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A key portion of America's demographic future is showing up first in rural areas, where a greater proportion of the population is older than, on average, residents of urban areas.

"Rural areas are aging at a faster rate than the general population," notes the Rural Health Information Hub, adding that "older adults also disproportionately live in rural

areas." The darker green areas on this map from the Rural Health Information Hub represent counties where more than 20 percent of the population is over age 65. In several Maine,

Nevada, Montana and Nebraska counties more than 25 percent of residents are older than 65. From RuralHealthInfo.org In 2010, one-quarter of all Americans age 65 or older lived in small towns

and rural communities and that number is growing. In reporting that the population of people age 85 or older will more than triple from 5.8 million in 2010 to 19 million in 2050, the 

Housing Assistance Council declares, "This change will have profound implications in rural regions which already have a larger share of seniors and a smaller share of social services

than suburban and urban communities."  The realities of rural aging are playing out nationwide, and the states with the largest percentages of older rural and small town residents can

be found in every region. The top 10 such states are Delaware, Florida, Iowa, Oregon, Maine, Arizona, North Dakota, Virginia, Minnesota and Nebraska.  THE SURVEY SAYS ... A survey by the LOR

Foundation found that urban and suburban dwellers were twice as likely as those living in rural areas to say the quality of life in their community had _declined_ over the past year. 

Eighty-five percent of the survey respondents — drawn from the conference’s attendees and subscribers to the AARP Livable Communities e-Newsletter — were age 55 or older. The survey was

conducted in November-December 2018. Those stats and realities served as the backdrop for several sessions and a wide-ranging focus group conversation at the AARP Livable Communities

National Conference held in Charlotte, North Carolina, in November 2018. The LOR Foundation, whose mission is to support the prosperity and preserve the character of rural communities

throughout the Mountain West, was a conference sponsor. With 5 million member households located outside of large urban or suburban areas, AARP is one of the largest organizations

representing rural and small town residents. As the importance of community livability for people of all ages becomes more evident across the United States, it's critical for elected

officials, local leaders, businesses and nonprofits to fully understand the issues, challenges and opportunities facing rural communities. "The overwhelming majority of rural seniors

desire to age in place," states the Housing Assistance Council in its report "_Housing an Aging Rural America: Rural Seniors and Their Homes._ "Unfortunately, aging in place

can prove difficult in rural regions where spread-out geographies and a lack of public transportation make accessing needed supportive services and amenities difficult. Home retrofits are

often necessary for many seniors as their homes may become less accessible as they age, although these can be cost-prohibitive. Furthermore, seniors’ incomes do not always match their

housing costs, decreasing their ability to remain in their homes." Despite the many challenges that need addressing in rural communities, the AARP-LOR focus group — which included

community leaders and AARP staff and volunteers from a dozen states stretching from Maine to New Mexico — painted a vivid portrait of rural life today and what smaller communities can do to

ensure a bright future. The gathering's optimism about rural America was validated a month later when a Gallup Poll found that although 80 percent of the U.S. population lives in

metropolitan regions, a majority would prefer to live somewhere else: 27 percent favored rural areas, 17 percent selected small cities and 12 percent said they'd like to reside in a

small town. The Gallup findings were affirmed by the LOR Foundation survey cited in this article's sidebars.  FOLLOWING ARE KEY THEMES FROM THE DISCUSSION 1. OLDER ADULTS PLAY CRITICAL

VOLUNTEER ROLES IN COMMUNITIES While a sense of community was listed as "very important" by 59 percent of respondents, only 26 percent reported being "very satisfied"

with the sense of community in their town. Expanding volunteer and social initiatives can contribute to better a quality of life. KTWH 99.5 FM in Two Harbors, Minnesota (pop. 3,700), was

created by and is largely staffed by older volunteers. PHOTO COURTESY KTWH Life can feel increasingly isolating for older adults, especially when due to age or disability they are dependent

on relatives for their daily needs, reported Therese Picasso-Edwards of the Red Lodge Area Community Foundation in Montana. However, older people who are able-bodied and energetic often

become "jack-of-all-trade" volunteers. "Older people do the bulk of volunteer work and do it well because of their lifetime of experiences," offered Anne Schroth, program

director of the Healthy Peninsula community wellness initiative in Maine. "We need to seize every opportunity we can to celebrate volunteering," said Brad Anderson,  director of

