non-Hispanic Whites (10.3 percent), American Indian and Alaska Natives (9.1 percent), and Asian and Pacific Islanders (8.4 percent). This higher prevalence translates into a higher death rate: Alzheimer's deaths increased 55 percent among all Americans between 1999 and 2014, while the number was 107 percent for Latinos and 99 percent for African Americans. (6) The latest science reveals there are actions that can be taken both now and across the lifespan of an individual to help optimize brain health, reduce the risk of cognitive decline, and help mitigate symptoms. There are also important behavioral and social dimensions that could delay cognitive decline and build a resilient brain. For example, a 2016 study supported by the National Institutes of Health found that a diet high in natural plant-based foods and limited in saturated fats was associated with reduced cognitive decline. A 2017 study published by the Lancet Commission found that physical activity had a significant protective effect against cognitive decline. A study supported by the National Institutes of Health which was published in 2018 found a connection between lower blood pressure and decreased cognitive impairment. An American Academy of Neurology study recently published found that physical activity and cognitive activity were both associated with reduced risk of total dementia. (7) There are evidence-based, reliable, and National Institutes of Health-identified cognitive impairment detection tools that are available on the Alzheimer’s and Dementia Resources website of the National Institute on Aging that must replace detection by direct observation in the Medicare Annual visits and Welcome to Medicare visits. The National Institutes of Health-identified tools will allow for appropriate follow-up instead of delaying diagnosis or impeding opportunities for patients to access timely treatment options, including clinical trial participation. (8) An early, documented diagnosis, communicated to the patient and caregiver, enables early access to