Quality health care plays an important role in economic growth. Developed countries spend a high proportion of their GDP on health care because they believe that health is an important driver of economic development. Population ageing further increases health expenses, which is a worldwide trend. The purpose of this research is to observe the aftermath from a Visegrad Group (V4) perspective. One of the major consequencies is the growing pool of elderly and retired citizens in the V4 countries. The researchers investigated the causes of ageing in the Visegrad countries, examining mortality and fertility. This situation tends to worsen further in the future finantial threatening of public social and health insurance funds. Elder people use more healthcare than younger people and the proportion of elder people in the population is increasing. We examined trend between the aging population and health Expenditure. Health care expenditure (HCE) is not distributed evenly over a person’s life course. How much is spent on the elderly is important as they are a population group that is increasing in size.