Wednesday, November 5, 2025

Sid Salter: Incoming Silver Tsunami to Strain Government Resources

The “Silver Tsunami” isn’t just a clever turn of phrase—it’s a demographic freight train barreling toward Mississippi’s already strained health care infrastructure. Every day, 10,000 Americans turn 65. By 2030, one in five U.S. residents will be senior citizens. In Mississippi, where chronic illness, poverty, and rural isolation already complicate health care delivery, this wave of aging citizens threatens to swamp the system.Our state ranks near the bottom in health outcomes. We have too few doctors, too many hospitals on life support, and a rural health care network that’s been fraying for decades. The federal government estimates that 70% of people turning 65 today will need long-term care at some point. That’s not a distant possibility — it’s a certainty. And in Mississippi, where nearly 20% of the population is already over 60, the impact will be felt sooner and more severely than in many other states.

The challenges are manifold. First, there’s the sheer demand for services. Mississippi will need more nursing homes, more home health aides, more geriatric specialists, and more accessible transportation for seniors. But we’re starting from behind. According to recent projections, the U.S. may need 3,000 more nursing homes nationwide to meet demand. Mississippi, with its aging rural communities and limited Medicaid expansion, will feel that pinch acutely.

Second, we face a workforce crisis. The same wave that’s aging our population is also retiring our health care providers. Nurses, doctors, and case managers are leaving the field just as their expertise is most needed. Mississippi’s medical workforce is already stretched thin. If we don’t act now to recruit and retain providers — especially in underserved areas — we’ll be staring down a full-blown crisis.

So, what’s the role of government in all this?

At the federal level, the stakes are enormous. Medicare and Medicaid are the lifelines for most seniors. But Medicare is under financial strain, and Medicaid expansion remains a political football in Mississippi. The federal government must shore up Medicare’s solvency. It must also invest in rural health infrastructure — telemedicine, mobile clinics, and broadband access — to reach seniors where they live.

Federal agencies can also help by funding workforce development programs. Scholarships, loan forgiveness, and training grants for geriatric care providers could help stem the tide of retirements and bring new talent into the field. And let’s not forget the importance of data: federal research and forecasting can help states plan for the coming surge with precision.

But Washington can’t do it alone. The Mississippi state government has an obligation to prepare for the silver tsunami. And Medicaid expansion is no longer an option.

The One Big Beautiful Bill Act (OBBBA) does not provide incentives for non-expansion states like Mississippi to expand Medicaid; in fact, it eliminates the temporary financial incentive that was offered under the American Rescue Plan Act or “Obamacare.” Starting January 1, 2026, any state that expands Medicaid will no longer receive the 5% increase in the federal medical assistance percentage (FMAP) for newly eligible individuals, making it more expensive for them to do so.

Next, the state must invest in its health care workforce. That means supporting emerging nursing programs at our universities, offering incentives for doctors to practice in rural areas, and funding continuing education in geriatric care. It also means recognizing that health care isn’t about medicine — it’s about transportation, housing, and nutrition. Seniors need wraparound services, and the state must coordinate across agencies to deliver them. Mississippi must also rethink its approach to aging. Too often, we treat seniors as burdens rather than assets. But older adults bring wisdom, experience, and civic engagement. With proper support, they can continue contributing to their communities. That means investing in senior centers, volunteer programs, and age-friendly infrastructure. Our elected officials must rise above partisan political squabbles and craft a comprehensive aging strategy. That includes planning for long-term care, supporting family caregivers, and ensuring that every Mississippian can age with dignity.

The silver tsunami is coming. We can’t stop it. But we can prepare. Mississippi has weathered storms before — economic, political, and literal. With foresight, compassion, and bold action, we can meet this challenge head-on.

Sid Salter is a syndicated columnist. Contact him at sidsalter@sidsalter.com.

17 comments:

Veteran/Boomer said...

Derogatory "boomer" comments in 3, 2, 1...

Anonymous said...

Sounds like we should stop sending trillions of our tax dollars to Ukraine, Israel, Taiwan, and everyone else on the planet, and instead take care of the people who paid the damn taxes!

Anonymous said...

I’ll be 80 in February, but I’m in good health and in decent physical shape for my age. In view of the content of Salters’ piece, it’s clear that Mississippi is headed for a fiscal disaster. Continuing to reduce revenue in the face of a clear need for additional expenditures as the population ages is folly. The investments that the current administration brags about won’t generate any State revenue. Maybe we need to adopt an updated version of Jonathon Swift’s “Modest Proposal”, although there’s not as much meat on an old person as on kids.

Anonymous said...

In Mississippi it's still all about the WHO and not the WHAT as always. WHO will benefit? Whether they have political influence will determine WHO gets the help from state government. Need is not the issue. WHO will be allowed to develop programs to address the shortage of professionals and WHO will not. Ask the IHL. It won't be determined by need but by influence, clout. The article talks about need. We need to talk about clout.

