Indian Lake has the greatest population and Morehouse the smallest. The official newspaper is the Hamilton County News, Rt. 30, Speculator, NY 12164 and is the only paper that serves the entire county. There are no hospitals in Hamilton County. Towns rely on volunteer Emergency Medical Services who provide ambulance service to the nearest hospital, which may be as far as 70 miles.
Several Towns have local health centers.
The Town of Long Lake advertised and hired an MD who agreed to settle in the community. He specializes in Family Practice. Other communities are served by the Hudson Headwaters Health system, who staff the local health centers on a rotating, part-time basis. Several communities have their own elementary schools, then bus the children to high school. There are over 350 lakes and ponds in Hamilton County and hundreds of miles of rivers and streams.