A blog covering the health/care ecosystem and people.

Cost is a leading reason why people say they could not obtain the fertility care they need. But the costs of IVF and other forms of fertility care lie within a larger home economics framework of family-building and -raising.             The context and costs of raising a child in America. Consider the layers of a household budget starting with the home’s “macro”-economics of income. Then within that circle, especially in the U.S., the factor of whether that household is covered by employer-sponsored health insurance. The next layer of more health micro-economics in the family is the

What is a pharmacy? And what are “medicines?” I’ve been thinking about this question for some time, and had the opportunity to consider this in real-time in a sort of back-to-the-past-to-the-future moment when I spent time at the glorious Farmaceutica of Santa Maria Novella (SMN) in Florence, Italy (in longhand, the “Officina Profumo-Farmaceutica di Santa Maria Novella)” on 8th November. This meet-up at this 800+ year old institution is one of many touchpoints in my work and personal life between late October and late November, where I’m working on health/care issues in 4 Euro cities: starting with London in week

Too much money is going into too many untested AI applications in health care, we learn in The Future of Healthtech 2025 from Silicon Valley Bank (SVB).             While “the new healthtech is here” in the form of AI-everything, SVB points out that it’s “Provider Ops” and the back office that’s driving the sector. “Healthtech is now definitively an administrative sector, not a clinical one,” SVB asserts in the first of three key themes plot-lining the report.                 What sets the stage for context are these four important

A couple of days into the U.S. Federal government shutdown, there’s one message the Congressional Democrats are tending to voice: that is that health care is on the line, and that’s the issue on which they’re betting will bring negotiators back to Capitol Hill — expecting a few Republicans to join in that dialogue. Most U.S. adults across political parties would want to see  Congress extend the enhanced Affordable Care Act tax credits that are set to expire next year we see in a poll from the Kaiser Family Foundation published October 3. And that includes most Republicans and MAGA

In 2025, most Americans feel positive about farming and agriculture, the computer industry, and restaurants. At the opposite end of industry-love are the Federal Government, pharmaceutical companies, and advertising and PR, we learn in Gallup’s annual ratings of 25 key U.S. business sectors survey, fielded in August 2025.                               Here’s the eye-straining table of those 25 sectors, calling out health care which has a net majority negative rating by 51% of U.S. adults: that is, 27% feeling somewhat negative about healthcare, and 24% feeling “very negative” about

“The truism that no one is completely safe until everyone is safe is a truism because it happens to be true.”                  So caution Michael Osterholm, epidemiologist, professor at the University of Minnesota School of Public Health, and director of CIDRAP (the Center for Infectious Disease Research and Policy at the U-MN) and collaborating writer Mark Olshaker in their new book, The Big One. (In this post, for the sake of brevity, I’ll refer to the two authors as “O&O”). Simply put, the tagline tells us what we are about to read: a

On this U.S. Labor Day 2025, the physical and the fiscal, with the mental, converge as I ponder what working Americans are facing….packing kids up for school, sorting out college payments and loans, dealing with rising costs of daily living, and feeling a growing pinch of what President Trump’s tariffs have had in store now that they’re hitting SKUs around the household. This post will cover most days this week as my own workflows will be heavy as clients return to face returns-to-work and updating scenario plans. We start this post with a headline: “Why Hospitals Are Hiring ‘Revenue Bounty

Welcome to Part 2 of 3 in my consideration of Prescription Drug Pricing in America. You can catch up with yesterday’s Part 1 post here, and Part 2 here. The macro-context for these 3 posts are the forecasts for health care spending for the coming year. Health care cost increases forecasted for 2026 will, in significant part, be driven by prescription drug trend. This graphic from this week’s release of the Business Group on Health’s employer survey on healthcare cost growth to 2026 illustrates a key finding that’s echoed in other similar studies recently released and covered here in Health Populi.

