National Health Spending in the U.S. in 2033: What 20.3% of the GDP Will Be Spent On

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
Consumers’ Favorite Brands for 2025 Look a Lot Like Pandemic Times: All About Hygiene, Safety, Personal Care, and Packages

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
That Big Beautiful Bill’s Healthcare Proposals Aren’t So Pretty in the Views of Most People in the U.S. – Including Josh Hawley (R-Mo.) – Listening to the Kaiser Family Foundation June Health Tracking Poll

Across all U.S. voters, the so-called “Big Beautiful Bill” Act (BBB) is seen unfavorably by nearly a 2:1 margin. Underneath that top-line, Democrats, Independents, and non-MAGA Republicans oppose it, while MAGA supporters favor it. But favorability erodes when people hear about possible health impacts, we learn in the June 2025 Health Tracking Poll from the Kaiser Family Foundation. The details on views of the BBB Act are shown in the first bar chart, with overwhelming disfavor among Democrats and Independents, and majority unfavorability among non-MAGA GOP supporters. Next check into partisans’ lenses
Americans Hear More Frequently About GLP-1 Drugs Than About Menopause, Sleep, or Bird Flu

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
What Children Can Teach Us About Using GenAI – Insights from The Alan Turing Institute and LEGO

“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
What GoFundMe and Crowdfunding Campaigns Tell Us About Healthcare in America

“Can people afford to pay for health care?” a report from the World Health Organization asked and answered, with a focus on European health citizens. The same question underpins a new research paper published in Health Affairs Scholar, Insights from crowdfunding campaigns for medical hardship, Here, crowdfunding is a proxy for “can’t afford to pay for health care” in America. Here in blazing colors we have a snapshot of the study’s data in the form of a “heatmap.” FYI, a heatmap is a data visualization format that represents the magnitude of values of a dataset as a color — generally
How Texting Is a Lifeline for Health Access and Equity – Time to Address the TCPA is “Now”

The Telephone Consumer Protection Act (TCPA) was put into law in 1991. The first smartphone was launched by IBM the following year in 1992 known as the IBM Simon. Then Steve Jobs unveiled the iPhone in 2007. Now in 2025, smartphones are ubiquitous, landlines more cut than connected, and texting is the way people communicate. But for many patients, caregivers, health plan members, and health citizens, whichever persona we are in our individual health care journeys at a point in time, the TCPA remains a barrier for people in the U.S. trying to connect with their health care.
We Go Further Together: Calling for Collaborations, An Actionable Context for AHIP 2025

There are many ways to measure the dysfunction of health care in the U.S.: we can point to relatively poor incomes relative to the rest of the developed world, given how much money is allocated to health care in America. The maternal mortality rate in the U.S. is unconscionably high, akin to some middle- and lower-income nations in the world. And medical debt is a uniquely American form of financial toxicity compared with other OECD nations where the concept is, well, foreign. Even with these many failures, though, it’s important to put U.S. health care in a larger context: the
A Toyota RAV4 Hybrid, a Playground Set, or Healthcare for a Family of 4: What $35,119 Can Buy in 2025 According to Milliman

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
The Next Version of Medical Tourism: Medical Immigration?

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
Health, Wealth, and How Business Can Support Consumers in an Era of “Uncertainty on Steroids”

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
If Food Is Medicine, Some Might Feel It’s a Luxury Good Like a Specialty Drug

Most people in the U.S. say it’s harder to eat healthy given the cost of “healthy food,” we learn in the report on Americans on Healthy Food and Eating from the Pew Research Center, published 7 May 2025. With a view that healthy food is “too expensive,” it may feel like aspiring for it feels like luxury-good shopping, or being a patient prescribed a specialty (high-cost) drug. The Pew team polled 5,123 U.S. adults’ perspectives on eating, fielded between 24 February and 2 March 2025. This report is timely as Secretary of Health and
Americans’ Trust in Public Health Agencies Has Become Politicized, Though There is Bipartisan Support for Many Public Health Priorities

