The US is aging – between 2012 and 2050, the number of adults over age 60 will jump from 43 to 84 million, representing about 20 percent of the population. Meanwhile, smaller and more scattered families will mean greater numbers of people growing old alone. Fostering the social connections and cross-generational interactions that are so essential to healthy aging has become a national struggle. AARP has developed a Livability Index to encourage communities to rethink elder care and give the aging population informed choices. “Tiny houses” within a multigenerational setting allow older people to maintain independence yet avoid isolation while breakthrough psychosocial tools provide a roadmap for dignity, joy, grace, and meaning at the end of life. Does it take a village to achieve these goals?