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This essay is a reflection on how personal history shapes who we are as we age and what matters to us, focusing on women. I begin by briefly recounting the formative aspects of my early years and midlife, and then show how these influence the choices I make in old age, as well as the concerns and anxieties I experience. I discuss lifestyle, family, and economic concerns, along with fear of dementia, and ageism. I conclude with a few comments about the kind of society that would facilitate decency and meaningful choice for the heterogeneous group who constitute America's aging.