The Eastern Caribbean Central Bank published a keynote address by Governor Timothy N.J. Antoine to the Saint Christopher and Nevis Social Security Board’s stakeholder reform conference, warning that demographic and financial pressures are undermining the fund’s long-term sustainability and calling for timely, collective reform. The speech highlighted a shift from more than six contributors per pensioner in 1978 to about 3.5 in 2026, with a projection of 1.6 over time. Antoine also pointed to widening deficits, noting that since 2020 benefits have risen by 48% while contributions have increased by 19%, and cited actuarial guidance that, without reform, the fund could be exhausted by 2040. He outlined a reform agenda centred on establishing a credible funding policy, raising the retirement age, adjusting contributions, strengthening compliance, improving investment performance, and ensuring benefit sustainability, alongside regional coordination across the Eastern Caribbean Currency Union to align key parameters, share actuarial and data capabilities, deepen regional capital markets, and coordinate communications. Antoine set out the ECCB’s intended contribution under its “Big Push” agenda, including continuing to convene reform dialogue among ministries, social security institutions, regulators and partners, supporting stronger investment governance and regional capital market development, and expanding analytical and advisory work on demographic pressures, fiscal sustainability and the interaction between health insurance systems and national social security schemes.