With so many safe and effective vaccines available, Forbes magazine proclaimed, “A new golden age of vaccines is at hand,” bringing with it new opportunities for Americans to take an active role in their long-term health. Taking advantage of this new opportunity and increasing immunization rates in adults will require a broadly coordinated effort that includes not only the general public but federal, state, and local governments; healthcare providers; public health officials; and policy makers. As our country grapples with healthcare reform we need to work together to ensure good preventive care, including all recommended vaccinations, is included as an essential element of public health.