While health citizens’ trust in the “messengers” of health information has become polarized by partisans’ political views, there is real concordance of support for many public health priorities. We weave together two current studies to come to this realization: the latest (April 2025) KFF Tracking Poll on Health Information and Trust, KFF’s ongoing health survey (published 6 May); and, the de Beaumont – Harvard Chan School of Public Health poll into Americans’ views on public health in “the first 100 days” of President Trump’s presidency. First, consider the KFF study, conducted among
The Era of Healthcare Grievance: The Edelman Trust Barometer’s Take on Health and Trust in 2025

Health citizens globally are feeling and behaving more empowered with respect to their personal health from physical and mental health to social and environmental. Most people believe they can identify good sources of health information, with nearly one in two consumers 18-34 believing an average person can know as much as a doctor. But too many people feel unwell compared to how they felt during the pandemic, and most think major institutions are preventing them from accessing quality care and services which is resulting in an ethos of health care grievance. These
Health Insurance Coverage Among Smaller U.S. Businesses Is Eroding: A Signal From JPMorganChase

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
U.S. Health Care in 2025 Requires Scenario Planning: The Uncertainties (AI!?) That Inspire DIY Healthcare

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
Most Americans Don’t Want to Cut Medicaid (Including Republicans)

With potential down-sizing of Medicaid on the short-term U.S. political horizon, a fascinating poll found that most people identifying as Republican would not favor cuts to Medicaid. What fascinates me about this survey, published earlier this week, is that it was conducted by FabrizioWard, a polling firm that has often been used by President Trump. The firm’s Bob Ward told POLITICO that, “There’s really not a political appetite out there to go after Medicaid to pay for tax cuts. Medicaid has touched so many families that people have made up their minds about what
What is a Consumer Health Company? Riffing Off of Deloitte’s Report on CHCs/A 2Q2025 Look at Self-Care Futures

The health care landscape in 2030 will feature an expanded consumer health industry that will become, “an established branch of the health ecosystem focused on promoting health, preventing, disease, treating symptoms and extending healthy longevity,” according to a report published by Deloitte in September 2024, Accelerating the future: The rise of a dynamic consumer health market. While this report hit the virtual bookshelf about six months ago, I am revisiting it on this first day of the second quarter of 2025 because of its salience in this moment of uncertainties across our professional and personal lives — particularly related to
Still Life in Need: Art, Food Justice, and Health

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 Care Nation – How to Inspire a Rosa Parks Moment for Healthcare in America?

Tom Lawry may be best-known as a leading voice on AI in health care; after all, he’s written two very well-selling books on the topic, speaks all over the world on the subject, and in his most recent company-based gig helped lead Microsoft’s efforts in AI in health care and life sciences. When his publisher asked him to write a third book on AI in health care – still a hot topic in publishing – Tom said he’d rather turn to a subject long on his mind: the state of health care in America and how to change the conversation
From Bowling Alone to Eating Alone – What the Shift to Take-Out Food Means for Our Social Well-Being and Mental Health

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
Art Collides with Health Policy: When “When Calls the Heart” Met MAHA This Week

Art reflects life — or in this case, bumps into life and health care — once again when the pop culture facet of my own media consumption converges with a news announcement where the timing of these events is just too uncanny. It never occurred to me I’d ever write about the Hallmark Channel in the Health Populi blog. But reading the news that President Trump’s administration plans to cut funding for the ongoing 30-year study into diabetes and pre-diabetes — the landmark National Diabetes Prevention Program (NDPP) — dovetailed (or perhaps more honestly stated, collided) with the plotline of
A Mis-Trust Hangover for Health Care 5 Years After COVID Began – an Edelman Trust Barometer Update

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
The Top Patient Safety Risks in 2025 Are Mostly About the “Human OS” – Reading ECRI’s Annual Report

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
Consumers Are Financially Stressed – What This Means for Health/Care in 2025

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
Think Quintuple Aim This Week at #HIMSS25

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
Telehealth, Right Here, Right Now: Calling on Congress to Vote for America’s Health and Well-being

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
COVID-19 Further Splits American Society as Trust Continues to Erode – a 5-Year Perspective from Pew

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
Physicians’ Confidence In and Use of AI is Rising, AMA Finds – Coupling Demand With Many Enabling Factors

