Population ageing is shrinking the labour force while driving up social spending. Raising employment among women and older workers would help ease labour shortages. Linking the statutory retirement age to life expectancy gains and tightening access to early retirement would strengthen pension sustainability. Improving primary care, advancing health system digitalisation, and better targeting long-term care (LTC) allowances, alongside expanding the LTC workforce, would enhance both financial sustainability and service capacity.
Austria’s population is ageing rapidly, with fewer prime-age workers and a growing share of older people and retirees. This trend, driven by declining fertility and rising life expectancy, poses risks to economic growth, productivity, and the long-term sustainability of the pension, health, and long-term care systems (Figure 3).
Ageing will reduce the working-age population and intensify labour shortages, while labour market participation and employment, particularly among women and older workers, remain below many OECD peers. Encouraging wage structures that reflect productivity, performances and tasks rather than seniority, tightening access to early retirement, and better targeting old-age subsidised part-time and partial retirement schemes would help extend working lives. Expanding affordable childcare, promoting shared parental leave, and phasing out single-earner tax credits would reduce barriers and disincentives to female labour force participation.
Pension spending, already among the highest in the OECD, is projected to rise further until 2035. Linking the statutory retirement age to life expectancy gains, slightly lowering accrual rates, and reforming the indexation of pensions to inflation by setting a rule to differentiate adjustments between low and high pensions would strengthen the long-term sustainability and fairness of the system.
Austria’s public health spending is among the highest in the OECD, yet system efficiency remains below potential. Fully and rapidly implementing recent reforms and further streamlining the structure and coordination of the health system would strengthen both efficiency and sustainability. Expanding and enhancing primary care, particularly by further deploying multidisciplinary primary health care units and improving the attractiveness of general practice, especially in rural areas, would help reduce the heavy reliance on hospitals. Removing legal and technical barriers to health data interoperability would enable better governance, research, and prevention. Allowing pharmacists to substitute branded drugs with generics without prior physician approval and capping reimbursement at the least expensive generic’s price would lower high outpatient pharmaceutical costs.
The ratio of formal long-term care (LTC) workers to people aged 65 and over is below the OECD average, while ageing will continue to drive up demand. Improving LTC working conditions, attracting more male workers, and better targeting the LTC allowance would help secure workforce supply, sustain service quality, and preserve financial sustainability.