 A Brookings Institution publication has cited reasons including a lack of inter-municipal coordination and cooperation, a changing employment base and a dearth of jobs paying a living wage, out-migration of young people, an aging population, the need for workforce development, and an inequitable local tax structure.The Greater Susquehanna Valley United Way in 2006 commissioned a study regarding what matters most in area communities.They found that some major concerns were alcohol and drug use among all age groups and its effects on the community, the dependency on social services and assistance across generations, and a lack of public transportation.