AARP Iowa, adding that it's important to identify and extol "star" volunteers. Doing so helps remind everyone that older people are assets, not liabilities, to their

communities.  2. HEALTH CARE IN RURAL COMMUNITIES REQUIRES PARTNERSHIPS WITH RURAL HEALTH ASSOCIATIONS AND CARE PROVIDERS TO ENSURE ADEQUATE COVERAGE "Access to quality health

care" topped the list among respondents to the survey, with more than 4 out of 5 calling it "very important." The Tolani Lake community is part of the Navajo Nation in

northeastern Arizona. The closest shopping (a gas station and mini market) is an hour away. The nearest hospital and physician offices are even farther. PHOTO BY MELISSA STANTON, AARP Great

distances and a lack of medical providers can make it difficult for rural residents of every age to access health care services. The focus-group participants offered some ideas for lasting

improvements. Eric Gaikowski, director of AARP South Dakota, advocated for increasing the availability of tele-medicine, where doctors living far from their patients can regularly check in

by computer. Better doctor-to-doctor communication can also save lives, as happened when an ER doctor in Sioux Falls, South Dakota, guided a less experienced practitioner at a rural Montana

hospital 700 miles away in performing surgery on a young girl badly injured in an ATV accident. LaMonte Guillory of the LOR Foundation (read our "5 Questions for ..." interview

with him) asked what role rural areas can play in the future of medicine. "How can rural attract projects that are pushing the boundaries on medical innovation? Telemedicine, robotics,

collaborative care models, you name it." It was also suggested that paramedics pay home visits to older people to assess their nutrition, living conditions and overall health. Forging

partnerships on health care campaigns was raised by a number of participants. "Don't reinvent the wheel," counseled Bill Menner of the Iowa Rural Development Council, noting

that "every state has a rural health association." 3. A RANGE OF TRANSPORTATION CHOICES ARE AVAILABLE IN MOST RURAL COMMUNITIES, BUT THEY COULD BE ENHANCED THROUGH BETTER

COORDINATION, COMMUNICATION AND EXPANSION Transportation — or "ease of getting around" — was cited as the second-most-critical issue after health care, with more than 3 out of 4

respondents calling it "very important." Valerie Lefler (third from left), founder of Feonix: Mobility Rising, a transportation service for rural and underserved communities, poses

with her colleagues at the Chimney Rock National Historic Site in western Nebraska. PHOTO COURTESY VALERIE LEFLER Just as in urban areas, older people in rural areas will continue driving

even after it is no longer safe. The reasons are obvious — living without a car in most communities means limited mobility options.  Funding transportation for older citizens is a challenge,

said Joy Beressi-Saucier, director of the Aroostook Area Agency on Aging in Northern Maine. Cuts to public transportation services in rural areas have been devastating. In Colorado, AARP is

working to expand intercommunity bus service. Rural transit in Vermont is generally good, observed Kelly Stoddard-Poor of AARP Vermont, but there's a significant need to improve

"last mile" mobility for people getting to and from bus stops. Sue Lessard, town manager of Bucksport, Maine, shared that the local bus service in her region once ran only one day

a week — precisely the day the doctor at the health clinic specializing in older patients did not work.  Erik Gaikowski added that in some places transit vans will pass through a town

without stopping. He emphasized the need to establish a "one-stop shop" coordinating all rides in a region.  Communication is another part of the problem, noted Peg McDonough,

planner and coordinator for the Age-Friendly Berkshires organization in Western Massachusetts. "People often don’t know about the transportation services they could use," she

explained, adding that many older Americans are unfamiliar or uncomfortable with transit.   Well-known companies such as Lyft and Uber have so far been slow to establish service in smaller

communities. In some places, homegrown or volunteer-based versions are trying to fill the gap. The Maine-based iTN_America_ has built a nationwide volunteer-based network. Feonix: Mobility

