3026
2966
3147
2806
2929
3008
2748
2646
2682
2752
2769
2839
2760
2891
2657
3141
3398
3519
3969
4041
3982
4321
4066
3557
4120
3910
3717
3526
3486
3362
3412
3228
2991
3019
3121
3060
3635
3350
3458
1757
1927 19
87
2347
2534
2531 30
54
3452
2916
2828
2942
3240
3163
2840
2632
2696
2436
2253
2161
2208
2151 22
35
2336
2519
2207 25
91 2647 29
17
3182
3680 39
48
4381
4965
4988
5438
5594
5887
6130
6313
6133
6547
6716
6763
6751
6572
6249
6123
6206
3255
3267
3658
3404
3371
3346
0
4000
8000
12000
16000Less than 5 weeks 5-14 weeks15-26 weeks over 26 weeks
*Through October 2010; Seasonally adjusted Sources: Bureau of Labor Statistics; Insurance Information Institute.
Mean DurationNov 2008 = 18.9 WeeksOct 2010 = 33.9 Weeks
Number of People(Thousands)
Highest number on record (since 1948)
8
Unemployment and UnderemploymentRate “Normality”: Years to Go
Recession “officially”
ends
10.5%
11.0%
11.5%
12.0%
12.5%
13.0%
13.5%
14.0%
1987
:Q1
1987
:Q3
1988
:Q1
1988
:Q3
1989
:Q1
1989
:Q3
1990
:Q1
1990
:Q3
1991
:Q1
1991
:Q3
1992
:Q1
1992
:Q3
1993
:Q1
1993
:Q3
1994
:Q1
1994
:Q3
1995
:Q1
1995
:Q3
1996
:Q1
1996
:Q3
1997
:Q1
1997
:Q3
1998
:Q1
1998
:Q3
1999
:Q1
1999
:Q3
2000
:Q1
2000
:Q3
2001
:Q1
2001
:Q3
2002
:Q1
2002
:Q3
2003
:Q1
2003
:Q3
2004
:Q1
2004
:Q3
2005
:Q1
2005
:Q3
2006
:Q1
2006
:Q3
2007
:Q1
2007
:Q3
2008
:Q1
2008
:Q3
2009
:Q1
2009
:Q3
2010
:Q1
16.0%
16.5%
17.0%
17.5%
18.0%
18.5%
19.0%Debt Service Ratio Financial Obligations Ratio
Households Are Sharply ReducingTheir Financial Obligations
Source: Federal Reserve Board, at http://www.federalreserve.gov/releases/housedebt (last frb update: Sept 27, 2010)
Debt Service Ratio
Financial Obligations Ratio: mortgage and consumer debt, auto lease, residence rent, HO insurance, and property tax payments
as % of personal disposable income.
Financial Obligations Ratio
The Financial Obligations Ratio dropped almost 2 percentage points from 2007:Q3 to 2010:Q2, but it might be tough to shrink further if interest rates and property taxes rise.
Debt Service Ratio: mortgage and consumer debt as % of personal disposable income.
Lowest point since 1983:Q3
10
Registered Passenger Carsand Other 2-axle, 4-tire Vehicles
181.
97
181.
33
183.
60
187.
32
190.
78
194.
13 198.
86
199.
97
203.
17 207.
79 212.
70
221.
82
220.
93
222.
86 228.
28
231.
91
234.
52
237.
40
238.
31
175
200
225
250
90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08
It is likely that the number of vehicles dropped during and following the “Great Recession.” Recovery depends on employment and lending trends.
Sources: http://www.bts.gov/publications/national_transportation_statistics/html/table_01_11.html Insurance Information Institute
Millions
Recession years in gold
11
16.9
16.5
16.1
13.1
10.3
11.4
12.6
14.0 14
.7 15.1
16.9
16.617
.117.5
17.8
17.4
9
10
11
12
13
14
15
16
17
18
19
99 00 01 02 03 04 05 06 07 08 09 10F 11F 12F 13F 14F
Millions of Units Sold
The Car-Buying Slump Will Create Pressure to Replace Aging Vehicles
Sources: U.S. Department of Commerce; Blue Chip Economic Indicators (10/10) forecasts; Insurance Information Institute.
If the forecasts hold, by year-end 2011, there will be roughly 12 million more older vehicles on the road than if there were no slump. Buying new
vehicles will compete with paying for insurance, funding retirement.
