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By 2050, the global population of adults over age 60 will double to two billion. Asian countries, including Japan, South Korea, Singapore, and China are experiencing explosive population aging, with the US rapidly heading in the same demographic direction. While policymakers and business leaders are increasingly aware of the challenges, COVID-19 has highlighted the urgency of investment in healthy longevity. Strategies to support aging well can improve health outcomes and reduce long-term costs, while spurring economic growth through longer, more productive work lives. What innovations and promising practices can be shared across the Pacific to elevate healthy longevity at this critical time?