As an advocate for the Alzheimer's Foundation of America back in 2010, I helped push for the "detection of any cognitive impairment" provision to be added to the annual Medicare Wellness Visit in the Affordable Care Act. Thanks to the leadership of Sen. Tom Carper of Delaware, that provision survived. Two years ago, the Centers for Medicare & Medicaid Services determined that a doctor's observation was enough to fulfill this requirement. In other words, a doctor could decide if patients might have a cognitive problem or not just by looking at them, with no actual cognitive screening test. Sounds ridiculous, right?