In a “normal” 2-year span, new cars would replace about 25
million old cars, but in 2009-10 only about 17 million old cars will
be replaced
12
Economic Trends That Will Affectthe Industry in the Next Few Years
Consumers’ Diminished Buying Power, especially for Financial Products Taxes and Health-related Costs Will Take
Higher a Percentage of Income
Impact of Lost Home Equity as an “ATM”
Eventual Rises in Inflation and Interest Rates
13
$1.50
$1.58$1.64
$1.69$1.75
$1.78$1.83
$1.87$1.90
$1.42$1.36
$1.32$1.26
$1.22$1.19
$1.0
$1.1
$1.2
$1.3
$1.4
$1.5
$1.6
$1.7
$1.8
$1.9
$2.0
95 96 97 98 99 00 01 02 03 04 05 06 07 08 09
Trillions of Dollars
Real Consumer Spending* on Health
*Chained 2005 dollars; includes net health insurance outlaysSources: U.S. Department of Commerce, Bureau of Economic Analysis; Insurance Information Institute.
Health spending has grown as a percent of Personal Consumption Expenditures, crowding out spending on other items,
and this trend is likely to continue, at least in the next few years.
These data are adjusted for general inflation but not “medical inflation”
In 1995, Health Spending was 19.6% of Personal
Consumption Expenditures. By 2009 this grew to 20.7%
15
4.8% 4.6%
6.1%
4.3%
6.9%
5.1% 5.2%
0.7%
4.5%
7.7%
4.8%
7.1%
5.4%5.7%
0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
96 97 98 99 2000 01 02 03 04 2005 06 07 08 09
Change in Nominal Disposable HouseholdIncome (Household Income Net of Taxes)
Sources: U.S. Department of Commerce, Bureau of Economic Analysis; Insurance Information Institute.
With high unemployment likely for years to come,disposable household income is unlikely to grow much. Federal income
tax cuts, though helpful, may be offset by state tax increases.
Percent Change from Prior Year
16
Homeowners Aren’t Using TheirHome Equity as an ATM Any More
Consumers’ Diminished Buying Power, especially for Financial Products Taxes and Health-related Costs Will Take
Higher a Percentage of Income
Impact of Lost Home Equity as an “ATM”
Eventual Rises in Inflation and Interest Rates
Roughly 28% of homes with mortgages now
have negative equity or under 5% positive
equity
17
Economic Trends That Will Affect theIndustry in the Next Few Years
Regulators’ Recent Approaches to combat “TMI” (too much information) New SEC rules: 401(k) expense charges
New mortgage rules to come from the Consumer Financial Protection Bureau?
Fair Value in Insurance– Medical loss ratios in small group and individual
health insurance contracts
18
Economic Trends That Will Affect the Industry in the Next Few Years
Consumers’ are struggling to deal with “TMI” (too much information). Insurers can help with Information Presentation/Design: Visibility,
Simplicity
Better (simpler, more logical) bases for selecting coverage types/amounts
– For example, how do you choose your auto liability limits?
What your umbrella liability policy requires? Household Income, Net Worth, or Recent Liability
Judgments
19
Some Suggestions Improving Policyholder Information Processing
A Tip from Behavioral Economics Some health plans waive or lower co-pays if patients
take medications as prescribed– This results in higher claims for drugs but lower overall costs
as patients recover more quickly and stay well longer
Should homeowners insurers waive “hurricane deductibles” if a home is built/retrofitted to IBHS standards?
Should disability insurers retroactively waive some of the waiting period if claimants take their medicine as prescribed?
20
Some Suggestions Improving Policyholder Information Processing
Product Bundles: A tip from Car Companies A standard P-C Catastrophe “rider” (a bundle that
includes flood, earthquake, terrorism, etc.)
A standard Life/Disability/Annuity combination policy that provides “income insurance”
Needed: A “Rule of Thumb” What percent of a Household’s income should be
devoted to all insurance/financial protection products?
Financial Services Reform
21
Systemic Risk Oversight,Federal Insurance Office (FIO):
Compliance Costs to Soar?
22
Systemic Risk: Oversight
Financial Stability Oversight Council
Mission: to oversee systemic risk of large financial
holding companies [a.k.a. TOO BIG TO FAIL]
FSOC could determine that insurers present
systemic risk to the financial system, leading to
supervision by the Federal Reserve.
Supervision would subject such insurers to
tougher prudential standards involving capital
levels and other requirements
Source: Insurance Information Institute (I.I.I.) updates/research; The Financial Services Roundtable;Adapted from summary by Dewey & LeBoeuf LLP
23
Systemic Risk: Resolution Authority
FDIC Resolution Authority: Orderly Liquidation
The FDIC would have an “Orderly Liquidation Authority” mechanism to
resolve distress at financial institutions.
