Not many people are aware that the whole retirement program system is unsustainable, but these small "tweaks" are implemented for a "deeper" level... As for having small pensions, or lack of health care, older people have an additional stress and anxiety of being margined by society... That's why it's important to integrate them back, into the communities where they can help each other...
It is a complex problem, but nobody will solve it for us... We have to do it ourselves...