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By framing \u201chealthy longevity\u201d as the capacity to sustain waged labor, they cast risk reduction as a personal duty to insure future workforce participation and overlook the structural inequities\u2014precarious work, environmental hazards, racialized stressors\u2014that shape brain health. We trace this genealogy, critique the individualized cognitive-reserve paradigm, and argue for prevention strategies co-created with cultural interlocutors and paired with material reforms such as fair wages, housing, and caregiver support. Decoupling health from productivity is essential for an ethically coherent dementia-prevention agenda.<\/jats:p>","DOI":"10.1177\/25424823251403463","type":"journal-article","created":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T15:34:36Z","timestamp":1764344076000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Defining healthy longevity and dementia prevention campaigns have been tied to the ability to work"],"prefix":"10.1177","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5822-7528","authenticated-orcid":false,"given":"Bilal","family":"Irfan","sequence":"first","affiliation":[{"name":"Harvard Medical School"},{"name":"Brigham and Women's Hospital"},{"name":"Michigan Alzheimer's Disease Research Center, Ann Arbor, MI, USA"},{"name":"Department of Neurology, University of Michigan Medical School, Ann Arbor, MI, USA"},{"name":"Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Sirvent","sequence":"additional","affiliation":[{"name":"Harvard Medical School"},{"name":"Harvard Medical School"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1395-0643","authenticated-orcid":false,"given":"Hana","family":"Abbasian","sequence":"additional","affiliation":[{"name":"Harvard Medical School"},{"name":"Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shueib","family":"Khweis","sequence":"additional","affiliation":[{"name":"Vanderbilt University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,28]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"457","volume-title":"Handbook of the economics of population aging","author":"Blundell R","year":"2016","unstructured":"Blundell R, French E, Tetlow G. 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