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What country has the highest percentage of people over 65?

4 min read

According to 2025 projections, a small European microstate leads the world in the proportion of its population over 65, but when considering major nations, Japan holds the record for what country has the highest percentage of people over 65?

Quick Summary

Monaco consistently ranks highest for the percentage of its population over 65, though Japan is the most prominent large nation with a significant elderly demographic, driven by low birth rates and high life expectancy. This phenomenon highlights a growing global trend.

Key Points

  • Highest Percentage Holder: Monaco, a microstate, currently holds the highest percentage of its population aged 65 or over, influenced by its status as a destination for affluent retirees.

  • Largest Nation with Aging Population: Japan is the most prominent large country with a super-aged society, with 30% of its population aged 65+ in 2025, reflecting a rapid demographic shift.

  • Driving Factors: The primary drivers of population aging are low fertility rates and increased life expectancy, a trend observed in developed nations and increasingly in middle-income countries.

  • Economic Pressures: Aging populations create significant economic pressures, including labor shortages, strain on pensions and social security, and higher healthcare costs.

  • Social and Caregiving Shifts: An aging demographic requires societal adaptations, such as shifts in family caregiving responsibilities and greater demand for professional senior care services.

  • Technological Solutions: Countries are increasingly looking towards technology and automation to address the challenges of an aging workforce and caregiving demands.

In This Article

Understanding the World's Oldest Populations

Demographic trends show that populations are aging rapidly across the globe, a result of declining fertility rates and increased life expectancy. While this is a worldwide phenomenon, certain countries stand out for their particularly high proportion of older citizens. Answering the question, "What country has the highest percentage of people over 65?" requires a closer look at both microstates and major nations, as different scales reveal different stories.

For 2025, demographic studies show that the Principality of Monaco, a tiny European microstate, has the highest percentage of older adults, with an estimated 36.8% of its population aged 65 or over. This high concentration is partly due to its status as a desirable location for retirees, combined with its small overall population. However, it is not the most representative example of the challenges facing large countries with aging populations.

The Japanese "Super-Aged" Society

Beyond Monaco, Japan is the most prominent example of a nation with a significantly large and old population. For 2025, Japan is projected to have 30.0% of its population over the age of 65. This isn't just a number; it represents nearly 37 million people and has earned Japan the classification of a "super-aged" society. The country's aging has occurred faster than any other nation in modern history, presenting both unique challenges and lessons for the rest of the world.

Causes of Japan's Demographic Shift

Several factors have contributed to Japan's aging population:

  • High Life Expectancy: Japan consistently boasts one of the highest life expectancies in the world, thanks to advances in nutrition, healthcare, and living conditions.
  • Low Fertility Rates: Following a post-war baby boom, Japan experienced a prolonged period of sub-replacement fertility rates. This means fewer children are being born to replace the aging population, inverting the traditional population pyramid into a column or even an inverted pyramid shape.
  • Migration Policies: Japan has historically maintained more restrictive immigration policies compared to other high-income countries like Australia or Canada, limiting the influx of younger workers that could help offset demographic changes.

Implications of an Aging Population

The demographic shift in countries like Japan and many in Europe brings significant challenges across economic, social, and healthcare sectors. The implications are profound and long-lasting.

Economic and Financial Impacts

An aging population directly affects a country's economic vitality and financial stability.

  • Labor Shortages: A smaller working-age population leads to a shrinking workforce, which can cause labor shortages across various industries and slow economic expansion.
  • Strain on Social Security: With a growing number of retirees and a smaller pool of taxpayers, public pensions and social security systems face increasing financial pressure.
  • Increased Healthcare Costs: The elderly generally require more extensive healthcare services. This increases government expenditure on medical and long-term care, posing challenges for public finances.

Societal and Healthcare Changes

Beyond finances, society adapts to a new reality of shifting family structures and care demands.

