Livingston has told me that A4LI’s main goals center around increasing support for aging research (possibly via the creation of a new NIH institute entirely dedicated to the subject) and changing laws to make it easier and cheaper to develop and access potential anti-aging therapies.
O’Neill gave the impression that the first goal might be a little overambitious—the number of institutes is down to Congress, he said. “I would like to get really all of the institutes at NIH to think more carefully about how many chronic diseases are usefully thought of as pathologies of aging damage,” he said. There’ll be more federal funding for that research, he said, although he won’t say more for now.
Some members of the longevity community have more radical ideas when it comes to regulation: they want to create their own jurisdictions designed to fast-track the development of longevity drugs and potentially encourage biohacking and self-experimentation.
It's a concept that O’Neill has expressed support for in the past. He has posted on X about his support for limiting the role of government, and in support of building “freedom cities”—a similar concept that involves creating new cities on federal land.
Another longevity enthusiast who supports the concept is Niklas Anzinger, a German tech entrepreneur who is now based in Próspera, a private city within a Honduran “special economic zone,” where residents can make their own suggestions for medical regulations. Anzinger also helped draft Montana’s state law on accessing experimental therapies. O’Neill knows Anzinger and said he talks to him “once or twice a year.”
O’Neill has also supported the idea of seasteading—building new “startup countries” at sea. He served on the board of directors of the Seasteading Institute until March 2024.
In 2009, O’Neill told an audience at a Seasteading Institute conference that “the healthiest societies in 2030 will most likely be on the sea.” When asked if he still thinks that’s the case, he said: “It’s not quite 2030, so I think it’s too soon to say … What I would say now is: the healthiest societies are likely to be the ones that encourage innovation the most.”
We might expect more nutrition advice
When it comes to his own personal ambitions for longevity, O’Neill said, he takes a simple approach that involves minimizing sugar and ultraprocessed food, exercising and sleeping well, and supplementing with vitamin D. He also said he tries to “eat a diet that has plenty of protein and saturated fat,” echoing the new dietary guidance issued by the US Departments of Health and Human Services and Agriculture. That guidance has been criticized by nutrition scientists, who point out that it ignores decades of research into the harms of a diet high in saturated fat.
We can expect to see more nutrition-related updates from HHS, said O’Neill: “We’re doing more research, more randomized controlled trials on nutrition. Nutrition is still not a scientifically solved problem.” Saturated fats are of particular interest, he said. He and his colleagues want to identify “the healthiest fats,” he said.
... continue reading