How long do you want to live, and why?


     These are the questions that science writer David Ewing Duncan asks in the new TED ebook, When I’m 164: The New Science of Radical Life Extension, and What Happens If It Succeeds. The following is a condensation of his answers on these questions.

     In terms of life extension, what is reasonable to expect in the next few decades? How many years can we add to the average life?
     To answer this, let’s first consider that human lifespan at least in the west has nearly doubled since the late nineteenth century, from under 40 years old to nearly 80 years old. This is due primarily to better hygiene and nutrition, but also to a more than a century of extraordinary advances in bioscience and medical technology — everything from antibiotics and heart bypass surgery to new targeted drugs for cancer. According to the United Nations, within a century the average life expectancy in the west will jump to nearly 100 years. Filipinos in particular are now expected to live 72 years on average.
     Added to this steady upward tilt in aging is a range of new technologies – genetics, stem cell therapies that regenerate tissue, and bionics – that may provide an even bigger boost more quickly. How big a boost is open to debate, with serious scientists giving ranges from a few years to a few decades.

What breakthroughs are most important to these developments?
     The book describes four main areas —
·         healthy living and predictive and preventive medicine;
·         genetics;
·         regeneration; and
·         machine solutions.

     Healthy living already has increased lifespans and prevented death for literally billions of people over the past 150 years, but we could still do more, especially to combat lifestyle conditions and diseases like obesity and diabetes, which prematurely kill millions of people a year.
     For genetics, mainstream scientists for 30 years have been studying and trying to better understand the process of aging at the genetic and cellular level, as well as in entire organisms. They have succeeded in manipulating genes and proteins that seem to regulate lifespan in worms, flies, mice and other creatures — sometimes upping lifespan by many times. More importantly perhaps, they slow the aging process by delaying or preventing diseases of aging like heart disease and diabetes. Several drug companies are developing drugs for conditions like diabetes and inflammation that activate enzymes linked to increased lifespans in mice and other animals, and may work in bumping up lifespans for humans, too. At least one of these pills, a compound that treats inflammation being tested by GlaxoSmithKline, is in Phase II human testing. If successful, it could be on the market in under 5 years.
     For regeneration, scientists have succeeded in using stem cells – the special cells that replace dying cells in different organs – to regrow or repair hearts, livers and other tissue in animals. They have some success in regenerating tissue in humans, but only for simple organs like a bladder or bone marrow. Using stem cells to regrow, say, cells in the heart or brain still remain years in the future, say scientists.
     For machine solutions, humans have long fused machines or engineered devices and tools to their biology to improve or treat conditions or maladies. These include everything from eyeglasses to pacemakers and joint replacements. More recently, inventions and breakthroughs are already linking devices to the brain to help patients with Parkinson’s Disease control tremors and to help some people who are deaf to hear again. Other experimental machine-brain interfaces may soon allow the paralyzed to operate computers using thought.
     For the past 3 or 4 years, the author has been asking a question at the start of most of his talks: “How long do you want to live? I’ve kept track of the show of hands and over time have polled some 30,000 people. I asked people to vote on one of four answers: 80 years; 120 years; 150 years; or forever. It was a surprise to me that 60 percent of the people want to live the current average life expectancy of about 80 years. Other results: 30 percent want to live to age 120; less than 10 percent to age 150; and less than one percent forever.”

What are the upsides and downsides to living much longer?
     For the book the author asked hundreds of people why they voted the way they did in the “how long do you want to live” survey. Here are the eight primary reasons people voted to live to the ages of 80 or 120, and not longer:
     Fear of prolonged frailty
     Money: how to pay for an extended life
     Life is hard
     Wars, plagues and poverty
     Overpopulation, resource depletion and the environment
     Love and relationships
     Boredom
     We would cease to be human

     As for those respondents who said they want to live to 150 years or beyond, their stated reasons for wanting to live radically longer than current human life expectancy fell into five broad categories:
     More time with loved ones
     Geniuses would still be alive
     Want to know the future
     More to do and accomplish in life
     Avoiding the frailty of old age

     As you can see, prolonging life can be both a blessing and a burden. But few doubt that we are at the cusp of an age that will see humans able to live much longer lives.

     On a personal note, I would like to live just long enough to see the Philippines to finally start emerging from widespread feudalism to attain Utopian democracy. Hopefully in a few years.

     It should be our generation’s final duty to initiate moves TO ELIMINATE FEUDALISM – THE SINGULAR AND GREATEST STUMBLING BLOCK TO OUR DEVELOPMENT AS A FREE AND PROUD NATION. Otherwise, we continue to be branded as a “country of slaves” by our neighbors – an apt tag while there is an overwhelming dominance of the very small feudal minority over the very great majority of “slaves”.

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