A blog covering the health/care ecosystem and people.

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

“What do consumers want from their health technology?” wondered a poll conducted among smartphone-owning health care decision makers. Greater control and engagement in health care, assurance of privacy and security for their health data. and greater personalization of advice coming out of the analysis of that shared personal health information. Welcome to the Consumer Survey on Personal Health Technology, market research conducted  by Verily with The Harris Poll among 2,000 U.S. adults 18 and older in July 2025. The screening criteria used to include a survey respondent were two-fold: whether they owned a smartphone, and made the majority of their

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

“Big Pharma has a new vision for selling drugs. It’s going to the mattresses,” writes Josh Nathan-Kazis in MSN earlier this week. That is, going direct-to-consumer (DTC) the way the mattress industry has done in the past decade, cutting out brick-and-mortar sleep shops at retail. In the case of “Make(ing” like a mattress company,” Josh explains, the pharma manufacturers “sell shots and pills straight to the consumer.” In this case, that’s cutting out the pharmacy benefits managers and other intermediaries that have taken dollars in the transactions of drug benefit claims which have added costs to payers (health plan sponsors

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

As of August 2025, U.S. patients of all demographics and geographies face many uncertainties with respect to their care. Issues such as health plan coverage, prescription drug costs, and access to services, among other challenges, continue to re-shape patients-as-health-consumers seeking transparency, clinical choices, and trust-worthy relationships with touchpoints in their personal health ecosystems. Four just-breaking stories across the health/care ecosystem illustrate several of these uncertainties and forces in U.S. health care — some adding friction and angst in a patient’s life, others perhaps providing some relief for certain health consumers. These news items address health care costs in retirement, the

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

When it comes to luxury goods, forget about that Rolex watch, a Louis Vuitton bag, or Porsche. The top luxury item among U.S. consumers in 2025 is time, and with many luxury goods, time is in short supply for most people. An important new report from Duckbill explores the Permission to Ask: Why Americans Need Help — And Why They Struggle to Get It.             The top-line finding gleaned through Duckbill’s survey of 2.069 U.S. consumers in early May 2025 was that 2 in 3 Americans are just trying to get through the day. This struggle

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

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

Kindness + efficiency + listening + personalization: together, these are the most important experiences consumers seek from health care touchpoints, we learn in Humanizing Brand Experience: Healthcare Edition from Monigle.                      In this 8th volume of the company’s Humanizing series, Monigle tracks a different pattern of patient engagement — to be sure, built on trust, yet not just as a health consumer dealing with a diagnosed condition — but more holistically for getting me and keeping me healthy and well. The implication and recommendation here is to deliver even more personalized care

The role of loneliness and social isolation plays into every aspect of human health, beyond mental and behavioral impacts: loneliness is a risk factor for overall health status and well-being, as well as a barrier to medication adherence, we learn in Loneliness and Health Behaviors: A Missing Link in Chronic Care from Pleio. Pleio launched the report at the Assembia AXS25 Conference in Las Vegas yesterday, Pleio surveyed 2,008 U.S. adults in March 2025 living with at least one chronic condition to gauge patients’ perspectives on loneliness, health outcomes, and peoples’ adherence to prescribed medicines.            

As Weight Watchers prepares to initiate bankruptcy proceedings, I file the news event under “thinking the unthinkable.”                     “Thinking about the unthinkable” is what Herman Kahn, a father of scenario planning, asked us to do when he pioneered the process. In this book, for Kahn, “the unthinkable” was thermonuclear war, and the year was 1962. The book was tag-lined as “must reading for an informed public” and in it, Kahn             I’ve been drawn back to this book lately because of a more intense workflow using

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

Health information technology professionals charged with selecting, implementing, updating, and paying for health IT in hospital and care delivery settings are essentially the first-line “consumers” of health IT – specifically, electronic health records. But these health IT leaders feel far from empowered and choiceful as consumers in todays EHR vendor “monoculture,” Harm Scherpbier, MD, explains in his book, Unvendor.                   I spent time with Harm to discuss the book, its backstory, and what he hopes to accomplish by raising the issue of single-vendor health IT and how clinicians, health IT staff, and

While most people in the U.S. who have used large language models (like ChatGPT) for informal learning, entertainment, and getting information about products and services, 39% of U.S. adults have also tapped into LLMs to source information about physical or mental health. This insight is brought to us in the brilliantly titled report, Close encounters of the AI kind, from the Imagining the Digital Future Center at Elon University. The principle author of the survey report is the Center’s Director, Lee Rainie, whose name many of you will know from his two+ decade career at the Pew Research Center (and

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

As HIMSS 2025, the largest annual conference on health information and innovation meets up in Las Vegas this week, we can peek into what’s on the organization’s CEO’s mind leading up to the meeting in this conversation between Hal Wolf, CEO of HIMSS, and Gil Bashe, Managing Director of FINN Partners. If you are unfamiliar with HIMSS, Hal explains in the discussion that HIMSS’s four focuses are digital health transformation, the deployment and utilization of AI as a tool, cybersecurity to protect peoples’ personal information and its use, and, workforce development. I have my own research agenda(s) underneath these themes

In the U.S., there are some issues that still unite most Americans in 2025. We can agree that, • The cost of eggs is too high • AI can be both exciting and promising at the same time as concerning • It sucks to have your personal data cyberattacked and breached, and, • Having access to telehealth is important. While I would be really sad to give up my omelets, I’m sticking a mindful toe into AI for some simple workflows, and I’m still dealing with the aftermath of the Change Healthcare data breach, it’s the looming telehealth deadline that’s

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

In the wake of the always-creative ads for Super Bowl and last Sunday’s LIX bout, game-watchers got to see a plethora of commercials dedicated to the annual event’s major features: food and game-day eating. Oh, and what’s turned out to be the most controversial commercial, the one on GLP-1s from Hims & Hers. In that vein, and converging with many news and policy events, I’m trend-weaving the latest insights into that most consumer-facing of the social determinants of health: food, and in particular, health consumers viewing and adopting food as part of their health and well-being moves. First, to the

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

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.                 

