The blockchain of life: when longevity meets cryptocurrency
From Montana's groundbreaking law to the alliance between the crypto community and the city of longevity: between experimentation, investment and new ethical questions
4' min read
Key points
4' min read
In the heart of the American Deep West, Montana is preparing to become a 'Wild West' centre for clinical trials. With the recent passage of Senate Bill 535, the state becomes the first in the US to allow patients - even non-terminal ones - access to experimental therapies that have only passed Phase I. In essence, by bypassing the more rigorous Phase II and III trials, Montana's law drastically speeds up the time it takes for patients to access new therapies compared to the traditional Fda approval process.
In fact, the law creates an official regulatory framework that authorises clinics and healthcare facilities to become like experimental treatment centres, allowing the use of drugs that, while not yet demonstrating efficacy, have passed initial safety tests. This is a radical change from federal regulation, which only allows access to such therapies for terminally ill patients, based on the Right to Try Act of 2017.
A model for the future or a dangerous precedent?
According to supporters, including scientists, biotech start-ups, and above all the longevity movement, this is a courageous and necessary step. The new regulatory framework was strongly advocated by groups promoting a model of preventive medicine, centred on the individual being able to decide which therapies to try, especially when it comes to chronic diseases or natural age-related decline.
But the move is far from risk-free. Phase I treatments involve only a few volunteers and serve mainly to evaluate the safety of the compound. Only a small percentage of these drugs reach the market: the rest fail due to side effects or ineffectiveness. In addition, there are problems with liability, insurance cover and the protection of patients, especially the economically vulnerable. In this respect, however, the law requires that 2 per cent of clinics' profits be allocated to funds for low-income patients and strengthens informed consent, requiring supervision by a doctor and a detailed description of the risks.
Meta medical tourism and open-air laboratory
The most immediate effects could be seen geographically and economically: Montana risks - or hopes - to become a new Mecca for medical tourism. Patients from all over the world, attracted by therapies that are still illegal elsewhere, could converge on the state, stimulating a parallel economy of biotech start-ups, private clinics and foundations.


