Osteoporosis (porous bones) is a major cause of morbidity in the U.S. After a fall, people affected with osteoporosis are more likely to sustain a bone fracture, particularly in the hip. That is usually the beginning of a steady decline in the elderly. Post-menopausal women are well recognized to be at risk of osteoporosis so they are screened with bone density exams relatively effectively. However, men are also at risk of osteoporosis, especially as they reach their 70’s and 80’s. In this study of the VA system from Washington state, it is apparent that these men are overlooked in screening and treatment when compared to women of their same age. It would be wise to supplement people as they age with Vitamin D and calcium and get routine bone density exams in both men and women, especially as they enter their 70’s.