Health care costs will increase, overall, as much as 10% in 2026, the consensus of several health benefit analysts inform us. And, “workers to bear brunt of health cost increases in 2026,” reads today’s Axios headline on the topic, weaving together several studies from the Business Group on Health, Mercer, and the  International Foundation of Employee Benefit Plans.           A kay cost-contributor cited in all of these health cost forecasts is the prescription drug line item: specialty drug prices, and specifically the costs of GLP-1 medicines and cancer therapies. One strategy gaining fast-traction on both the

Financial stress and anxiety have an ‘outsized’ negative impact on the well-being of women in America, compared to male counterparts, we learn in Health. Wealth, and Happiness – Helping to overcome roadblocks to women’s well-being, a report from the Guardian Life Insurance Company.                 This report is part of Guardian’s annual research program called Mind, Body, Wallet, which the company launched 14 years ago. The goal of Mind, Body. Wallet is to assess how health citizens define “well-being” in daily living, making the crucial connections between mental health (“Mind”), physical health (“Body”), and money

Joining the ranks of technology heavyweights Amazon, Anthropic, Apple, Google, and OpenAI, as well as digital health innovators Noom, Oura, Virta Health and Welldoc, who have pledged to “Make Health Tech Great Again,” Albertsons, one of the largest grocery chains in the U.S., put its name on the list with these and other early adopter collaborators. The Albertsons’ company blog published on 31 July discussed the background and rationale for this decision.             “Specifically, we pledge to explore how our Sincerely Health platform can connect to The Centers for Medicare and Medicaid Services (CMS) Aligned

In a recent study which was part of the American Heart Association’s Healthy Bond for Life initiative, two-thirds of Americans told the AHA that they took better care of their pets than themselves. So with a lens on how to help inspire peoples’ self-care, I was keen to dive into research from Pet Partners Insurance (PPI), a pet health insurance provider, collaborating with the Human Animal Bond Research Institute (HABRI), to learn more about The Power of Pet Perks: How Pet-Inclusive Benefits Drive Employee Engagement, Retention, and Positive Workplace Culture.                 My interest

At least one-half of employers will likely raise employee cost-sharing amounts in 2026, according to the Survey on health & benefit strategies for 2026 from Mercer.                 Mercer surveyed 711 organizations for this study, fielded in April 2025, to assess employers’ views on and strategies for health benefits in 2026. There are three challenging pillars underlying employers’ 2026 approaches to workers’ benefits: How to disrupt cost growth with what Mercer coins as “bolder” strategies How to consider and address all dimensions of affordability, and, How to design and implement inclusive benefits that build workforce

With consumers the world over feeling greater financial stress and social chasms in 2025, people are trusting brands more than institutions to help them both feel good and expecting them to “do” good, we learn in Brand Trust, From We to Me, a special report from the 2025 Edelman Trust Barometer.                 The overall theme of this year’s Trust Barometer was “Trust and the Crisis of Grievance.” One artifact of peoples’ grievance is their shift from “we” to “me;”  in this new report with a lens on brands, Edelman finds that consumers expect

Shades of the year 2020; it’s déjà vu all over again when it comes to consumers’ most trusted brands in 2025 featured in Morning Consult’s Most Reputable Brands report.                         Here’s the list of the top 25 most trusted brands across all consumer touch-points and industries for all adults, ages 18 and older. A quick calculation reveals that consumers most trust brands covering, Home keeping and hygiene – Dawn, Clorox, Lysol, Mr. Clean, Home Depot Self- and personal care – Dove, Oral-B, Kleenex, Colgate Health – BAND-AID, Tylenol Packages

“While children are the group that may be most impacted by the widespread deployment of generative AI, they are simultaneously the group least represented in decision-making processes relating to the design, development, deployment or governance of AI,” we learn in Understanding the Impacts of Generative AI Use on Children, research conducted by The Alan Turing Institute in partnership with the LEGO Group. But it’s the children who shared their perspectives who can teach adults about some potential positive and negative aspects of GenAI, and help inform us in managing downside risks. FYI, The Institute is headquartered in the British Library

