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senate Bill S. 2076

Should the Federal Gov’t Fund a Public Health Campaign for Alzheimer’s Disease Prevention & Treatment?

Argument in favor

Alzheimer’s has a huge cost, in terms of both public health and dollars spent on this disease. Researching better ways to prevent and cure this disease will save the government and the public money in the long term — and with the burgeoning elderly population, now’s the time to invest in this research.

Brian's Opinion
···
12/19/2018
These are the types of initiatives the government should be doing. Not wasting time on walls.
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12/19/2018
I absolutely support this strong effort to address the scourge of Alzheimer’s Disease. It is a terrible condition that affects the patient, and their entire family.
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Nick's Opinion
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12/19/2018
Alzheimer’s is a devastating disease and we know so little about it. There are many theories but nothing clear-cut. We must get closer and this bill will help us do so.
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Argument opposed

There are already significant private sector investments in Alzheimer’s research. In the interest of saving taxpayer dollars and encouraging private innovation, the government should reduce, rather than increase, funding for Alzheimer’s research.

Angela-McDaniel's Opinion
···
12/19/2018
I think the $80 million would be better off funding research into treatments for the disease. Such research could perhaps reveal how to diagnose and stop the disease the takes our love ones before their bodies give out.
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JTJ's Opinion
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12/19/2018
We need to cut spending, get the government out of healthcare.
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Mark's Opinion
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12/19/2018
No. If there is no money for border security and building the wall there certainly isn’t money for this. Leave medical research to the private sector.
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bill Progress


  • Not enacted
    The President has not signed this bill
  • The house Passed December 19th, 2018
    Roll Call Vote 361 Yea / 3 Nay
  • The senate Passed December 12th, 2018
    Passed by Voice Vote
      senate Committees
      Committee on Health, Education, Labor, and Pensions
    IntroducedNovember 6th, 2017

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What is Senate Bill S. 2076?

This bill — the Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer's Act — would apply a public health approach to Alzheimer’s disease by establishing a modern infrastructure for the prevention, treatment, and care of Alzheimer’s and related dementias.

Headed by the Centers of Disease and Prevention (CDC), this bill would award cooperative agreements to create:

  • Centers of Excellence in Public Health Practice dedicated to promoting effective Alzheimer’s disease and caregiving interventions as well as educating the public on Alzheimer’s disease, cognitive decline, and brain health. The centers would implement the CDC’s Healthy Aging Public Health Road Map and would take key steps to support health and social services professionals as well as families and communities. This bill would authorize $12 million for centers across the nation.

  • Core Capacity and Enhanced Activity Cooperative Agreements between the CDC and state health departments to carry out key steps. Core capacity awards would help states build a foundation, and enhanced activity awards would help those states that are carrying out public health Alzheimer’s steps to amplify their initiatives through public-private partnerships. $20 million would be authorized for this process.

  • Data Analysis and Reporting Cooperative Agreements between the CDC and relevant parties to ensure that data on Alzheimer’s, cognitive decline, caregiving, and health disparities are analyzed and disseminated to the public in a timely manner. This information would be reported in the Department of Health and Human Services' (DHS) Healthy People 2020 report. This legislation authorizes $5 million for such agreements. 

Impact

The elderly; Alzheimer’s patients; Alzheimer’s research; Alzheimer’s care; state health departments; CDC; and the Public Health Service Act.

Cost of Senate Bill S. 2076

$80.00 Million
The CBO estimates that this bill would cost $20 million each year over the 2020-2023 period.

More Information

In-DepthSen. Susan Collins (R-ME) introduced this bill to create a public health infrastructure to combat Alzheimer’s disease and preserve brain health:

“Alzheimer’s disease is one of the greatest and under-recognized public health threats of our time.  Five and a half million Americans are living with the disease, and that number is soaring as our overall population grows older and lives longer. After decades of expanding biomedical research in Alzheimer’s, we are ready for the next step: to translate research into practice.”

