The countries of Eastern Europe represent a particular case from the demographic and economic point of view, as their demographic transition overlapped the economic development process. This represents a major challenge for the sustainability of their health and pension systems and has resulted in reforms and measures to support economic growth and increase the birth rate. Two categories of countries from Eastern Europe were analysed, Romania and Poland as representatives of the ex-Communist countries that joined the European Union and the Russian Federation as representative of the former Soviet Union. The Russian Federation experienced the most profound changes after 1990, being the only country in the Eastern bloc that is close to the generational replacement threshold, the only country with a positive migration balance, but also the only country with the lowest life expectancy.
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