Looking forward, despite the great increase in the numbers of the very old, constraints on government funding of all services, and especially of health care, make it unlikely many additional nursing home or mental hospital beds will be funded. It is probable that government funds for home care, including personal care will increase. Expenditures for home care have increased sharply during the Reagan Administration. The financial resources of the elderly and their families have been increasing. In a combination of government, philanthropic and personal resources, additional funds will be available to provide appropriate and effective home care services for residents of "housing for the elderly" developments. The independence of even the most impaired homebound persons is best preserved in their own home.