Consumers around the world feel more invested than ever in what makes people feel both well and prosperous, we learn in the NielsenIQ Global State of Health & Wellness 2025 survey report. But there’s a trust deficit that must be healed in order for a health consumer to invest in services and products that feed health and well-being. NIQ fielded the survey research online in January and February 2025 among nearly 19,000 adults living in 19 countries: Brazil, Canada, China, the Czech Republic, France, Germany, Hungary, India, Indonesia Italy, Mexico, Netherlands, Poland, South Africa, Spain, Turkiye, UAE, United Kingdom, and

If you went shopping for something that cost $35,119 in 2025, which would you most value? A new 2025 Toyota RAV4 Hybrid with some extras on board? A Canyon BYO playground set for your yard, school, or social-athletic club? Or, Healthcare coverage for a family of 4 in the form of a PPO? Welcome to this year’s 20th anniversary edition of the Milliman Medical Index (MMI), which I’ve looked forward to reviewing for most of its two-decade history. [You can read my annual takes on the MMI here in Health Populi by searching “MMI” and the year of publication in

Facing uncertainties across everyday life flows, U.S. consumers look to economic and health security — and welcome businesses to support these, we learn in an analysis from The Conference Board.              The Conference Board (TCB) polled 3,000 U.S. consumers gauging their perspectives on uncertainties emerging out of the new Trump administration’s policy changes introduced in the first quarter of 2025. The chart details people’s financial/fiscal responses in blue, and the health (mental, social, and physical aspects) in yellow: Consumers’ fiscal strategies for coping with uncertainty are to seek out more affordable brands and retailers, adjusting

When it comes to health, the words “fiscal” and “physical” are morphing as peoples’ economic feelings (the “fiscal”) are shaping physical and emotional health, we find in U.S. consumer data presented by John Dick, Founder and CEO of CivicScience.                 The Consumer Technology Association convened a special session with John, who painted a portrait of the U.S. consumer at a point in time — late April 2025 — reminding us more than once during the hourlong session that, “Everything is constantly changing.” One certainty that we can be sure of, in the dismal-scientist way

McKinsey just published a detailed report into Sporting Goods 2025, which the firm calls a “new balancing act” that must turn uncertainty into opportunity.               The report is based on five key observations: Only a few sporting goods companies have expanded growth and margins since 2018 — and must “rethink the value chain” in the face of challenging geopolitical headwinds One-half of so-called “active consumers” say that fitness is a core element of their identity, with emotional connections to brands they purchase for the lifestyle Incumbent sporting goods companies are losing market share to

Patients as health consumers now know what “good” looks like in their digital experiences. People have tasted the convenience and respect they feel from well-designed, streamlined omnichannel retail experiences, and they now expect this from health care — specifically supported by the pharmaceutical companies who manufacture the medicines they use in managing chronic conditions, we learn in ixlayer ixInsights 2025: Pharma’s Role in Improving the Health Experience from ixlayer and Ipaos.             The patient-focused report gets specific about people dealing with asthma, COPD, Type 2 diabetes, heart disease, psoriasis, and atopic dermatitis with a lens on

As Thomas Jefferson reminded us, travel makes us wiser…but less happy. And so it is when you confront a piece of art that makes you stop in your tracks, swim in it, and know what it’s saying in terms of what you know you know.                           Such was the case yesterday during a walking meeting through the Frist Art Museum in Nashville when I passed by this quilt, a multimedia work titled “Still Life in Need” by Lee Colvin, a local artist. This work was part of a

