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In 1991, the authors conducted a study of 500 older Nebraskans, comparing 300 people in Omaha and its surrounding counties with a sample of 200 who lived in the very rural Sandhills counties. The purpose of that study was to compare health and health care experience and satisfaction between urban and rural-dwelling elders. Random samples of older people were identified and interviewed by trained telephone operators; each interview took about a half hour. People were asked about their experiences with health and illness, the distance to their primary source of medical care and the distance to the hospital they use, their levels of satisfaction with that health care provider and hospital, their experience with dental care and satisfaction with it, and a number of questions dealing with their health beliefs. Levels of functioning and disability were also assessed through activities of daily living scales.