Doctors’ use of and demand for augmented intelligence in medical practice is on the rise — with many factors that could bolster or risk adoption on the journey toward AI in the doctor’s office, based on the latest survey from the American Medical Association (AMA) published this week. The AMA polled U.S. physicians in November 2024 to gauge their views on augmented intelligence (AI) addressing doctors’ use of AI, perceived opportunities and risks, and enabling factors for adoption. This study updates AMA’s survey conducted in 2023 and found significantly growing confidence and utilization
Health/Care at Super Bowl LIX, GLP-1s, Kaiser and Tufts on Food-As-Medicine, and the RFK, Jr. Factor: A Health Consumer Check-In

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
Health Consumer Check-In: From Digital Detox to Analog Wellness, Social Re-Wilding, and a Return to the Bookstore

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
Measuring Progress for Life Sciences: Trust, Patient Access, and Prevention at a Fork in the Road of Public Health

How will we know if the life sciences sector is advancing in 2025? This is the question asked at the start of the report, a Research Brief: 2025 Indicators of Progress for the Life Sciences Sector, from the IQVIA Institute for Human Data Science (IQVIA). To answer that question, IQVIA identified ten indicators for this 2025 profile on the life sciences sector. I selected four key data points for this discussion which provide particularly informative insights for my advisory work right now at the intersection of health, people/consumers, and technology: Trust for/with/in life science
Some Bipartisan Concurrence on Health Care Issues in the U.S. – But Trust in Health Care Isn’t Bipartisan – KFF’s January 2025 Polls

Two polls from one poll source paint at once a bipartisan and bipolar picture of U.S. health citizens when it comes to health care issues versus health care institutions in America. The Kaiser Family Foundation has hit the 2025 health policy ground running in publishing the January 2025 Health Tracking Poll last week and a poll on health care trust and mis-information yesterday. First, the health tracking poll which finds some concurrence between Democrats and Republicans on several big issues facing Americans and various aspects of their health care. As
There’s a Health Gap for Women Around the World – and the World Economic Forum Has a Blueprint to Fix It

Even though women comprise one-half of the world’s population, their health outcomes and inputs do not match up to men’s: there’s a women’s health gap on Planet Earth. Meeting in Davos this week for #WEF2025, the World Economic Forum published a report on that gender-health chasm titled, Blueprint to Close the Women’s Health Gap: How to Improve Lives and Economies for All. In collaboration with the McKinsey Health Institute, the report focuses on nine key conditions that, if addressed, could reduce the global disease burden by 27 million disability adjusted life years and add
Trust and Grievance in 2025: The Edelman Trust Barometer on MLK Jr. Day Converging with the World Economic Forum Kick-Off and the Inauguration of the 47th U.S. President

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.
How Tariffs Could Wreak Havoc on Health Care Costs and Supply Chains in the U.S.

Non-clinical goods and services can comprise $1 in $5 of net patient revenue in the U.S. health care economy, research from LogicSource gauges. The possible tariffs proposed by the next U.S. President could drive those costs up, eroding financial margins in many parts of American health care — from hospitals to drug companies and med-tech innovators. Simply put, “President-elect Donald Trump’s pledge to enact across-the-board tariffs isn’t going over well in the health care industry,” POLITICO reported. Why worry about tariffs’ impacts on health care? Ask the CFO of Reckitt, Shannon Eisenhardt, who spoke
Seeing Health/Care Everywhere at CES 2025: My Preview for #CES2025

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
The Rough Guide to Health/Care Consumers in 2025: The 2025 Health Populi TrendCast

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 People in the U.S. Trust the CDC and NIH for Health Information, and Most Want President Trump to Strengthen Health Institutions

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.
Americans’ Views on the Quality of Healthcare Fell to a Record Low — with Costs Ranking as the Most Urgent Problem for Health in the U.S.

