This paper presents the first set of generational accounts for the United K
ingdom. We find that under our baseline scenario, in which pensions are pri
ce indexed and health expenditure grows modestly, the imbalance in UK gener
ational policy is small when compared with other leading industrial countri
es like the United States,Japan, and Germany. However, under an alternative
policy scenario, where ail social benefits are wage-indexed and health car
e spending is increased, there is a larger fiscal bill left for future gene
rations to pay. In this case, achieving generational balance would require
much stronger medicine.