Challenges Facing Seniors in America
Seniors face many challenges that make it hard to live independently. Chronic health conditions, financial insecurity and changes in mobility can make life harder and make it more difficult for a person to get the nutrition and connection they need. This is why Meals on Wheels is so important.
1 in 2 older adults living alone can’t afford basic needs
94% of adults age 60+ have at least one chronic condition
1 in 4 older adults age 65+ reported falling in 2020
Health Issues
Mobility changes and chronic conditions such as heart disease, stroke, diabetes or arthritis all impact older adults’ daily lives. These can limit a senior’s ability to shop, cook and even eat.
Financial Hardship
Economic hardship is a growing reality for many older adults. As prices climb, their income often stays the same, forcing them to make painful choices. Do they pay the rent, keep the lights on or pay for their medications? For millions, these aren’t hypothetical questions — they’re daily struggles.
Falls and Safety
Over the years, an aging home can become unsafe. Falls are the leading cause of injury in older adults4 and can have serious health consequences. Hazards like uneven stairs, slippery floors or poor lighting can increase the likelihood of a fall, making it harder for seniors to stay independent.
Hunger and Malnutrition
Hunger and malnutrition are issues that are intensified for America’s seniors — older adults who face significant barriers to mobility, food access and meal preparation. The meals delivered and served by local Meals on Wheels providers are often the primary or sole source of nutrition for these older adults.
Social Isolation and Loneliness
Social isolation and loneliness are growing issues affecting an increasing number of seniors in our country. Our social networks tend to shrink as we age, and more than a third of older adults who live alone spend almost all of that time by themselves.5 For many, the Meals on Wheels volunteer is the only human contact they have all day.
A Closer Look: Issues Facing America’s Seniors
Want to learn more about the issues facing America’s aging population? Today, 1 in 8 seniors is at risk of going hungry, and over half feel lonely. Yet, most of us are unaware of how widespread and devastating these struggles are for older adults across the country.
The Growing Senior Population
1 in 4 Americans is 60+
12,000 Americans turn 60 each day
73% of local providers are facing higher demand for home-delivered meals than before the pandemic
Growing Pressure: Increasing Demand
The senior population in the U.S. is growing faster than ever. Right now, 1 in 4 people is over the age of 60, and 12,000 more Americans turn 60 every day.
Families are becoming smaller, and many seniors no longer live near relatives who can help. Without family close by, seniors often rely on community-based services like Meals on Wheels for support.
As the senior population grows, their needs are also increasing. Meals on Wheels providers are already stretched thin, and resources are limited in nearly every community. This puts enormous stress on the local providers across the country who are doing everything they can to keep up.
What Meals on Wheels Delivers
Since its first delivery in 1954, Meals on Wheels has been driven by one simple goal: to improve the health and well-being of our senior neighbors. What began as a compassionate idea has grown into one of America’s largest and most impactful social movements. With a focus on nutrition and social connection, we’re committed to ensuring that every senior who needs Meals on Wheels has access to it.

High Demand, Limited Resources
“We Had a Greater Need Than We Had the Finances For."
In rural Aroostook County, Maine, younger generations are leaving for urban areas, meaning fewer people are available to care for aging parents and more isolated senior populations.
Up against impossible odds, the local Meals on Wheels provider in this county works tirelessly to serve seniors with limited resources. Despite their best efforts, waitlists continue to grow, showing the gap between need and resources. But they work hard to make sure hope remains strong.
Every senior taken off their waitlist and delivered lifesaving services is a victory for the community.
An Underfunded Cause
1% of philanthropic donations across the country goes to aging causes
97% of local providers believe there are seniors in their community who need meals whom they are not currently serving
1 in 3 local Meals on Wheels providers has a waitlist
Every year, Meals on Wheels serves over 2 million seniors, but that’s only a fraction of those in need. The Meals on Wheels network is working tirelessly to try to keep up with the increasing demand. Unfortunately, there are significant challenges.
Federal funding for senior services has not kept pace with the growing need. This funding is the only reason some local providers can exist at all. To make matters worse, less than 1% of philanthropic donations goes to senior causes.
As a result, waitlists for services continue to grow. Without increased funding and support, too many seniors will fall through the cracks. The need has never been greater, but together, we can help ensure every senior who needs Meals on Wheels gets it.
Help Us End the Wait™
Right now, too many seniors are waiting for the meals and care they desperately need. Meals on Wheels providers are ready to serve more older adults, but we need your help to make it happen. Together, we can ensure every senior has access to nutritious meals and meaningful connections.
