A blog covering the health/care ecosystem and people.

Oh, how quickly people forget…and slow to forgive. U.S. consumers’ positive views for healthcare, pharma and retail have significantly fallen in just one year, the latest annual Gallup poll of industry rankings in America found as of August 2023. This stat for the pharma industry was the lowest Gallup ever recorded for the sector since 2001.                     I can’t help hearing Paul Simon’s lyrics to Slip Slidin’ Away….”you know the nearer your destination, the more you’re slip slidin’ away” when it comes to health citizens’ perceptions of pharma and the healthcare

“I’m in Berlin, and we don’t like walls,” Bart De Witte responded in a concluding Q&A session yesterday at the 2nd Symposium on the Future of Health Systems, convened by the World Health Organization (WHO) in Porto on 5th September.               Over two days, this meeting convened stakeholders focused on WHO’s European Region to support the Organization’s digital health action plan for 2023-2030 – which fosters cross-nation health planning covering the EU space. AI’s promise in health care to automate and streamline administration, and augment diagnosis and treatment, comes with accompanying risks that can

Due to their delayed return to medical services and diagnostic testing in the COVID-19 pandemic era, U.S. employees are expected to sustain serious health impacts that will drive employers’ health care costs, envisioned in the 2024 Large Employer Health Care Strategy Survey from the Business Group on Health (BGH).               Dealing with mental health issues is the top health and well-being impact workers in large companies are addressing in 2023. Looking forward, large employers foresee their workers will be seeking care for chronic conditions and later-stage cancers that are diagnosed due to delayed screenings.

Nearly all patients are concerned about their medical records getting leaked or breached, which is The State of Patient Privacy, the title of a consumer study from Health Gorilla with a headline finding that “Patients don’t trust Big Tech with their health data.”             With trust the “backbone” of health information exchange, Health Gorilla calls out, we have to face a big challenge here as health care enters its own sort of industrial revolution embedded AI and data analytics across the health/care ecosystem. How to re-build trust with the very technology that can help health care,

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

People love being health-insured, but their negative experiences with health plans create serious burdens on patients-as-consumers. And those burdens impact even more people who are unwell than healthier folks. The 2023 Kaiser Family Foundation Survey of Consumer Experiences with Health Insurance updates our understanding of and empathy for insured peoples’ Patient Administrative Burdens (PAB). For this study, KFF polled 3,605 U.S. adults 18 and over in February and March 2023 who had health insurance across different plan types. Over the past several years, I’ve come to appreciate the concept of PAB by listening to and learning from colleagues Dr, Grace

It’s time for the annual ASCO conference, currently convening the American Society for Clinical Oncology in Chicago. Starting 2nd June, there have been dozens of positive announcements updating research and therapies bringing hope to the 2 million new patients who will be diagnosed with cancer in the U.S. in 2023, and millions of more people worldwide. Just in time for #ASCO2023, the IQVIA Institute published their annual report on Global Oncology Trends 2023 – Outlook to 2027, an update featuring pipelines, therapy approvals, research updates, costs of oncology products, and patients.                  

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

Food is a basic need, fundamental to our lives and well-being. And for millions of people around the world, and innumerable health citizens in the U.S., food security is part of daily life in 2023. Furthermore, as the U.S. Congress faces voting on the debt ceiling, the issue of SNAP benefits for nutritional assistance (aka “food stamps”) has been identified as a negotiating line-item by certain Federal budget-cut minded folks. That’s why the Food Is Medicine Initiative, launched collaboratively between the American Heart Association and The Rockefeller Foundation, is so timely and welcome.         “The vision for

The Washington State legislature passed House Bill 1155, aka the My Health, My Data Act, last week. Governor Jay Inslee is expected to sign this into State law later this year. The bill expands privacy protections for Washington State’s health citizens beyond HIPAA’s provisions.           The My Health, My Data Act defines “consumer health data” as “personal information that is linked or reasonably linkable to a consumer and that identifies a consumer’s past, present, or future physical or mental health.”  The ethos of the name and the intent of this law is a perfect vision for

If your organization serves health consumers, patients, and caregivers, and you’re asking them to spend money on your services or products, then you’ll do well to be clear on your values and sense of purpose. In the latest Ipsos look into the future of “Purpose,” we find that consumers look most to health and pharmacy companies for shared values, compared with other industries people patronize such as food and grocery, technology and banks.                   To understand where Ipsos is coming from on this aspect of ESG, we’ll start with their territory map

