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

In his latest book, Notes on Being a Man, Scott Galloway discusses his personal fertility journey in the larger social context of what it means to be a man in modern America. Galloway’s infertility challenges shared with his wife inform his views on men’s health across all dimensions — physical, mental health, social health, financial well-being — and how, of course, men’s overall health is also a women’s and children’s issue. Men can feel “left out” of infertility discussions, based on results from the first and largest multi-national study into men’s feelings about their infertility revealed. “How men feel about

One of the only uniting factors in U.S. health care across political parties is that most of the nation’s health citizens, cross-party ID, trust doctors and their professional associations for reliable information on vaccines. Pediatricians in particular are mostly-trusted for vaccine facts, according to the KFF Tracking Poll on Health Information and Trust: Tylenol-Autism Link and Vaccine Policies, the latest in the Kaiser Family Foundation’s series on Health Information and Trust Tracking Polls.             The biggest trust-chasm when it comes to sources for vaccine information is Americans’ split views on Robert F. Kennedy Jr., the Secretary

In the current era of U.S. health citizen grievance with the health care system, people feel anxious, confused, and angry — especially when it comes to access and affordability of health care. We learn more about these emotional drivers of health/care grievance in Understanding Health Plan Member Discontent, an assessment of health consumers’ views of satisfaction across health insurance plan types (commercial, Medicaid, Medicare, and marketplace plans) and age of member, from the health consumer experience team at Press Ganey.           Those three underlying factors driving discontent translate to different generations differently. Overall, anxiety relates to

The costs of medical care are breaking the system, PwC asserts at the start of its new report on the $1 trillion opportunity to reinvent healthcare. The past 3 years of 8+% U.S. national health expenditure increases are “untenable,” PwC says, with 90% of that spending going toward patients with chronic and mental health conditions.              What will transform the system and move us from “breaking point to breakthrough?” Biology and technology, PwC explains, with technology moving exponentially and simplifying care at scale, and biology decoding the “human operating system” enabling precision at scale. This

“SNAP has moved away from primarily serving families with children toward serving households without children, particularly those consisting of just one person,” an analysis from The Institute for Family Studies observes, giving us some food-for-thought on what these changing demographics of SNAP beneficiaries could mean for the health and well-being of people in the U.S.                 The Institute looked at data from the U.S. Department of Agriculture and graphed this top-line trend of households with children declining as a percent of SNAP households compared with growth among households without children. SNAP has significant

Close to 100% of U.S. doctors agree that misinformation and/or disinformation undermines patient care, according to a new survey from the Physicians Foundation. The Foundation polled over 1,000 U.S. physicians in late May 2025 to gauge doctors’ perspectives on information and patients’ health literacy.                 Furthermore, over one-half of physicians believe that misinformation – and/or disinformation — significantly impacts the ability to deliver quality patient care. The first graphic differentiates between “misinformation” and “disinformation,” where the latter is false or inaccurate information deliberately intended to mislead people. Misinformation is somewhat more benign in

Most Americans, thinking as health consumers, believe that tariffs could impact peoples’ ability to pay for costly prescription drugs and be priced out of paying for check-ups and medical supplies, based on results from two studies on consumers’ views on tariffs and their health care from Ipsos and Q-Centrix.             Ipsos’s consumer survey found that younger consumers, people earning lower incomes, and folks living in the suburbs feel even more stressed about tariffs’ impact on medical care — along with more people identifying as Democrats or Independent voters.             With

Among the top 20 fastest-growing growth brands beloved by Americans between 18 and 28 years of age — that is, Gen Z consumers — we see brand-equity love for companies channeling athleisure, fashion, new-fangled financial products, and food & beverage brands. And then there’s Ozempic, which gained 10 full percentage points from Q1-2025 to Q2-2025, according to The Harris Poll’s QuestBrand research. What does it mean that a prescription drug has joined these brand-loved rankings?                   The QuestBrand research found that as of the second quarter of 2025, more than one in 3

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

By 2033, national health spending will comprise 20.3% of the U.S. GDP, based on the latest national health expenditure projections developed by researchers from the Centers for Medicare and Medicaid Services (CMS). This growth will be happening as CMS projects coverage of insured people to decline over the period.               Earlier today, I attended a media briefing hosted by Health Affairs to receive the CMS team’s top-line forecast of NHE from 2024 to 2033 discussing these findings. Fuller details on the projections will be released in the July issue of Health Affairs on 7