Citations
- 1 in 2 older adults living alone can’t afford basic needs: Citation from a 2023 report by J. Mutchler, Y. Su, and N. Velasco Roldan published by the Center for Social and Demographic Research on Aging Publications at the University of Massachusetts Boston and titled Living Below the Line: Economic Insecurity and Older Americans, Insecurity in the States 2022. “Singles” data includes individuals living alone and “Couples” includes two-senior households with incomes below the Elder Index, which is reflective of the costs of housing, health care, transportation, food and miscellaneous essentials for adults age 65 and older living independently in the United States, excluding territories, in 2022. Full report available at (see Tables 3a and 3b): https://scholarworks.umb.edu/demographyofaging/66/
- 94% of adults age 60+ have at least one chronic condition: National Council on Aging. Chronic Inequities: Measuring Disease Cost Burden Among Older Adults in the U.S. A Health and Retirement Study Analysis. Page 5, Figure 2. April 2022. Found on the internet at https://ncoa.org/article/the-inequities-in-the-cost-of-chronic-disease-why-it-matters-for-older-adults
- Nearly 1 in 4 older adults age 65+ reported falling in 2020: Kakara R, Bergen G, Burns E, Stevens M. Nonfatal and Fatal Falls Among Adults Aged ≥65 Years — United States, 2020–2021. MMWR Morb Mortal Wkly Rep 2023;72:938–943. DOI: http://dx.doi.org/10.15585/mmwr.mm7235a1
- Kakara R, Bergen G, Burns E, Stevens M. Nonfatal and Fatal Falls Among Adults Aged ≥65 Years — United States, 2020–2021. MMWR Morb Mortal Wkly Rep 2023;72:938–943. DOI: http://dx.doi.org/10.15585/mmwr.mm7235a1
- Pew Research Center analysis of 2014-2017 American Time Use Survey (IPUMS). https://www.pewresearch.org/short-reads/2019/07/03/on-average-older-adults-spend-over-half-their-waking-hours-alone/
- 1 in 4 Americans is 60+ calculated by Meals on Wheels America using data from Projected Population by Five-Year Age Group and Sex for the United States, Main Series: 2022-2100. Source: U.S. Census Bureau, Population Division. Release Date: November 2023. available at https://www.census.gov/data/tables/2023/demo/popproj/2023-summary-tables.html
- 12,000 Americans turn 60 each day calculated by Meals on Wheels America using the data and sources below. We started with the total estimated population of adults age 59 living in the United States (a), then subtracted from that the number of annual estimated deaths among the age group (b) and then divided the result by 365 days. Annual estimated deaths were calculated by applying an age-specific mortality rate (b) to the estimated population of adults age 59 in 2023 (a). a. Population estimate is for the total U.S. resident population age 59 in the 50 states, D.C. and Puerto Rico in 2023. Data available in Annual Estimates of the Resident Population by Single Year of Age and Sex for the United States: April 1, 2020 to July 1, 2023 (NC-EST2023-AGESEX-RES). https://www.census.gov/data/tables/time-series/demo/popest/2020s-national-detail.html b. Age-specific mortality rate reflects the number of deaths per 100,000 people among individuals age 55-64 years in the United States in 2023. Data available in the CDC National Vital Statistics System December 2024 data brief, Mortality in the United States, 2023. Estimate is from information collected by National Center Health Statistics for death certificates filed in 50 states and D.C. Full data brief available at: https://www.cdc.gov/nchs/products/databriefs/db521.htm#:~:text=Data%20from%20the%20National%20Vital,2022%20to%20750.5%20in%202023
- 7 out of 10 local providers are facing higher demand for home-delivered meals than before the pandemic: Citation from 2023 Meals on Wheels America 2023 Member Feedback Survey, conducted by WRMA
- 1% of philanthropic donations across the country go to serving seniors: Citation from Candid, US Social Sector, 2019, https://candid.org/explore-issues/us-social-sector/money.
- 97% of local providers believe there are seniors in their community who need meals: Citation from Meals on Wheels America 2021 Comprehensive Network Survey conducted by Trailblazer Research. Figure includes respondents that said they were serving fewer than “all” seniors in their market who need nutrition services (includes programs that were serving “some,” “many” or “most” seniors). (N=478). Report summary available at: 2021 Member Perspectives and Practices Survey
- 1 in 3 local Meals on Wheels providers has a waitlist: Citation from Meals on Wheels America 2024 Member Benchmarking Survey, conducted by Meals on Wheels America.