Alzheimer’s disease and other dementias do a number on the mind and body of the individual with the disease and can also take a major toll on the health and finances of the individual’s family. The Alzheimer’s Association’s latest annual report, “2009 Alzheimer’s Disease Facts and Figures,” documents the multilevel impact of the disease that 5.3 million Americans are living with today, which translates into a new case of Alzheimer’s every 70 seconds. And as the oldest baby boomers are due to reach age 65 over the next two years, that rate will balloon by midcentury, so that someone will develop Alzheimer’s disease every 33 seconds. As the burden of Alzheimer’s disease grows, states’ healthcare infrastructure will be strained; some states will see more than an 80 percent increase in residents with Alzheimer’s by 2025. U.S. New s caught up with Angela Geiger, chief strategy officer at the Alzheimer’s Association, to discuss some of the finer points of the new report.
1) Alzheimer’s disease is more than lost memories. Forgetfulness is a hallmark symptom, but the disease cuts deeper. “Your body forgets how to function,” explains Geiger. In fact, Alzheimer’s disease causes death, as its progression eventually prevents the individual from engaging innate abilities like moving and swallowing.
2) Early diagnosis may garner better care. According to 2009 research in the journal Alzheimer’s and Dementia, people 70 and older who were told they had Alzheimer’s or dementia by a doctor and were aware of it—or had family members who knew—tended to have more doctor contact and fewer days in the hospital. But early diagnosis, which can translate into a care plan that can have a significant impact on the quality of life of the individual and the family, is not always attained. “We know people don’t know enough about early signs [of the disease],” including healthcare professionals, says Geiger. Mood and behavior changes, an early warning sign of Alzheimer’s, often get misdiagnosed as depression, for example.
3) Alzheimer’s patients have higher out-of-pocket costs. People 65 or older with Alzheimer’s disease or dementia pay 30 percent more in out-of-pocket healthcare costs than those without such disease, according to the new annual report.
4) Total healthcare spending is radically higher in Alzheimer’s families. Add up all the healthcare dollars spent by various payers—including Medicare, Medicaid, and private insurers—on people 65 or older with Alzheimer’s or dementia, and you get triple the burden of people without, says the new Alzheimer’s Association report. “The costs get greater and greater as the disease progresses,” says Geiger, and more consistent, specialized care is needed, typically resulting in 24-hour nursing home care.