Tony Singleton
For many South Africans in their late 30s to 60s, life increasingly involves looking both forward and backwards at the same time. While younger generations are building careers, raising children, or still finding their financial footing, many are also stepping into the role of caregiver for ageing parents. Longer life expectancy, rising living costs, and delayed financial independence among young adults have created a new dynamic where two generations rely on the same person for support. This emerging “sandwich” generation is growing rapidly in South Africa, reshaping family responsibilities and financial priorities in ways few expected a decade ago.
Adults between the ages of 30 and 60 experience significantly lower levels of financial confidence than both younger and older groups. This trend reflects the reality that many are simultaneously responsible for school fees, groceries, transport, and household expenses, while also helping parents cover healthcare, medication, and daily needs. With approximately 5,6 million South Africans now over the age of 60, the demand for family-based elder care continues to rise. For younger adults trying to build their own financial future, this dual responsibility places an enormous strain on emotional and economic well-being.
Healthcare costs have become one of the most intense sources of strain. Medical inflation continues to run far ahead of the Consumer Price Index (CPI), and specialist fees often exceed medical aid rates by several hundred percent. Despite this, only a small portion of medically insured South Africans have gap cover, leaving many families exposed to sudden medical bills when parents need hospitalisation, specialist treatment, advanced scans or chronic care. For younger adults already juggling multiple expenses, these unexpected medical shortfalls can quickly erode savings, push households into debt, or derail long-term goals such as buying property or saving for retirement.
The emotional demands placed on the sandwich generation are just as significant as the financial ones. Caregivers often describe feeling stretched thin, burned out, and struggling to maintain a sense of balance between work, parenting responsibilities, and caring for ageing parents. The constant pressure to be present for everyone can be overwhelming. Without adequate financial and social support, the burden can lead to chronic stress, reduced productivity and strained family relationships. This is particularly true in households where resources are already limited, or where siblings are unable to share the load.
Given these overlapping pressures, many younger adults are rethinking how they plan for healthcare and financial stability. Gap cover, for example, is becoming an increasingly important tool for bridging the widening financial gap between what medical schemes cover and the actual cost of specialist care. It offers practical relief by absorbing the shortfalls that would otherwise fall on families, allowing caregivers to manage parental healthcare without sacrificing their own savings or long-term goals.
Many young South Africans are beginning to reassess their budgets, discuss shared caregiving responsibilities with siblings, and look for ways to strengthen their financial resilience. For some, that means prioritising emergency funds; for others, it means reviewing medical aid options or seeking professional financial advice.
Alongside the financial considerations, there is also a growing recognition that emotional well-being is central to coping with the intensity of dual caregiving. Caregivers need time to recharge and protect their own mental health to sustainably support both parents and children.
The rise of South Africa’s sandwich generation reflects a profound shift in family structures. As healthcare costs continue to rise and family dynamics evolve, preparing now is one of the most powerful ways younger South Africans can protect not only their parents, but also themselves and the next generation to come.
■ Tony Singleton is chief executive officer (CEO) at Turnberry Management Risk Solutions.
