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Dementia cost expected to more than double by 2040: study



Dementia costs more each year in the United States than cancer or heart disease, with annual costs ranging from $157 billion to $215 billion, according to a study released Wednesday.

Much of the costs come from long-term care giving, and the price tag is expected to more than double by 2040, said the study by the non-profit RAND Corporation in the April 4 edition of the New England Journal of Medicine.

“The economic burden of caring for people in the United States with dementia is large and growing larger,” said Michael Hurd, the study’s lead author and a senior economist at RAND.

“Our findings underscore the urgency of recent federal efforts to develop a coordinated plan to address the growing impact of dementia on American society.”

Some 5.3 million Americans currently suffer from Alzheimer’s disease, the most common form of dementia, according to the Centers for Disease Control and Prevention.


By 2050, the number of people with Alzheimer’s is expected to more than double because of the aging population, the CDC has said.

President Barack Obama signed into law the National Alzheimer’s Project Act in 2011, which aims in part to track the costs of dementia for government and society.

Dementia affects about 15 percent of people over 70 and is estimated to cost society between $41,000 and $56,000 per person every year, the New England Journal of Medicine study said.


“Our calculations suggest that the aging of the US population will result in an increase of nearly 80 percent in total societal costs per adult by 2040,” it said.

“Our estimate places dementia among the diseases that are the most costly to society.”

When researchers considered just direct health care expenditures, and not the cost of informal care, dementia cost about $109 billion per year compared to $102 billion in 2010 for heart disease. Cancer costs about $77 billion.


Informal care for patients with dementia drives the cost even higher, experts said.

“Much of the expense is informal care and out of pocket expenses,” said Mary Sano, director of the Alzheimer Disease Research Center at Mount Sinai Medical Center in New York.

Government assistance in the form of Medicare pays only about 10 percent of the costs per year, added Sano, who was not involved with the study.


“Out of pocket or replacement care is the major burden born by families of those with dementia.”

The RAND study’s estimate of total cost was lower than the Alzheimer’s Association’s recent estimate of $172 billion in 2010 dollars, likely due to a higher population prevalence given by the AA and a failure to adjust for the cost of co-existing conditions, the article said.

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NYT columnist says one of Trump’s friends begged him to talk him out of launching war with Iran



On Monday, Thomas Friedman of The New York Times spoke to CNN's Anderson Cooper, following President Donald Trump's attacks on him for calling his behavior racist in a recent article. The president accused him of "kissing [his] a**" in an Oval Office phone call.

Speaking to Cooper, Friedman denied Trump's characterization of their discussion.

"The president tweeted about a private conversation we had and lobbed in a few insults," said Friedman. "Basically, my response, which I put out on Twitter is that I was encouraged by a friend of his to speak to him after the downing of the American drone, because I thought it was wise that we not retaliate, and I thought he was wise not to retaliate, and this friend of his wanted me to encourage him in that, because he was evidently agonizing a little over that not retaliating. And I did that. I began the conversation by saying that 'I disagree with you, Mr. President on many things, but I think you did the right thing on this.' We talked for about four minutes. We also talked about China and we left it at that."

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Trump is a ‘human opioid’ who feeds racism to his ‘white identity cult’: author



Democrats will lose the 2020 campaign if they treat it like a typical election and instead need to make a moral issue against President Donald Trump, author Tim Wise explained on MSNBC on Monday.

Wise is the author of the 2004 book White Like Me: Reflections on Race from a Privileged Son.

"As Democrats work on their strategy to counter President Trump ahead of the 2020 election. Anti-racism activist Tim Wise -- who helped to defeat David Duke in two campaigns in the 1990s -- provided this advice for Democrats," anchor Chris Matthews said.

He read excerpts of tweets from Wise.

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Trump asked right-wing conspiracy theorist congressman to help him pick his next Director of National Intelligence



On Monday, Politico reported that President Donald Trump is consulting with Rep. Devin Nunes (R-CA) about who he should consider to replace Director of National Intelligence Dan Coats.

Nunes has led the Republican side of the House Intelligence Committee since 2015 and chaired the committee for four years, despite having no professional qualifications of any kind for that role. Since 2017, he has been known for his stunts and conspiracy theories intended to discredit the Russia investigation and throw suspicion on anyone who looks into Trump's conduct.

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