Yu In a sign of our health communications times, GLP-1s are a much more frequently health topic Americans hear about than autism and ADHD, cosmetic treatments like Botox, Bird flu, sleep issues, or menopause. The Pew Research Center polled 5,123 U.S. consumers in February and March 2025 to gauge peoples’ perspectives on health information and communications trends in America.                           In the study summary titled, From weight-loss drugs to raw milk, Americans hear more often about some health topics than others, the Pew Research team. The finding that

It’s been a full week’s coverage on food-as-medicine and food as a driver of health in America this week on the Health Populi blog. Today we turn to the chefs at Escoffier who know food, teach food, and now offer programs in holistic nutrition and wellness through the lens of culinary arts. With that lens, Escoffier recently published a report on the future of healthy eating, which will round out this week’s Health Populi landscape on food and health.           In the paper, the Escoffier team curated data points from many studies — via Gallup, Mintel, Innova,

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

One in three Americans could imagine leaving America for good as expatriates — with access to affordable and reliable health insurance the top consideration, according to research conducted by the Harris Poll on behalf of GeoBlue and International Citizens Insurance (ICI). “Thirty-one percent of potential expats cite concerns about healthcare coverage abroad being the reason they haven’t yet taken the leap to move abroad. This trumped concerns about their work and social life abroad,” the survey found.             Earlier this year, The Harris Poll’s American Expats Survey, published in February 2025, found that health care accessibility

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

Working-age people in the U.S. depend on their employers to provide health insurance; just over one-half of people in America receive employer-sponsored health insurance. But a concerning signal has emerged that calls into question how sustainable the uniquely American employer-sponsored health plan model is: that is that one in 3 small businesses in the U.S. stopped covering health insurance after the worst of the pandemic health effects in 2023 as the companies payroll expenses continued to increase, a statistic raised in The consistency of health insurance coverage in small business: industry challenges and insights, a report from the JPMorganChase Institute

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

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

Most people in the U.S. use at least one medical device at home — likely a blood pressure monitor. used by nearly one-half of people based on a survey of 2,000 consumers conducted for Propel Software.                    The Propel study’s insights build on what we know is a growing ethos among health consumers seeking to take more control over their health care and the rising costs of medical bills and out-of-pocket expenses. That includes oral health and dental bills: 2 in 5 U.S. consumers use electric toothbrushes (a growing smart-device category at the

Each year, ECRI (the ECRI Institute) publishes an annual report on the Top 10 Patient Safety Concerns for the year. The 2025 list was published today. My read of it is that most of these risks have to do with what I’ve been referring to as the Human OS, the Human Operating System, in my talks and teachings.                   In this post, I’ll focus on 2 of the 10 most top-of-mind in my current workflow with clients and speaking: #1 and #3. Here’s the list of 10, calling out: Risks of dismissing

The world would be a better place if we had more, and better quality sleep. That’s the hopeful conclusion from the fifth annual Global Sleep Survey from ResMed.               ResMed’s global reach with the sleeping public enabled the company to access the perspectives of over 30,000 respondents in 13 markets, finding that one in 3 people have trouble falling or staying asleep 3 or more times a week. We now live in “a world struggling with poor sleep” — “a world without rest,” ResMed coins our sleepless situation. The irony is that most people believe

The nature of retail pharmacy is changing, with both threats and opportunities re-shaping the business itself, and the pharmacy’s role in the larger health/care ecosystem. To keep sharp on the topics, I attended Rx Market Insights: Performance Trends and Outlook for 2025, a data-rich session presented on February 18 by IQVIA and sponsored by Ascend Laboratories. The webinar was hosted by DSN (Drug Store News), appropriately so because the action-packed hour went into detail providing the current state of prescription drugs and the pharmacy in America. Doug Long, IQVIA’s VP of Industry Relations, and Scott Biggs, the company’s Director of Supplier

In researching several .gov websites from last Monday 20th January 2025, I had an ongoing frustrating user experience in being faced with “404 Error” messages like this one from WhiteHouse.gov. “President Trump’s First Week Hammered Public Health,” Dr. Arthur Kellerman, an ER doc, public health researcher, and patient advocate asserted in Forbes yesterday: “For now, the only health communications Americans receive will come from sources outside the government, such as professional societies, non-governmental organizations, advocacy groups, and businesses, vaccine skeptics, conspiracy theorists, foreign agents and bots posing as Americans to spread disinformation. It will be up to us to figure out what to

Health/care is everywhere is the mantra on the back of my business card. And at #CES2025, that will indeed be the situation.           The 2025 convening of CES (once known as the Consumer Electronics Show) in Las Vegas officially kicks off on 7 January 2025. But I’ll be there beginning 3rd January, scheduling pre-show meetings with innovators, analysts, and my own clients who will be attending the meeting. This will be my 15th year participating in CES, and marking over a decade as a member of the Consumer Technology Association (CTA). As someone who has tracked

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

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,

The marketing for purchasing digital health technologies is expecting to grow, driven by increased consumer demands for tech-based solutions, improved outcomes enabled through the innovations, and cost savings derived from deploying the technologies. That’s the top-line finding in the 2024 State of Digital Health Purchasing from the Peterson Health Technology Institute (PHTI).           PHTI surveyed 322 digital health decision makers working in employers, health plans, and health systems, fielding the study in July and August 2024.           3 in 4 purchasers grew spending on digital health technologies in the past two years,

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.

