Objective. This empirical study compares expenditures on necessities b
y older Americans for different income categories. Methods. Cross-sect
ional data utilized in this project are from the U.S. Bureau of Labor
Statistics Consumer Expenditure Survey interview tapes for 1989-90. A
two-stage least squares regression model is used to analyze patterns o
f expenditure on necessities (food, housing, and medical care) by elde
rly households. Results. Poor elderly households are found to spend th
ree-fourths of total expenditures on housing, food, and health care. A
nalysis indicates a sharp contrast between the poor receiving financia
l assistance and nonrecipients. Welfare recipients spend more on housi
ng and less on food and health care than nonrecipients. Nonrecipients
appear to dissave at unsustainable rates, which makes them the most vu
lnerable households. Conclusions. The findings indicate that a policy
extending food stamps and financial assistance (which includes Medicai
d eligibility) to poor and low-income elderly households would greatly
increase their expenditures on housing and nonnecessities and decreas
e their expenditures on food and health care. Policy changes in transf
er programs designed to cover more elderly households less comprehensi
vely would reduce the differences between welfare recipients and poor
nonrecipients.