This chapter deals with socio-economic inequalities between first-and second-generation refugees (old-timers), and recently arrived Tibetans (newcomers). First, I explore the support networks available to ‘old-timers’ and how these impact on health-seeking behaviour. Secondly, I turn to the newcomers’ predicament and investigate their views on support and health in exile. The Tibetan community in India is composed of a heterogeneous range of social groups, encompassing first-generation refugees, second-or third-generation India-born Tibetans, and newcomers (Bhatia et al., 2002a). First-generation Tibet-born refugees now represent only approximately 35 per cent of the exile population. The economic constraints of exile may have ‘physically’ reduced Tibetan