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The silver tsunami: Why India’s $40 billion elderly care crisis is the story we’re afraid to tell

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Imagine a typical evening in a modern Indian household. The dinner table conversation revolves around career milestones, children’s school admissions, and the next family vacation. But in the background, there is a silent, growing anxiety that no one quite knows how to address: What do we do about Mom and Baba?
​India is standing on the edge of a demographic precipice, and we are looking away.
​By 2050, the country that currently prides itself on its “youth dividend” will be home to over 319 million elderly citizens. That is a population larger than the entire United States, predominantly gray, frail, and financially vulnerable. Yet, as a nation, we are catastrophically unprepared.

​The numbers tell a story of systemic failure masked by cultural pride. We assume the traditional joint family will absorb the shock of aging. But the economic reality is fracturing that safety net.
​Today, we have fewer than 270 trained geriatricians to serve 104 million seniors. To put that in perspective, the American Geriatrics Society recommends one specialist for every 700 seniors. By that benchmark, India is staring at a........

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