A blog covering the health/care ecosystem and people.

“Peace and health are inextricably connected,” the Editors of the AMA Journal of Ethics introduce an issue of the journal devoted to Peace in Health Care published November 2024.             In this timely journal issue, we can explore nearly one dozen essays exploring the interrelationship between peace and health in various clinical, care, and community settings — including hospice, maternal/child care, built environments, and adjacencies looking at the use of psychedelics and music for quieting one’s inner voices. You, the reader, will find your own favorite issues to explore based on your work, values, and interests.

As my phone keeps pinging today with texts of friends and colleagues sharing #Election2024 angst, I am grateful to the folks at Calm for providing some moments of silence. Here’s their share to help us cope with political stress today.             Calm provided similar support previously in 2020 when the meditation app collaborated with the media network CNN on election anxiety management — covered here in Health Populi. Political stress and anxiety is a mainstream mental health challenge in the U.S. (and other countries dealing with divisive politics). Many brands and products have taken positions

As the annual HLTH conference convenes this week in Las Vegas, numerous reports have been published to coincide with the meeting updating various aspects of technology, health care, providers and patients. In this post, I’m weaving together several of the papers that speak to the intersection of health care, consumers, and technology – the sweet spot here on Health Populi. I hope to provide attendees of HLTH 2024 along with my readers who aren’t in Vegas useful context for assessing the new ideas and business model announcements as well as a practical summary for those of you in planning mode for

U.S. Surgeon General Vivek Murthy has been an outspoken advocate calling out the state of mental health in America for all health citizens, young and old alike.                He wrote the book, Together, reflecting on the toxic side effect of the COVID-19 pandemic that exacerbated many Americans’ feelings of loneliness and lack of human connection. Most recently, he’s raised the issue of parents’ anxiety and stress, especially in light of children’s use of social media and the recognition of children’s need for access to therapy. Parents are also at-risk, Dr. Murthy asserted as a

Most Americans follow some kind of eating regime, seeking energy, more protein, and healthy aging, according to the annual 2024 Food & Health Survey published this week by the International Food Information Council (IFIC). But a person’s household finances play a direct role in their ability to balance healthful food purchases and healthy eating, IFIC learned.              In this 19th annual fielding of this research, IFIC explored 3,000 U.S. consumers’ perspectives on diet and nutrition, trusted sources for food information, and new insights into peoples’ views on the GLP-1 weight-loss drugs and the growing sense

The growing movement of health care to the home is evident by a growing list of point solutions featured at CES 2024. Digital health has been a fast-growing category of consumer-facing devices at CES for over a decade. But with the growing ubiquity of connectivity, cloud computing, sensors and this year AI “everywhere,” a person’s home as their health-hub is an increasingly practical scenario.               I track many categories of products at CES each year, and this year added into my portfolio the smart kitchen and smart bathroom. We’ve had components of these two

One-third of U.S. consumers feel in worse financial shape now than in 2022, with inflation a top concern, discovered in the 2024 New Year’s Financial Resolutions Study from Fidelity Investments.          In this 15th annual update of Fidelity’s research into Americans’ New Year’s resolutions for financial health, we learn the mantra that 2024 will be the year of living practically, opening new chapters for saving and paying down debt. Fidelity conducted an online poll among 3,002 U.S. adults 18 and over in October 2023 to gauge peoples’ perspectives on personal finances, and well-being currently and into 2024. This

The U.S. is “a nation recovering from collective trauma,” the according to the latest survey on Stress in America 2023 from the American Psychological Association (APA).             The APA has been quantifying Stress in America since 2007; for context, at the end of that year The Great Recession kicked in, and in response President Obama’s team put together assistance to bolster the national economy, jobs, and health technology (codified in the American Recovery and Reinvestment Act). American health citizens are experiencing a deja vu in 2023 akin to their financial stress experienced in the APA 2008 Stress

With May being Mental Health Awareness Month, there’s no shortage of press releases promoting a wide range of services and programs emerging from both the public and private sectors. In the wake of the COVID-19 public health crisis, the exposed epidemic-beyond-the-pandemic of mental health has inspired many collaborations between public, private commercial and not-for-profit organizations. These have begun to embed mental health into the larger retail health ecosystem. I’ll point to several examples as signposts for this phenomenon.           Walgreens and Mental Health America – This collaboration expands Walgreens’ work with Mental Health America focusing in

