I post this short opinion piece as a reminder of the widespread opposition to healthy life extension and medical research. The title of this article is "live better, not longer," setting up a false choice right at the outset. Advancing medical science enables us to live both better and longer; it's not one or the other. Is aging, suffering, disease and death really so desirable to some, supportable by the flimsy principles outlined in this piece? We, as advocates for longer, better, healthier lives through science, have a lot of work to do.