[timbuckley]

Exactly. The only way a pyramid-shaped population chart "works" is if people die soon after (or before) they reach the top of the pyramid.

In the long run, the only stable population shape ultimately is a column that is thicker at the base.

[e2le]

Or simply invest in automation that can care for the elderly and relieve the strain and workload on existing services. Of course also get people to live a healthy lifestyle so they don't need to depend on those services as much in their old age.