People have expanded their definitions of health in 2023, with mental health supplanting physical health for the top-ranked factor in feeling healthy. Welcome to the Edelman Trust Barometer Special Report: Trust and Health, released this week, with striking findings about how the economic, post-pandemic life, pollution and climate change all feed mis-trust among citizens living in 13 countries — and their eroding trust for health care systems.         While these factors vary by country in terms of relative contribution to citizen trust, note that in the U.S., social polarization plays an outsized role in factors that “make us

Life expectancy in the U.S. dropped nearly three years between 2019 and 2021, from close to 79 years down to 76. We ended 2022 with this new, sobering statistic from the Centers tor Disease Control (CDC). We begin 2023 with the opening of CES 2023, the world’s largest annual meet-up of consumer electronics innovators, companies, and retailers. How can digital health and other consumer-facing technologies help our health? First, consider the stark data point(s), and then we can better respond to the question’s answer in the Hot Points, below.                 In case you

It’s Mental Illness Awareness Week: annually NAMI, the National Alliance on Mental Illness, devotes the first week of October to advocate for people facing managing a mental illness every day and to raise public consciousness on the pervasiveness of mental illness in America. This year, NAMI’s key themes address the over-arching message of  “What I wish I had known,” each day looking into: Monday Oct. 3: Stigma Tuesday Oct. 4: Medication [National Day of Prayer for Mental Illness Recovery and Understanding] Wednesday Oct. 5: Therapy Thursday Oct. 6: Disclosing [National Depression Screening Day], and, Friday Oct. 7: Caregiving. To track

I’ve returned to the U.S. for a couple of months, having lived in and worked from Brussels, Belgium, since October 2021 (save for about ten days in March 2022). Work and life slow down in Europe in July and August, giving us the opportunity to return to our U.S. home base, reunite with friends and family, and re-join life and living this side of the Atlantic. The timing of my return to the U.S. coincides with a retail health hurricane of big announcements shaking up the health/care ecosystem. Among these events are Amazon’s plan to acquire One Medical, Apple’s publication of

Inflation and the fear of economic recession were the top two causes of anxiety in America, followed by gun violence, in June 2022.             Moms and Hispanic adults, in particular, were worried about losing income and of gun violence, discovered in the Healthy Minds Monthly Poll for July 2022 from the American Psychiatric Association (APA) and Morning Consult. For some context about these findings, note that this survey was fielded between June 18 and 20, 2022; that was, 24 days after the Robb Elementary School shooting in Uvalde, Texas Four days before the Supreme Court

Doctors heads and hearts are jammed with concerns beyond curing patients’ medical conditions: U.S. physicians are worried about big social issues, according to a Medscape survey report, Physicians’ Views on Today’s Divisive Social Issues 2022.               Topping physicians’ list of their top-five most important social issues, far above all others ranked healthcare access. Underneath that top-line statistic, it’s important to note that: 52% of doctors are “very concerned” about healthcare access, 28% are “concerned,” and 13% are “somewhat concerned.” Medscape underscores that in 2020, 31 million U.S. residents had no health insurance coverage, and

In the wake of the pandemic and growing consumer preferences, the hospital-to-home movement is gaining traction among health systems. Amidst bullish forecasts for the promise of hospital-to-home discharges, the ability for many patients to make this migration would be a difficult bridge to cross.           On the promising front, recent studies reviewed through a meta-analysis published in JAMA found that hospital-to-home programs can be clinically and cost-effective for inpatients discharged from hospital. Earlier this year, McKinsey addressed how “Care at Home” ecosystems can reshape the way health systems — and people — envision patient care. This

With peoples’ anxiety about COVID-19 at its lowest point since 2020, folks are most anxious in spring 2022 about current global events and the safety of their families, based on the latest Healthy Minds study from the American Psychiatric Association (APA).           Morning Consult conducted the poll for the APA in March and April 2022 among 2,210 U.S. adults. The survey covered peoples’ perspectives on mental health care, anxiety, COVID-19, children’s mental health, and the workplace. The results were published May 22, 2022. The key findings of the study were that, 3 in 4 people are

The COVID-19 pandemic accelerated consumers, globally, to take on more DIY roles as well as self-care for health and well-being. In addition, anxiety and stress are mainstream across demographics and have impacted the way people select and consume food, based on findings in the 2022 Food and Health Survey from the International Food Information Council (IFIC).             In this 17th annual consumer survey, IFIC points to two underlying macro trends that are re-shaping peoples’ relationship with food and health: the pandemic’s impact, and “significant” generational shifts in taste, consumption, and values about nutrition and sustainability.

