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Social Security and Living Arrangements.

Social Security checks offer independence for the elderly, making it possible for millions of Americans to live on their own, without depending on the devotion of their children or the kindness of friends and neighbors.

Most elderly people have their own homes -- the ownership rate is 77% for persons aged 65 or older. And their houses are in good shape: only 3% had severe problems such as plumbing defects, the Census Bureau said in a special report on "65-Plus in the United States."

They have enjoyed an equity build-up in real estate. The median purchase price was $19,259, and the median value (in 1991) was $70,418, the Census Bureau reported.

"Aging in place" is the phrase to describe most elderly Americans. "Most older people stay put," the Census report noted. Only 3% of all elderly in 1993 moved far enough to change their county of residence. And only 1% moved to another state.

But those who do move can bring a surge of buying power and prosperity with them. The Social Security check, combined with pension money, is the economic fuel for those who move.

Florida was a magnet in the past three decades for the affluent, while New York was a big loser of the post-65 population.

"Substantial amounts of retirement income may be transferred," the Census Bureau reported. Florida won a net gain of $6.5 billion in 1989 from the people 60 and over who moved into the state. New York lost a net $3.3 billion from people who left, with much of that money ($1.9 billion) going to Florida.

The elderly, for the most part, enjoy robust health through their 60s. Only after age 70 do health problems begin to multiply, with the resulting toll on independence. Many women become widows in their 70s, but still manage to live independently if they are healthy.

Only 1.4% of persons between 65 and 74 live in nursing homes. But the numbers begin rising sharply thereafter: 6% of the elderly between 75 and 84 are living in nursing homes. After age 85, the proportion in nursing homes leaps to 24%.

The fastest growing segment of the elderly are those over 85, designated the "oldest old." Typically, they are women who have outlived their savings. Pensions, rarely adjusted for inflation, have been eroded by time, and the Social Security check is their financial rock.

Alzheimer's disease takes its disastrous toll -- about 40% of those over age 85 fall victim. The tally of Alzheimer's disease victims, four million today, could swell to 12 million when all the members of the huge baby boom generation reach advanced old age. The fiscal strain on government programs - Social Security, Medicare and Medicaid (which pays nursing home bills for the indigent) - will be great.

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