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Ideas and assumptions about cognitive impairment, combined with approaches to ageing that are organised around productivity, success, and activity, have contributed to views of dementia as an unsuccessful, 'failed', or 'frailed' old age. These ideas about disease and decrepitude have received critique with regard to dementia. However, the analysis rarely extends to consider the relationship between cultural discourses and powerful practices enacted through policy/institutional practices and in contemporary settings. This chapter draws on the emerging literature on precarity as a means of rethinking the contemporary risks and insecurities with regard to dementia. In particular, we use examples situated in long-term care in the context of the COVID-19 pandemic to extend the analysis of unequal exposure to risk, isolation, and abandonment as responses to vulnerability in late life. Although data collection is not possible, we engage in critical thinking around how the responses came to be configured as such, and what it must be like to endure precarity from within the location of dementia in long-term care during COVID-19. We suggest that the pandemic has created the conditions for a shift to precarious ageing characterised by abandonment and neglect to take hold and affect the lives of older people, and particularly people with dementia in long-term care.