Best Cities for Seniors: Not Where You Think


Contrary to commercialized images of the senior living ideal, elders don't need sunny skies and palm trees to age well.

What they do need, according to the "Best Cities for Successful Aging" report by the Milken Institute, is actually a far more complex set of circumstances.

"We define that [successful aging] as living in a safe, affordable, engaging and connected community," says Milken COO Paul Irving, in a video describing the study. The report delves into the true necessities of aging adults. "It's not about the cities with the most sunny days, or the greatest number of golf courses," he says.

Most studies that focus on uncovering the ‘top cities to grow old in' draw their conclusions from surveys of elderly residents.

The Milken study took a different approach, using the knowledge of a panel of elder care experts to develop a list of dozens different metrics of "successful aging." Researchers then evaluated and ranked over 350 cities nationwide on factors such as: average cost of living, number of doctors and hospital beds, rates of Alzheimer's, obesity and mental illness, number of grocery stores, and opportunities for employment and volunteerism.

The cities were categorized into two groups (large and small) based on the size of their population.

What was the number one city for seniors aged 65 and older?

You probably didn't guess it—Provo, Utah.

When compared to other cities with larger popluations, the Provo-Orem metropolitan area ranked first in overall wellness and third in both financial feasibility and employment and education opportunities. These scores place Provo first for people in the 65-79 year-old age group and solid seventh on the list for those aged 80 and over. (Scores were weighted differently for each age group to reflect the increased health needs of people older than 80.)

The top five large cities for aging, according to the report:

  1. Provo, Utah
  2. Madison, Wisconsin
  3. Omaha, Nebraska
  4. Boston, Massachusetts
  5. New York, New York

See full list of top large cities for seniors.

The top five small cities for aging, according to the report:

  1. Sioux Falls, SD
  2. Iowa City, IA
  3. Bismarck, ND
  4. Columbia, MO
  5. Rochester, MN

See full list of top small cities for seniors.

Notice a theme?

Irving admits that the results seem slightly surprising at first glance. "It was interesting to see so many mid-western and northeastern cities in the top 20," he says.

Another quirky commonality among the top cities was that many played host to at least one university. Study authors attribute this to the fact that many college towns offer both a wealth of opportunities for intellectual stimulation, and a strong medical presence in the form of a university hospital.

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any city in utah can not be ranked for the elderly, especially the 80+ group. utah has one of the worst managed medicaid systems and the assisted living type facilities that accept it are few and far between that accept it. most of the 80+ group did not have the means or access to long term plans in the 40's, 50's. 60's and 70's (which are a scam if you are not careful but that is another issue). it is friendly if you have $$$$$ but not if you have to rely on outside assistance. it looks good on paper, try living it.
New York!? After all the stories of dead elderly lying in their homes for weeks?
NYC is great - if you have a lovely rent controlled apartment which you inherited from your great great uncle who moved in there early last century. Don't these people think at all?