NITI Aayog Urges Senior Care Reforms in India: A Comprehensive Overview

Government think tank NITI Aayog has underscored the urgent need for comprehensive senior care reforms in India. With the senior citizen population projected to soar to 19.5% by 2050, the report titled ‘Senior Care Reforms in India – Reimagining the Senior Care Paradigm’ lays out crucial recommendations and strategies.

Challenges and Recommendations

The report highlights the limited social security framework in India, leaving many seniors reliant on their savings. Fluctuating interest rates pose a significant risk to their financial stability. To address this, the Aayog suggests implementing a regulatory mechanism to establish a stable base rate for interest on senior citizen deposits.

Additionally, the report emphasizes the importance of gender-specific considerations, advocating for concessions to older women to enhance their financial well-being.

Tax Reforms and Financial Safeguards

Tax and GST reforms are deemed essential to ease the adoption of senior care products and alleviate the financial burden on the elderly population. Furthermore, the Aayog recommends reassessing the reverse mortgage mechanism to enhance liquidity for seniors.

Utilizing CSR Funds and Private Partnerships

The report suggests earmarking Corporate Social Responsibility (CSR) funds to support care for non-affording elderly individuals. It also proposes fostering partnerships with the private sector through Public-Private Partnership (PPP) models to provide discounted medical care.

Opportunities in the Senior Care Industry

While catering to the needs of a rapidly growing elderly population poses challenges, it also presents opportunities for the senior care industry. Estimated at USD 7 billion, this sector shows significant growth potential. Moreover, the report underscores the prevalence of chronic diseases among the elderly, highlighting the burgeoning home-based care market in India.

Growth Projections

According to the report, the home healthcare market in India is projected to reach USD 21.3 billion by 2027, offering a cost-effective alternative to traditional hospital care. This market could lead to substantial reductions in infrastructure and operational costs.


The NITI Aayog’s report underscores the critical importance of addressing the evolving needs of India’s elderly population. By implementing targeted reforms and fostering partnerships, India can ensure the social security and well-being of its seniors while capitalizing on the opportunities presented by the burgeoning senior care industry.

As NITI Aayog Member (Health) V K Paul aptly states, “We need to ensure the social security of the elderly and add more emphasis to wellbeing and care.” It is indeed time to prioritize the special dimensions of senior care.


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