The U.S. spends more on health care than any other nation in the world. Yet Americans’ health outcomes rank relatively low compared with other wealthy peer nations on Planet Earth, manifesting a low return-on-investment for this huge financial spend. Nowhere is this more evident than in America’s place in equity compared with nine countries, shown in the graph on health care system performance from The Commonwealth Fund’s perennial study, Mirror, Mirror – the latest version of which was subtitled, “reflecting poorly” on health care in the U.S.             Equity is an over-arching concept that the

Most U.S. health citizens think AI is being adopted in American health care too quickly, feeling “significant discomfort…with the idea of AI being used in their own health care,” according to consumer studies from the Pew Research Center.                  The top-line is that 60% of Americans would be uncomfortable with [their health] provider relying on AI in their own care, found in a consumer poll fielded in December 2022 among over11,000 U.S. adults. Most consumers who are aware of common uses of AI know about wearable fitness trackers that can analyze exercise and sleep

“The future of love is bound to the institutions that have historically shaped and defined it,” Ipsos’s What the Future: Love report begins. Consider: religion, government, financial institutions….and the health care ecosystem, as well. On this Valentine’s Day 14th February 2023, it is a good time to consider this convergence as health politics, financial well-being, and emerging technologies will be re-shaping institutions and consumers in the coming months and near-term.           The Ipsos researchers have been assessing the future of many aspects of our lives over the past couple of years, such as the future of wellness,

The U.S. is an outlier in the world for high health care spending, as well as in low achievement for life expectancy at birth — 3 years less than that in peer OECD countries — discussed in U.S. Health Care from a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes, the latest look into American health system performance in a global context from The Commonwealth Fund. Another study published in JAMA this week talks about the Organization and Performance of US Health Systems, calling out the fact that, “Small quality differentials combined with large price differentials suggests that health systems have

Our grocery stores were essential touchpoints for us during the COVID-19 lockdown era and thereafter, addressing our basic needs for food and medicines and even social health from early 2020 and since.             Grocery stores have been morphing into health/care destinations for the past decade, in the best cases bolstering nutrition, supporting medication adherence and patient outcomes, and helping us curate healthy grocery carts with nutritionists as part of the store pharmacy team. Now Kroger continues to expand its health/care footprint and capabilities, becoming a clinical trials channel as announced in its January 24th press

Today as we appreciate the legacy of Martin Luther King, Jr., I post a photo of him in my hometown of Detroit in 1963, giving a preliminary version of the “I Have a Dream” speech he would deliver two months later in Washington, DC.               Wisdom from the speech: “But now more than ever before, America is forced to grapple with this problem, for the shape of the world today does not afford us the luxury of an anemic democracy. The price that this nation must pay for the continued oppression and exploitation of the

People are sick of being sick, the New York Times tells us. “Which virus is it?” the title of the article updating the winter 2022-23 sick-season asked. Entering 2023, U.S. health citizens face physical, financial, and mental health challenges of a syndemic, inflation, and stress – all of which will shape peoples’ demand side for health care and digital technology, and a supply side of providers challenged by tech-enabled organizations with design and data chops. Start with pandemic ennui The universal state of well-being among us mere humans is pandemic ennui: call it languishing (as opposed to flourishing), burnout, or

Doctors in the U.S. believe that the medical mis-information problem is worsening, learned in survey research from Merck Manuals. Doctors and patients, both, have roles to play in addressing medical misinformation online.                   Less than half of consumers, 44%, said that that there is more medical mis-information online than previously. That’s less than half of the percentage of doctors saying so — 98%, virtually all U.S. physicians, citing the problem. There were several disconnects noted in the Merck Manuals study showing starkly different perceptions of health information online between doctors and patients:

“Two intersecting and interdependent systems comprise democracy in the United States,” Eileen Salinsky, Program Advisor with Grantmakers in Health, wrote in a compelling essay in April 2022. Those systems are, Eileen described, “A political system of representative government, which includes the legislative, executive, and judicial branches at the federal, state, and local levels; and, A collective system of self-governance, which includes how individuals interact with each other and their political system through many forms of civic engagement.” Civic Engagement is a Social Determinant of Health, Eileen titled this piece in which she discusses philanthropy’s role in both strengthening democracy and

