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Americans fear developing Alzheimer’s disease more than any other major life-threatening disease, including cancer, stroke, heart disease and diabetes, according to a poll from Home Instead Senior Care.

“The survey confirmed what our franchise owners had been hearing from their clients and their families—the majority of Americans feel unprepared to care for a loved one diagnosed with Alzheimer’s,” says Jeff Huber, president and chief operating officer of Home Instead Inc. “The need for support and education for these families is critical.”

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