How’s Life? Around the World – In the U.S., It’s the Sadness That Stands Out
A new report from the OECD asks the question, “How’s Life?” with the tagline letting us know the plotline focuses on “well-being and resilience in times of crisis.” The Organization of Economic Cooperation and Development (OECD) has tracked the well-being of member nations for the past six years, taking a broad view on the definition of holistic health — including physical, mental, financial, and social aspects of people living in OECD countries. The first “How’s Life?” report was published at the height of the global financial crisis; the authors of this report introduce it saying that, “the
Women and #Election2024: Listening to Abigail Adams
With a handful of days before #Election2024 delivers final voters to polls in the U.S. on November 5th, Americans’ political stress is hitting fever pitches from all points on the U.S. political spectrum. Here is the sticker I am using in my journal today, November 1 2024, from Mental Health America. “Vote as if your mental health depends on it.” MHA has a portal devoted to 2024 Election Mental Health Resources, including a section with “mental health voter merch” to call out the phenomenon of political stress and support the efforts
The Impacts of Heat on Health Across All Dimensions – from Death to “Heat-Flation” on the Pocketbook
Rising energy bills are confronting U.S. households (and indeed, health citizens in many parts of the world) due to extreme heat, PBS reported on 1st September. But the record heat waves in so much of the world is impacting both peoples’ fiscal and financial well-being along with physical health impacts, ranging from exacerbating chronic respiratory conditions to, literally, risks to lives. A recent letter to JAMA, published August 26, 2024, quantifies Trends of Heat-Related Deaths in the U.S., 1999-2023. The authors examined studies finding exposure to extreme heat associated with mortality,
Women’s Health Outcomes in the U.S.: Spending More, Getting (Way) Less – 4 Charts from The Commonwealth Fund
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
Medical Debt, Aflac on Eroding Health Benefits, the CBO’s Uninsured Forecast & Who Pays for Rising Health Care Prices: A Health Consumer Financial Update
On June 11, Rohit Chopra, the Director of the Consumer Financial Protection Bureau (CFPB) announced the agency’s vision to ban Americans’ medical debt from credit reports. He called out that, “In recent years, however, medical bills became the most common collection item on credit reports. Research from the Consumer Financial Protection Bureau in 2022 showed that medical collections tradelines appeared on 43 million credit reports, and that 58 percent of bills that were in collections and on people’s credit records were medical bills.” Chopra further explained that medical debt on a consumer credit report was quite different than other kinds
Healthcare 2030: Are We Consumers, CEOs, Health Citizens, or Castaways? 4 Scenarios On the Future of Health Care and Who We Are – Part 1
In the past few years, what event or innovation has had the metaphorical impact of hitting you upside the head and disrupted your best-laid plans in health care? A few such forces for me have been the COVID-19 pandemic, the emergence of Chat-GPT, and Russia’s invasion of Ukraine. That’s just three, and to be sure, there are several others that have compelled me to shift my mind-set about what I thought I knew-I-knew for my work with organizations spanning the health care ecosystem. I’m a long-time practitioner of scenario planning, thanks to the early education at the side of Ian
Clinician Burnout – Lessons from BDO’s Clinician Experience Survey for Patient Experience and Primary Care
Clinicians’ feeling burnout is the top morale challenge facing U.S. doctors, driven by turnover and understaffing, compassion fatigue, and challenges using digital tools — think EHRs. The 2023 BDO Clinician Experience Survey “takes on” clinician burnout, connecting the strategic dots between the clinician experience and the patient experience. BDO surveyed 153 clinician leaders in June and July 2023; one-half of the clinicians were executive leaders, and one-fourth were each direct clinician providers and clinician directors. Roles reached into the C-suite (one-third), and other levels in their organizations.
