Osteoporosis is a silent disease: People can be unaware they have it because they don’t feel it. A fracture can be the first sign that something is wrong. Many older adults in the later years of their lives—when they are unable or choose not to work— can be without the resources or access to appropriate care, and instead suffer silently. We know older adults who have already had one fracture are at highest risk, but there are opportunities to improve how they are tracked and handed off between points of care, to coordinate the availability and distribution of risk information in the community so more of us are looking out for one another, and to meet folks where they are most often.