Rising is a similar enterprise with a focus on the rural Midwest.   4. CONTRARY TO COMMON ASSUMPTIONS, WALKABILITY IS AN IMPORTANT PART OF SMALL TOWN LIFE Although Talkeetna, Alaska, is very

rural (it sits on at the southern edge of Denali, North America's tallest mountain peak) and very small with a tiny population (876), it has a train station and a walkable downtown.In

Talkeetna's 1997 mayoral race, a cat named Stubbs won as a write-in candidate. He served until his death in 2017. PHOTO BY MELISSA STANTON, AARP Mobility means more than buses, transit

vans and cars. Most older Americans grew up walking and bicycling, and many would welcome the chance to do more of it today if there were safe routes and pathways. In fact, according to a

Rails to Trails report, people in towns with populations under 50,000 walk nearly as much as people in urban and suburban centers do thanks to streets with little traffic and businesses

within easy walking distance. To improve infrastructure, and make walking safer, AARP Oklahoma helps small towns find grants to build safety improvements that the municipalities could not

otherwise afford. "A $10,000 grant goes a long way in a town of 5,000," said state director Sean Voskuhl.  In Vermont, AARP is helping train communities to conduct walk audits —

where citizens and local officials make a detailed study of pedestrian conditions with an eye toward improving life for those on foot or bike.  Rebecca Stone of Bethel, Vermont, spoke of how

a push for better walkability and a more lively downtown transformed her community. After Tropical Storm Irene battered the town in 2013, Stone and other neighbors organized ad hoc efforts

to fix the place up. It began with organizing a fall festival, during which they asked people of all ages to imagine what they wanted for Bethel. That brainstorming led to an ambitious

community education program, dubbed Bethel University, which, Stone said, “created a sense of pride for the first time in years.” Out of that came measures to calm traffic on the main street

through downtown, repurposing some of the pavement for a footpath and opening pop-up businesses in the mostly vacant storefronts. Benches, bike racks, public art, a parklet and a holiday

market followed, with help from AARP and the placemaking firm Team Better Block. The most important lesson learned, according to Stone: "Say yes to new ideas and then experiment to see

if they work." 5. HOUSING CHALLENGES ARE ACUTE IN MANY RURAL COMMUNITIES, RELATED TO BOTH THE DESIGN AND ACCESSIBILITY OF HOMES AS WELL AS AFFORDABILITY Rural communities are often a

mix of pricey new houses and old homes in need of repair. While satisfaction with their cost of living is low among survey respondents in the Midwest (23 percent) and South (21 percent),

it's even lower for those in the West (8 percent) and Northeast (6 percent). PHOTO BY MELISSA STANTON Spiraling housing costs and shortages are most often associated with booming

cities, but the same issues hit home in many rural communities.  Rising utility costs are a problem throughout Colorado, said AARP state director Robert Murphy, while soaring rents and home

prices are creating additional problems for older residents in the western part of the state. In Montana, people are moving to rural areas from out of state, which raises housing costs for

older people who don’t own homes, explained Steve Reiter of AARP Montana. Many are forced to move farther away from town — and farther from their friends and basic services. Rapidly

increasing housing costs makes life tough even for homeowners, who find themselves asset-rich and cash-poor because of steep increases in property taxes.  In Maine, many rural homes do not

have first-floor bedrooms and bath. A problem in rural Massachusetts is that most homes were designed as single-family residences, which don’t serve the needs of older people who may need

other kinds of living arrangements, said Peg McDonough. We need more incentives to interest housing developers in building in small communities, said Iowa's Bill Menner. "Show them

they can make money here." 6. BROADBAND WIRELESS INTERNET IS A CRITICAL NEED IN RURAL COMMUNITIES, AND MAY BE THE MEANS FOR LEVELING THE PLAYING FIELD OF OPPORTUNITY Water Street in

downtown Eastport features shops, restaurants, a waterfront park, the local library and a Little Free Library (shown). PHOTO BY MELISSA STANTON, AARP Two decades ago, a rural renaissance was

widely predicted with the rise of the internet. People could live and work anywhere, and millions would move into idyllic smaller communities where they could enjoy the benefits of big

cities but online. What was overlooked in this scenario was the complication of bringing high-speed broadband internet to the countryside. Considerably less than half of the people in the

room raised their hands when Kelly Wismer of The Rural Broadband Association asked who had good broadband service in their communities. George Cleveland, a volunteer from New