The Alzheimer’s Association and the Alzheimer’s Impact Movement (AIM) support this bill. In a joint letter to Sens. Collins, Shelley Moore Capito (R-WV), Catherine Cortez Masto (D-NV), and Tim Kaine (D-VA), these organizations wrote in support of a public health approach to Alzheimer’s prevention and care:

“The Alzheimer’s Association and AIM are pleased to support the bipartisan Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer’s Act, which would create an Alzheimer’s public health infrastructure across the country to implement effective Alzheimer's interventions focused on public health issues such as increasing early detection and diagnosis, reducing risk and preventing avoidable hospitalizations. More than 5 million Americans are living with Alzheimer’s and, without significant action, as many as 16 million Americans will have Alzheimer’s by 2050. Today, another person develops the disease every 66 seconds; by 2050, someone in the United States will develop the disease every 33 seconds. This explosive growth will cause Alzheimer’s costs to increase from an estimated $259 billion in 2017 to $1.1 trillion in 2050 (in 2017 dollars). These mounting costs threaten to bankrupt families, businesses and our health care system. Unfortunately, our work is only growing more urgent. As scientists continue to search for a way to prevent, cure, or slow the progression of Alzheimer’s through medical research, public health plays an important role in promoting cognitive function and reducing the risk of cognitive decline. Investing in a nationwide Alzheimer’s public health response will help create population-level change, achieve a higher quality of life for those living with the disease and their caregivers, and reduce associated costs. The BOLD Infrastructure for Alzheimer’s Act would provide this crucial investment by establishing Alzheimer’s centers of excellence across the country and funding state, local and tribal public health departments to increase early detection and diagnosis, reduce risk, prevent avoidable hospitalizations, reduce health disparities, support the needs of caregivers and support care planning for people living with the disease. These important public health actions allow individuals with Alzheimer’s to live in their homes longer and delay costly institutionalized care.”

In a joint letter to Sens. Collins, Moore Capito, Cortez Masto, and Kaine, the Alzheimer’s Association, Alzheimer’s Impact Movement, National Association of Chronic Disease Directors, and the National Association of Counties underscore the importance of a public health approach to Alzheimer’s response, as well as data’s importance to identifying appropriate public health goals and interventions for Alzheimer’s disease:

“Investing in a nationwide Alzheimer’s public health response will help create population-level change, achieve a higher quality of life for those living with the disease and their caregivers, and reduce associated costs. The BOLD Infrastructure for Alzheimer’s Act would provide this crucial investment by establishing Alzheimer’s centers of excellence across the country and funding state, local and tribal public health departments to increase early detection and diagnosis, reduce risk, prevent avoidable hospitalizations, reduce health disparities, support the needs of caregivers and support care planning for people living with the disease. These important public health actions allow individuals with Alzheimer’s to live in their homes longer and delay costly institutionalized care.”

This bill passed the Senate with an amendment by voice vote, and has been received in the House. It has 57 Senate cosponsors, including 36 Democrats, 19 Republicans, and two Independents. It also has the support of the Alzheimer’s Impact Movement (AIM), Alzheimer’s Association, Alzheimer’s Impact Movement, National Association of Chronic Disease Directors, the National Association of Counties, and the National Committee to Preserve Social Security and Medicare.


Of NoteIn 2011, Senator Collins introduced the National Alzheimer’s Project Act with then-Senator Evan Bayh (D-IN). That law convened a panel of experts, who determined that $2 billion per year in research funding is needed to achieve the goal of preventing and treating Alzheimer’s by the year 2025.

Today, over five million Americans are living with Alzheimer’s. Without further action, that number is expected to triple to as many as 16 million by 2050. The U.S. spends over $259 billion per year on Alzheimer’s care costs — including $175 billion in costs to Medicare and Medicaid.

There are private sector efforts to cure Alzheimer’s: in 2017, Bill Gates pledged $50 million of his own money to the Dementia Discovery Fund, a venture capital fund for both industry and government efforts investigating dementia, as well as an additional $50 million toward as-yet-unnamed start-ups specifically researching Alzheimer’s disease.


Media:

Summary by Lorelei Yang

(Photo Credit: iStockphoto.com / Xesai)

AKA

BOLD Infrastructure for Alzheimer's Act

Official Title

A bill to amend the Public Health Service Act to authorize the expansion of activities related to Alzheimer's disease, cognitive decline, and brain health under the Alzheimer's Disease and Healthy Aging Program, and for other purposes.