New data from the American Time Use Survey, research conducted by the U.S. Census Bureau and the Bureau of Labor Statistics, shows that Americans now favor eating in-home compared with eating out at restaurants. Corroborating this shift is other data from the National Restaurant Association sharing that 74% of all restaurant traffic in 2023 came from “off premises” customers — that is, from takeout and delivery — up from 61% in the pre-COVID era. What does this mean for our health, well-being, and sense of community and connectivity?             I’m preparing a new talk to

On March 11, 2020, The World Health Organization announced that the coronavirus was deemed a pandemic. WHO Director-General Dr. Tedros Adhanom Ghebreyesus asserted, “We have called every day for countries to take urgent and aggressive action. We have rung the alarm bell loud and clear.” Five years later, Edelman has fielded a survey to determine what some 4,000 health citizens living in 4 countries (Brazil, India, the UK, and the U.S.) are thinking and feeling about life after COVID-19 — and especially where their trust lies in institutions, fellow citizens, and future public health emergencies. I listened in on a discussion

People define health across many life-flows: physical health, mental health, social health, appearance (“how I look impacts how I feel”) and, to be sure, financial well-being. In tracking this last health factor for U.S. consumers, several pollsters are painting a picture of financially-stressed Americans as President Trump tallies his first six weeks into the job. The top-line of the studies is that the percent of people in America feeling financially wobbly has increased since the fourth quarter of 2024. I’ll review these studies in this post, and discuss several potential impacts we should keep in mind for peoples’ health and

The partisan divide in the U.S., exacerbated by the COVID-19 pandemic, could set the stage for another public health emergency given eroding trust in institutions — especially in media, government, and public health officials. I base this sobering forecast on the latest study from the Pew Research Center which polled people in the U.S. about their pandemic-perspectives, detailed in the report 5 Years Later: America Looks Back at the Impact of COVID-19. Couple these findings with the recent dismissal of public health “disease detectors” working with the Centers for Disease Control (CDC), and what is currently termed a “quademic” (that

As humans have undergone personal digital transformations, living omni-channel and appreciating the conveniences that being switched-on can bring, there’s a growing demand for “analog wellness.” That’s one of ten trends covered in the Global Wellness Institute’s (GWI) report on 2025 Wellness Trends, and one I want to dig into early this year as consumers are facing growing challenges to our privacy, social bullying, and workforce stressors compelling many employees to spend too many hours in digital isolation and loneliness. To paint the larger landscape of and drivers underpinning analog wellness, I will weave several important reports and studies together, all

At the start of each new year comes the World Economic Forum meet-up in Davos, Switzerland and with that conference start today, 20 January 2025, the publication of the Edelman Trust Barometer. Now in the study’s 25th annual edition, the Edelman Trust Barometer this year finds us, globally, in a Crisis of Grievance which is eroding trust. Edelman surveyed 1,150 residents (plus or minus) in each of 28 countries around the world, yielding over 33,000 citizens’ voices sharing perspectives on trust and institutions. Interviews were fielded from late October to mid-November 2024.                 

There were over 4,500 exhibitors on the show floor of the 2025 CES in Las Vegas last week, addressing every imaginable aspect of consumers’ daily lives as we increasingly coexist with technology to support life, liberty, and our personal pursuits of happiness….. ….and health. My focus is always on health, and in the past decade and a half, health/care, everywhere. So my lens on #CES2025 looked out for specific point solutions for health, medical care, fitness and well-being, along with adjacencies for mobility/auto, environmental health (think: clean air, clean water), kitchen appliances and food-tech, and home care (not the medical

CES 2025: as you read the acronym and year, your brain registered an image like consumer technology and the start of a new year, or some variation of those thoughts. When you saw the title of this post with the acronym “GLP-1,” your brain might not have connected the dots between a medicine and “CE,” consumer electronics. But here we are in real-time, in real life, at the convergence of pharmaceuticals and medicines and consumer-facing technology. And keep in mind that we’re at the annual meeting of CES which is convened by the Consumer Technology Association, CTA. GLP-1s are showing

