A blog covering the health/care ecosystem and people.

December 1 2024 was World AIDS Day, which was observed by the Biden White House with the display of the entire AIDS Memorial Quilt on the South Lawn — all 54 tons of it. The Biden-Harris Administration announced efforts, in advance of World AIDS Day, to continue to fight HIV/AIDS “at home and abroad.” The press release for the effort noted that, ”We remember those who have died from AIDS-related illnesses—honoring their courage and contributions as essential to the progress made thus far. We also stand in solidarity with the more than 39 million people with HIV around the world.

Patients “yearn” for personalized services and relationships in health care — optimistic that technology can help deliver on that hope — we learn in Healthcare’s Future: Balancing Progress and Perception, a health consumer survey report from Lavidge. Lavidge, a communications/PR/marketing consultancy, polled U.S. patients’ attitudes about health care and technology in June 2024, publishing the report earlier this month.                   Start with over-arching finding that, “Three out of four patients believe the U.S. healthcare system is broken and there is a strong sense of distrust,” Lavidge asserts right at the top of

“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.

Two in three people in the U.S. are dealing with Presidential Election Stress — a significant contributor to Americans’ overall stress we learn from the American Psychological Association’s study into Stress in America 2024.                I’ve covered the APA’s Stress in America studies for many years, appreciating the role that anxiety and stress play in peoples’ overall health status and well-being. In 2024, “stress” is a mainstream factor in daily life whether you identify with Main Street or Wall Street. Here was my most recent post on the APA study here in Health Populi,

Women in the U.S. are more likely to avoid care than men in America, Deloitte found in the consulting firm’s latest survey on consumers and health care.             Deloitte coins this phenomenon as a “triple-threat” that women face in the U.S. health care environment, the 3 “threats” being, Affordability, Access, and, Prior experience — that is the health disparity among women who have seen personal mis-diagnosis, bias, or treatment that hasn’t been consistent with current protocols and practices. The data come out of Deloitte’s fielding of the U.S. consumer survey in February and March, 2024.

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

Women in the U.S. have lower life expectancy, greater risks of heart disease, and more likely to face medical bills and self-rationing due to costs, we learn in the latest look into Health Care for Women: How the U.S. Compares Internationally from The Commonwealth Fund.              The Fund identified four key conclusions in this global study: Mortality, shown in the first chart which illustrates women in the U.S. having the lowest life expectancy of 80 years versus women in other high-income countries; Health status, with women in the U.S. more likely to consume multiple prescription

The most common food-eating styles practiced by U.S. consumers are low sugar/diabetic diets, low-calorie, dairy-free, anti-inflammatory, and gluten-free, ccording to the Midyear Trends update from Datassential.             In their update on the food trends entering the second half of 2024, Datassential offered several insights on consumers and food-as-medicine in a section called the Health Check-Up. These trends are shaping consumers’ food demands in both their grocery shopping preferences (for food consumed in the home) as well as their eating-out ordering strategies — where 35% of consumers want to see menu offerings with foods that are

Two-thirds of Americans have a lot of confidence in small business in the U.S. In second place, 61% of people in the U.S. have confidence in the military, followed by 51% with the police. The Gallup Poll on Americans’ confidence in 17 U.S. institutions is out today, reflecting a snapshot of U.S. adults’ views on the organizations that touch their daily lives. And health care doesn’t fare too well in this latest read.                 Only 36% of Americans have confidence in the U.S. medical system, tied with peoples’ feelings of lack of confidence

You would assume that most people over 50 would be worried about the financial future of Medicare to cover health care as those middle-aged Americans age. But a surprising two-thirds of young Americans between 18 and 29, and 7 in 10 between 30 and 39 years of age, are concerned that Medicare’s solvency will worsen leading to their not being able to receive Medicare when eligible to receive it, discovered in the 2024 Healthcare in America Report from West Health and Gallup. This year’s research focused on aging in America, exploring areas of U.S. health care system successes as well

Among Americans 50 years of age and over, the top health-related concerns are Cost, Cost, and Cost — for medical services, for long-term and home care, and for prescription medications. Quality of care ranks lower as a concern versus the financial aspects of health care in America among people 50 years of age and older, as we learn what’s On Their Minds: Older Adults’ Top Health-Related Concerns from the University of Michigan Institute for Healthcare Policy and Innovation. AARP sponsors this study, which is published nearly every month of the year on the Michigan Medicine portal.           

