Gaps in geriatric healthcare and support systems leave many older people struggling to access medical care, find reliable caregivers, and cope with mental health concerns and social isolation. These challenges threaten their independence and quality of life, particularly among those from economically weaker backgrounds. With Telangana’s population aged 60 and above projected to grow over the next decade, the shortcomings in healthcare, mental health support and community services need urgent attention, finds K. Shiva Shanker