Insurance holding companies and any non-insurance subsidiaries
of insurers may be subject to this authority.
Insurers are generally exempt from this liquidation authority, but the
FDIC would have “backup authority” to place an insurer into orderly
liquidation under state law if the state regulator has not done so
within 60 days of a systemic risk determination.
Liquidation Fund Assessments
The liquidation fund would be funded by assessments on large financial
companies, potentially including insurers.
Source: Insurance Information Institute (I.I.I.) updates/research; The Financial Services Roundtable; Adapted from summary by Dewey & LeBoeuf LLP
24
Federal Insurance Office (FIO):What Will It Do?
An office within US Treasury headed by a Director appointed by
Treasury Secretary; charged to:
Study the insurance industry (all lines except health insurance, long-
term care insurance and federal crop insurance) to gain expertise.
Identify regulatory gaps that could contribute to a systemic crisis in the
insurance industry or the U.S. financial system.
Gather information from the insurance industry to analyze it and
issue reports. May require insurers to submit data; FIO director
can issue subpoenas to obtain such info (but small insurers are
exempt).
Monitor the extent to which under-served communities have
access to affordable insurance products.
Oversee the federal Terrorism Risk Insurance Program.
Source: Insurance Information Institute (I.I.I.) updates/research; The Financial Services Roundtable; Adapted from summary by Dewey & LeBoeuf LLP
25
Federal Insurance Office (FIO):What Will It Do? (Cont.)
FIO will also:
Recommend to the FSOC on whether an insurer (or reinsurer) poses a
systemic risk and should become supervised by the Federal Reserve.
Report yearly on the insurance industry to Congress and the President.
Other reports within 18 months:
On the modernization of insurance regulation in the U.S.
On the U.S. and global reinsurance market
Deal with international insurance matters.
Pre-empt state law when the FIO determines that state law
is inconsistent with a negotiated international agreement and
treats a non-U.S. insurer less favorably than a U.S. insurer.
Source: Insurance Information Institute (I.I.I.) updates/research; The Financial Services Roundtable; Adapted from summary by Dewey & LeBoeuf LLP
26
What Else in the Financial Services Reform Law Might Affect Insurance?
Bureau of Consumer Financial Protection
A new entity within the Federal Reserve with authority
to regulate financial products offered to consumers.
The law specifically exempts insurance products
from this bureau’s authority.
But after the Bureau is functioning and has
promulgated consumer protection rules for other
financial products,…
Source: Insurance Information Institute (I.I.I.) updates/research; The Financial Services Roundtable; Adapted from summary by Dewey & LeBoeuf LLP
New Rulemakings Under The Dodd Frank Wall Street Reform and Consumer Protection Act
24
6156
31
54
2
17
4
95
9
0
10
20
30
40
50
60
70
80
90
100
Bureau ofConsumerFinancialProtection
CFTC FinancialStability
OversightCouncil
FDIC FederalReserve
FTC OCC Office ofFinancialResearch
SEC Treasury
A total of at least 243 new rulemakings are expected under the Dodd-Frank financial reform by Federal Agency*
* Total eliminates double counting for joint rule-makings and this estimate only includes explicit rule-makings in the bill, and thus likely represents a significant underestimate.Source: Wall Street Journal, July 14, 2010; Davis Polk & Wardwell. 27
Solvency II
28
Move Toward More Stringent Regulatory Requirements for
Insurers Originating in Europe
29
Solvency II: The EU’s Effort to Modernize Insurance Solvency Regulation
Solvency II is a comprehensive framework for defining capital levels and relating them to procedures to identify, measure and manage risk levels Solvency I was mainly an update of existing EU solvency regimes,
which had been in existence since the 1970s.
Since deficiencies had been identified over the years, individual EU members adopted various fixes resulting in a patchwork of regulatory requirements inconsistent with the goal of harmonized insurance regulation across the EU. Solvency II addresses this goal of harmonization.