During the pandemic, millions of people connected with Twitter to share thoughts and feelings about the pandemic…and their health. Three mega-trends bubbled up on the platform for health — telemedicine and virtual care, broadband access, and mental health, discussed in a Birdseye Report Industry Deep Dive into Health from Brandwatch, partnering with Twitter. For this report, Brandwatch utilized only English-language public Twitter data. Brandwatch collated and analyzed tweets between January 1st 2019 and November 20 2021, that mentioned any of the following phrases: telemedicine, telehealth, virtual care, digital medicine, digimedicine, mental health, doom scrolling, trauma dumping, and meeting fatigue. Tweets

People around the world have made health a “proactive priority,” most important to live a longer, healthier life, to avoid preventable diseases, to protect against disease, and to look and feel healthier, according to NielsenIQ’s latest health and wellness report. As the triangle here illustrates, NielsenIQ has turned Maslow’s Hierarchy of Needs upside down, shifting protective and physical needs to the top rung and altruistic — the “me-to-we” ethos — at the base. Note the translations of these needs, on the ride, into the “care” flows — moving from urgent care down to self-care, preventive care, innovative care, and selfless

One of my favorite Dr. Seuss characters is the narrator featured in the book, I Had Trouble In Getting to Solla-Sollew. I frequently use this book when conducting futures and scenario planning sessions with clients in health/care. “The story opens with our happy-go-lucky narrator taking  a stroll through the Valley of Vung where nothing went wrong,” the Seussblog explains. Then one day, our hero (shown here on the right side of the picture from the book) is not paying attention to where he is walking….thus admitting, “And I learned there are troubles of more than one kind, some come from

Even with growing inflation in the U.S. and post-pandemic job growth in 2021, the cost of health insurance premiums rose faster than either the price of goods or wages. That family health plan premium reached $22,221, an increase of 22% since 2016, we learn in the annual report from Kaiser Family Foundation, 2021 Employer Health Benefits Survey. This report is our go-to encyclopedia of statistics on health insurance year-after-year, surveying companies’ annual health insurance strategies for coverage and tactics for managing spending and workers’ health outcomes. This 2021 update takes into account the impacts and influence of COVID-19 on workers’

“More than a year and a half into the COVID-19 outbreak, the recent spread of the highly transmissible delta variant in the United States has extended severe financial and health problems in the lives of many households across the country — disproportionately impacting people of color and people with low income,” reports Household Experiences in America During the Delta Variant Outbreak, a new analysis from the Robert Wood Johnson Foundation, NPR, and the Harvard Chan School of Public Health. As the HLTH conference convenes over 6,000 digital health innovators live, in person, in Boston in the wake of the delta

One in two people in the U.S. receive health insurance through employers. As large employers tend to be on the vanguard of benefit plan design, it’s useful to understand how these companies are thinking ahead on behalf of their employees. With that objective, it’s always instructive to explore the annual study from the Business Group on Health, the 2022 Large Employers’ Health Care Strategy and Plan Design Survey. As a result of the COVID-19 pandemic, large employees have many concerns about worker and dependents’ health. The biggest firms in America providing health insurance for workers are expecting an increase in

“CVS wants to be your therapist, too,” the Wall Street Journal reported on 31st August, discussing the plans of retail stores, Big Box and pharmacies, adding mental health services to their growing health/care portfolios. The coronavirus spawned an epidemic inside and beyond the pandemic throughout the U.S.: very clear and widespread mental and behavioral health impacts that have become a new and transparent normal in America. Enter CVS Health, joining retail health competitors such as Walgreens and Walmart, both of which have been growing services to help consumers access help to deal with anxiety, depression, and stress. The first chart

