However, its system will come under pressure as population ageing is set to accelerate after the mid-2020s, with a strong increase in the share of people over 80 - the biggest recipients of health and long-term care per capita (Panels C and D, Albouy et al., Price developments and technical progress could also lead to increasing upward pressure on health spending (Fall et al., Macro- and micro-simulations show significant increases in public health expenditures until 2060, though the scale of the extra spending varies widely (Box 1).