Small Change. In this scenario, technological advances have only modestly altered current trends in lifespans and health outcomes. Leading-edge baby boomers alive in 2030 are octogenarians and often infirm. Their kids who are in their 40s can expect to live into their 80s but face a familiar decades-long decline in health. Medical costs continue to skyrocket. According to Garreau, this is “the official Washington future regarding aging—the one many policymakers expect.”
Drooling on Their Shoes. In 2030, under this scenario, technological advances have increased lifespans while doing far less to improve health in later life. Octogenarian boomers face decades of frailty and dementia; suicide rates among the aged have jumped. Health care costs are even more burdensome than in Small Change, increasing budget turmoil and intergenerational tension.
Live Long and Prosper. Information technology has revolutionized health care while reducing its costs, in this 2030 scenario. Octogenarians remain active, thanks partly to what Garreau calls “Google Medicine,” a toaster-sized home appliance that analyzes spit samples to detect health changes. The first person who will live robustly to 150 is entering adulthood. Hospitals have become primarily for the less affluent, and tech-driven obsolescence threatens many health care institutions.
Immortality. In his last scenario, Garreau raised the possibility of lifespans of indefinite duration. “Immortality is not as crazy as it sounds,” he wrote. Sufficient tech advances could boost life expectancy by one year each year, and “you have something that looks like immortality for some people.” Boomer octogenarians in 2030 have “too many hard miles on their chassis” to fully benefit, but younger people may have trouble imagining the onetime prevalence of sickness and death.Whole thing here. My review of Garreau's Radical Evolution: The Promise and Peril of Enhancing Our Minds, Our Bodies -- and What It Means to Be Human is here.