Further NHS patient charges may need to introduced, a report has said.
The current health and social care systems are no longer fit for purpose while funding needs an overhaul, the Commission on the Future of Health and Social Care in England said.
The report said that in addition to more charges or increasing general taxation an acknowledgement that not all pensioners are "poor" would be needed.
Increasing general taxation or introducing more charges - such as for treatment or hospital stays, or cutting freebies such as elderly bus passes and prescriptions - all need to be considered, it said.
More top news
A medical examiner concluded that an accidental overdose had caused Tom Petty to suffer a fatal heart attack at his Malibu home in October.
One year on from his inauguration, Donald Trump's supporters are even more passionate about him and his cause than before he entered office.
Support for new parents has faced deep cuts in recent years - and some social workers warn it could lead to a rise in forced adoption.