“Motherhood is the exquisite inconvenience of being another person’s everything” is a quote I turn to when I think about my own Mom and the remarkable women in my life raising children. With Mother’s Day soon approaching, the 2024 Women’s Wellness Index reminds us that the act of “being another person’s everything” has its cost. The Index, sponsored by PYMNTS in collaboration with CareCredit, was built on survey responses from 10,045 U.S. consumers fielded in November-December 2023. The study gauged women’s perspectives on finances, family, social life impacts on health and well-being.           My key takeaway from

Whether you’re a patient or a physician in the U.S., you’re burned out, tapped out, stressed out, timed out. While the 118th U.S. Congress can’t agree on much before the 2024 summer recess, there’s one bipartisan stroke of political pens in Washington, DC, that could provide some satisfaction for both patients and doctors: bring telehealth back to patients and providers permanently. Those pens would do two things to modernize American health care for both patients and doctors: first, Congress would pass the CONNECT for Health Act (HR 4189. S 2016) and second, re-introduce and sign the Telehealth Modernization Act.   

“Clinical transformation with AI is easier without patients.” When Dr. Grace Cordovano heard this statement on a panel of physicians convening to share perspectives on the future of AI in health care held in early March 2024, the board-certified patient advocate felt, in her words, “insulted on behalf of the patient communities I know that are working tirelessly to advance AI that works for them.” “The healthcare ecosystem and policy landscape must formally recognize patients as end-users and co-creators of AI,” Cordovano wrote to me in an e-mail exchange. “Patients, their care partners, caregivers, and advocates are already utilizing AI

In the U.S., national news media, Federal statistics, dozens of business leaders  and the Federal Reserve Bank have been talking about an historically positive American economy on a macro level. But among individual residents of the U.S., there is still a negative feeling about the economy in a personal context, revealed in the Kaiser Family Foundation Health Tracking Poll for February 2024.                I’ve selected three figures of data from the KFF’s Poll which make the point that in peoples’ negative feelings about the national economy, their personal feelings about medical costs rank high

You’ve heard of food-as-medicine and exercise-as-medicine. Now we see the emergence of telecomms-as-medicine — or more specifically, a driver of health, access, and empowerment. Elevance Health, the health plan organization serving 117 million members, launched a program to channel mobile phones and data plans into the hands of some Medicaid plan enrollees, explained in the organization’s press release on the program. To implement this program and get connectivity into consumers’ hands and homes, Elevance Health is collaborating with several telecomms companies including Verizon, AT&T, Samsung, and T-Mobile. Funding is supported by the FCC’s Affordable Connectivity Program.        

In kicking off #CES2024, CTA’s researchers noted the acceleration of global connectivity, with gaps in peoples’ ability to connect depending where they live: by region, the percent of people connected to the internet today are, according to CTA’s data, 92% in the U.S. 87% in the E.U. 76% in Latin America 73% in China 55% in Nigeria 46% in India. Such gaps in connectivity threaten peoples’ individual well-being, but also social and political stability that impacts the entire world’s security. And not to overlook, as well, the promise of AI to do good at scale at the enterprise-level, globally.  

Two-thirds of U.S. consumers say they can’t afford to pay their medical bills on-time, based on the 2023 Consumer Survey from Access One, a financial services company focused on healthcare payments.               The report’s title page asks the question, “What options do consumers really want for paying healthcare expenses?” The survey report responds to that question, finding out that nearly one-half of patients have taken some kind of action to reduce their medical expenses. Furthermore, one-third of consumers are not confident they could pay a medical bill of $500 or more. Access One fielded

To complement today’s sobering Health Populi post discussing Accenture’s 2024 Life Trends Study — an outlook for a decade of “deconstruction” based on technology and other trends in the ether — I share with you Amazon’s ad for this holiday season gift-giving motivation. The agency responsible for the campaign, Hungry Man and director Wayne McClammy, weave together a beautiful plotline of friendship, the Beatles’ In My Life, and a time-traveling image that captivated me. The evidence base on loneliness and aging is deep and quantifiable: loneliness can kill like a daily inhalation of a pack of cigarettes. It is up

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

Discrimination in health care is reported by more people in the U.S. than in Germany, Spain, or the U.K., we learn in the research reported in The Intersection of Health Equity in Communities & Business Strategy: A Call-to-Action, from Omnicomm PR Group (OPRG) and Atlantic Insights.                          The study was conducted among 6,000 people living in Germany, Spain, the United Kingdom and the United States, fielding 1,500 interviews in each of the four countries in March 2023. The U.S. survey sample included 375 people identifying as Black, White, Hispanic, or