Happy 75th Birthday, NHS – Through A U.S. Health Care Lens
The UK’s National Health Service (NHS) turns 75 today. The NHS was the brainchild of Minister of Health Aneurin Bevan; he wrote in a statement to doctors and nurses in The Lancet on July 3, 1948, “My job is to give you all the facilities, resources, apparatus and help I can, and then to leave you alone as professional men and women to use your skill and judgement without hindrance.” This week in The Lancet, the editors assert, “The founding principles of the NHS put into practice 75 years ago are at risk of
A Public Health Wake-Up Call: Reading Between the Lines in IQVIA’s 2023 Use of Medicines Report
Reviewing the annual 2023 report from the IQVIA Institute for Human Data Science discussing The Use of Medicines in the U.S. is always a detailed, deep, and insightful dive into the state of prescription drugs. It’s a volume speaking volumes on the current picture of prescribed meds, spending and revenues, health care utilization trends, and a forecast looking out to 2027. In my read of this year’s review, I see a flashing light for U.S. health care: “Wake up, public health!” I’ve pulled out a few of the data points that speak to me about population health, prevention and early
Appreciating Water as a Driver of Health: Designing for Good, from the UN to Liberia and Flint, Michigan
The United Nations (UN) convened the 2023 Water Conference convened March 22-24, 2023, in New York City. The meeting brought together stakeholders from all over the world to brainstorm how to meet UN sustainability development goals (SDGs) for #6 of the 17 SDGs addressing clean water and sanitation. This event was billed in the words of the conveners, a “watershed moment to tackle the global water crisis and ensure a water-secure future.” That water-secure future is a critical factor in the well-being for both people and Planet Earth, quantified in the first
The New Deaths of Despair in America – Among U.S. Children
The phenomenon of Deaths of Despair is the short-hand name for rising mortality among certainly people living in the U.S. due to overdose, accidents, and suicide. Angus Deaton and Anne Case published their first of many research papers on Deaths of Despair in 2015. Their research uncovered the risks of dying a Death of Despair to be higher among men, especially those between the ages of 25 and 64. But mortality isn’t only going in the wrong direction for those people most closely associated with the Deaths of Despair demographic: there’s another life-span line graph moving in the wrong direction,
The Polarization of Trust in 2023 – What It Means for Health, via Edelman at Davos WEF 23
For the third year in a row, citizens in most of the world see business as the most-trusted institution, above government, media, and NGOs, found in the 2023 Edelman Trust Barometer, unveiled this week at the annual World Economic Forum in Davos, Switzerland. The Edelman team conducted this 23rd annual study in November 2022 in 28 countries, among over 32,000 people — some 1,150 residents per country polled. (Note that Russia, studied in the surveys between 2007 and 2022, was not included in the 2023 research). The first chart arrays
How Will the “New” Health Economy Fare in a Macro-Economic Downturn?
What happens to a health care ecosystem when the volume of patients and revenues they generate decline? Add to that scenario a growing consensus for a likely recession in 2023. How would that further impact the micro-economy of health care? A report from Trilliant on the 2022 Trends Shaping the Health Economy helps to inform our response to that question. Start with Sanjula Jain’s bottom-line: that every health care stakeholder will be impacted by reduced yield. That’s the fewer patients, less revenue prediction, based on Trilliant’s 13 trends re-shaping the U.S. health
Life Expectancy Falls in the U.S., the Largest 2-Year Decline in 100 Years
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
Your State as a Determinant of Health: Sharecare’s 2021 Community Well-Being Index
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
The Color of Care – Oprah and The Smithsonian Channel Partner on Health Equity
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
How Business Can Bolster Determinants of Health: The Marmot Review for Industry
“Until now, focus on….the social determinants of health has been for government and civil society. The private sector has not been involved in the discussion or, worse, has been seen as part of the problem. It is time this changed,” asserts the report, The Business of Health Equity: The Marmot Review for Industry, sponsored by Legal & General in collaboration with University College London (UCL) Institute of Health Equity, led by Sir Michael Marmot. Sir Michael has been researching and writing about social determinants of health and health equity for decades, culminating publications
McKinsey’s Six Shifts To Add Life to Years — and One More to Consider
People spend one-half of their lives in “less-than-good health,” we learn early in the paper, Adding years to life and life to years from the McKinsey Health Institute. In this data-rich essay, the McKinsey team at MHI sets out an agenda that could help us add 45 billion extra years of higher-quality life equal to an average of six years per person (depending on your country and population demographics). The first graphic from the report illustrates four dimensions of health and the factors underneath each of them that can bolster or diminish our well-being: personal behaviors (such as sleep and diet),
People in the U.S. Without the Internet Were More Likely To Die in the Pandemic
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
The Wellness Economy in 2022 Finds Health Consumers Moving from Feel-Good Luxury to Personal Survival Tactics
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
“We’ve normalized a very high death toll in the U.S.” – How A Trust Deficit Has Infected America’s COVID Outcomes
Trust, or really lack thereof, is a killer app for people’s coronavirus health outcomes. That is the through-line found in a very deep dive into 177 countries’ health data published in The Lancet in a research article on pandemic preparedness and COVID-19. The Lancet study, published on 1 February 2022, was funded by the Gates Foundation in partnership with The Bloomberg Philanthropies et al. The study was researched and written up by a team of COVID-19 National Preparedness Collaborators, led by Dr. Joseph Dieleman of the University of Washington’s Institute for Health Metrics and Evaluation, a group that has been long-tracking
I was invited to be a Judge for the upcoming CES 2025 Innovation Awards in the category of digital health and connected fitness. So grateful to be part of this annual effort to identify the best in consumer-facing health solutions for self-care, condition management, and family well-being. Thank you, CTA!
Thank you Team Roche for inviting me to brainstorm patients as health citizens, consumers, payers, and voters in the Healthcare Transformers series.
For the past 15 years, the annual CES conference in Las Vegas has been my go-to meeting for updating my research and network in digital health and consumer-facing electronics that people find meaningful for their well-being, families, and home lives. I'll be back in Vegas in January for a full week of Media Days, one-on-one meetings, and speaking about my perspectives on health consumers.