2022 · GS Paper 3 · Q5 · 10 marks

The increase in life expectancy in the country has led to newer health challenges in the community. What are those challenges and what steps need to be taken to meet them ?

In short

Rising life expectancy has brought a surge in chronic diseases, dementia, disability and costly long-term care, which need screening, geriatric services and financial protection. ICMR-INDIAB (2023) counted about 101 million Indians with diabetes, showing the scale of the non-communicable disease burden.

Model answer

Ghissu Editorial · Verified 4 Oct 2026

Introduction
India's life expectancy rose from 49.7 years in 1970-75 to 70.3 years in 2019-23 (Economic Survey 2025-26), and the India Ageing Report 2023 projects the elderly share to reach about 20.8% by 2050. Longer lives have brought chronic, costly and lifelong health needs.
New Health Challenges of a Longer-Living India
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Non-communicable diseases

ICMR-INDIAB (2023) counted about 101 million diabetics and 315 million people with hypertension, and LASI found three in four elderly with a chronic disease.

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Dementia and loneliness

LASI-DAD (2023) estimated about 8.8 million elderly with dementia, while shrinking joint families deepen depression, loneliness and isolation among the old.

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Disability and cost

About 40% of the elderly have some disability (LASI), and lifelong drugs and admissions push their households towards poverty.

Steps to Meet These Challenges
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Early screening

Ayushman Arogya Mandirs should screen everyone above 30 for hypertension, diabetes and common cancers.

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Financial cover

The 2024 extension of PM-JAY to all citizens aged 70 and above needs outpatient and drug cover to match, since chronic care is mostly outpatient.

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Geriatric capacity

The National Programme for Health Care of the Elderly needs more geriatricians, home-care nurses and palliative beds.

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Healthy ageing

Fit India, Tele-MANAS and the Senior Citizens Act 2007 keep the elderly active, connected and protected.

Conclusion
Longer lives shift the health system's task from saving lives to sustaining healthy years. Prevention, geriatric care and financial protection can make ageing a source of dignity rather than dependence.

This model answer is indicative and the model can make mistakes; please verify key facts independently.

Hand-drawn diagram: The Ageing Health Shift. The Ageing Health Shift. Flow: Falling mortality → Longer lifespans → Greying population → Chronic multimorbidity → Long-term care need
Diagram: The Ageing Health Shift

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