Self-Rationing Health Care in America – 1 in 2 Americans Earning As Much as $180,000 Have Postponed a Life Event Due to Healthcare Costs

Americans’ ability to pay for health care has eroded in the past several years, with 1 in 3 people trading off life experiences, eating a meal, or driving less to cover healthcare expenses. These are some of the findings revealed by The West Health-Gallup Affordability Index published 12 March. What struck me was the rate of life event-postponement done by consumers earning relatively high incomes. One-half of Americans earning between $120,000 and $180,000 postponed a life event in the past four years due to healthcare costs. One in four Americans earning over
Consumers Are Ahead of Consumer Health Innovation: Insights from IQVIA

As patients in the U.S. bear more costs out-of-pocket, from deductibles to co-sharing the price of higher-cost specialty drugs (say for cancers, Parkinson’s, and so on), health care looks and feels more like a retail transaction stretching peoples’ health consumer muscles. A new report from IQVIA, whom you probably know through their data collection and analysis in the prescription drug sector, forecasts Consumer Health’s Next Phase, with the observation that the market is changing faster than its narratives (the subtitle of the report). To come to this judgment, IQVIA analyzes six trends shaping the
Why Clorox Talks about Hygiene at Home: Health, Wellbeing, and the Home as Health Hub

The COVID-19 pandemic was a watershed era for people re-assessing and re-imagining their homes as hubs for health, healthcare, and well-being (as well as learning, exercising, and baking sourdough bread). This graphic comes from my book, Health Citizenship: How a Virus Opened Hearts and Minds, written in the midst of the pandemic based on consumers’ newly adopted behaviors during the #workfromhome and #stayhome epoch. We experienced the digital transformation of people through life and home-based work and education, a growing sense of DIY for things we could do
Health Care Ads at the Big Game (Super Bowl LX) – Edgy, Entertaining, Educational

“When Weight Watchers dared to run an ad in 2015, it was likened to a record scratch,” AdAge noted in its preview of ads planned for broadcasting during Super Bowl LX. A decade+ later, healthcare and health-related promotions are part of the Big Game’s financial lifeblood, where a 30-second spot can cost $8 million according to AdMeter And on the aesthetics/design front, some of the ads this year are downright edgy — entertainment-intended, but also educational in their own way. Take “Rich People Live Longer,” this year’s ad from Hims & Hers Health. The company advertised at last year’s game
When a Hotel Becomes Your Health Partner – Learning from Novotel and Accor

“Novotel Launches ‘Longevity Everyday.'” That’s the title of the global, France-based hotel chain’s press release, announcing the Novotel brand’s initiative to serve up healthy hospitality. Check out this video… Behind this strategic positioning decision, the hotel notes, “Accor data reveals that one in three travelers is taking daily steps to improve their mental and physical wellbeing, yet most longevity programs remain out of reach for many people. This gap between demand and accessibility has created a strategic opportunity that Novotel, Accor’s founding brand, is uniquely positioned to address.” This approach will extend to over 600 hotels operating in 67 countries
The Healthcare Affordability Elections, 2026 and 2028 – Listening to the KFF Tracking Poll, January 2026

The title of KFF’s press release launching the Foundation’s January 2026 Health Tracking Poll clearly observes, “Health Care Costs Tops the Public’s Economic Worries as the Runup to the Midterms Begins.” I’ve pulled out the key details to share my lens on the 2026 midterm and 2028 Presidential election forecast, which I believe will turn out to be (in part) The Patients’ Elections. Here’s the top-line title finding — where most people in the U.S. — 2 in 3 people (66%) — are worried more about health care costs compared with other major household expenses.
Why Progresso Soup was at CES 2026: How Food is Playing Into the Evolving Health Consumer and Retail Health Landscape

Why was Progresso Soup and its manufacturer General Mills at CES 2026? Specifically, in the AgeTech Collaborative curated by AARP? If you are part of the health/care ecosystem in any of its segments, chances are you’re attending conferences at the start of 2026 or soon to attend one. I spent last week at CES 2926 in Las Vegas getting updates on digital health, well-being, and self-care innovations. This week, hundreds of my colleagues are attending #JPM2026, the 44th annual J.P. Morgan Healthcare Conference held in San Francisco every year at this time. One conference that would not have been well-attended
Tech Trends to Watch at CES 2026 – For Health, It’s About Longer Living, Smarter Living, and Better Living

