Being social is by no means the default in the animal kingdom; even most mammals meet only briefly to mate and otherwise lead happy solitary lives. Because conspecifics occupy the same ecological niche, seek the same ecological conditions and resources, they can be each other’s strongest competitors when resources are scarce. Yet, sociality, i.e. associating, communicating, coordinating, cooperating, and competing in structured ways, has evolved independently many times across the tree of life. The consequences of competition and conflict are often not shared equally among members of a society, resulting in status-associated health prospects. In response, affiliative strategies have evolved to navigate such structured societies and to partially compensate for certain costs of sociality. The importance of such affiliative strategies may change with age and neurodegenerative disease. Their shared longevity, physiological and anatomical similarity, including in brain areas affected by aging, and particularly the homologies in how social status, affiliation, and cooperation structure their societies, make nonhuman primates the preferred models for the social dimensions of health and aging in humans.