Three in four U.S. health citizens say the spread of false information about health issues is a major problem, found in Kaiser Family Foundation’s Health Misinformation Tracking Poll Pilot published earlier this month.           KFF’s press release on the study summarized the top-line with, “Most Americans Encounter Health Misinformation, and Most Aren’t Sure Whether It’s True or False.” Explaining the implications of the broad reach of health misinformation in the U.S., Dr. Geeta Nayyar has written the book Dead Wrong: Diagnosing and Treating Healthcare’s Misinformation Illness, due out on October 17th and available now for pre-purchase

In health care, one of the “gifts” inspired by the coronavirus pandemic was the industry’s fast-pivot and adoption of digital health tools — especially telehealth and more generally the so-called “digital front doors” enabling patients to access medical services and personal work-flows for their care. Two years later, Experian provides a look into The State of Patient Access: 2023.                     You may know the name Experian as one of the largest credit rating agencies for consumer finance in the U.S. You may not know that the company has a significant footprint

Hospitals’ and health systems’ core competencies have been serving patients “within the walls” of their organizations and institutions. As health systems continue to evolve value-based services while meeting patients’ consumer-oriented demands for convenience and personalization, digital transformation is required, enabling care “beyond-the-walls.” We learn more about this vision and how to map the journey to getting there in the report  Integrating digital health tools to help improve the whole consumer experience from the Deloitte Center for Health Solutions and the Scottsdale Institute.             This report is based on detailed interviews with experts in 30 US health

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

The pandemic worsened food insecurity for many people in the U.S., putting more people at risk for not only hunger but for chronic diseases that can be managed with access to nutritious, fresh food. In Helping SNAP Consumers During Economic Headwinds from Numerator, we get a current read on food security, the SNAP program, and the challenges of chronic health management that are intimately tied. To set some context on this current challenge to peoples’ health, the U.S. is facing the official end of the pandemic emergency on May 11, 2023. At that point, support for government-sponsored programs that have supported

Many health citizens in the U.S. would likely skip receiving preventive health care services if the Affordable Care Act’s (ACA) coverage for them goes away, a Morning Consult survey found.                   The first chart illustrates the top-line of this research: that most U.S. adults would not pay out of pocket for several preventive services including tobacco cessation, drug use screening, weight loss measures to prevent obesity-related illnesses, as well as screening for depression or HIV. One of the key benefits embedded in the ACA was “free” without co-pay shares for  preventive care. These

More people in the U.S. than ever have put off medical care due to cost, according to Gallup’s latest poll of patients in America.             Gallup conducted the annual Health and Healthcare poll U.S. adults in November and December 2022. This was the highest level of self-rationing care due to cost the pollster has found since its inaugural study on the topic in 2001. This was also the most dramatic year-on-year increase of postponing treatment due to cost in the study’s history.             Note the substantial difference in women avoiding

An over-arching theme of the 2023 CES conference was Human Security for All, abbreviated as HS4A. And what, you might ask, do “human” and “security” have to do with the largest annual consumer technology conference, held last week in Las Vegas? Here’s what. “This is the first CES not only in the new post-pandemic or live-with-pandemic era. But this is the first time we actually had a theme. And that theme is focused on what technology can do to make the world better,” Gary Shapiro, CEO and President of the Consumer Technology Association, expressed in his opening speech for #CES2023.

People are sick of being sick, the New York Times tells us. “Which virus is it?” the title of the article updating the winter 2022-23 sick-season asked. Entering 2023, U.S. health citizens face physical, financial, and mental health challenges of a syndemic, inflation, and stress – all of which will shape peoples’ demand side for health care and digital technology, and a supply side of providers challenged by tech-enabled organizations with design and data chops. Start with pandemic ennui The universal state of well-being among us mere humans is pandemic ennui: call it languishing (as opposed to flourishing), burnout, or

Health is “made” where we live, work, play, pray, learn….and shop. I spend a lot of time these days in the growing health/care ecosystem where retail health is broadening to address social determinants and drivers of health – namely food, transportation, broadband access, education, environment, and financial wellness – all opportunities for self-care and health engagement. For many years, I have followed the activities of CHPA, the Consumer Healthcare Products Association, and have participated in some of their conferences. Their recent announcement of a collaboration with Dollar General speaks to the growing role of self-care for all people.    

