While increases in life expectancy along with extended longevity can be seen as a success story, there remains the central issue surrounding the health and quality of life for increasing numbers of older people. As populations live longer the idea that older people should be empowered to remain active and productive citizens will be paramount. Questions concerning the meaningfulness, purpose and desirability of living longer present an existential challenge for all and sundry. It is clear, that the speed of population aging has made many existing policies, support services and social structures obsolete and thereby societies worldwide will need to face the profound challenges of rethinking aging and old age in wholly different ways. The need to combat ageism including a re-conceptualization of successful aging is seen to be a critical undertaking to promote healthy and productive aging. In particular, understanding the lived experiences of older people warrants deeper focus surrounding the complex interconnections between agency, social structures and quality of life. Insights and perspectives on human finitude, resilient aging, and self-care are offered for the purpose of highlighting their prospective associations with health outcomes in later life. Human longevity presents new realities demanding serious collaborative conversations on heterogeneity, equity and social justice in the context of a rights-based approach to aging policy.