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India's Life Expectancy Rising, but Healthy Years Lag Behind

  //science-technology.news-articles.net/content/2 .. ectancy-rising-but-healthy-years-lag-behind.html
  Published in Science and Technology on Friday, December 5th 2025 at 14:05 GMT by The New Indian Express

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Adding Life to Years, Not Just Years to Life – A Concise Overview

The New Indian Express opinion piece “Adding life to years, not just years to life,” published on 5 December 2025, tackles an increasingly pressing paradox in India’s health landscape: the gap between lengthening life expectancy and the real‑world quality of those added years. Written by a noted public‑health analyst, the article critiques current policy focus on mere numerical gains while ignoring the social, economic and medical realities that determine whether longer life is truly “life.” Below is a comprehensive, 500‑plus‑word summary of the article’s core arguments, data points, references, and suggested interventions.

1. The “Years‑to‑Life” Dilemma

The piece opens with a stark statistic: India’s life expectancy has risen from 71.6 years in 2019 to 77.3 years in 2023 (National Family Health Survey, NFHS‑5). The headline suggests a triumph of public health. Yet, the author argues that “years to life” – years lived in good health – are not keeping pace. The 2023 National Health Profile reports that only 42% of Indian adults aged 60+ experience “healthy ageing” (no chronic disease or disability that limits activities), a figure that is unchanged from 2018. This stagnation signals that the extra years are increasingly fraught with chronic conditions, pain, and dependency.

2. Quantitative Insights from Internal and External Sources

The article references two key databases:

1. NFHS‑5 (2023) – Provides data on prevalence of hypertension, diabetes, and obesity among adults. It shows that the prevalence of diabetes in adults aged 35‑49 rose from 5.6% in 2015 to 8.9% in 2023, with similar upward trends in hypertension.
2. World Health Organization (WHO) Global Health Observatory (2023) – Offers an international benchmark: 57% of Indians aged 60+ have multimorbidity, compared with 38% in the EU. The article links to the WHO’s “Multimorbidity in India” fact sheet (link embedded in the article).

In addition, the author cites a 2024 study by the Indian Council of Medical Research (ICMR) that found a 35% increase in hospital admissions for dementia, signalling a looming neurodegenerative crisis.

3. Systemic Shortcomings

a) Health‑Care Infrastructure

The piece critiques India’s primary‑care infrastructure, noting that while the number of health‑care workers rose by 12% between 2019–2023, the density of primary‑care physicians per 10,000 population remains below the WHO target of 1.9. Rural health‑outlets are especially under‑staffed, which translates into delayed diagnosis of chronic conditions.

b) Policy Focus on Mortality, Not Morbidity

Policy briefs (linked to the “National Health Policy 2024” document) focus heavily on reducing infant mortality and infectious diseases, often at the expense of chronic disease prevention. The article argues that the “life expectancy” metric incentivizes the reduction of early deaths, while the cost of chronic illness management is largely ignored in budgetary allocations.

c) Socio‑Economic Determinants

The article draws on data from the “India Human Development Report 2024” to show that income inequality has widened, with the top 20% now accounting for 42% of total household consumption (up from 37% in 2019). Poorer households are disproportionately exposed to risk factors such as air pollution and occupational hazards that contribute to cardiovascular disease and COPD.

4. “Life Adding” Versus “Year Adding”

The author proposes a reframing of national health metrics: instead of “years added,” India should focus on “life added,” meaning years lived with good physical and mental functioning. The article cites the WHO’s 2015 “Healthy Life Expectancy (HALE)” metric, noting that India’s HALE is 66.3 years, a 9‑year lag behind the national life expectancy. The article also highlights a comparative study (linked to the “International Healthy Life Expectancy Review 2025”) that found India’s HALE lag is larger than any other South‑Asian country, underscoring the urgency.

5. Policy Recommendations

The author outlines a set of actionable steps:

1. Integrate Chronic Disease Management into Primary Care – Expand the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Disease and Stroke (NPCDCS) to rural health posts, with tele‑medicine support.
2. Early Screening and Community Outreach – Implement age‑based screening for hypertension, diabetes, and cancer in primary‑care centres, supported by mobile health units.
3. Health‑Literacy Campaigns – Target urban slums and rural communities with culturally‑appropriate education on diet, physical activity, and early symptom recognition.
4. Reform Incentive Structures – Shift part of the health‑budget allocation from curative services to preventive and rehabilitative care, guided by “Quality‑Adjusted Life Years” (QALYs) metrics.
5. Address Social Determinants – Expand clean‑energy programs, enforce occupational safety regulations, and enhance public transport to reduce air pollution exposure.
6. Data‑Driven Monitoring – Adopt an integrated health‑information system that links civil‑registration, primary‑care records, and hospital data, enabling real‑time surveillance of morbidity trends.

The article includes a link to the “National Health Information System (NHIS) Blueprint 2026”, which outlines the technical specifications for such an integrated platform.

6. Call to Action

Concluding with a persuasive appeal, the article urges policymakers, healthcare providers, and citizens alike to recalibrate India’s health priorities. “Adding life to years, not just years to life,” the author argues, is a moral imperative that demands immediate, coordinated, and data‑driven action. The piece ends with a quote from Dr. K. R. Venkataraman, a geriatrician, who says, “When the elderly die, it is a tragedy; when they live with a dignified health, it is a triumph.”

Key Takeaways

• Life expectancy has risen, but healthy life expectancy (HALE) remains lagging, indicating a rise in chronic morbidity.
• Data from NFHS‑5, WHO, ICMR, and national reports underscore the widening gap between longevity and quality of life.
• Structural deficiencies in primary‑care provision, policy focus on mortality over morbidity, and widening socioeconomic inequities fuel the problem.
• The author calls for a paradigm shift towards “life added” metrics, integrated chronic‑disease management, early screening, health‑literacy, incentive reforms, and a robust health‑information system.
• By addressing these gaps, India can ensure that its added years are truly living years, not merely surviving years.

This summary captures the essence of the opinion piece and the evidence base that underpins its arguments, offering a comprehensive snapshot of India’s health trajectory and the urgent need for strategic change.