You would expect an auto manufacturer, a Big Tech, or a big-screen TV company would commandeer the largest exhibit booths at CES 2025, the largest annual conference of consumer-facing technology stakeholders. We can add another exhibitor to the largest CES “real estate” presences at #CES2025: that would be AARP hosting the AgeTech Collaborative. And a pickleball court, too!         Why feature pickleball at a AARP booth at CES? Well, IMHO health is everywhere at #CES2025, and pickleball, the fastest-growing sport in the U.S., is good for many facets of health: physical to be sure, and also social

People are living everyday life in digital coexistence — where the connected technologies we use for communication and entertainment now enable life-flows across our lives, morning to night, at work and play and even while we’re sleeping. Welcome to the five key tech-trends for 2025, brought to life Sunday afternoon by Melissa Harrison, CTA’s Vice President of Marketing & Communications tag-teaming with Brian Comiskey, Senior Director, Innovation & Trends. This annual session at CES always provides a practical context for exploring the annual conference, the largest in the world covering technology used by everyday people. And this year, the trends

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,

Most health citizens in the U.S. trust the CDC, NIH, and FDA, and most people also want the 47th incoming President Donald Trump to strengthen health/care institutions — from the VA and FDA to Medicare, Medicaid, as well as the CDC and Affordable Care Act. The Axios/Ipsos American Health Index, published this week, reveals both concurrence among U.S. health consumers with some striking differences across political party ID. Axios and Ipsos fielded a survey among 1,002 U.S. adults in early December to glean peoples’ perspectives on health, trust, and a variety of health and social policies.        

Among 127 health determinants, two rank highest: digital divides in the era of tech-enabled health  and care: digital divides that shape a person’s political, economic, and social environment, and the person’s health/disability status.               The digital transformation of health and care compel us to re-consider and re-frame social determinants of health in the “digital age,” which is what the World Health Organization in collaboration with the London School of Economics have done in research, published this week in the report, Addressing health determinants in a digital age. The report was funded by the European

“It’s the economy stupid,” Jennifer Tescher, CEO of the Financial Health Network, titles her latest column in Forbes. Published two weeks after the 2024 U.S. elections, Jennifer’s assertion sums up what, ex post facto, we know about what most inspired American voters at the polls in November 2024: the economy, economics, inflation, the costs of daily living….pick your noun, but it’s all about those Benjamins right now for mainstream American consumers across many demographic cuts. With that realization, we must remind ourselves as we enter a new year under a second-term President Trump that health care spending for everyday people

For health care, there are many uncertainties as we reflect, one week after the 2024 U.S. elections, on probably policy and market impacts that we can expect in 2025 and beyond. In today’s Health Populi post, I’ll reflect on the first of several certainties we-know-we-know about U.S. health citizens and key factors shaping the American health ecosystem. In this first of several posts on “What Stays True for U.S. Health Care Post #Election2024,” I’ll focus on U.S. consumer dissatisfaction with drug prices — across political party identification.          Let’s set the context with data from a recently-published

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

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

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,

Only 2 in 5 people in the U.S. strongly trust science concerning food, nutrition, or diet, we learn from the 2024 IFIC Spotlight Survey: Americans’ Trust in Food & Nutrition Science, published in October.             IFIC is the International Food Information Council, a non-profit organization with a mission of communicating science-based information about food safety, nutrition, and sustainable food systems. IFIC surveyed 1,000 U.S. adults online in July to gauge consumers’ views on food and science.             The most-trusted sources of food information are the scientists involved in researching nutrition,

The clinical evidence base continues to grow making the case that art and creativity can be drivers for health and well-being — as it’s proven to me in my own life. Most recently, cases have been made by Emily Peters, documented in her book Remaking Medicine; by Robin Strongin, advocate for arts, medicine, and well-being from her base in Washington, DC; and, by my Belgium-based colleague and friend Koen Kas whose book addressing themes of art and health will soon be published. I was inspired at the convergence of art and well-being during a visit on 20 September to the

“If the U.S. were sensible, weight management would be treated as a public health issue,” David Cutler writes in the JAMA Health Forum dated August 15, 2024. Dr. Cutler, distinguished economics professor at Harvard, talks about “the pathology of U.S. health care” citing the example of weight loss medications — in short, the uptake of GLP-1 drugs to address Type 2 diabetes first, and subsequently obesity.          Dr. Cutler notes that the price of these drugs in the U.S. “far exceeds” that of other countries: specifically, 9 times that of the prices in Germany and the Netherlands

I’m off to Florence, Italy, soon, where about 10 years ago I happened upon a vending machine sited outside of a pharmacy just a few blocks from the Duomo — the Farmacia Della Condotta. And in that vending machine, accessible at all hours (especially overnight when the pharmacy was closed), were all manners of direct-to-consumer self-care goods….including condoms. What distinguished this from other vending machines that might have channeled condoms at the time was that those tended to be located in men’s rooms in, say, bars — not openly on a city street. You can see the Italian vending machine

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