Peterborough has an opportunity to proactively address the transportation needs of our evolving community by developing services that support the health, independence and quality of life of all residents.

With a median age of 60 years and a population where only 24% of households have children under 18, Peterborough is experiencing the demographic shift that many rural communities face. By 2040, the number of individuals 80 years and older is projected to more than triple in the state. While we are one of the 204 New Hampshire communities without any regular public transit service, this presents an opportunity to design transportation solutions that meet our specific community needs.

The importance of addressing this transportation gap extends beyond convenience. Monadnock Community Hospital conducts a Community Needs Assessment every three years, and transportation is consistently identified as a top health need because it directly impacts health care access, economic opportunity and social connection. Transportation is necessary for accessing health care services in rural communities, particularly in communities where walking or cycling may not be feasible alternatives to reach a health care provider. For our residents who need reliable transport to medical appointments and those requiring specialized ambulance services, improved transportation options could provide valuable support.

The data helps us understand the scope of the challenge. A study conducted in 2021–2022 using data from 41 states found that 2.3 million people live in rural counties that are considered ambulance deserts. Rural emergency medical services face unique challenges, as EMS providers may need to travel farther or navigate difficult terrain when responding to a call or transporting a patient to the hospital. These factors highlight the importance of comprehensive transportation planning for our community's long-term well-being.

Our state's investment in transportation solutions has room for improvement, but there are opportunities for progress. Nationally, in 2020, the median per-capita state investment in public transportation was $5.94. The New Hampshire Legislature invested 59 cents. Our neighboring states of Maine and Vermont invest 18 to 21 times what New Hampshire does to provide transportation options that help seniors live independently with dignity.

The benefits of establishing transportation services would be transformative. Beyond the obvious health care access benefits, reliable transportation enables seniors to remain independent longer, reduces social isolation and connects people to employment opportunities. Investing in transportation services can help provide access to employment and educational opportunities, which can improve health, wellness and economic stability for many rural residents.

The solution does not require a massive urban transit system. Successful models exist throughout rural New England, including demand-response services and volunteer driver programs. A 2021 Community Volunteer Transportation Company (CVTC) Driver and Rider Survey highlighted benefits to both riders and volunteer drivers in the mostly rural 34-town Monadnock Region they serve. Survey participants reported reduced isolation, improved access to medical care, and enhanced community connections.

We cannot continue to overlook this important community need. As our population ages, more residents may find themselves unable to drive, potentially becoming isolated in their homes and unable to access basic services or maintain their independence. The federal Bipartisan Infrastructure Law has made additional funding available, and with proper planning and community commitment, we can take advantage of these opportunities.

Peterborough has always been a community that takes care of its own. Now we have the chance to extend that care to include ensuring every resident can access the transportation they need to live with dignity and independence. The question is not whether we can afford to establish transportation services—it is how we can work together to make them a reality.

Richard Scheinblum is executive vice president and CFO of Monadnock Community Hospital.