At this year-end time each year, my gift to Health Populi readers is an annual “TrendCast,” weaving together key data and stories at the convergence of people, health care, and technology with a look into the next 1-3 years. If you don’t know my work and “me,” my lens is through health economics broadly defined: I use a slash mark between “health” and “care” because of this orientation, which goes well beyond traditional measurement of how health care spending is included in a nation’s gross domestic product (GDP); I consider health across the many dimensions important to people, addressing physical,

Americans’ perception of the quality of health care in the U.S. fell to the lowest level since 2001, Gallup found in a poll of U.S. health citizens’ views on health care quality, published December 6, 2024.              In 2024, only 44% of Americans said that the quality of health care int he U.S. was excellent or good — conversely, 56% of Americans though health care quality was only fair or poor. By political party, that included 50% of Democrats evaluating the quality of care highly compared with 42% of Republicans. Only 28% of people in

In our home, we’re feeling very grateful for our healthy lives and work-flows right now, being very mindful about seeing blessings around me and within me…. So I’m sharing the love (or “scaling the love” as I recently coined at OSF’s Digital Health Symposium!) to honor American Thanksgiving 2024 here in Health Populi pointing out several sources highlighting the evidence on gratitude and health….underpinned with love, the ultimate driver of health and well-being.           Leslie Sarasin, President and CEO of FMI, the Food Industry Association, reminds us that, “Our immigrant ancestors, the pilgrim settlers, worked hard

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.

Lululemon has published the 2024 Global Well-Being Report, a study into peoples’ perspectives on their personal health from the company best known for athleisure wear and self-care. This year’s report is titled, The Pressure to Be Well. That pressure is coming from peoples’ experiencing “well-being burnout.” In the company’s fourth annual report on well-being, Lululemon learned that most people have tried to adopt personal strategies to bolster their health, and one-half of these folks are confronting “well-being burnout.” Lululemon collaborated with Edelman Data & Intelligence to field the study in April and May 2024 in 15 markets where the company

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.

In a super-divided electorate like the U.S. with about 60 days leading up to the 2024 Elections, we might assume there are no “purple” areas of agreement between the Red (Republicans) and the Blue (Democrats) thinking in PANTONE color politics. Surprisingly, there are many health policies on which Democrats and Republicans concur, as found in a series of YouGov polls conducted in May 2024.                         YouGov fielded the health policies poll in five waves online, each among roughly 1,100 U.S. adults in May 2004. This bar chart summarizes health

The Federation of American Scientists (FAS) was founded in 1945 by a group of scientists concerned about the atomic bomb — sharing a mission to focus on technology, science, and innovation to, in the Association’s words, “work toward a safer, more equitable, and more peaceful world.”           Nearly 80 years after the organization’s launch, the FAS is focusing on the growing role of artificial and augmented intelligence across the many areas that touch peoples’ lives — including health care and well-being. The FAS published a state-of-the-nation essay on June 27 on Improving Health Equity Through AI.

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

Health care costs for an “average” person covered by an employer-sponsored PPO in the U.S. rose 6.7% between 2023 and 2024, according to the 2024 Milliman Medical Index. Milliman also calculated that the largest driver of cost increase in health care, accounting for nearly one-half of medical cost increases, was pharmacy, the cost of prescription drugs, which grew 13% in the year.             The big number this year is $32,066, which is the cost of that employer-sponsored PPO for a family of 4 in 2024. I’ve curated the chart of the MMI statistic for many

Three trends underpin health consumers’ evolving demands for service: spending more but getting less satisfaction and innovation; trusting health care with data but underwhelmed by the use of that personal information; and, growing “shopping” behavior seeking quality, availability, proximity, cost, and options across channels for health care. That’s the current read from McKinsey & Company’s team noting that Consumers rule: Driving healthcare growth with a consumer-led strategy.                 In this health consumer update, McKinsey spoke with three consumer marketing experts from other industries to learn best practices on how best to “be there”