DES MOINES, Iowa – A study to determine why some small towns in Iowa wither and others thrive is under way at Iowa State University.

For more than 30 years, most small Midwest communities have experienced shrinking populations, an exodus of younger people, job losses and fewer community services.

David Peters, an associate professor of sociology at ISU, is part of the Shrink Smart study. He says like the rest of the country, Iowa's population has gotten grayer and small towns have fewer children.

"What happens is local businesses, day care centers, other activities related to children, don't have enough kids to support those businesses economically,” he explains. “Then, new families coming in tend to not want to move to those communities because they don't have those amenities."

In 2015, Iowa reported the nation's 14th largest share of residents 65 and older.

When small towns have fewer children, they stop investing in services for children, which Peters says makes sense but also becomes self-fulfilling when it comes to creating childless communities.

"A lot of communities are invested heavily in senior care and senior housing services and not necessarily in child services,” he points out. “So when you begin that investment, that's the kind of new residents you're going to attract and that's the kind of residents you're going to retain are more of the senior citizens, not the younger citizens."

According to Peters the five or six small towns bucking the trend in Iowa are mainly dominated by younger, Latino families that have moved there for jobs in the agricultural or food processing industries.

He has studied rural Iowa through his Iowa Small Town Poll and knows some young families would prefer a small community but can't make it work.

"And they might want to live in a smaller town, but if there's not adequate day care, if there's not recreational and sports programs for their kids, they're probably going to locate to a larger town or a city," he explains.

The ISU team studying the Shrink Smart concept will host focus groups later this year to hear directly from Iowans.





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Changes coming to Medicare in 2025 could be beneficial for Oregon residents who are eligible for the program.

Oregonians who qualify for Medicare are now in the open enrollment period through Dec. 7, which allows them to search for health coverage plans to best suit their needs.

Ryan Kibby, Oregon Senior Health Insurance Benefits Assistance project director for the Oregon Department of Human Services, said there will be expanded care options for dementia patients with the Guiding and Improved Dementia Experience or GUIDE program.

"Some of the resources available through GUIDE would include a 24-hour support line, caregiver training and up to $2,500 a year for respite services," Kibby outlined. "That's really just going to help benefit the people who are providing these family caregiver services."

There will also be expanded mental health benefits for people with Medicare in 2025. In 2023, nearly 920,000 Oregonians were enrolled in Medicare. People can get free help to find coverage through Oregon's SHIBA program, either on its website or at 800-722-4134.

Kibby pointed out another major improvement in 2025 is prescription drug costs will be capped.

"There will be a lower maximum to pay for covered drugs, under both Medicare Part D policies and Medicare Advantage drug coverage," Kibby explained. "The maximum amount that people will pay in 2025 is $2,000, and they won't have to pay anything for covered drugs once they reach that amount."

Prescription payment plans will be an option for people who cannot pay in full up-front. The out-of-pocket cost cap also eliminates a gap in coverage, known as the "donut hole," which some have experienced in the past. While Medicare cannot cover prescriptions specifically for weight loss, people can access these drugs for treatment of conditions like Type 2 diabetes.


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November is National Family Caregivers Month and AARP Wyoming is working to meet rising demand for caregiver resources.

About 58,000 Wyomingites provide needed care for sick or elderly family members or loved ones, estimated to be more than 54 million hours of unpaid labor per year, according to AARP Wyoming.

The group launched a "Care for Caregivers" series last year to help people navigate common issues like financial planning, safety and mobility, end-of-life decisions and more.

Stella Montano, volunteer president of AARP Wyoming, who helped develop the series and is a caregiver herself, said many people who take on such duties do not consider themselves caregivers but they should acknowledge the real workload the role can be.

"Have you noticed that maybe your parents are aging and you're assuming more responsibilities? Or has someone been diagnosed with something that you might have to have oversight of their medical needs?" Montano asked. "People don't believe they're caregivers. But they still have a lot of responsibilities."

The series was first offered in Sheridan and expanded this year to Casper, Newcastle and Cheyenne. AARP also offers resources on its website.

The structure of the workshops recognizes caregivers' needs. There are free meals for attendees and respite care offered on-site for loved ones brought along to a session. Montano noted they are designed to be as accessible as possible.

"I really stress to caregivers, to not do it alone," Montano urged. "There is help out there."

She added Sheridan's VA Medical Center has also tapped into the programming and began recording videos of the sessions this year, which will be available online soon.

For many, the holiday season is a time of joy and celebration - but it can often bring loneliness and isolation for older adults.

Steve Morrison, a volunteer with AARP Virginia, described the holidays as the worst time for isolation - a challenge he knows well after years of caregiving for his wife.

He highlighted mobility as a significant issue for seniors with limited ability to walk, access transportation, and manage health challenges.

Drawing from his own experiences, Morrison has been addressing isolation through community-building efforts, a mission he began well before the COVID-19 pandemic intensified the problem.

"You have to get out there some way, either online, by phone, or in conversation with neighbors - and let people know that you're in isolation and you just need someone to talk to," said Morrison. "At least in my neighborhood, that has worked for me and for others. The neighbors have really stepped up. "

Morrison launched a monthly luncheon in McLean, Virginia, to help people connect over a meal.

The initiative has been a success, with up to 50 attendees per event, though he now caps it at 40 after an earlier turnout of 75 overwhelmed the venue.

He recommended resources like the National Institute on Aging, and AARP's Connect2Affect program - which offer tools to assess isolation, find volunteer opportunities, and access local support.

While Morrison's program is one of the few remaining events in his area since COVID, he said he hopes to inspire others to create similar opportunities.

He said he was deeply moved by how his neighbors rallied to provide meals when surgeries left him and his wife homebound.

"You just gotta be proactive. Even though you may be limited to transportation or your mobility. You just got to let people know, you have neighbors close by that are more than willing to help," said Morrison. "So that would be the first place that I would start. But these other websites if you have technology options, all have really good suggestions. "

Such as the Fairfax County Virginia website.

According to AARP, there is a 26% increased risk of early death due to feeling lonely.

Some other tips to combat isolation include adopting a pet if you can care for one, signing up for classes at your local library, restarting an old hobby, or scheduling set times to interact with family and friends - in person, by email, social media, voice call, or text.

However, Morrison cautioned against too much dependence on social media.