Scheduled to Take Effect in the EU on Dec. 31, 2012
Source: European Commission; Wikipedia: http:en.wikipedia.org/wiki/Solvency_II; Insurance Information Institute
30
Solvency II: The EU’s Effort to Modernize Insurance Solvency Regulation
Consists of 3 Main “Pillars” Pillar 1: Quantitative Requirements (e.g., amount of
required capital)– Establishes qualitative and quantitative requirements for
calculation of technical provisions and Solvency Requirement Ratio (SCR) using either a standard regulator-provided formula or an internal model developed by the (re)insurer itself
Pillar 2: Governance Requirements
Pillar 3: Disclosure and Transparency Requirements
Source: European Commission; Wikipedia: http:en.wikipedia.org/wiki/Solvency_II; Insurance Information Institute
31
Premiums Written per $1 of Surplus*,2000-2009
*for L-H companies, surplus includes AVR and IMRSources: ISO, A.M .Best, I.I.I.
$2.34
$2.08$2.20
$1.89
$1.63
$1.98
$1.46
$0.96$1.14
$1.33$1.20
$1.10 $1.03$0.93 $0.86
$0.96$0.82
$1.63$1.55
$1.83
$0.0
$0.5
$1.0
$1.5
$2.0
$2.5
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
L-H P-CLowest (Strongest) Ratios in History
The lower the ratio, the more capital and surplus the industry hasfor the risk assumed (as proxied by Net Written Premiums).
32
Convincing the General PublicThat Insurers
Are Stronger and Safer Than Banks
A Challenge
P/C Insurer Impairments, 1969–2010*8
15
12
71
19
34
91
31
21
99
16
14
13
36
49
31 3
45
04
85
56
05
84
12
91
61
23
11
8 19
49 50
47
35
18
14 15 16 18
45
0
10
20
30
40
50
60
70
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
00
01
02
03
04
05
06
07
08
09
10
*Through June 21, 2010Source: A.M. Best Special Report “1969-2009 Impairment Review,” June 21, 2010; Insurance Information Institute.
The Number of Impairments Varies Significantly Over the P/C Insurance Cycle, With Peaks Occurring Well into Hard Markets
8 of the 18 are Florida
carriers
Number of Impaired L/H Insurers,1976–2009
61
11
71
0 12 13
12
32
16
16
16
23 2
75
54
68
13
82
41
21
11
91
81
22
61
08 1
05 5
10
38 9
12
0
10
20
30
40
50
60
70
80
90
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
00
01
02
03
04
05
06
07
08
09
Source: A.M. Best Special Report “1969-2009 Impairment Review”; Insurance Information Institute.
The Number of Impairments Spiked in 1989-92, with Smaller Spikes in 1983 and 1999. But in the Financial Crisis, When Hundreds of Banks Failed,
Virtually No Life Insurers Failed.
Average number
of impairments,
1976-2009: 18.6
Compare this stellar performance in 2008-09 with that of banks.
Number of Failed FDIC-Insured Banks,and Impaired Insurers, 2007–2010*
3
25
140146
8 9 125
16 18
40
20
40
60
80
100
120
140
160
2007 2008 2009 2010*
FDIC-Insured Bank Failures Impaired L-H Insurers Impaired P-C Insurers
*Bank failures through Nov 12, 2010; P-C impaired insurers through June 21, 2010; L-H impairments in 2010 NA.Sources: A.M. Best Special Reports; FDIC; Insurance Information Institute.
In the Financial Crisis, When Hundreds of Banks Failed,Virtually No Life or P-C Insurers Failed.
36
Two Populations with Very Different Financial Vulnerabilities and Needs:
Ages 65-74 and Ages 75+
Opportunities for Growth
37
Key Demographicsfor People Age 65+ in 2009
Source: http://www.bls.gov/cex/csxstnd.htm#2009
65-74 75+ Difference
% Educational Attainment: Grades
1-89-12
College
8%42%50%
12%48%40%
The 65-74 age group
is more educated
Male %Female %
46%54%
39%61%
Age of household reference person
68.9 81.6
Number of people in consumer unit
1.9 1.6
This will change as the “baby boom”
generation hits this age range
Labor Force Participation Rate, Ages 65-69, Quarterly, 1998-2010:Q3
25.2%
25.2%26.3%
26.5%
26.2%
27.9%
27.2%
27.4% 27.9%
27.3% 27.8%
27.6%
26.8% 27.6%
29.3%
29.5%
27.9% 28.5%
28.7%
30.8%
29.3% 30.1%
29.1%30.3%
30.1% 30.9%
31.0%
30.7%
31.0%
31.4%
30.9%
31.2%
31.6%
31.3%
31.5%
27.0%
22.9%
23.0%
22.8%
23.0%
22.3%
22.5%
22.1%
23.5% 24.4%
24.4%
24.3% 24.9%
24.4%
24.4%24.8%
20%
22%
24%
26%
28%
30%
32%
1998.1
1998.2
1998.3
1998.4
1999.1
1999.2
1999.3
1999.4
2000.1
2000.2
2000.3
2000.4
2001.1
2001.2
2001.3
2001.4
2002.1
2002.2
2002.3
2002.4
2003.1
2003.2
2003.3
2003.4
2004.1
2004.2
2004.3
2004.4
2005.1
2005.2
2005.3
2005.4
2006.1
2006.2
2006.3
2006.4
2007.1
2007.2
2007.3
2007.4
2008.1
2008.2
2008.3
2008.4
2009.1
2009.2
2009.3
2009.4
2010.1
2010.2
2010.3
Source: US Bureau of Labor Statistics, US Department of Labor; Insurance Information Institute.
