Medicalizing the optimal: Anti-aging medicine and the quandary of intervention

The emergence of anti-aging medicine over the past two decades has posed tremendous challenges for traditional categories that define the relationship between aging and biomedicine. The frameworks of nature and disease have been critical in marking how biomedicine can and should intervene. Anti-aging advocates posit that because aging is a predictable, biological universal, it is natural and can therefore be understandable. Moreover, proponents accept and perpetuate the pervasive construction that aging is a painful decline. Here, its undesirability coupled with its knowability render the process of aging ameliorable. Thus, anti-aging advocates argue that aging is natural, not a disease, but should nonetheless serve as a site of intervention. Situating the optimization of the aging process as their primary goal, many anti-aging advocates assert that it is more emblematic of human nature to liberate the body from its perceived biological constraints than it is natural to age.