#1 Best of Jackson Commenter said...

Once again Mississippi Sid Salter pulls his punches.

He defines a myriad of problems but can't bring himself to say he's advocating for, at the federal/state level, truly massive amounts of incremental spending and new confiscatory taxation necessary to deploy the solutions he proposes.

Per Sid, his silver tsunami can only be mitigated with a concomitant opposing tsunami of new government spending.

He just doesn't have the stones to tell you that.

Anonymous said...

38 Trillion + of national debt…..a 1.77 Trillion + Fiscal Year 2025 National Deficit…..a “workforce crisis” combined with 42 million Americans/12% of the total US population relying upon SNAP/food stamps (that keeps Sid’s Democrat pal Bennie Thompson in office)…..Biden induced inflation that made the rich much, much richer while a Jackson, MS metro area starter home inflated up to 50% more than only a short time period ago/pre-covid (with the so-called educated not having a single clue as to why)…..a MS State Retirement (PERS) unfunded liability disaster of around $26 billion due to underfunding and design flaws, and a declining ratio of active workers to retirees…..etc., etc., etc.,…..and what does Sid tell us?

Sid gives us the old 1983 lyrics “with a rebel yell, s(he) cried, more, more, more.”

It really seems like there’s just not much that excites Boomer Yellow Dog Democrats like Sid Salter more than piling up additional debt for the future generations to be responsible for (after he is/they are gone, of course).

Anonymous said...

Free the taxes.

Anonymous said...

the sky never falls. chill

Anonymous said...

Workforce programs center on training and job placement. Those are essential, yes, but it's not nearly that simple. Another key reason we have a workforce crisis is the enormous number of young people who simply don't want to work. Or, if they are even willing to take a job, they lack soft skills like showing up every day and being on time. I don't know how you fix that.

Anonymous said...

@9:09 Ever notice how so many one-time journalists in the metro area left the 'industry' to go work for some form of govt/edu job w/ PERS benefits? State govt is crawling with these people serving in communication roles.

Anonymous said...

“we face a workforce crisis. The same wave that’s aging our population is also retiring our health care providers. Nurses, doctors, and case managers are leaving the field just as their expertise is most needed. Mississippi’s medical workforce is already stretched thin. If we don’t act now to recruit and retain providers — especially in underserved areas — we’ll be staring down a full-blown crisis.”

Wasn’t changing the state flag and passing Obamacare supposed to fix all of this, as promised , you twit?

Anonymous said...

Those that have spent a lifetime working and putting into the system (without choice) should be first. Those who have not should be last. Period.

Anonymous said...

10:02 AM, thanks for making these very valid points.

The MS State Flag manufactured crises was such a huuuuge deal, wasn’t it? And how many fools fell for the Obamacare scam? Yet the same idiots that told us what we needed to do then, having been proven wrong now, are still telling us what we should do next.

Anonymous said...

@10:02 aAM changing the state flag didn’t change yalls ignorance and bigotry as evidenced by the rankin County Goon Squad

Anonymous said...

Sid has always been big government. Sid has never met a Chinese financed budget deficit he didn't like. Sid has always seen more government as the answer.

Krusatyr said...

Sidney has a (big gov't) plan for the gray hairs: will he call it geronticide, senicide, granny dumping, attestupa (dropping from a cliff), Plan 75; how will it be administered? Free Kevorkian kits? What are Sidney's own personal plans in that regard? Asking for a demented, wobbly old journalist of a local newspaper.

Krusatyr said...

Not showing up on time, poor work ethic, demanding $25/hr with $2.50/hr skill set?

Preventable. Start working for starter wages at 14, summers and after school.


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Jackson Jambalaya is the home of Trollfest '07. Catch this great event which promises to leave NE Jackson & Fondren in flames. Sonjay Poontang and his band headline the night with a special steel cage, no time limit "loser must leave town" bout between Alan Lange and "Big Cat"Donna Ladd following afterwards. Kamikaze will perform his new song F*** Bush, he's still a _____. Did I mention there was no referee? Dr. Heddy Matthias and Lori Gregory will face off in the undercard dueling with dangling participles and other um, devices. Robbie Bell will perform Her two latest songs: My Best Friends are in the Media and Mama's, Don't Let Your Babies Grow up to be George Bell. Sid Salter of The Clarion-Ledger will host "Pin the Tail on the Trial Lawyer", sponsored by State Farm.

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If you get tired come relax at the Fox News Tent. To gain admittance to the VIP section, bring either your Republican Party ID card or a Rebel Flag. Bringing both will entitle you to free drinks.Get your tickets now. Since this is an event for trolls, no ID is required, just bring the hate. Bring the family, Trollfest '07 is for EVERYONE!!!

This is definitely a Beaver production.

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