The hearing's purpose was to begin building a record, from a national perspective, regarding older Americans who live in smaller towns and rural areas. It is not fully known what the real impact is of such matters as lack of transportation, nutritional deficiencies, distance to and shortage of health care, non-availability of adult education…

The social policy implications of demographic trends are examined, to help policy makers anticipate future needs for services with greater accuracy. Crises such as energy needs and social security financing illustrate the need for greater recognition of the time dimension of public policy. Many of our most difficult problems, if they are to be…