Americans live about 30 years longer than they did a century ago! How did we achieve these goals of living longer? Triumphs of public health such as improvements in sanitation, air quality, water, hygiene, immunization and health education especially through social media. Disease prevention conveys one additional important message—good health is more that physical well being and that it is more than a response to actual or potential disease or disability. Optimal health includes physical elements of exercise and good nutrition. It’s a cousin to alternative activities such as herbal and nutritional supplements, relaxation techniques and spiritual components.