As the COVID-19 pandemic shifts to a more endemic phase — becoming part of peoples’ everyday life for months to come — impacts on peoples’ mental health will persist, according to new research from CVS Health in the company’s annual Health Care Insights Study. CVS conducted the annual Health Care Insights Study among 1,000 U.S. adults in March 2021. To complement the consumer study, an additional survey was undertaken among 400 health care providers including primary care physicians and specialists, nurse practitioners, physician assistants, RNs and pharmacists. CVS has been tracking the growing trend of health care consumerism in the

In the COVID-19 pandemic, health care spending in the U.S. increased by a relatively low 6.0% in 2020. This year, medical cost trend will rise by 7.0%, expected to decline a bit in 2022 according to the annual study from PwC Health Research Institute, Medical Cost Trend: Behind the Numbers 2022. What’s “behind these numbers” are factors that will increase medical spending (the “inflators” in PwC speak) and the “deflators” that lower costs. Looking around the future corner, the inflators are expected to be: A COVID-19 “hangover,” leading to increased health care services utilization Preparations for the next pandemic, and

Most people in the U.S. who have received at least one COVID-19 vaccine shot have a welcoming side-effect: peace of mind and mental health, according to a survey conducted by Walgreens in April 2021. Three in four people said that getting vaccinated positively impacted their mental health, feeling some kind of relief, thankfulness, or optimism, among other sentiments. Walgreens conducted the poll online among 1,500 U.S. adults over 18 years of age between April 19 and 21st, 2021. The activities people are most excited to do once vaccinated with full immunity are to see family and friends (among 60% of

The pandemic accelerated many Very Big Deals in digital health venture capital investment, mergers and acquisitions, and the re-emergence of SPACs in health care. A closer look at this activity points to a key trend that will persist post-pandemic: that telehealth and the broader theme of virtual care is re-shaping how health care is delivered. This graphic comes out of my current thinking about telehealth across the continuum of care. Before the pandemic, the dominant work-flow for telemedicine was for triage, primary care and pediatrics (think: your child registers a 105-degree fever on a Saturday night and the pediatrician’s office

As the COVID-19 expanded peoples’ consciousness about infectious disease and opportunities to keep a tricky virus at bay, consumers grew new muscles about public and individual wellness…now, “more invested in achieving it,” according to In Health We Trust, a survey report from Healthline Media. To gauge Americans changing perspectives on personal health, HealthLine conducted surveys among 1,533 U.S. consumers age 18 and over in February 2020 (just about the time the coronavirus pandemic was emerging in the U.S.) and 1,577 consumers in December 2020. One of the subtle shifts in health care consumerism concerns cost, which before the pandemic has

A Year into our collective coronavirus experience, Americans remain stressed, with physical health taking a back seat to our daily grinds based on the 2021 Stress in America survey from the American Psychological Association (APA). The APA has been updating us on U.S.-stress for several years, and more frequently since the start of the COVID-19 pandemic at the start of 2020. In their latest report, APA updates their previous profiles of Americans’ stress looking into different demographic groups and coping mechanisms. The topline, across all adults living in America, is that one-half have delayed or cancelled health care services. One-half has

“Without a four-year college diploma, it is increasingly difficult to build a meaningful and successful life in the United States,” according to an essay in PNAS, Life expectancy in adulthood is falling for those without a BA degree, but as educational gaps have widened, racial gaps have narrowed by Anne Case and Angus Deaton. Case and Deaton have done extensive research on the phenomenon of Deaths of Despair, the growing epidemic of mortality among people due to accidents, drug overdoses, and suicide. Case and Deaton wrote the book on Deaths of Despair (detailed here in Health Populi),  Case and Deaton

Patients in the U.S. have been self-rationing medical care for many years, well before any of us knew what “PPE” meant or how to spell “coronavirus.” Nearly a decade ago, I cited the Kaiser Family Foundation Health Security Watch of May 2012 here in Health Populi. The first chart here shows that one in four U.S. adults had problems paying medical bills, largely delaying care due to cost for a visit or for prescription drugs. Fast-forward to 2020, a few months into the pandemic in the U.S.: PwC found consumers were delaying treatment for chronic conditions. In October 2020, The American Cancer

