34
The War on Aging
they make these structures less elastic and thus more prone 
to mechanical damage. The most promising first-generation 
therapy to eliminate such cross-links is a molecule known as 
ALT-711. [15] However, it breaks only one class of such link, 
known as dicarbonyl bonds. [16] Numerous other classes have 
been  identified.  [17]  Worse,  many  are  thermodynamically 
much more stable than dicarbonyl bonds, giving reason to 
doubt that non-toxic small molecules could ever cleave them. 
More elaborate approaches (already under consideration, but 
beyond the scope of this article) may thus be needed in order 
to limit the abundance of crosslinks indefinitely.
THE ESCAPE VELOCITY TRANSITION
The above considerations constitute an acknowledgement 
that aging will never be cured in the sense that a bacterial 
infection  is  cured,  i.e.  entirely  eliminated  from  the  body. 
Rather, it will be cured in the sense that malaria or AIDS 
can presently be cured: it can be controlled very well given 
access to appropriate medication whenever needed, but that 
medication can never be confidently dispensed with forever. 
It may not be clear to the reader, however, that what I have 
said above allows even that degree of cure of aging.
The  reason  it  does  so  can  be  summed  up  in  one  word: 
bootstrapping. The second-generation therapies will not be 
needed for at least two decades after the first-generation thera-
pies arrive, because that is how long it will take before the 
seven deadly things return to the life-threatening level that 
they attained before those therapies arrived. Thus, so long as 
the second-generation therapies do indeed arrive within two 
decades, we will be broadly in the same position as regards 
mortality rates, as if they had arrived at the same time as the 
first-generation. The same logic clearly extends to subsequent