This 20-year follow-up study examined the physical, psychological, and social outcomes, and social supports of 49 survivors of an original sample of 418 rural adults who were aged 65 years and older in 1976. The majority of adults lived alone but received regular assistance. Families, especially adult children, were their primary social supports. Very few formal supports were used. Psychological well-being among the very-old was good as expressed through life satisfaction and morale, despite multiple health problems and moderate levels of dependence on others for activities of daily living and instrumental activities of daily living. Both the cross-sectional and the longitudinal data from this study support the need to rethink issues of social support, independence, and family relationships in very-old age.