A dedicated effort to learn more about Native elders living in urban areas reveals they suffer a high rate of chronic illnesses and have limited social interactions. Those conclusions come from the most recent Native Urban Elder Needs Assessment Survey that aims to fill a void of information about the needs of Native American elders — the vast majority of whom live in cities. The survey is among the efforts to better understand and provide effective services for Native elders. The effort is all the more pressing as federal cuts to Medicaid and Medicare approach, costs for medical care rise, and pressure increases to cut support for the Indian Health Service.