as likely to experience hunger compared to married seniors. One in five senior households with a grandchild, but no adult child, present is at risk of hunger, compared to about one in twenty households without a grandchild present. Seniors living in non-metropolitan areas are as likely to experience food insecurity as those living in metropolitan areas, suggesting that food insecurity cuts across the urban-rural continuum. 2017 proposed budget cuts In March 2017, President Donald Trump's proposed budget would make cuts to block grants that go towards spending on Meals on Wheels. Defending these cuts, director of the Office of Management and Budget Mick Mulvaney said that "Meals on Wheels sounds great" but that the program is one of many that is "just not showing any results." Foodnet Meals on Wheels Foodnet Meals on Wheels is an age-friendly organization in Tompkins County, with a mission to provide nutritious meals and healthcare services for older adults. In response to the COVID-19, Foodnet Meals on Wheels updated their precaution measurements to ensure food supply. An every-other-day schedule was applied to home food delivery, by which people received once a hot meal with a frozen meal for the other day. Nutrition services including nutrition counselling, assessment and education were conducted through telephone. Impact A 2013 review study on the impact of home-delivered meal programs found that "all but two studies found home-delivered meal programs to significantly improve diet quality, increase nutrient intakes, and reduce food insecurity and nutritional risk among participants. Other beneficial outcomes include increased socialization opportunities, improvement in dietary adherence, and higher quality of life." The study concluded, "Home-delivered meal programs improve diet quality and increase nutrient intakes among participants. These programs are also aligned with the federal cost-containment policy to rebalance long-term care away from nursing homes to home- and community-based services by helping older adults maintain independence and remain in their homes and communities as their health and functioning decline." See also Food preferences in older adults and seniors Meals on Wheels Association of America References Welfare agencies Food- and drink-related organizations Hunger relief organizations Disability organizations Queensland Greats Online food ordering Foodservice Subscription services Online grocers