As society moves further into a Fourth Turning, it rediscovers two remarkable truths about community in the modern world. The first truth is that too little community, just like too much community, literally makes us sick. Loneliness and isolation are highly correlated with substance abuse, chronic disease, depression, mental illness generally, and suicide. Deaths from such causes surged during the 2010s. The evidence suggests they rose as well early in the Great Depression of the 1930s.