Hudson (1999) claims that the U.S. social welfare policy seeks to be "a society for all ages" (p 155). The Older Americans Act is one of a number of programs to assist the older adult (age 60 plus) to have a quality of life along with the increased quantity of life.  Although the Act is only benefiting a very small percentage of those over age 60, it is quite efficient in the use of the funding it receives.  The states have made the programs more like means tested programs since the universality of the federal approach has not been supported by federal funds. However, no older adult is turned away from services and meals at the Senior Citizen Centers although requests for donations have increased. Most AAAs now have waiting lists for many of the services that they are federally mandated to provide, even though they purposely do not advertise the programs. Many of the programs, including Meals on Wheels and Home Services allow the elderly to stay in their own homes at a fraction of the cost of nursing home care. This has decreased the need for Medicaid dollars for nursing care and has helped the adult caregivers to keep their loved ones in their homes (Executive Summary, n.d.).