“The security of online data is the top consideration for consumers across many forms of online activities including email, search, social media, banking, shopping and dating”….and using health apps. A new poll from Morning Consult, explained on their website, explains that For Consumers, Data Privacy Has a Fluid Definition.               Those privacy nuances and concerns vary by activity, shown in the first chart here from the study. For online banking, the most important consideration among most consumers (55%) is the privacy and security of their online data. Privacy and security of personal data was

Americans’ trust in technology as “plummeted” in the past decade, according to the 2022 Edelman Trust Barometer’s focused look on trust and technology. How might this play into U.S. health citizens’ trust in digital health technology?             To answer that, let’s start with the macro-view on trust in tech. Richard Edelman convened a virtual meeting launch for the Trust Barometer’s tech perspectives yesterday, looking broadly at the global study findings. For these trust-tech insights, Edelman surveyed 15,000 citizens between August 31 and September 12, 2022, residing in 12 countries: Australia, Brazil, Canada, China, France, Germany,

Consumers consider health and well-being as an “essential” household spending category based on new research from Accenture.             Accenture polled over 11,000 consumers in 17 countries, considering how people are faring amid “widespread uncertainty and personal financial strains,” in the firm’s words. While two in three consumers feel financially stressed, 4 in 5 intend to grow or hold their personal spending on health and fitness steady in the next year. The first chart graphs data from Accenture’s global survey. In the U.S., more granularly, 26% of consumers intend to increase spending on health and wellness

There is an image from my childhood, drawn by Lorraine Schneider, which reads “War is not healthy for children and other living things.” As I read through a paper published this week on climate change’s contribution to the burden of chronic disease, I couldn’t help but conjure up Lorraine’s observation from my little girl memory bank. One of the largest meta-analyses mashing up research evidence on the impact of climate change on human health was featured in the journal Nature Climate Change this week. Lorraine could replace the word “war” with “climate change” and be clinically sound in the eyes

Two in three Americans disapproved of the Supreme Court’s decision to overturn the Roe v. Wade decision (aka the Dobbs case), the latest Kaiser Family Foundation Health Tracking Poll found. While inflation tops voters’ priorities, abortion access resonates for key voting blocs. KFF conducted this survey among 1,847 U.S. adults 18 and over between July 7 and 17, 2022.             KFF published the study findings this week on August 2, a day of political primaries and ballot considerations in several U.S. states. Consider Kansas: a majority of Kansans voted on Tuesday to protect abortion rights

“Tech giants are the primary forces driving digital transformation forward,” and this is especially the case for health care systems re-imagining how health care services are delivered and “consumed.”           This observation comes from a new report, Tech Giants in Healthcare, written by four European-based experts in healthcare and bioethics. The 200-page paper details the activities of sixteen global technology companies in the health/care ecosystem, followed by a so-called “ethical analysis” of these companies’ work with health data. The report was published in Germany by Bertelsmann Stiftung, a not-for-profit think tank addressing broad  political, social and

How much do I love this media campaign from Walgreens, collaborating with the foursome The Old Gays who have a growing multi-million person fan base on TikTok? How much? A whole lot! Kudos to Walgreens for creating engaging, informative, and fun! content to learn about how people can benefit from using the company’s app ….for, Ordering prescriptions (90-day supply) Receiving delivery same-day 24/7 pharmacy chat on pricing, prescription drug information, and medications. The plotline kicks off with 3 of the 4 quartet (Jessay Martin, Robert Reeves and Mick Peterson) looking for their friend Bill Lyons, who is missing from their

With only 1 in 10 people in the U.S. thinking their lives are the same as they were before the COVID-19 pandemic, about one-half of Americans believe that remote work, virtual community events, and telehealth should continue “once the pandemic ends.” As of mid-May 2022, most people in the U.S. have resumed activities like socializing with friends and neighbors in person, going to restaurants and bars, traveling, meeting with older relatives face-to-face, and returning to exercising in gyms.                     But a return-to-nearly-normal isn’t a universal phenomenon across all people in America:

Even as spending on healthcare per person in the United States is twice as much as other wealthy countries in the world, Americans’ health status ranks rock bottom versus those other rich nations. The U.S. health system continues to be marred by health inequalities and access challenges for man health citizens. Furthermore, American workers’ rank top in the world for feeling burnout from and overworked on the job.             Welcome to The Consumer Dilemma: Health and Wellness,, a report from GWI based on the firm’s ongoing consumer research on peoples’ perspectives in the wake of