You and I are ending this week looking back three days, Friday morning quarterback style, wondering how the U.S. 2022 midterm elections could impact health and health care in America. We can never know with 101% certainty the answer to this question following any U.S. election. This year’s midterms leave us especially in need of scenario planning, especially as on this day, we still do not know what the final balance of power in the U.S. Congress will be. Nor can we ascertain, just yet, what the jockeying for power within both the Democratic party and the Republican party will

On Tuesday November 8, 2022, health and medical issues will be on many U.S. voters’ minds as they enter voting booths to select representatives for the House and the Senate, along with some states’ ballots addressing specific healthcare issues. Health policy experts from Manatt, Phelps & Phillips, AARP, and the United States of Care recently shared perspectives on the health care issues on voters’ and policy makers’ minds for the 2022 midterm elections. This post synthesizes their analyses as we lead up to what will be a pivotal election for Americans’ public health, individual well-being, and access to care.  

Telehealth has increased access to mental health services, I’ve highlighted this Mental Illness Awareness Week here in Health Populi. But telehealth has also emerged as a preferred channel for routine health care services, we learn from J.D. Power’s 2022 Telehealth Satisfaction Study.           Among people who had used virtual care in the past year, telehealth-as-healthcare is now part of mainstream Americans’ expectations as a normal part of their medical care. That’s because 9 in 10 users of telehealth in the U.S. would use virtual care to receive medical services in the future, J.D. Power found in

Life expectancy at birth in 2021 in the United States fell to 76.1 years, the lowest level since 1996. Men fared much worse than women, with 73,2 years of life expectancy versus 79.1 years for women, the latest research from the CDC’s National Center for Health Statistics revealed.               In their Provisional Life Expectancy Estimates for 2021, the CDC kicks off a demographically detailed analysis with this simple line chart which graphs the dramatic decline in life expectancy at birth. The overall decline across gender and all race/ethnic groups was 2.7 years: 3.1 years

Two in three Americans disapproved of the Supreme Court’s decision to overturn the Roe v. Wade decision (aka the Dobbs case), the latest Kaiser Family Foundation Health Tracking Poll found. While inflation tops voters’ priorities, abortion access resonates for key voting blocs. KFF conducted this survey among 1,847 U.S. adults 18 and over between July 7 and 17, 2022.             KFF published the study findings this week on August 2, a day of political primaries and ballot considerations in several U.S. states. Consider Kansas: a majority of Kansans voted on Tuesday to protect abortion rights

People whose sense of well-being shifted positively in the past two years are finding greater personal purpose and financial health, we see in Sharecare’s Community Well-Being Index – 2021 State Rankings Report.                   Sharecare has been annually tracking well-being across the 50 U.S. states since 2008. When the study launched, Well-Being Index evaluated five domains: physical, social, community, purpose, and financial. In 2020, Sharecare began a collaboration with the Boston University School of Public Health to expand the Index, including drivers of health such as, Healthcare access (like physician supply per 1,000

Even as spending on healthcare per person in the United States is twice as much as other wealthy countries in the world, Americans’ health status ranks rock bottom versus those other rich nations. The U.S. health system continues to be marred by health inequalities and access challenges for man health citizens. Furthermore, American workers’ rank top in the world for feeling burnout from and overworked on the job.             Welcome to The Consumer Dilemma: Health and Wellness,, a report from GWI based on the firm’s ongoing consumer research on peoples’ perspectives in the wake of

Declines in preventive care services like cancer screenings and blood glucose testing concern employers, whose continued to cover health insurance for employees during the pandemic.                       “As we enter the third year of the COVID-19 pandemic, employers continue to battle escalating clinical issues, including delayed care for chronic conditions, postponed preventive screenings, and the exponential increase in demand for behavioral health services,” the Chief Medical Officer for Castlight Health notes in an analysis of medical claims titled Millions of People Deferred Crucial Care During the Pandemic, published in June. The

With temperatures over 90 degrees in Brussels today, In Chez S-Kahn, we’ve got fans running, iced coffee brewing, and ice cream on our minds. Thanks to McKinsey, there’s a new report informing my perspective on the ice cream and yogurt market with a lens on wellness and values.             McKinsey advises us on How to stay cool as competition heats up in ice cream and yogurt. In recessionary and stressful times, consumers often turn to small treats and low-cost luxuries. Ice cream and yogurt fit that bill for many people. But McKinsey notes that people