    These are the types of initiatives the government should be doing. Not wasting time on walls.
    Like (130)
    Follow
    Share
    I think the $80 million would be better off funding research into treatments for the disease. Such research could perhaps reveal how to diagnose and stop the disease the takes our love ones before their bodies give out.
    Like (29)
    Follow
    Share
    I absolutely support this strong effort to address the scourge of Alzheimer’s Disease. It is a terrible condition that affects the patient, and their entire family.
    Like (56)
    Follow
    Share
    Alzheimer’s is a devastating disease and we know so little about it. There are many theories but nothing clear-cut. We must get closer and this bill will help us do so.
    Like (44)
    Follow
    Share
    As someone who is witnessing their grandmother fade away as her body is still here, I would love to see action being done on Alzheimer’s and other dementia prevention on a federal level.
    Like (24)
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    Share
    We need to cut spending, get the government out of healthcare.
    Like (21)
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    Everything possible should be done to address an impending health crisis with those who will be getting Alzheimer’s.
    Like (14)
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    No. If there is no money for border security and building the wall there certainly isn’t money for this. Leave medical research to the private sector.
    Like (10)
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    This effects the entire country. The program needs the support of the entire country.
    Like (9)
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    As dysfunctional government is this is money won't bring us closer to more effective treatment nor a cure for Alzheimer's. This money will be squandered.
    Like (6)
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    Maybe an active role in reducing processed food ingredients / reduction in added sugars would be in order as a hand in glove approach seeing how the research already shows correlation.
    Like (5)
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    This is one of the biggest issues facing health care today and it impacts all of us. This disease is projected to cost the country billions of dollars in the coming years. Alzheimer’s is the 6th leading cause of death in the United States, but unlike the top 5 causes of death it cannot be prevented, slowed, or controlled. The private sector funding has directly led to some massive breakthroughs, but it’s not enough. This is a public health crisis and must be funded as one. #ENDALZ
    Like (5)
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    Yes. Alzheimer’s has a huge cost, in terms of both public health and dollars spent on this disease. Researching better ways to prevent and cure this disease will save the government and the public money in the long term — and with the burgeoning elderly population, now’s the time to invest in this research.
    Like (4)
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    👍🏻S. 7026 Building Our Largest Dementia (BOLD) Infrastructure ACT👍🏻 I’m in direct support and strongly recommend the SENATE bill S. 7P36 AKA the Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer's Act — would apply a public health approach to Alzheimer’s disease by establishing a modern infrastructure for the prevention, treatment, and care of Alzheimer’s and related dementias. Alzheimer’s has a huge cost, in terms of both public health and dollars spent on this disease. Researching better ways to prevent and cure this disease will save the government and the public money in the long term — and with the burgeoning elderly population, now’s the time to invest in this research. SneakyPete..... 👍🏻🤷🏼‍♂️🤷‍♀️👍🏻. 12*19*18.....
    Like (4)
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    If the federal government can fund programs searching for life on another planet and fund NASA. Then we’d be dumb founded if those of us that have life here on planet earth, living with loved ones that the research could help. Why not fund a program to help those suffering? They claim in government to be oh the religious right, yet contradicting the fact that Almighty God created life here on earth. Therefore as Fiery as I can be, I’d say I’ve missed the reason behind a dumb vote and so help better life. Those in congress that wright the laws need to stay off K street and become Fierce as one could be with me as fan number 1.Catch me
    Like (4)
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    There are already significant private sector investments in Alzheimer’s research. In the interest of saving taxpayer dollars and encouraging private innovation, the government should reduce, rather than increase, funding for Alzheimer’s research.
    Like (4)
    Follow
    Share
    Yes, and it has been studied. One thing that can help you to decrease your chances of getting Alzheimer's disease is to get along with your NEIGHBORS! What an American concept, to know, care about and look out for your neighbors will decrease stress in your life due to the FACT that when you aren't home, your neighbors will be watching your home in order to safe guard you and ALL THAT YOU HAVE WORKED YOUR ENTIRE FREAKING LIFE FOR! I believe this is called getting back to BASIC AMERICAN VALUES!
    Like (4)
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    It is the most important health care issue facing the baby boomers today.
    Like (3)
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    This devastating disease is stealing our people from society at a huge costs. We have spent so much on research and cure for heart or cancer and other diseases but haven’t done enough here. We need to find research and cure of this disease so maybe our children will have a solution to it.
    Like (3)
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    Alzheimer's is a huge problem that is just continuing to get bigger, more and more people are being diagnosed with this disease as we get further into the 21st century. It’s time to put our foot down and do something about it!!
    Like (3)
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