Alzheimer's and other forms of dementia are a growing concern for all Americans as longevity increases the number of people suffering from cognitive decline. However, much of the research has underrepresented many groups.
A new bi-partisan proposal would increase clinical trial participation among underrepresented populations. The "Equity in Neuroscience and Alzheimer's Clinical Trials (ENACT) Act" would encourage and ensure more diversity in clinical trial participation.
African Americans and Hispanics Have Higher Risks
According to a recent Alzheimer's Association report, Hispanics and African Americans are at a higher risk of developing Alzheimer's disease and other forms of dementia. African Americans are twice as likely as whites to develop Alzheimer's, while Hispanics are 1.5 times as likely.
Part of the problem is while dementia is more prevalent among Hispanic and Black Americans, it is more likely to go undiagnosed – or be diagnosed at a later stage – in these patients.
According to experts, the underrepresentation of these populations hinders the ability of researchers to understand health disparities. It also restricts the researcher's knowledge of how approved therapies or diagnostic testing may affect the diverse populations likely to need the drug.
"To ensure future treatments and means of prevention are effective in all populations, Alzheimer's and dementia trials must reflect the U.S. population," said Robert Egge, Alzheimer's Association chief public policy officer and AIM executive director.
"We are grateful to the bill's sponsors for their leadership introducing legislation that prioritizes research," said Egge.
U.S. Senator Susan Collins (R-ME) says that Hispanics and African Americans are disproportionately affected by Alzheimer's but are underrepresented in current research. She says the bipartisan legislation would increase the clinical trials' diversity. The goal would be to improve outcomes for these populations while enhancing the understanding of the disease.
"Alzheimer's disease is one of the greatest and most under-recognized public health threats of our time. Millions of Americans and thousands of Mainers are living with the disease, which imposes a devastating human and financial cost," said Senator Collins, a founder, and co-chair of the Congressional Task Force on Alzheimer's Disease.
Senator Ben Ray Luján (D-NM) says the lack of diversity hurts patients of color and hinders researchers' ability to understand the disease fully.
"There is a future in which no family will have to experience 'the long goodbye' of losing a loved one to Alzheimer's. To bring that future into reach, medical research must include all of the communities touched by this disease," said Luján.
Physical, Emotional and Financial Consequences on Families
The consequences of dementia on American families place tremendous physical, emotional, and financial pressure on them. Many families are unaware, until a parent experiences this firsthand, that health insurance and Medicarepay little or nothing toward the long-term health care that many people require due to cognitive decline or other health and frailty problems that come with aging.
While some people own Long-Term Care Insurance, which will pay for these services either in memory care, nursing homes, or in-home care, many people are unaware of the product until it is too late. You must purchase LTC Insurance when you still have relatively good health. Most people purchase the product in their 40s or 50s. Because of the lack of awareness, too many families face a crisis.
Many adult children must quit their jobs and become caregivers for a Mom or Dad who has dementia or other long-term health care needs. The role of caregiver is physically and emotionally demanding.
Find successful treatment or a cure will help reduce to impact dementia has on American families.
You probably first noticed changes in your body by the time you were age 30. As we get older, we experience many changes in health, body, and mind.
The result leads to needing help with daily activities we take for granted today. Dementiawould mean we would need supervision. We cannot avoid aging - aging happens. The costs of long-term health care have many consequences on our family and finances.
Preparing your family and finances for the future costs and burdens of aging is an essential part of retirement planning. But Long-Term Care Insurance is more than just about money.
Yes, long-term health care is a significant cash flow issue. LTC Insurance addresses this problem. But long-term care is also a family issue. Without any plan in place, the family will go into crisis mode. The result can be a disaster for you and your family, and your wishes may take a back seat.
You Must Health Qualify to Obtain Coverage
You cannot wait until you need you experience significant health problems. Often, it is too late to do any planning.
The underwriting criteria are different with each company. You will have to answer some health questions even to obtain accurate quotes. You ideally want to get coverage when you enjoy reasonably good health. If you are already receiving care in your home or if you live in a care facility, you would be ineligible for coverage.
Seek Help of a Qualified LTC Specialist
A Long-Term Care specialist can help you determine your eligibility based on your health history and other factors. Most financial planners and general insurance agents are not knowledgeable about underwriting, features, benefits, federal/state partnership programs, policy design, and claims.
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