Declines in preventive care services like cancer screenings and blood glucose testing concern employers, whose continued to cover health insurance for employees during the pandemic.                       “As we enter the third year of the COVID-19 pandemic, employers continue to battle escalating clinical issues, including delayed care for chronic conditions, postponed preventive screenings, and the exponential increase in demand for behavioral health services,” the Chief Medical Officer for Castlight Health notes in an analysis of medical claims titled Millions of People Deferred Crucial Care During the Pandemic, published in June. The

The best U.S. states to live in for health and health care are Hawaii, Massachusetts, Connecticut, Washington, Vermont, Rhode Island, and Maryland…             Those are the top health system rankings in the new 2022 Scorecard on State Health System Performance annual report from the Commonwealth Fund. If you live in Mississippi, Oklahoma, West Virginia, Texas, Missouri, Alabama, Georgia, or Arkansas, your health care and outcomes are less likely to be top-notch, the Fund’s research concluded.                 The Commonwealth Fund has conducted this study since 2006, assessing a range

Year 3 into the COVID-19 pandemic, health citizens are dealing with coronavirus variants in convergence with other challenges in daily life: price inflation, civil and social stress, anxiety and depression, global security concerns, and the safety of their families. Add on top of these significant stressors the need to deal with medical bills, which is another source of stress for millions of patients in America. I appreciated the opportunity to share my perspectives on “The Patient As the Payer: How the Pandemic, Inflation, and Anxiety are Reshaping Consumers” in a webinar hosted by CarePayment on 25 May 2022. In this

When we think about the state of Trust in in mid-2022, there is some good news: Trust is rising (at least in democratic countries, while falling in autocratic ones). The bad news: the gap in Trust has dramatically widened between higher-income people compared with those earning lower-incomes, globally.             And that gap is “tinder” that can be quickly sparked into a socio-political fire in countries around the world, Richard Edelman cautioned today when introducing the latest look at the 2022 Edelman Trust Barometer, focusing on geopolitics and business. We have never seen numbers like this

“Telehealth certainly appears to be here to stay,” the AARP forecasts in An Updated Look at Telehealth Use Among U.S. Adults 50-Plus from AARP.                         Two years after the emergence of the COVID-19 pandemic, one-half of U.S. adults over 50 said they or someone in their family had used telehealth. In early 2022, over half of those over 50 (the AARP core membership base) told the Association they would likely use telehealth in the future. This future expectation varies by race, the implications of which I discuss below in

The coronavirus pandemic has re-shaped consumers across many life- and work-flows. When it comes to peoples’ relationship to consumer packaged goods (CPG), the public health crisis has indeed impacted consumers’ purchasing behaviors and definition of “value,” based on IRI’s latest analysis of CPG shifts in 2022 and 2023.           IRI has been tracking COVID-19’s impact on CPG and retail since the emergence of the coronavirus. In this Health Populi post, I’ll discuss the research group’s assessment of CPG shifts of consumer packaged goods through my lens on health/care, everywhere — especially, in this case, the home.

As health care industry stakeholders and policymakers have begun to recognize and address the underlying drivers of peoples’ health, there’s another acronym that is taking hold in health care beyond SDoH: that is ESG, standing for Environment Social, and Governance pillars of responsibility and activity.               To mark this Earth Day 2022, I’ve written a brief primer on ESG for the health care community published today in the Medecision Liberate Health blog. Here in Health Populi, I’ll give you a few highlights with graphics you won’t see in that essay to illustrate some key

“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

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 COVID-19 pandemic revealed long-systemic health disparities in the U.S. and in other parts of the world. Income inequality, sickly environments in homes and communities (think unclean air and water), lack of public transportation and nutritious food deserts combine to limit peoples’ health and well-being., Beyond the traditional social determinants of health, such as these, we’ve called out another health risk that became crucial for life in the coronavirus pandemic era: digital connectivity, Indeed, WiFi and broadband represent the newest social determinant of health to add to a growing list of risk factors that challenge health citizens’ health. Kudos to

This week, public health truths have collided with social media, the infodemic, and health citizenship. First, I read in Becker’s Health IT on February 16 that the peer-reviewed policy journal Health Affairs was prevented by a social media outlet from promoting its February 2022 issue themed “Racism and Health.” The company said the topic was too controversial to feature in this moment. “Google and Twitter are blocking its paid media ads to promote the content, flagging racism as ‘sensitive content,'” Molly Gamble explained in Becker’s. I myself used the blogging platform you’re on now to promote the February ’22 issue of