  • Shifts in Family Dynamics: The burden of care often falls on younger family members. This reverses traditional family roles and can place significant emotional and financial strain on caregivers.
  • Need for Caregiving Professionals: The demand for qualified geriatric healthcare professionals and care workers rises dramatically, a need that many countries struggle to meet.
  • Innovation in Care: Aging societies drive innovation in "agetech"—technology designed to support comfortable longevity and automate care tasks.

Global Comparison of Aging Populations

While Japan is the most prominent large, aged society, many other nations, particularly in Europe, are experiencing similar trends. The table below offers a brief comparison of some of the countries with high percentages of citizens over 65 based on recent data.

Country Share of Population, 65+ (Approx. 2025) Key Characteristic
Monaco 36.8% Smallest territory with the highest percentage
Japan 30.0% Largest population with a super-aged society
Italy 25.1% A major European economy with significant aging
Portugal 24.9% Another European country with a very high senior share

These figures demonstrate a clear divergence between microstates like Monaco, where unique factors influence the data, and larger, industrial nations like Japan and Italy, where societal shifts are driven by long-term demographic forces.

Future Considerations and Policy Responses

The rapid pace of aging requires policymakers to make crucial choices to ensure sustainability and quality of life. Addressing these trends involves multifaceted approaches.

Investing in Longevity and Healthy Aging

Efforts to extend not just life expectancy but also healthy life expectancy are paramount. This involves:

  1. Public Health Initiatives: Promoting preventative care, healthy lifestyles, and early detection of chronic diseases.
  2. Accessible Healthcare: Ensuring affordable and accessible healthcare services for older adults, which includes managing the transition to Medicare in countries like the US.
  3. Support for Caregivers: Offering financial and emotional support for family caregivers, which can alleviate the burden on families and formal care systems.

Economic and Workforce Adjustments

To mitigate economic strain, countries can implement a range of strategies:

  • Encouraging Longer Work Lives: Incentivizing people to remain in the workforce longer can boost productivity and tax revenue.
  • Increased Automation: Investing in technology, robotics, and automation can help maintain economic output despite a smaller workforce.
  • Immigration Adjustments: Adopting more open immigration policies can help supplement the working-age population, a policy option pursued by some but not all countries.

Conclusion

While the answer to what country has the highest percentage of people over 65 might technically be Monaco due to its unique demographics, Japan represents the most significant case study of a major nation grappling with a super-aged society. The challenges faced by Japan—from economic strain to societal shifts—are a harbinger for many other countries. As the global population continues to age, the need for innovative policies, strengthened social safety nets, and a renewed focus on healthy longevity becomes increasingly critical. The experiences of countries leading this demographic trend, like Japan, provide invaluable lessons for navigating the future of senior care and healthy aging worldwide. For more information, the World Health Organization is an authoritative source on global health and aging trends World Health Organization.

Frequently Asked Questions

A society is typically considered 'aged' when more than 14% of its population is 65 or older. It becomes a 'super-aged' society when this proportion exceeds 20%. Japan crossed this threshold years ago.

Many European nations have similarly aging populations. Examples include Italy, Portugal, Germany, and Greece, all of which have a significant portion of their populations over 65.

Global population aging is primarily caused by two major demographic trends: a decline in fertility rates, meaning fewer children are being born, and an increase in life expectancy due to advancements in health and sanitation.

An aging population can lead to labor force shrinkage, increasing the dependency ratio (the number of retirees supported by the working population), and higher expenditures on social security, pensions, and healthcare, potentially slowing economic growth.

Governments and societies are responding with various policies, including encouraging later retirement, investing in automation and technology to offset labor shortages, and, in some cases, adjusting immigration policies.

Not exactly. While they also need to provide services for their older population, the scale and nature of the challenge are different. In small territories like Monaco, external factors such as attracting wealthy retirees can heavily influence the demographic makeup.

Yes, the pace of population aging is now much faster in low- and middle-income countries than historically seen in high-income countries. By 2050, it is projected that 80% of the world's older population will reside in these nations.

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.