Alzheimer’s: Five Million Americans

By Lauren Neergaard
AP Medical Writer

WASHINGTON – More than 5 million Americans are living with Alzheimer’s disease, a 10 percent increase since the last Alzheimer’s Association estimate five years ago — and a count that supports the long-forecast dementia epidemic as the population grays.

Age is the biggest risk factor, and the report to be released Tuesday shows the nation is on track for skyrocketing Alzheimer’s once the baby boomers start turning 65 in 2011. Already, one in eight people 65 and older have the mind-destroying illness, and nearly one in two people over 85.

Unless scientists discover a way to delay Alzheimer’s brain attack, some 7.7 million people are expected to have the disease by 2030, the report says. By 2050, that toll could reach 16 million.

Why? Ironically, in fighting heart disease, cancer and other diseases, “we’re keeping people alive so they can live long enough to get Alzheimer’s disease,” explains association vice president Steve McConnell.

Indeed, government figures released last year that show small drops in deaths from most of the nation’s leading killers between 2000 and 2004 — even as deaths attributed to Alzheimer’s disease increased 33 percent.

Yet the report also contains a startling finding: Between 200,000 and half a million people under age 65 have either early-onset Alzheimer’s or another form of dementia. Researchers have been hard-pressed to estimate of the number of young sufferers.

“I think this has been drastically underreported,” said Dr. Bill Thies, the Alzheimer’s Association’s medical director.

He cites as an example a 55-year-old having problems at work, such as behavior changes or missing deadlines, that may be early signs of brain impairment but that go unrecognized until they progress to full-scale memory problems.

The new report — based on federal population counts, not new disease research — is the first update of the Alzheimer’s toll since 2002, when it was estimated to afflict 4.5 million people. It comes as Congress is considering funding for research into Alzheimer’s and other diseases.

No one knows what causes Alzheimer’s creeping brain degeneration. It gradually robs sufferers of their memories and ability to care for themselves, eventually killing them. There is no known cure, and today’s drugs only temporarily alleviate symptoms.

Because it complicates treatment for every other illness, the new report shows Medicare spends nearly three times as much for dementia patients’ care as for the average beneficiary — $13,207 a year vs. $4,454.  Medicare’s spending on dementia-related care is projected to double to more than $189 million by 2015.

That doesn’t include the value of the unpaid round-the-clock care that families and friends provide the vast majority of Alzheimer’s patients who live at home — a tab the new report calculates at almost $83 billion_ or nursing home costs.

There are nine drugs in late-stage clinical trials, including a few that aim to slow Alzheimer’s worsening. If such drugs pan out, delaying Alzheimer’s symptoms by even a few years could cut by millions the coming decades’ predicted toll, the report notes.

Chinese military superpower?

By John J. Tkacik Jr.
The Washington Times
March 18, 2007

On March 4, China’s National People’s Congress announced it would increase the country’s military budget 17.8 percent in 2007 to a total of $45 billion. Though this was the biggest single annual increase in China’s military spending, the Chinese government reassured the world this spending hike was normal and need not worry anyone.
    
But the evidence suggests China’s intent is to challenge the U.S. as a military superpower. Within a decade, perhaps much sooner, China will be America’s only global competitor for military and strategic influence. National Intelligence Director Michael McConnell told the Senate Feb. 27 that the Chinese are “building their military, in my view, to reach some state of parity with the United States.”
    
Nor is this a revelation to Washington policymakers. Mr. McConnell’s predecessor, John Negroponte, testified to the Senate Intelligence Committee in February 2006 that “China is a rapidly rising power with steadily expanding global reach that may become a peer competitor to the United States at some point.”
    
In June 2005, Secretary of State Condoleezza Rice observed that the United States must help integrate China into the international, rules-based economy before it becomes a “military superpower.” Miss Rice, with a doctorate in Soviet studies and years of experience in the White House during the last days of the Cold War, would not use the term “superpower” lightly.
    
Despite the Chinese Communist Party leadership’s espousal of China’s “peaceful rise,” the unprecedented peacetime expansion of China’s military capabilities betrays a clear intent to challenge the United States in the Western Pacific and establish itself as the region’s predominant military power. With China’s massive gross domestic product and military spending at an estimated 4? percent of GDP, the resources Beijing now devotes to its armed forces surely make it a top global power.
    
U.S. intelligence agencies can plainly see where the money is going. China is assembling a blue-water navy, with a fleet of 29 modern submarines, including 13 super-quiet Russian-made Kilo class subs and 14 Chinese-made Song and Yuan class diesel electric submarines. At least 10 more of these submarines are in China’s shipyards, together with five new nuclear ballistic missile and attack boats. China’s surface fleet is also undergoing a similar modernization.
    
China’s power in the air and in space is also on the rise. The People’s Liberation Army (PLA) Air Force has about 300 Russian-designed fourth-generation Sukhoi-27 Flankers and a number of Chinese-built Jian-11 planes and 76 Sukhoi-30 multi-role jets. With Russian and Israeli assistance, the PLA Air Force has acquired an additional 50 or so Jian-10 fighters based on U.S. F-16 technology, and reportedly plans to build 250 more.
    
China’s rocket forces are also expanding at an unprecedented pace, with production and deployment of short-range ballistic missiles targeted at Taiwan increasing from 50 per year during the 1990s to between 100 and 150 per year today. Presumably, output from Chinese ICBM factories is expanding at a similar pace.
    
Most recently, China’s Jan. 12 test of highly sophisticated direct-ascent “kinetic kill vehicle” technology, coupled with attempts to blind or laser-illuminate a U.S. reconnaissance satellite in 2006, are convincing evidence of the PLA’s intention to neutralize U.S. military assets in space.
    
Indeed, China’s 2006 “White Paper” on national defense describes a China that is moving onto the offensive. The army aims at moving from regional defense to trans-regional mobility and improving its capabilities in air-ground integrated operations, long-distance maneuvers, rapid assaults and special operations. The navy aims at gradual extension of the strategic depth for offshore defensive operations and enhancing its capabilities in integrated maritime operations and nuclear counterattacks.

The air force aims to speed its transition from territorial air defense to both offensive and defensive operations, and increase its capabilities in air strike, air and missile defense, early warning and reconnaissance and strategic projection.
    
The ultimate question must be whether Beijing’s leaders have any purpose in assembling a military machine worthy of a superpower other than to have the strength to challenge the United States’ strategic position in Asia. It is time to take China’s military expansion seriously.
    
    John J. Tkacik Jr. is the senior research fellow in China policy in the Asian Studies Center at the Heritage Foundation.