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A Vision of a Future Free of Alzheimer’s

5 ways the world might look different with a cure for the disease

By Maddy Dychtwald

(This article previously appeared in The Wall Street Journal.)

It is the year 2025, and it seems like a miracle reminiscent of John F. Kennedy’s moonshot. A multi-modality cure for Alzheimer’s disease was recently discovered, fast-tracked and approved by the Food and Drug Administration (FDA). Not just a prevention (although that came first, back in 2020), but breakthroughs in science and technology have actually caused a reversal of the disease.

Just a decade earlier, in 2015, the statistics were alarming and held the potential to create a global pandemic of catastrophic proportions. It was the dark side of the fact that average life expectancy had skyrocketed from age 47 at the start of the 20th century to age 78 by the end of that century. Half of all those over age 85 — the fastest-growing segment of the population — had some form of dementia.

The Scariest of Diseases

According to a 2014 Age Wave/Merrill Lynch Study titled Health and Retirement: Planning for the Great Unknown, for the first time, people of all ages cited Alzheimer’s disease as the scariest of all disabling diseases in later life. In fact, it was cited more often than cancer, heart disease, stroke and diabetes combined.

And for good reason.

Back then, we didn’t even know the cause of the disease let alone how to slow it, prevent it or cure it. And for the sufferers, the progression of Alzheimer's got worse over time until memory and judgment faded, followed by vast mood and behavioral changes. Eventually, dementia victims had no ability to care for themselves in the most fundamental ways.

Yet, many often lived up to 20 years after diagnosis — a life sentence for both the victims and their families. The projections for the future were staggering: By the year 2050, more than 115 million people worldwide could be suffering from Alzheimer’s disease and other dementias.

A World Without Alzheimer’s

But fast forward to the future when we woke up from that nightmare with a cure that combines advanced stem cell therapeutics, precision pharmaceuticals, trans-cranial direct-current stimulation and a highly specific lifestyle regimen. The results have been phenomenal.

Suddenly, cognitively-impaired older adults who had been either living in long-term-care facilities or at home with around-the-clock caregiving could not only live with dignity but gain back their ability to remember, think and live active lives again. It also transformed the way everyone thinks about aging and the potential for the later years of life.

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With the end of Alzheimer’s disease, the world has changed for us in five significant ways:

  1. More than half of all nursing-home beds have been emptied, saving hundreds of billions of dollars for families and governments worldwide.
  1. Tens of millions of caregivers have been unshackled from the burden of providing physical, emotional and financial care to loved ones suffering from the disease. And the health of these caregivers has improved dramatically, giving them a second chance at life.
  1. Research dollars aimed at finding a cure for Alzheimer’s disease and other dementias can now be funneled into finding a solution for other diseases.
  1. Millions of individuals cured of Alzheimer’s disease have now come out of the shadows to live independently, be a loving and interdependent part of their families and find ways to be productive, contributing their wisdom and experience to their communities and society at-large.
  1. The fear of living a long life but being struck down by Alzheimer’s disease has now been quashed. It has liberated us all to think about the future through the prism of possibilities which could include work, giving back, time with family and friends and the opportunity to stay active, engaged and productive.

Of course, this isn’t yet fact because we’re here in 2015, speculating about the future. However, many share the hope and are working hard to turn that hope into a reality: that one of the biggest fears of aging — Alzheimer’s disease and other dementias — can be thought of as a thing of the past by the year 2025.

Maddy Dychtwald is an author and co-founder of Age Wave, a think tank and consultancy. Read More
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