Hampshire's Mount Washington Valley, cited broadband as one of the most critical elements of livability in a community like his. "The expansion of high-speed internet can make a

huge difference for small towns because, among other things, it opens opportunities for people to work remotely," observed Guillory.  "Without it, it's harder for younger

people to move or stay here." Although programs exist to help bring high-speed internet to rural areas, many communities still aren’t convinced about the benefits of broadband, noted

Laura Lee of the Maine Community Foundation. Meanwhile, people in other places are tired of waiting for telecommunications corporations to reach them and they're looking at ways to

start broadband networks on their own, said Joy Beressi-Saucier, also of Maine. Wismer suggested that rural telephone cooperatives take on providing broadband service. 7. MESSAGING MATTERS

SINCE, TO SOME, TALKING ABOUT "LIVABILITY" IMPLIES THAT SOMETHING IS LACKING IN THEIR COMMUNITY Some farms in historic Davidsonville have been in the same families for generations

(even centuries). Many of the still-active farmers are in their 70s, 80s or 90s. PHOTO BY MELISSA STANTON, AARP "People take pride in the place they live, so we need to work with

that," said Tanya Johnson, director of AARP Wyoming. "You won't get anywhere starting with the assumption that something is wrong or missing in their town." "We need

to frame livability differently in rural areas because it's often seen strictly as an urban concern," said DeAnza Valencia of AARP New Mexico. Sue Lessard cautioned that outsiders

wanting to help a rural community need to work with residents since "people won't respond if there isn't a trusted local link." Go in with questions rather than answers,

be prepared to listen and never pass up the chance to have a meal with people, advised George Man, based on his experiences working in Montana with Americorps/VISTA. Sean Voskuhl of AARP

Oklahoma underscored the importance of partnerships, citing rural extension agencies, which operate in all 50 states, as a widely available example. "The USDA Rural Development agency

is also a big help," according to Joe Bartmann of Dakota Resources. Another bit of advice: Community improvement plans can be more successful when done with neighboring communities in

mind, rather than piecemeal town by town.  8. RURAL COMMUNITIES CAN BE PLACES OF OPPORTUNITY WITH AN APPEALING, PREFERABLE PACE Main Street in Bozeman, Montana, leads to more than 80 miles

of mountain trails. PHOTO BY KRISTA BURDICK, LOR FOUNDATION In a world that feels ever more hectic and fragmented, small communities offer calm and connectedness. "A strong sense of

community in small towns is already there," so you don't have to work to make it happen, noted Kelly Stoddard-Poor.  Easy access to open spaces stands out as another asset rural

communities can build on. LOR Foundation research shows that rural Americans see the outdoors as an important component of livability. "Recreation, for instance, is about being in a

natural place, not just getting exercise," said Guillory. FINAL THOUGHTS The migration of young people away from many rural regions changes the social dynamic, with older residents

mourning their departure but also stepping up to fill the void. Yet not all rural areas are battling a youth- or brain-drain. While some counties in, for instance, Colorado, are seeing an

exodus of people under 30, others are experiencing an influx Challenging the stories that people tell themselves about their community is especially important in rural communities. One story

that needs to be turned on its head, declared Gaikowski of AARP South Dakota, is that any community that loses population is doomed.  "A community can be thriving even if it's not

growing," he explained. "It's a mistake to assume that a town is dying just because it has fewer residents than in the past. That diminishes all of the positive things going

on every day. Such a view leads communities to invest all of their energy and resources into attracting new businesses, rather than paying attention to the lives and the needs of people who

are already there." _Jay Walljasper is a Minnesota-based journalist and author of _The Great Neighborhood Book_. A writer-in-residence at Augsburg University, he writes, speaks and

consults about livable communities.  _ _Article published March 2019 | Additional reporting by Melissa Stanton_ RELATED: More from AARP.org/Livable  Use the dropdown to choose a livability

topic. Select a Subject More from AARP.org/Livable  Use the dropdown to choose a livability topic. Select a Subject