Can Australia's social welfare system handle future aged care needs?
· Medical Xpressedited by Sadie Harley, reviewed by Andrew Zinin
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As Australia's population ages, nine in 10 older Australians applying for aged care receive social welfare payments. Researchers from Flinders University and the South Australian Health and Medical Research Institute (SAHMRI) have conducted a new study that examined the financial circumstances, sources of income and homeownership of more than 920,000 older people (average age 82) who applied for aged care between 2010 and 2019.
The research highlights the need for more to be done to measure and maintain adequate, accessible and stable income support systems for older people as the number of older people grows relative to the working-age population.
The findings are published in the journal Public Health Research & Practice.
The new study found that social welfare payments accounted for between 84% and 91% of income for most older Australians seeking aged care. Only those in the highest income group reported a lower proportion of social welfare payments making up their total income (59%).
In Australia, approximately 1.5 million people currently access government-subsidized aged care services, including at-home care and residential aged care.
The findings from South Australia's Registry of Senior Australians (ROSA) Research Center are relevant in light of the ongoing aged care reforms, including the new Support at Home Program, which introduces means-testing for nonclinical services at home, says lead author associate professor Stephanie Harrison, from Flinders University and SAHMRI.
"This study provides a foundation to support further research into how older people's income, financial security and other circumstances impact when and how people use aged care. This is critical to support the development of more targeted and equitable aged care services, and to ensure that all older Australians can access the care they need, when they need it, regardless of their financial circumstances," says Harrison, Matthew Flinders associate professor in health services and epidemiology.
"With the majority of nongovernment income largely confined to those in the highest income group and approximately 60% owning their own home, the findings suggest that many older people may appear asset-rich, but income-poor, with limited regular income despite owning a valuable asset," says Harrison. "Furthermore, homeownership may not translate into readily available resources to meet care-related costs."
Australia's retirement income system consists of the Age Pension, compulsory superannuation and private savings. However, as superannuation was introduced in 1992, toward the end of working age for many older Australians in the study, they missed out on years of superannuation contributions.
The ROSA study found that the proportion of aged care applicants reporting nongovernment income rose from 12% in 2010 to 30% in 2019, but the amounts remained relatively small for most people.
"Ongoing monitoring is needed to understand whether future generations of retirees will have sufficient superannuation and other income to support their needs, including access to aged care," says Harrison.
More information
Stephanie L. Harrison et al., Socioeconomic profiles of older people entering long-term care: a national evaluation using the Registry of Senior Australians, Public Health Research & Practice (2026). DOI: 10.1071/pu25145
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Healthy agingGeriatric palliative care Provided by Flinders University Who's behind this story?
Sadie Harley
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