Unfortunately, “health spans” (the time people can expect to live free of disability) are not keeping pace with longer lifespans. Life expectancy in the United States is around 78 years, but older adults on average now spend the final dozen years of their lives coping with poor health, a number that has also grown in recent years. As we describe inour recent study“Meeting the Growing Demand for Age-Friendly Care: Health Care at the Crossroads,” more older adults than ever will need a complex spectrum of care and support in the decades ahead, and they’ll need it for longer.