Freakonomics Radio · 2026-04-17 · 61 min · 10,187 words

671. Why Has There Been So Little Progress on Alzheimer’s Disease?

Listen to the original audio · Transcribed with NVIDIA Parakeet · Timestamps stay in sync with the live audio

You may have seen the news recently about two new FDA approved blood tests that may detect Alzheimer's disease in the early stages. Early detection is important for any disease, but especially for Alzheimer's, which can take root for 20 years before symptoms develop. These symptoms, as you probably know, include memory loss and other cognitive, physiological, and behavioral issues. The reason I say that You probably know these symptoms is because Alzheimer's affects more than 7 million people in the U.S., most of them over 65.

Age-related memory loss has been seen throughout human history, but the disease was not formally documented until 1906 by the German physician Alois Alzheimer. When Alzheimer autopsied the brain of a woman who had had memory loss and hallucinations, he found that her brain had shrunk and withered with numerous tangles and what he called peculiar deposits. Scientists have been trying to figure out those deposits and tangles ever since. The National Institutes of Health spends around $4 billion a year on Alzheimer's and dementia research.

That's up from around $1 billion a decade ago, and that puts it second only to cancer spending. Which makes sense because the elderly population in the US is big and getting bigger. Much of this Alzheimer's research is centered around one dominant theory of the disease. But what if that theory is flawed? No one's getting better with these drugs.

That is the first couple of minutes. The rest is $1.

We already have this episode, so unlocking it is cheap and permanent: the full transcript (61 minutes, 10,187 words), segment and word-level timestamps, and .txt, .srt, .vtt and word-level JSON downloads, as many times as you like, forever.

No account needed, we create one from your checkout email. With credits it is 1 credit; packs start at 10 episodes for $5, and monthly plans are cheaper still.

get it now

Ready in about two minutes.

Pay once, no subscription. Credits never expire.

Transcribing every week? Monthly plans start at $9, about 23 cents an episode.

Secure checkout by Stripe. No account needed: we create one from your email. By paying you agree to the terms.