Health care costs covered by Korea’s national insurance system for those aged 65 and older have risen nearly 40 percent over the past four years, exceeding 50 trillion won ($38 billion) in 2023 and accounting for nearly half of the country’s total insured medical spending, government data showed on Wednesday. According to figures submitted to Rep. Kim Mi-ae of the National Assembly’s Health and Welfare Committee, combined co-payments and insurance reimbursements for older adults rose from 37.47 trillion won in 2020 to 52.12 trillion won last year — a 39.1 percent increase. The sharp rise in costs underscores a looming public health challenge for a nation with one of the world’s fastest-aging populations. As the number of older citizens grows, the data points to an urgent need for sustainable long-term care policies to keep the national health insurance system from coming under severe strain. Korea has seen a striking demographic shift over the past two decades, with the share of the population aged 65 and older rising from 9.1 percent in 2005 to 20.3 percent at present, accord
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