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

During the pandemic, millions of people connected with Twitter to share thoughts and feelings about the pandemic…and their health. Three mega-trends bubbled up on the platform for health — telemedicine and virtual care, broadband access, and mental health, discussed in a Birdseye Report Industry Deep Dive into Health from Brandwatch, partnering with Twitter. For this report, Brandwatch utilized only English-language public Twitter data. Brandwatch collated and analyzed tweets between January 1st 2019 and November 20 2021, that mentioned any of the following phrases: telemedicine, telehealth, virtual care, digital medicine, digimedicine, mental health, doom scrolling, trauma dumping, and meeting fatigue. Tweets

One of the best parts of watching the biggest U.S. football game of the year are the ads which can provide great entertainment in-between touchdowns, time-outs, and referees’ video replays. This year, Ad Age provides us with an early inventory of some of the high-expectation commercials, including the usual suspects like Budweiser, Google, TurboTax, and Avocados from Mexico. For the first time, cryptocurrency brands will advertise on the  Super Bowl, too. But I’m most looking forward to seeing the 30-second spot from Hologic, the medical technology company. AdWeek wrote, quoting a Hologic press release, “As a leader in women’s health,

People around the world have made health a “proactive priority,” most important to live a longer, healthier life, to avoid preventable diseases, to protect against disease, and to look and feel healthier, according to NielsenIQ’s latest health and wellness report. As the triangle here illustrates, NielsenIQ has turned Maslow’s Hierarchy of Needs upside down, shifting protective and physical needs to the top rung and altruistic — the “me-to-we” ethos — at the base. Note the translations of these needs, on the ride, into the “care” flows — moving from urgent care down to self-care, preventive care, innovative care, and selfless

Members of his congregation kept going to the hospital with diet-related issues, Reverend Dr. Heber Brown, III, realized. “I got tired of praying and hoping they made it and walked out,” Reverend Brown realized. And then… “God gave us an idea and vision to be proactive on the issue of health in our congregation,” Rev. Brown explained to us yesterday on Day 2 of Real Chemistry’s Health Equity Summit. This was the seed for the Black Church Food Security Network, planting a pragmatic vision for health and well-being weaving together local food, civic empowerment, economic development, and faith. “We had

I cannot recall a season when so many health consumer studies have been launched into my email inbox. While I have believed consumers’ health engagement has been The New Black for the bulk of my career span, the current Zeitgeist for health care consumerism reflects that futurist mantra: “”We tend to overestimate the effect of a technology in the short run and underestimate the effect in the long run,” coined by Roy Amara, past president of Institute for the Future. That well-used and timely observation is known as Amara’s Law. This feels especially apt right “now” as we enter 2022,

The pandemic has put health care top-of-mind for health citizens the world over. As the public health crisis continues its up-and-downticks around the globe, people are connecting health care to their national economies and politics, based on a global survey from the Pew Research Center, Citizens in Advanced Economies Want Significant Changes to Their Political Systems. For this analysis, the Pew research team assessed the views of some 2,600 health citizens living in 17 developed countries in February 2021. The study report was published in late October 2021. Shown in the first bar chart, the majority of people in at least

“The pandemic has shown that effective health spending is an investment, not a cost to be contained: stronger, more resilient health systems protect both populations and economies,” the OECD states in the first paragraph of the organization’s perennially-updated report, Health at a Glance 2021. This version of the global report incorporates public health data from the “OECD35,” 35 nations from “A” to “U” (Australia to United States) quantifying excess deaths experienced during the COVID-19 pandemic, the obesity epidemic, mental and behavioral health burdens, and health care spending, among many other metrics. The first chart illustrates that calculation of excess deaths,

The most effective, engaging, and enchanting digital health innovations speak to patients beyond their role as health consumers and caregivers: digital health is at its best when it addresses peoples’ health citizenship. I had the great experience brainstorming the convergence of digital health, wearable tech, user-centered (UX) design, and health citizenship with João Bocas, @WearablesExpert, in a on his podcast. And if those topics weren’t enough, I wove in the role of LEGO for our well-being, “playing well,” and inspiring STEM- and science-thinking. João and I started our chat first defining health citizenship, which is a phrase I first learned from