Live from CES 2026 in Las Vegas…the first day of CES Media Days preceding the big show always covers a context-setting report on Tech Trends to Watch. This is one of my annual go-to programs which helps orient media and industry analysts with a lens on CES’s key tech categories and some hard data on market size and growth expectations. While I’ll focus on the health/care specifics in the trend forecast, let me first update you on the overall technology market revenues for the U.S. which are estimated at $565 billion for 2026.
Exercise is Health Care, and Consumers Are Willing to Pay – Context for #CES2026

“Americans are not just setting fitness goals; they are budgeting for them,” Liz Clark, President and CEO of the Health & Fitness Association observed. “People increasingly see exercise as an essential investment in their long-term health. Even in a challenging economic environment, Americans are prioritizing physical activity as a proactive form of preventive healthcare.” Americans see exercise as healthcare — and health — according to a survey from the Health & Fitness Association (HFA). HFA commissioned Kantar to conduct the online survey among 2,000 U.S. adults 18 and over in December 2025 — well-timed for the
A Primer on Health Consumers for CES 2026 – How Macro Consumer Trends Will Shape Healthcare Consumers in 2026

Increasingly, people are engaging more in health care decision making due to many factors impacting their personal medical choices — from the cost and access to health insurance to co-payments for prescription drugs and the supply of primary care doctors, more patients developed and exercised their health consumer muscles in 2025, For 2026, the health consumer muscle-building will grow as people will be re-shaped by macro market factors we are currently gleaning from forecasts looking into the new year: for personal finances, social issues, technology adoption, views on AI and privacy, and other issues. Here are some data points to
Navigating a Constellation of Uncertainties: Health/Care in 2026 (My Un-Forecast)

Almost from the first year of launching Health Populi in 2007, I’ve written a “TrendCast” for the coming year of health care. Over many years, there weren’t so many blogs devoted to health care which featured such prognostications, and so readers could divine signal from noise and move forward into new years with manageable lists of What To Expect Next Year in Healthcare. Here’s one from ten years ago that brings a sense of déjà vu: most of the findings are consistent with what we know for sure about 2026 and it’s useful to look back with today’s eyes to
The New Health Consumer Mindset and Wallet: From GLP-1s to Trading Up for Health & Longevity

From GLP-1s to longevity and new views on self-care for healthcare, the people are taking their health in-hand, at-home, and via-tech to complement and sometimes replace the legacy health system touchpoints which are the traditional categories for care: hospitals, doctors, rehab centers, diagnostics and labs, and health care financing and plans — some opting out of plans and going full-risk (cash, out-of-pocket) truly self-insuring against future medical risks. As I prepare to publish my Year-End/New Year TrendCast for 2026, I felt like front-ending next week’s annual long post with details on the demand side of the forecast — a focus
Men’s Fertility Feelings – The Influence of Trust and Social Media (My Progyny Post #3)

Trust is a key enabler for people’s health engagement. As the American Medical Colleges’ Center for Health Justice defines it, trustworthiness is “rooted in honesty and honors lived experience….. key to a successful patient-provider partnership.” In his book, Notes On Being A Man, Scott Galloway calls out that men’s fertility issues are formed as part of a larger societal context and crisis point, exacerbated by economic pressures and lack of opportunities for male bonding and in-person social touchpoints. In the second post in this series of three, we discussed those economic pressures Galloway notes, and the financial stressors that shape





Thank you
Jane joined host Dr. Geeta "Dr. G" Nayyar and colleagues to brainstorm the value of vaccines for public and individual health in this challenging environment for health literacy, health politics, and health citizen grievance.
I'm grateful to be part of the Duke Corporate Education faculty, sharing perspectives on the future of health care with health and life science companies. Once again, I'll be brainstorming the future of health care with a cohort of executives working in a global pharmaceutical company.