The brown bars indicate recessions.
Labor Force participation rate
The labor force participation rate for workers 65-69 might grow even faster in the future as seniors find they can’t fully retire on their meager retirement savings.
Labor Force Participation Rate,Ages 70-74, Quarterly, 1998-2010:Q3
14.2%
13.8%14.2%
14.0%
14.0%14.4%
14.4% 14.9%
14.9% 15.4%
15.6%
15.3%
16.4% 17.0%
15.8%16.2% 16.7%
16.9%
17.2%
17.0%
16.7%
16.8%
18.0%
17.5%
17.3%
16.9%
18.6%
18.2%
17.7%
17.9%18.9%
19.2%
18.0%
18.1%
17.4%
14.6%
13.1%13.6%
12.4%12.9%
12.4%
12.2%
12.5% 13.1%
13.3%
13.5%
13.6%
13.8% 14.4%
13.7% 14.2%
10%
12%
14%
16%
18%
20%
Source: US Bureau of Labor Statistics, US Department of Labor; Insurance Information Institute.
Labor Force participation rate
The labor force participation rate for workers 70-74 grew by about 50% since 1998,but growth has stalled since the Great Recession began.
Labor Force Participation Rate,Ages 75 & over, Quarterly, 1998-2010:Q3
5.4%
5.1%5.1% 5.2%
5.0%
5.5%
5.9%
5.8% 5.9% 6.0% 6.1%
6.5%
6.1%
6.6%
6.3%
6.7%
6.4%6.6%
6.0%
6.5%6.5%
7.1%
7.0%
6.9%6.9%
7.2%7.4%7.6%7.6%
7.0%7.2% 7.3%7.3%
6.9%
7.7%
5.8%
5.4%
5.1%
4.8%5.0%
4.6%4.6%
4.5%
5.2%5.4%
5.3%
5.2% 5.3%
5.2%5.2%
5.1%
4%
5%
6%
7%
8%
Source: US Bureau of Labor Statistics, US Department of Labor; Insurance Information Institute.
Labor Force participation rate
These people were born before 1935
This percent is forecast to grow to
10.3% by 2018
The labor force participation rate for workers 70-74 grew by about 50% since 2002,but growth has stalled since the Great Recession began.
41
Overview of Annual Income for People Age 65+ in 2009
Source: http://www.bls.gov/cex/csxstnd.htm#2009 ; I.I.I.
65-74 75+ Change from 65-74 to 75+
After-tax income $46,147 $31,272 $-14,875
Earnings $20,573 $6,106 $-14,467
Social Security $23,578 $22,038 $-1,540
All other income $3,135 $3,571 $436
Avg annual expenditures $42,957 $31,676 $-11,281
After-tax Income minus expenditures
$3,190 $-404
Shift from saving to dis-saving
Almost all of the income drop was due to stopping
earning
42
Overview of Annual Expendituresfor People Age 65+ in 2009
Source: http://www.bls.gov/cex/csxstnd.htm#2009 ; I.I.I.
65-74 75+ Change from 65-74 to 75+
Avg annual expenditures $42,957 $31,676 $-11,281
Healthcare expenses $4,906 $4,779 $-127
Vehicle costs $6,657 $3,334
Housing (ex mortgage int) $12,486 $11,208
Public Transportation $376 $297 $-79
Food at home $3,567 $2,851 $-716
Cash contributions 2,087 $2,378 $291
All other expenditures $4,401 $1,520 $-2,881
Vehicle insurance $1,214 $712 $-502
Life/other personal insurance
$397 $234 $-163
Mortgage interest $1,976 $603 $-1,373
Healthcare costs don’t drop with drop in income
Mortgages finally paid off? Probably not true for the
next generation
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