Based on current policy and the latest demographic projections, public debt is projected to almost triple from under 100 per cent of GDP to over 270 per cent of GDP over the next 50 years. The estimated damage to the economy and public finances from a changing climate could add between 20 and 30 per cent of GDP to these pressures on debt, while improving the health of the population could reduce them by over 40 per cent of GDP by the mid-2070s.