Unlike in many areas of technology, advances in biomedical sciences take much longer to move from discovery stage to mass adoption.
As a result, some of the advances made over the past two decades may only soon be reaching the clinical practice, advances that could result in unexpected longevity increases for the retired and retiring population.
Action points
• Pension funds must remain vigilant of advances leading to longevity increases
• Associations should lobby for retirement age increases
• Investment should focus on funds that appreciate with longevity increases
With this in mind, pension funds and insurance companies must stay vigilant of these new developments, adjusting their policies to hedge against extreme longevity risks while also taking a more proactive role in supporting research that leads to productive longevity and an increase in retirement age.
The longevity dividend
According to the International Aging Research Portfolio the governments of the US, Canada, Australia and the EU have spent more than $700bn (£421bn) on biomedical research since 1994, with the US’s National Institutes of Health spending more than $33bn annually.
In 2011, China also announced a five-year plan to spend $309bn on research and infrastructure in biomedicine.
Government spending, however, only accounts for 40-60 per cent of the total spending on biopharmaceutical research and development, with the 10 largest pharmaceutical companies also collectively spending more than $68bn in 2013 alone.
While a small percentage of this global spending may translate into significant longevity dividends, some discoveries along with convergence of other technologies are expected to significantly reduce mortality.
We are already seeing significant decreases in mortality due to the use of advanced diagnostic technologies, new cardiovascular drugs, targeted anti-cancer therapies and anti-infectives.
Advances in science and technology
The most promising areas of biotechnology that will certainly result in mortality decreases are molecular and genetic diagnostics, biosensors, regenerative medicine technologies, personalised medicine, gene therapy and medical implants.
Pension funds must take a more active role in directing research funds and healthcare system reforms
While the progress may be slowed by regulatory barriers and the need for lengthy clinical validation, these new therapeutic technologies are still reaching the market.
Take RNA interference technology, first published in 1998, which allows specific genes to be silenced. This technology resulted in a 2006 Nobel Prize for both Andrew Fire and Craig Mello and is already close to clinic, attracting interest from investors and pharmaceutical companies.
Alnylam, a company specialising in RNA interference technologies, was only incorporated in 2002, yet its market capitalisation has already exceeded $5bn and it employs 165 people.
The progress in regenerative medicine is even more apparent, with more than 2,000 companies and research institutions contributing to research, and stem cell products already being used in the clinic.
The discovery in 2008 of induced pluripotent stem cell technologies paved the way for cellular reprogramming, allowing adult cells to be transformed into almost any type.
Over the past six months Google’s Calico, Human Lifespan Inc and In Silico Medicine have all announced plans to use human genomic and medical data to find new solutions to increase lifespan. These new technologies may result in much greater life expectancies than current actuarial tables suggest.
Unfortunately, most of the $700bn in research funding over the past two decades has been spent on technologies that have extended the life of the patient rather than providing effective cures and preventing disease.
While this has increased the length of retirement, it has not necessarily resulted in productive longevity. There is a rapid need to reform research funding and healthcare systems, shifting the focus away from developing drugs that extend life expectancy and towards solutions that prevent frailty and age-related diseases, proactively increasing the retirement age.
Hedging longevity risk
While financial institutions providing longevity hedges comprised of complex financial instruments with investment-grade ratings do exist, the institutions that provide these hedges may themselves become insolvent over time due to longevity increases.
In order to maintain solvency and hedge against the risk of extreme longevity, pension funds must take a more active role in directing research funds and healthcare system reforms, investing in mid to long-term biomedical research funds that will appreciate with increasing longevity.
Alex Zhavoronkov PhD is director and trustee of the Biogerontology Research Foundation in London