Working memory: the surprising decline of dementia

寿命红利大反转

The Intelligence from The Economist

2026-07-30

25 分钟
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A dive into the data reveals that, despite dire past predictions, the prevalence of dementia is actually waning. We take a look at Pix, a beloved Brazilian digital-payments system, and why it so bothers President Donald Trump. And we attend one of the concerts that reveals how the appeal of emo music is holding strong across generations.  Guests and host: Jonathan Rosenthal, international correspondentCarla Subirana, news editorSarah Lawrynuik, deputy editor of “The Intelligence”Jason Palmer, co-host of “The Intelligence” Topics covered:  dementia, global health statistics, ageingBrazil, Pix, payment systems, Donald Trumpemo music, My Chemical Romance Listen to what matters most, from global politics and business to science and technology—subscribe to The Economist.
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  • The Economist.

  • Hello and welcome to The Intelligence from The Economist.

  • I'm Jason Palmer.

  • Today on the show, the one person who hates Brazil's beloved digital payment system,

  • and proof that emo music wasn't just a phase.

  • But first,

  • there are lots of things we can all expect to lose as we grow older:

  • muscle mass, flexibility, deft use of the latest technology.

  • But what really inspires fear is the possibility of losing memory,

  • possibly losing oneself altogether to dementia.

  • Happily, a close look at the data suggests there's steadily less and less reason to worry.

  • There has just been this absolutely astonishing decline in the rates of dementia over the past 40 years.

  • Jonathan Rosenthal is an international correspondent at The Economist.

  • So just to give you an example, between 1988 and 2015,

  • the share of older people with dementia fell by 13% a decade

  • across six countries in North America and Europe.

  • But perhaps even more staggering, in the 1980s,

  • three in every 10 people in their late 80s had dementia,

  • and that rate has now gone down to roughly one in 10.

  • But it also seems as if a lot of the declines seem to be happening in richer countries,