On U.S. Election Night, November 3, 2020, CNN’s John King stood in front of the “Key Race Alert” screen, announcing state-by-state polling results with the oft-used headline, “Too Early To Call.” That persistent media-moment was stressful for the millions of voters watching the multiple hairline-close battles from state to state. Then there was that company logo strategically placed at the lower left corner of the screen, as in “Brought to you by Calm.” Calm is but one of a growing portfolio of tools that health citizens can use to manage anxiety and stress, get to sleep (and stay sleeping), and

By April 2020, over one million Medicare members were receiving health care via telemedicine. The graph here shows you the hockey-stick growth for virtual care use by older Americans into the second month of the coronavirus pandemic. The COVID-19 public health crisis up-ended all aspects of daily living in America for people of all ages. For older Americans, avoiding the risk of contracting the tricky virus in public, and especially, in health care settings, became Job 1. The pandemic thus nudged older people toward adopting digital lifestyles for daily life, for shopping, for praying, and indeed, for health care. Laurie

Most psychologists in the U.S. treated more patients in the first six months of the coronavirus pandemic, shifting their practices to telehealth platforms. These therapists got more referrals and saw fewer cancellations, and one-third treated patients who lived in a different state from their practice site, according to Patients with Depression and Anxiety Surge as Psychologists Respond to the Coronavirus Pandemic from the American Psychological Association (APA). For this study, APA polled 1,787 licensed psychologists (both members and non-members in the Association) in the U.S. between late August and early October 2020. This year, APA has published four reports on

In the 2018 mid-term elections, U.S. voters were driven to polls with health care on their minds. The key issues for health care voters were costs (for care and prescription drugs) and access (read: protecting pre-existing conditions and expanding Medicaid). Issue #2 for 2018 voters was the economy. In 2020, as voting commences in-person tomorrow on 3rd November, U.S. voters have lives and livelihoods on their minds. It’s the pandemic – our physical lives looming largest in the polls – coupled with our fiscal and financial lives. Health is translating across all definitions for U.S. voters in November 2020: for

2020 marked the centennial anniversary of the 19th Amendment to the U.S. Constitution, giving women the right to vote. In this auspicious year for women’s voting rights, as COVID-19 emerged in the U.S. in February, women’s labor force participation rate was 58%. Ironic timing indeed: the coronavirus pandemic has been especially harmful to working women’s lives, the Brookings Institution asserted last week in their report in 19A: The Brookings Gender Equality Series. A new study from Tia, the women’s health services platform, looks deeply into COVID-19’s negative impacts on working-age women and how they would advise the next occupant of

In 2020, most Black people, men and women alike, feel it is a bad time to be Black in America. More than twice as many Black men believed that in 2020 compared with 2006. More than four times as many Black women believed that it’s a bad time to be Black in America in 2020 versus 2011, we learn in  The Undefeated Survey on Race and Health from Kaiser Family Foundation (KFF). KFF collaborated with The Undefeated, ESPN’s project that focuses on sports, race, and culture. The Undefeated program was started in May 2016, and has become a thought leader

For a worker in the U.S. who benefits from health insurance at the workplace, the annual family premium will average $21,342 this year, according to the 2020 Employer Health Benefits Survey from the Kaiser Family Foundation. The first chart illustrates the growth of the premium shares split by employer and employee contributions. Over ten years, the premium dollars grew from $13,770 in 2010 to $21K in 2020. The worker’s contribution share was 29% in 2010, and 26% in 2020. Single coverage reached $7,470 in 2020 and was $5,049 in 2010. Roughly the same proportion of companies offered health benefits to

On February 4th, 2020, in a hospital in northern California, the first known inpatient diagnosed with COVID-19 died. On March 11th, the World Health Organization called the growing prevalence of the coronavirus a “pandemic.” On May 25th, George Floyd, a 46-year-old Black man, died at the hands of police in Minneapolis. This summer, the Dixie Chicks dropped the “Dixie” from their name, and NASCAR cancelled the confederate flag from their tracks. Today, nearly 200,000 Americans have died due to the novel coronavirus. My new book, Health Citizenship: How a virus opened hearts and minds, launched this week. In it, I

