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Exclusive: Trump Pollster Says Waging War on Alzheimer’s Could Deliver GOP 2026 Midterm Wins
"Republicans could go from a 3-point deficit to a 19-point lead over Democrats by stepping up their fight against Alzheimer’s."
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A strategy memo from Market Institute to congressional Republicans details how good Alzheimer’s policy is good politics. Polling by Trump’s pollster, Tony Fabrizio, illustrates how GOP candidates can win key swing districts in the 2026 midterms, delivering a red wave.
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MEMORANDUM – Congressional Republicans / Chiefs of Staff
From: Market Institute
Date: November 19, 2025
Subject: Polling confirms: Fighting Alzheimer’s can be the winning issue for Republicans in tight races
More than 7 million Americans are living with Alzheimer’s today, a number projected to nearly double by 2060. Voters across the country are carrying the emotional and financial burdens of caring for aging loved ones.
For all Republicans committed to principled, compassionate, and fiscally responsible health leadership, this is a moment to step up and be the party that prioritizes Alzheimer’s prevention. Not only is it the right thing to do, good policy, and cost-effective, but new polling shows that Alzheimer’s could be a tide-turning issue in close congressional races.
Bottom line
● Polling shows that voters across the political spectrum in the most competitive congressional districts overwhelmingly favor policies that increase access to Alzheimer’s testing and treatment.
● Championing policies to tackle the Alzheimer’s crisis would give Republican candidates a substantial advantage over Democrats in these must-win districts—and doing so may well determine the balance of power in Congress next session.
What the polling says (targeting logic)
The 28 most competitive House districts (listed below) will determine which party controls Congress after the 2026 midterm elections. According to new polling from these districts, Republicans could go from a 3-point deficit to a 19-point lead over Democrats by stepping up their fight against Alzheimer’s. Republicans should focus Alzheimer’s messaging in these competitive districts, potentially targeting those with key demographic indicators such as an older population.
AK-AL; AZ-01; AZ-06; CA-09; CA-13; CA-41; CO-03; CO-08; IA-01; IA-03; ME-02; MI-07; MI-08; NC-01; NE-02; NJ-09; NM-02; NV-03; NY-03; OH-09; PA-07; PA-08; PA-10; TX-28; TX-34; VA-02; WA-03; WI-03.
What the polling says (message proof points)
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Interpretation: Voters strongly support improving Alzheimer’s care via a multi-pronged approach. Support for concrete policy suggestions—such as removing barriers to FDA-approved treatments and covering early diagnostic blood tests—is overwhelming and bipartisan.
A clear majority also connects policy action to political credit, signaling that members in competitive districts would benefit politically from promoting Alzheimer’s policies, especially by emphasizing health benefits, taxpayer savings, and emotional factors.
Strategic implications
Map first, message second: Focus on the 28 most competitive districts identified in the polling. Prioritize seats with older populations and high senior voter turnout, if necessary.
Address emotional and financial impacts directly: Almost 40% of voters in battleground congressional districts have family members or friends affected by Alzheimer’s. Highlight the human toll of Alzheimer’s and connect this to the economic argument that early detection and treatment save taxpayers billions while improving quality of life.
Emphasize common sense: Use simple, clear language. Avoid jargon and overly technical Medicare language.
Use competitive district optics: Emphasize member leadership on Alzheimer’s in districts that could flip the balance of power. Show constituents that their representative is taking meaningful action on a widely supported issue with personal resonance.
Suggested member messaging (60-second version)
● “Voters overwhelmingly support this plan: 92% back changing Medicare rules to make treatments accessible, 90% want coverage for early blood tests, and more than 90% think we should prioritize detection, treatment, and prevention.”
● “This isn’t just smart health policy—it’s common sense. Early detection and prevention can save taxpayers billions while giving families more time together.”
● “Patients shouldn’t have to jump through hoops to access FDA-approved treatments or diagnostic tests. Our plan removes barriers to care, helping families, protecting wallets, and driving progress in the fight against Alzheimer’s.”
● “Millions of American families suffer because of Alzheimer’s. These policies give us the chance to give these families more time with loved ones and ease their financial burden—we should take it.”
Action grid
● Arm members in competitive districts with polling and topline messaging.
● Earned media: Op-eds, local media in competitive districts citing proposed solutions and their impacts.
Let us know in the comments what you think of this memo and if you live in one of the districts mentioned in it do you think this would have a major impact in the upcoming race in 2026?
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