The Healthcare System Isn’t Ready

A colleague was at her primary care visit. She asked how to get blood-based biomarker testing at a major university medical center (where she sees her doctors), and was told that she could try to go through neurology but at her age it was basically impossible. Maybe the response would have been different if she were older, but it struck her that even those proactive about getting tested face significant barriers.

Even at top medical centers, proactive families face impossible barriers:

• You can't get blood biomarker testing because you're "too young" or "not symptomatic"—despite tests that predict dementia 10 years before symptoms appear.

• Your primary care doctor waits for obvious memory problems before acting—by then, treatment eligibility windows have already narrowed dramatically.

• Specialist referrals take 3-6 months. Eligibility testing takes another 2 months. By the time traditional care pathways respond, half of early dementia patients have already progressed beyond treatment eligibility.

Healthcare system delays happen when you need action.

Cognitive Stewardship changes this.

We help families act years earlier—with proactive monitoring, personalized intervention, and access when concerns emerge—so you can intervene when science shows it matters most.