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Best Cities for Successful Aging | Boston-Cambridge-Newton, MA-NH
#9
OVERALL RANKING
Mayors Pledge

Boston-Cambridge-Newton, MA-NH


SCORE: 76.80

#10
FOR AGES 65-79
SCORE: 76.70
 
#9
FOR AGES 80+
SCORE: 75.48
 
Percent of Population 65+:  13.70%
Population 65+:  635,962
Total Population:  4,642,095

Indicator Rank Score Average
AvgScore
Percent
+/-
% +/-
General Livability 27 89.99 87.83 2.46 %
Health Care 13 72.02 62.09 15.99 %
Wellness 17 78.08 72.07 8.34 %
Financial Security 46 89.03 88.25 0.88 %
Education 19 66.90 61.67 8.48 %
Transportation/
Convenience
Transport-
ation
2 71.13 46.42 53.23 %
Employment 21 69.37 63.96 8.46 %
Living ArrangementsArrange-
ments
98 55.07 69.42 -20.67 %
Community EngagementEngage-
ment
28 78.16 73.23 6.73 %
(Three-tier color code: 1-25 Green, 26-75 Black, 76+ Red)
Find out about the methodology used for these indicators

Nailed It


Quality medical care

- Lots of physical therapists, dialysis centers, nurse practitioners, and orthopedic surgeons
- Medical school affiliation for most hospitals
- Abundant home health-care options; high-quality nursing homes

Active bodies, active minds

- Loads of fitness centers relative to population
- Low Alzheimer’s, obesity rates; long life
expectancy - Many 65-plus workers; many universities

Age-friendly spending

- Ample special-needs transportation
- Strong funding for transit and programs focused on older adults
- Excellent walkability; convenient amenities

Needs Work


Pricey living

- Costly housing, assisted living, nursing homes
- Many reverse mortgages; high tax burden
- Long waits in the ER; expensive hospital care
- High income inequality

Symptoms of stress

- Few caregivers; many older-adult injury falls
- High levels of depression in Medicare population
- High binge drinking rates

Takeaway


This New England metro sprawling from the Charles River boasts more than top universities and a rich history. A vibrant science hub, it hosts leading tech companies and high-quality hospitals, with walkable neighborhoods, well-planned transit, and low crime rates. Downside: Expensive services and housing pose barriers for many people.

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General Indicators

Indicator Rank Score Average
Score
Cost of living 87 31.22 46.41
Crime rate 10 74.32 52.77
Internet access 42 85.27 83.51
Employment growth 48 86.49 86.82
Unemployment rate 21 71.75 64.06
Income distribution 87 81.63 86.33
Weather 79 54.01 65.13
Fatal car crashes 2 98.97 51.71

Health-Care Indicators

Indicator Rank Score Average
Score
Medicare enrollment 44 91.26 62.02
Primary-care physicians 5 79.71 57.60
Nurse practitioners and physicians' assistants 8 64.51 45.49
Number of nurses 50 37.19 38.33
Number of hospital beds 45 38.24 37.22
Long-term hospitals 27 34.02 22.49
Hospitals with geriatric services 57 32.93 37.70
Hospitals with rehabilitation services 47 40.59 43.27
Hospitals with Alzheimer's units 40 11.79 11.62
Hospitals with hospice services 41 31.68 31.78
Orthopedic surgeons 10 43.38 31.70
Dialysis centers 7 70.38 40.28
Medical and diagnostic centers 57 45.96 48.95
Physical therapists 1 100.00 56.09
Expenses per inpatient day 83 50.51 62.02
Joint Commission accreditation 33 90.41 83.71
Medical school affiliation 15 71.48 45.76
Magnet hospitals 40 14.79 14.40
ER wait times 92 24.73 40.01
 

Wellness Indicators

Indicator Rank Score Average
Score
Obesity rate 17 79.68 70.79
Smoking rate 26 31.96 30.34
Diabetes rate 37 50.59 48.54
Alzheimer's cases 12 93.40 81.26
Caregivers 71 32.76 39.21
Life expectancy at 65 22 87.38 84.59
Depression 91 35.34 43.31
Physical activity 26 70.44 65.43
Fitness and recreational sports centers 2 79.83 46.08
Fast-food outlets 70 56.36 61.73
Falls with injury 77 32.45 38.43
Binge drinking 82 32.63 40.64
Air quality 37 68.90 67.44

Financial Indicators

Indicator Rank Score Average
Score
Banks and financial institutions 24 53.35 47.44
Total bank deposits 6 16.24 7.24
Tax burden 89 48.12 68.14
Dependency ratio 7 94.60 84.57
Growth of small businesses 45 86.48 86.25
Older adults below poverty line 57 56.09 58.57
Capital gains 21 70.62 49.15
Income growth 34 84.94 84.11
Reverse mortgages 77 4.46 15.80
 

Living Arrangements Indicators

Indicator Rank Score Average
Score
Median house price 92 20.15 44.17
Median rental price 91 50.20 69.47
Households with older adults 36 56.36 55.52
Nursing beds 28 76.36 60.28
Cost of semi-private nursing room 91 40.04 64.62
Home health-care service providers 15 19.43 15.21
Continuing-care facilities 70 16.13 23.14
Cost of assisted living 94 54.52 80.63
Nursing-home rating 24 47.28 36.99
Older adults in family homes 85 79.72 84.60
Cost of adult day services 41 53.85 55.79

Employment Indicators

Indicator Rank Score Average
Score
Percent of 65+ employed 72.79
65+ unemployment rate 30.13
Employment growth in health,education,leisure and hospitality 85.90
Output of service sector/manufacturing 22.62
 

Transportation/Convenience Indicators

Indicator Rank Score Average
Score
Walk score 3 84.31 50.90
Commute times 93 62.66 78.27
Commuters who walk to work 4 88.46 38.41
Number of passenger trips 4 40.14 9.79
Public transport fare 43 12.70 16.65
Investment in public/senior transportation 24 76.42 67.65
Grocery stores 32 37.51 33.58
Special needs transportation 8 57.35 29.60

Community Engagement Indicators

Indicator Rank Score Average
Score
Percent of population 65+ 39 47.77 47.47
Arts, entertainment, and recreation facilities 29 35.09 30.60
Senior volunteer rates 54 49.65 53.28
Number of public libraries 17 57.69 44.65
Number of civic and religious organizations 64 52.15 60.15
Funding for older adults 16 81.31 75.84
 

Education Indicators

Indicator Rank Score Average
Score
Educational attainment 51 90.11 38.00
College enrollment 8 71.23 58.16
Number of community colleges 51 18.06 20.92
Number of universities 25 47.34 38.93