The increasing demand of an ageing population for health care has already played a key part in driving up the cost of the National Health Service, although the perceived standards of service delivered have diminished. At the same time the Government has forced local authorities to take over the burden of supporting pensioners who can no longer look after themselves.
But local authorities are also strapped for cash, and many are insisting that those who have financial resources in excess of pounds 8,000 must hand over their assets when they go into care, including pensions and property which they had hoped to leave to their families.
Health-care insurance is available to pay for private care in the case of serious illnesses to which the elderly are prone, but it is not cheap and gets more expensive as you get older. Less than 20 per cent of the adult population has private health insurance, and over half of those who have are in subsidised group schemes sponsored by employers.
Among pensioners, the proportion with private health insurance falls to less than 10 per cent. Financial planning to cover the costs of long- term care is even less common, because most people took it for granted the community would shoulder the cost of nursing homes for all but the independently wealthy.
Meanwhile the demographic nightmare shows no sign of ending. The rising cost of paying pensions has already forced the Government to break the link between the state old-age pension and average earnings, and peg it instead to the cost of living, so that the old-age pension, now worth barely 15 per cent of average earnings, will diminish even further in relative value over the years as living standards for working people rise.
The State Earnings Related Pension (Serps) will pay a pension based on a quarter of the best 20 years of earnings between a minimum and maximum earnings band, currently between pounds 58 and pounds 440 a week. Anyone retiring in 1998 could expect around pounds 75 a week. But it too is being slimmed down to save money, and between 2000 and 2010 the formula will move towards a fifth of average lifetime earnings.
Despite this skimping, National Insurance contributions are no longer even paying the bills for existing pensions, and even after 20 years of North Sea oil revenues and privatisation proceeds, there is no fund to finance future payments. The Government has also changed the rules on pensions so that by 2010 women will have to work until 65 before they qualify.
The Government's preferred policy of transferring responsibility for pension provision from the state to the private sector is partly motivated by the desire to minimise the impact of pension bills for an ageing population on public sector spending and public sector borrowing. It also fulfills a commitment to promote business in the private sector.
But the private sector is unable to provide the certainty pensioners and those approaching retirement crave above all else. Companies traditionally pay pensions based on final salaries and length of service, so that after 40 years an employee could be certain of retiring on half-pay, or in the case of the most generous employers, such as the clearing banks and insurance companies, two-thirds of final salary.
However many employees find they have no choice in the matter. Companies increasingly make staff redundant and replace them with part-timers and temporary staff on short-term contracts, who are not eligible for the company pension scheme. The proportion of workers in company schemes actually peaked at 52 per cent as long ago as 1983, and has since drifted back to just under 50 per cent.
Personal portable pensions were designed to fill the gap, but have failed to do so convincingly, partly because the payments are based on investment performance, which cannot be guaranteed, and partly because millions of employees were seduced by a combination of commission-hungry pension salesmen and the offer of juicy rebates on NI contributions to opt out of company schemes and join private ones, to which employers are under no obligation to contribute.
The bad publicity has stiffened the natural disinclination of the young and even the middle-aged to provide for a future which might not happen. There are now around 20 million private pension policies, but many people have two or three, and no one seriously thinks the numbers or the contributions are enough to provide a comfortable old age.
The average employee in a portable pension now pays just more than pounds 50 a month, but the high cost of setting up a policy means that it may take three years before significant sums are actually invested in the pension fund.This has coincided with a fall in inflation which means pension fund managers have an uphill struggle earning the returns needed to provide an adequate pension.
There is a real risk that even over a working lifetime of 30 years, pounds 50 a month might well not be enough to provide an adequate pension. Most experts say employees should contribute 10 per cent of gross income for 30 years to have a real chance of retiring on half-pay, and it is possible an incoming Labour government could make that compulsory.
The problem becomes more complicated if, as appears likely, the current generation of employees has to change jobs several times and could spend longish periods - months, perhaps even years - between jobs.
Pension companies are much more flexible in allowing contributions holidays than they were even in 1988, when personal pensions came in with a bang. Legal & General, for example, allows a five-year holiday before declaring a pension plan paid up and ruling out further contributions. But it still pays to ask before taking out a pension policy, to make sure it is possible to stop, start, and vary contributions without penalty.
Last but not least of the problems is the pensions gap which is opening up visibly in front of millions of fiftysomethings who had expected to work until they were 65. A generation ago, 80 per cent of workers expected to work until they reached retirement age, but the proportion has dropped dramatically in the last decade to well under 50 per cent. Many employers have already culled staff 60 and over and are now pushing their over- 55s into premature retirement.
Most redundant employees get at least a brass handshake when they leave, but many redundant workers have found that it is difficult, if not impossible to get another job in their fifties. Even a year's money free of tax will not last long if it has to tide employees over for five or even 10 years before they can get a pension.
Inevitably early retirement reduces final salaries and length of service, leaving redundant employees a long wait for a reduced pension from both the company and the state.