For millions of older people in America, health and well-being got worse in the wake of the COVID-19 pandemic. Physical, mental and behavioral health took hits, depending on one’s living situation, social determinants of health risks, and even health plan, I write in the Medecision Liberate Health blog.                     In this essay on health disparities and equity for older adults, I weave together new data from, The United Health Foundation’s study on seniors’ health status in America’s Health Rankings for 2022 RAND and CMS research into seniors health disparities among Medicare Advantage

A couple retiring in 2022 should budget $315,000 to cover their health care costs in retirement, based on the 21st annual Retiree Health Care Cost Estimate from Fidelity Investments. For context, note that the median sales price of a home in the U.S. in April 2022 was $391,200.             It’s important to understand what the $315,000 for “health care costs” in retirement does not cover, explained in Fidelity’s footnoted methodology: the assumption is that the hypothetical opposite-sex couple is enrolled in Original Medicare (not Medicare Advantage), and the cost estimate does not include other health-related expenses

While telehealth, mobile health apps, and wearable technology are all growing for mainstream consumers, there are gaps in adoption based on where a person lives, their health insurance plan type, race/ethnicity, sexual orientation and gender. Thanks to the team at Rock Health, we know more about these gaps explained in their report, Startup innovation for underserved groups: 2021 digital health consumer adoption insights, published this week. The report examines three areas of digital health adoption: Live video telemedicine Wearable technology ownership, and Digital health tracking.         We all know the mantra that our ZIP code impacts our

A new documentary and educational campaign on health equity will be launched on May 1st, 2022, from Oprah’s Harpo Productions studio partnering with The Smithsonian Channel. The Color of Care documents stories of people who have lost loved ones in the COVID-19 pandemic as well as expert interviews with frontline workers and public health experts and researchers sharing data on systemic racism in health care that has underpinned racial health disparities since slavery was instituted in America. Oprah’s website talked about the project, quoting her saying,      “At the height of the pandemic, I read something that stopped me in

Access to the Internet has been a key determinant of health — or more aptly, death — during the COVID-19 pandemic. Americans lacked Internet access were more likely to die due to complications from the coronavirus, according to a study published in JAMA Network Open this month. The study’s key finding was that for every additional 1% of people living in a county who have access to the Internet, between 2.4 and 6.0 COVID-19 deaths per 100,000 were preventable. The paper asserts that, “More awareness is needed about the essential asset of technological access to reliable information, remote work, schooling

If you made your living in commercial real estate — and especially, working with hospitals’ and health systems’ office space — would the concept of telehealth be freaking you out right now? If you heed the words of JLL’s 2022 Patient Consumer Survey, you’d chill (at least a bit). The tagline on this paper is, “Convenience and choice drive patient decisions as new digital options take hold.” I was particularly keen to dig into this study based on its sponsoring organization: JLL is a real estate services company serving over a dozen vertical markets — including health care, life sciences,

It felt super appropriate that I met up with Abner Mason, Founder of SameSky Health, on Valentine’s Day 2022. While we conversed via Zoom, Abner’s positive energy vibrated over the 5,600 miles between him in LA County and me in Brussels, Belgium – nine hours apart, but in the proverbial same room in the conversation. My initial ask of Abner was to discuss the re-branding of ConsejoSano to SameSky Health, but I first wanted to hear the man’s origin story. And that, you will learn, has everything to do with loving parents, the power of education from a young age,

The Future of Wellness in 2022 is, “shifting from a ‘feel-good’ luxury to survivalism as people seek resilience,” based on the Global Wellness Institute’s forecast on this year’s look into self-care and consumer’s spending on health beyond medical care — looking beyond COVID-19. GWI published two research papers this week on The Future of Wellness and The Global Wellness Economy‘s country rankings as of February 2021. I welcomed the opportunity to spend time for a deep dive into the trends and findings with the GWI community yesterday exploring all of the data, listening through my health economics-consumer-technology lens. First, consider

As physicians deal on the frontlines in Year 3 of the COVID-19 pandemic, they’re stressed, anxious, and angry concludes the Medscape 2022 Physician Burnout & Depression Report. This year, the tagline focuses on stress, anxiety and anger. [Over the past couple of years, the study has used the word “suicide” in the title of the report, FYI]. Those reporting burnout are more likely women physicians than males (56% vs. 41%), work in the ER or critical care departments, and deal with too many bureaucratic tasks like charting and paperwork. For this annual look into the state of U.S. physicians mindsets