Access to safe and affordable public transportation is an essential service for maximizing independent living opportunities for individuals with Down syndrome. Down Syndrome Indiana believes that public transportation options must increase throughout the state. A great disparity exists between urban populations and less populated suburban and rural populations. This disparity results in limiting social, recreational, educational and employment opportunities for individuals with Down syndrome in geographic areas where public transportation is limited or unavailable. This may also have the effect of forcing individuals with Down syndrome to choose housing and employment options in areas where public transportation is available, but not where they would otherwise choose to live or work. Further, limited public transportation may result in individuals with Down syndrome forgoing wellness programming and needed medical services.