Between 1970 and 1983, the rate at which the elderly were hospitalized grew by over 40 percent, but the rate of hospitalization for the younger population was fairly stable. Past attempts to explain the different patterns among the young and the old have focused on technology, insurance, health status, and the supply of hospital services. These attempts have been largely unsuccessful. In this paper, I examine other possible explanations, namely, that the elderly, who experienced a decline in the rate of participation in the labor force and an increase in income over this period, used increases in available time (i.e., nonwork time) and increases in income to seek out and receive greater amounts of health care. Using an empirical strategy that adequately controls for the health status and insurance status of the subjects under study, I analyze small area data from the state of North Carolina. This approach yields results that indicate labor force status and income are important determinants of hospital use among the elderly.