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

AARP found that 7 in 10 people ages 50+ are “app-receptive” for health and wellness apps in Unlocking Health and Wellness Apps: Experiences of Adults Age 50-Plus, a summary of research conducted with U.S. consumers 50 and over from AARP.           The methodology for this study included only older consumers who were comfortable in downloading apps to smartphones or tablets, and were willing to do so — whom AARP considered the target audience for this research. In addition, the respondents surveyed were also at least interested in trying apps designed for health and wellness, thus dubbed “health

“’A reform,’ wrote a 19th-century British parliamentarian, ‘is a correction of abuses. A revolution is a transfer of power. As we celebrate the American Revolution, catalyzed by men who broke ranks with their peers to overthrow a power structure that seemed immutable, let’s also celebrate those physicians who broke with their peers and declared independence for American patients.”                  So begins an informative, timely essay on participatory medicine and patient engagement researched and beautifully written by Michael Millenson, whom I am blessed to call both dear friend and professional colleague. Michael’s essay on the

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

When health care providers and payers make patients’ lives easier, there’s a multiplying factor for loyalty and revenue growth, according to Accenture’s latest look into the value of experience in The Power of Trust: Unlocking patient loyalty in healthcare.             Accenture conducted two surveys for this research, assessing nearly 16,000 U.S. adult consumers’ views on healthcare providers and health insurance plans. Several factors underpin patients’ selection of a new health care provider, especially: Access (70%), with a convenient location, quickly available appointments, digital/mobile/social interactions, and virtual care availability; and, The provider being a trusted source

Three major milestones marked March 2024 which compel us to note the growing role of patients-as-consumers — especially for self-prescribing medicines and medical devices. This wave of self-prescribed healthcare is characterized by three innovations: the Opill, GLP-1 receptor agonists, and Dexcom’s Continuous Glucose Monitoring (CGM) system that’s now available without a prescription. Together, these products reflect a shift in health care empowerment toward patients as consumers with greater autonomy over their health care when the products and services are accessible, affordable, and designed with the end-user central to the value proposition and care flows. Let’s take a look at each

How financially vulnerable are people with medical debt in the U.S.? Significantly more, statistically speaking, we learn from the latest survey data revealed by the National Financial Capabilities Study (NFCS) from the FINRA Foundation. The Kaiser Family Foundation and Peterson Center on Healthcare analyzed the NFCS data through a consumer health care financial lens with a focus on medical debt.          Financial distress takes many forms, the first chart inventories. People with medical debt were most likely lack saving for a “rainy day” fund, feel they’re “just getting by” financially, feel their finances control their life, and

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

In the company’s 17th annual look into consumers’ “life trends,” Accenture finds that, top-line, “The harmony between people, tech and business is showing tensions, and society is in flux.” And these consumer-facing trends will also shape peoples’ attitudes about their health care, how they access and pay for it, and what kinds of services and support health consumers will expect in this era of “deconstruction.”           Taken together, the trends noted in Accenture’s 2024 report on Life Trends finds that one-half of consumers, globally, are changing their life goals, making their jobs and retirement stability more important than

One-half of clinicians working in the U.S., doctors and nurses alike, are considering leaving their current role in the next two to three years. That 1 in 2 clinicians is significantly greater than the global 37% of physicians and nurses thinking about leaving their roles in the next 3 years, according to the report Clinician of the Future 2023 from Elsevier.             Elsevier first conducted research among doctors and nurses for the Clinician of the Future report in 2022, following up this year’s survey research online among 2,607 clinicians working around the world: Elsevier polled

You may not be able to get that ear-worm jingle that goes “O O O Ozempic” out of your musical mind, but I’m happy to tell you there’s a new “O” in town: the Opill. Welcome to the first OTC contraceptive for sale in the USA.                     I wrote about Perrigo’s Opill here in Health Populi in May 2023 as a “signpost on the road to retail health.” It’s official: “The U.S. Food and Drug Administration (FDA) approved Opill®, a progestin-only daily oral contraceptive, for over-the-counter (OTC) use for all ages.