In the U.S., symptoms of depression were three-times greater in April 2020 in the COVID-19 pandemic than in 2017-2018. And rates for depression were even higher among women versus men, along with people earning lower incomes, losing jobs, and having fewer “social resources” — that is, at greater risk of isolation and loneliness. America’s health system should be prepared to deal with a “probable increase” in mental illness after the pandemic, researchers recommend in Prevalence of Depression Symptoms in US Adults Before and During the COVID-19 Pandemic in JAMA Network Open. A multidisciplinary team knowledgeable in medicine, epidemiology, public health,

We’ve had a lovely week on Seneca Lake, re-setting our physical, mental, and emotional clocks in the #KahnCave. It’s been blissful. I’ve enjoyed receiving feedback on the past four days of ABCovid-19 journal shares on my LinkedIn page and Twitter feed @HealthyThinker. My #arttherapy is yours for the sharing and taking. We are all, truly, on this pandemic journey together. That’s public health, for you. Today, I bring you the fifth and last day of sharing my COVID-19 alphabet with you: the letters “U” through “Z.” Read on, and please let me know after seeing all 26 alpha’s which page(s)

Welcome back to my ABCovid-19 Journal, which I created/curated in the early weeks of the coronavirus pandemic. This week, I’m sharing all the letters of the alphabet with you which reminded me keywords and themes emerging as we were learning about this dastardly public health threat beginning early in 2020. In today’s Health Populi blog I bring you letters “K” through “O,” continuing through the rest of the alphabet tomorrow and Friday while I’m on a lake-side holiday that’s good for mind, body, and spirit. K is for Kirkland, Washington state In the U.S., one of the earliest hotspots for

“Now” is the lowest point in history that most Americans can remember: 7 in 10 people in the U.S. feel this way, up from 56% in 2018 and 2019. Furthermore, 4 in 5 people in the U.S. say the future of America is a significant source of stress, as discussed in Stress in the Time of COVID-19, Volume Two, a report covering a poll of U.S. adults sponsored by the American Psychological Association. APA’s Stress in America research has been one of my annual go-to’s for better understanding U.S. residents through the lens of health consumers and, especially this year

“Americans are feeling incredible financial pressure as a result of the COVID outbreak,” John Thompson, Chief Program Officer with the Financial Health Network. One in three people in the U.S. has skipped or stopped paying a bill, and over half of Americans have used emergency savings, according to a survey from the BlackRock Emergency Savings Initiative (ESI). BlackRock, the investment firm, allocated $50 million in February 2019 to form the ESI, focused on helping people with lower incomes to bolster savings and financial health. BlackRock partners in the ESI with the Financial Health Network, CommonWealth, the Center for Advanced Hindsight Common

Doctors maintain their top status as U.S. patients’ most-trusted source of coronavirus information. However, as patients continue to be concerned about exposure to COVID-19, 3 in 5 are concerned about being at-risk to the virus in their doctor’s office, according to research from the Alliance of Community Health Plans (ACHP) and AMCP, the Academy of Managed Care Pharmacy. Patients’ concerns of COVID-19 risks have led them to self-ration care in the following ways: 41% have delayed health care services 42% felt uncomfortable going to a hospital for any medical treatment 45% felt uncomfortable using an urgent care or walk-in clinic,

The coronavirus pandemic has dramatically disrupted every aspect of life for everyday people, ratcheting up stress across all families: The mandate to #StayHome, being physically distanced from work colleagues, beloved family and friends, and our community touchpoints The fear and risk-management of contracting the COVID-19 virus, for ourselves and our families The economic shock or either losing our jobs, seeing our savings eroding from 401(k) plans, losing our health insurance, or all of the above If we’ve kept our jobs in the pandemic, the novel work environment at-home — with children afoot, some of whom are now forced to be

On Monday, 6th April 2020, the Prime Minister of New Zealand, Jacinda Ardern, has determined that the Easter Bunny and the Tooth Fairy are essential workers in our age of the coronavirus pandemic. The PM has posted an Easter egg coloring project on her Facebook page to support children (and people like me who like to color) in the #StayHome era. In the U.S., the day before on Sunday 7th April, Dr. Deborah Birx advised Americans that, “The next two weeks are extraordinarily important. This is the moment to not be going to the grocery store, not going to the