{
  "title": "Fiscal Implications of Aging in Andorra: Pension and Healthcare System Reforms",
  "publication": "Selected Issues Papers, May 9, 2025",
  "sourceUrl": "https://www.imf.org/en/publications/selected-issues-papers/issues/2025/05/09/fiscal-implications-of-aging-in-andorra-pension-and-healthcare-system-reforms-566861",
  "canonical": "https://www.imf.org/en/publications/selected-issues-papers/issues/2025/05/09/fiscal-implications-of-aging-in-andorra-pension-and-healthcare-system-reforms-566861",
  "overlayPath": "/en/publications/selected-issues-papers/issues/2025/05/09/fiscal-implications-of-aging-in-andorra-pension-and-healthcare-system-reforms-566861/index.md",
  "summary": "Andorra has the highest life expectancy and the lowest fertility rate in Europe, resulting in one of the fastest-aging populations on the continent. This study assesses the long-term fiscal implications of demographic change for Andorra’s pension and healthcare systems.",
  "sections": [
    {
      "heading": "Demographic context and challenge",
      "content": "- Andorra has the highest life expectancy and the lowest fertility rate in Europe, resulting in one of the fastest-aging populations on the continent.\n- The study assesses long-term fiscal implications of demographic change for Andorra’s pension and healthcare systems."
    },
    {
      "heading": "Key findings and projections",
      "content": "- Without reform, public pension and healthcare expenditures are expected to rise significantly by 2050.\n- Demographic pressures pose risks to Andorra’s macroeconomic stability over the long term."
    },
    {
      "heading": "Policy recommendations and responses",
      "content": "- Comprehensive pension and healthcare reforms are essential to mitigate fiscal pressures.\n- Proactive immigration policies are essential alongside reforms to help safeguard macroeconomic stability."
    },
    {
      "heading": "Publication and metadata",
      "content": "- Author: Aidyn Bibolov\n- Date: May 9, 2025\n- Series: Selected Issues Paper No. 2025/052\n- Issue: 052\n- Pages: 16\n- Volume: 2025\n- DOI: https://doi.org/10.5089/9798229010672.018\n- Stock No: SIPEA2025052\n- ISBN: 9798229010672\n- ISSN: 2958-7875\n\nSource: Fiscal Implications of Aging in Andorra: Pension and Healthcare System Reforms — https://www.imf.org/en/publications/selected-issues-papers/issues/2025/05/09/fiscal-implications-of-aging-in-andorra-pension-and-healthcare-system-reforms-566861\n\n---\n\n Content in this bundle\n\n- Sipea2025052\n  - Sipea2025052 (Markdown version){rel=\"alternate\" type=\"text/markdown\"}\n  - Sipea2025052 (PDF){rel=\"external\" type=\"application/pdf\"}\n\n---\n\nSource: https://www.imf.org/en/publications/selected-issues-papers/issues/2025/05/09/fiscal-implications-of-aging-in-andorra-pension-and-healthcare-system-reforms-566861"
    }
  ],
  "bullets": [
    "[Markdown version](/en/publications/selected-issues-papers/issues/2025/05/09/fiscal-implications-of-aging-in-andorra-pension-and-healthcare-system-reforms-566861/index.md)",
    "[Structured JSON version](/en/publications/selected-issues-papers/issues/2025/05/09/fiscal-implications-of-aging-in-andorra-pension-and-healthcare-system-reforms-566861/index.json)",
    "[Bundle manifest](/en/publications/selected-issues-papers/issues/2025/05/09/fiscal-implications-of-aging-in-andorra-pension-and-healthcare-system-reforms-566861/bundle-manifest.json)",
    "Authors: Aidyn Bibolov",
    "Published: May 9, 2025",
    "Series: Selected Issues Papers",
    "DOI: https://doi.org/10.5089/9798229010672.018",
    "Andorra has the highest life expectancy and the lowest fertility rate in Europe, resulting in one of the fastest-aging populations on the continent.",
    "The study assesses long-term fiscal implications of demographic change for Andorra’s pension and healthcare systems.",
    "Without reform, public pension and healthcare expenditures are expected to rise significantly by 2050.",
    "Demographic pressures pose risks to Andorra’s macroeconomic stability over the long term.",
    "Comprehensive pension and healthcare reforms are essential to mitigate fiscal pressures.",
    "Proactive immigration policies are essential alongside reforms to help safeguard macroeconomic stability.",
    "Author: Aidyn Bibolov",
    "Date: May 9, 2025",
    "Series: Selected Issues Paper No. 2025/052",
    "Issue: 052",
    "Pages: 16",
    "Volume: 2025",
    "DOI: https://doi.org/10.5089/9798229010672.018",
    "Stock No: SIPEA2025052",
    "ISBN: 9798229010672",
    "ISSN: 2958-7875",
    "**Sipea2025052**"
  ],
  "related": [
    {
      "title": "Sipea2025052",
      "role": "document",
      "sourceUrl": "https://www.imf.org/-/media/files/publications/selected-issues-papers/2025/english/sipea2025052.pdf",
      "summary": {
        "path": "/-/media/files/publications/selected-issues-papers/2025/english/sipea2025052.pdf.md",
        "mime": "text/markdown"
      },
      "binary": {
        "path": "/-/media/files/publications/selected-issues-papers/2025/english/sipea2025052.pdf",
        "mime": "application/pdf"
      }
    }
  ],
  "alternates": {
    "markdown": "/en/publications/selected-issues-papers/issues/2025/05/09/fiscal-implications-of-aging-in-andorra-pension-and-healthcare-system-reforms-566861/index.md",
    "json": "/en/publications/selected-issues-papers/issues/2025/05/09/fiscal-implications-of-aging-in-andorra-pension-and-healthcare-system-reforms-566861/index.json",
    "bundleManifest": "/en/publications/selected-issues-papers/issues/2025/05/09/fiscal-implications-of-aging-in-andorra-pension-and-healthcare-system-reforms-566861/bundle-manifest.json"
  },
  "generatedAtUtc": "2026-09-20T20:40:57.187Z"
}