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Regarding need for a public-funded comprehensive and
integrated Geriatric Care System in the country-laid
SHRI BHARTRUHARI MAHTAB (CUTTACK): While India is often
described as a young nation, recent data from the Reserve Bank of
India shows a sharply diverging reality across States. Kerala and
Tamil Nadu are projected to become ageing States by 2036, with
elderly populations exceeding 20 per cent, while States such as
Bihar, Uttar Pradesh and Jharkhand will continue to see growth in
their working-age populations beyond 2031. States like Karnataka
and Maharashtra lie in between, facing both growth and ageing
pressures. The RBI has advised ageing States to rationalise
subsidies to manage pension costs and youthful States to invest in
human capital. However, this advice overlooks key political and
social realities. Southern States face reduced Central tax
devolution and possible loss of parliamentary representation,
despite having successfully controlled population growth. At the
same time, youthful States have not increased spending on
education or healthcare, raising concerns about employability in an
era of automation and artificial intelligence. Ageing in India
disproportionately affects women, many of whom lack pensions
and financial security. With migration and nuclear families
weakening traditional support systems, fiscal measures alone are
insufficient. Fiscal consolidation alone cannot address this. India
urgently needs a public-funded geriatric care system, expanded
social pensions, and investment in the care economy. Without this,
?graceful ageing? will remain a privilege of the wealthy, while
millions of elderly citizens face dependency and neglect. The
Government must act before the demographic dividend turns into a
demographic burden. I urge upon the Government to treat elderly
care as essential social infrastructure and act urgently.