Health care providers emphasize that like older people without HIV, many of the aging with HIV have health conditions such as cardiovascular disease, diabetes, renal disease, and cancer that can complicate HIV treatment. In addition, despite HIV risk factors being equivalent for people at any age, older people are less likely to get tested for HIV. “As adults age and live with HIV, they face greater risk of damage to the immune system and long-term complications,” she stated. Older adults living with HIV would greatly benefit from services under OAA to decrease isolation, improve health outcomes, and increase access to culturally competent services and supports. “Younger adults may be willing to play Russian roulette with their health, but older adults should not.