Substantial Health And Economic Returns From Delayed Aging May Warrant A New Focus For Medical Research

被引:208
作者
Goldman, Dana P. [1 ,2 ]
Cutler, David [3 ]
Rowe, John W. [4 ]
Michaud, Pierre-Carl [5 ]
Sullivan, Jeffrey [6 ]
Peneva, Desi [7 ]
Olshansky, S. Jay [8 ]
机构
[1] Univ So Calif, Los Angeles, CA 90089 USA
[2] Univ So Calif, Schaeffer Ctr Hlth Policy & Econ, Los Angeles, CA USA
[3] Harvard Univ, Cambridge, MA 02138 USA
[4] Columbia Univ, New York, NY USA
[5] Univ Quebec, Montreal, PQ H3C 3P8, Canada
[6] Precis Hlth Econ, Analyt Consulting, Los Angeles, CA USA
[7] Precis Hlth Econ, Los Angeles, CA USA
[8] Univ Illinois, Chicago, IL USA
关键词
LIFE-SPAN; TRENDS; DISABILITY; MORTALITY; DISEASE; COMPRESSION; PROSPECTS; FORECASTS; GENETICS; COSTS;
D O I
10.1377/hlthaff.2013.0052
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Recent scientific advances suggest that slowing the aging process (senescence) is now a realistic goal. Yet most medical research remains focused on combating individual diseases. Using the Future Elderly Model-a microsimulation of the future health and spending of older Americans-we compared optimistic "disease specific" scenarios with a hypothetical "delayed aging" scenario in terms of the scenarios' impact on longevity, disability, and major entitlement program costs. Delayed aging could increase life expectancy by an additional 2.2 years, most of which would be spent in good health. The economic value of delayed aging is estimated to be $7.1 trillion over fifty years. In contrast, addressing heart disease and cancer separately would yield diminishing improvements in health and longevity by 2060-mainly due to competing risks. Delayed aging would greatly increase entitlement outlays, especially for Social Security. However, these changes could be offset by increasing the Medicare eligibility age and the normal retirement age for Social Security. Overall, greater investment in research to delay aging appears to be a highly efficient way to forestall disease, extend healthy life, and improve public health.
引用
收藏
页码:1698 / 1705
页数:8
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