The situation is similar in many developing countries. Worldwide, more than 46 percent of people ages 60 and older live with a disability,101 and whether living with a disability or not, 15-30 percent of older people live alone or with no adult of working age.102 Abuse of older people is quite extensive. Particularly in countries with a high prevalence of HIV/AIDS, grandparents are usually the ones caring for AIDS orphans.104 The situation is similar for migrants. Some 69 percent of Bolivian migrants who moved to Spain left their children at home, usually with grandparents. Structural vulnerabilities are often manifested through deep inequalities and widespread poverty, which are associated with horizontal or group inequalities based on socially recognized and constructed group membership.106 Structural vulnerabilities are perpetuated by exclusion, low human development and people’s position in society, reducing their ability to cope with downside risks and shocks. And even if laws do not explicidy discriminate, the absence of effective policies can leave people excluded and vulnerable.