But living longer may not be the same as living well. What we are seeing in clinical practice is that many people are living longer with chronic disease, reduced mobility, cognitive impairment and increasing dependence. When we equate living longer with living better, care can become too focused on disease alone. Healthspan becomes actionable when we start measuring additional domains like physical function, cognitive health and independence in a consistent way. Instead of asking only how to extend life, we can ask how to help patients live well, what are their goals and how can we help them reach those goals.