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Governments today face a range of complex policy challenges, including maintaining financial sustainability, ensuring solvent health systems, and strengthening social insurance programs. As the global population ages, with both the number and proportion of older adults steadily increasing, policymakers must act to develop strategies that enhance the health and well-being of this growing demographic. Approaches to addressing the health, economic, and social needs of older populations vary significantly across states and nations, reflecting diverse delivery systems that are continually evolving. These efforts are further complicated by broader social and geographic challenges, such as rural health disparities, education gaps, health outcomes, and social issues such as ageism. Together, these factors influence the capacity of national and state systems to effectively support aging populations.

This issue of Public Policy & Aging Report charts a course through many American policies that influence the health and well-being of older adults. The articles in this issue address a wide range of policies and programs, offering insights into their impacts on older adults across diverse American communities. With lessons for national and state policies, the articles address key health issues for older adults, such as opioid use disorder and brain health; they highlight differences in aging across communities, including rural and urban contexts, and communities with different levels of social vulnerability; and they identify impacts of government programs on older adult engagement in activities, like education and work, and the potential for large-scale educational programs to combat societal ageism.

Issue Section:
Introduction
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