In Spain, efforts to index pensions to demographic and fiscal trends were quietly reversed ahead of the 2023 elections. In Japan, where over a third of government spending now goes to social security—mostly for pensions and elderly healthcare, public debt has soared to over 260% of GDP. But in global debate, the crisis seldom includes India. That needs to change. In the US, both parties pledge to protect Social Security and Medicare [US government programmes], even as insolvency nears.
The Congressional Budget Office projects that the Social Security trust fund will be depleted by 2033, triggering benefit cuts of 20–25%. Medicare Hospital Insurance fund faces a similar fate within a decade. Social Security alone is projected to run a $3.6trn deficit between 2025 and 2034, yet reform remains politically untouchable. India is still young—the median age is under 30 but it is ageing fast. As of 2023, around 11% of Indians were over 60; that share is projected to nearly double to about 20% by mid-century.
The United Nations Population Fund estimates that India’s elderly population (aged 60 and above) will grow from 153mn today to 347mn by 2050. By then, India will account for 17% of the world’s over-65s—nearly 340mn citizens.
This demographic shift comes at a cost. India’s public pension spending stood at 7.7% of GDP in 2022- far higher than in comparable emerging economies. The most vulnerable elderly—over 40% of whom belong to the poorest wealth quintile and nearly one-fifth have no independent income—face deep insecurity.