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
How Trauma-Informed Design Principles Can Be Health-Ful for All of Us – Learning from IKEA

As a long-time fan and customer of IKEA, I receive daily Google Alerts about the company, from business finances to design trends. When I read this piece on IKEA’s work on a home designed for people who were homeless, I paid special attention to learn about the concept of trauma-informed design. Thanks to the publication Retail TouchPoints and the author of the story, Adan Blair, for covering this project. The story has lit a lot of lightbulb inspirations for me in thinking through the role housing plays in human health and well-being, and also to
How World AIDS Day 2024 Can Inform Healthcare in 2025

December 1 2024 was World AIDS Day, which was observed by the Biden White House with the display of the entire AIDS Memorial Quilt on the South Lawn — all 54 tons of it. The Biden-Harris Administration announced efforts, in advance of World AIDS Day, to continue to fight HIV/AIDS “at home and abroad.” The press release for the effort noted that, ”We remember those who have died from AIDS-related illnesses—honoring their courage and contributions as essential to the progress made thus far. We also stand in solidarity with the more than 39 million people with HIV around the world.
Workers Feel “Stuck,” Under-Insured, Financially Stressed, and Neglecting Mental Health

“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
What Stays True for U.S. Health Care Post #Election2024 (1) – Consumers’ Dissatisfaction with Drug Prices

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
Peace and Health: A Causal Relationship Explored in the AMA Journal of Ethics

“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.
How’s Life? Around the World – In the U.S., It’s the Sadness That Stands Out

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
Keep Calm and Carry On – Election Day Anxiety Hacks from Calm, Aloft Hotels, and Sesame Street

As my phone keeps pinging today with texts of friends and colleagues sharing #Election2024 angst, I am grateful to the folks at Calm for providing some moments of silence. Here’s their share to help us cope with political stress today. Calm provided similar support previously in 2020 when the meditation app collaborated with the media network CNN on election anxiety management — covered here in Health Populi. Political stress and anxiety is a mainstream mental health challenge in the U.S. (and other countries dealing with divisive politics). Many brands and products have taken positions
Women and #Election2024: Listening to Abigail Adams

With a handful of days before #Election2024 delivers final voters to polls in the U.S. on November 5th, Americans’ political stress is hitting fever pitches from all points on the U.S. political spectrum. Here is the sticker I am using in my journal today, November 1 2024, from Mental Health America. “Vote as if your mental health depends on it.” MHA has a portal devoted to 2024 Election Mental Health Resources, including a section with “mental health voter merch” to call out the phenomenon of political stress and support the efforts
Health Care Costs and Access On U.S. Voters’ Minds – Even If “Not on the Ballot” – Ipsos/PhRMA

Today marks eight days before #Election2024 in the U.S. While many political pundits assert that “health care is not on the ballot,” I contend it is on voters’ minds in many ways — related to the economy (the top issue in America), social equity, and even immigration (in terms of the health care workforce). In today’s Health Populi blog, I’m digging into Access Denied: patients speak out on insurance barriers and the need for policy change, a study conducted by Ipsos on behalf of PhRMA, the Pharmaceutical Research and Manufacturers of America — the pharma industry’s advocacy organization (i.e., lobby
Americans Want More Health Care Issues Baked into the 2024 Elections – Gallup

Beyond women’s health and abortion politics, most Americans are looking for more health care baked into the 2024 Elections, based on a new poll from Gallup in collaboration with West Health. Two in three U.S. adults thought health care was not receiving enough attention during the 2024 Presidential campaign as of September 2024. This is a majority shared opinion for voters across the three party IDs in the U.S., shown in the first bar graph. The research polled 3,660 U.S. adults in September, about two-thirds before the presidential debate held September 10, and about one-third
Well-Being Burnout – Lululemon’s 4th Annual Study Into Our Pressured Lives

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
1 in 2 U.S. Women (“The Bedrock of Society”) Self-Ration Care – the Latest Deloitte Findings

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.
Obesity is a Public Health Epidemic in the U.S. — The Case for GLP-1 Coverage, Affordability and Equity

“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
Where Democrats and Republicans Agree on Health Care Policies – From Medicare and Prescription Drugs to Gun Safety

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
How Voting Plays Into Health, Health Equity, and Community Well-Being

“Voter registration in hospitals is the new frontier in health care.” That’s the headline in a WBUR story last week detailing the efforts of health care professionals in “amplifying” their patients’ voices inside and outside of the hospital walls by advocating for their health citizenship — through voter registration and public health policy advocacy. I’m a long-time evangelist for health citizenship and the role that a person’s engagement in the civic commons plays in one’s own health, the health of their communities and of the nation as a whole. I’m not alone
Women’s Health Outcomes in the U.S.: Spending More, Getting (Way) Less – 4 Charts from The Commonwealth Fund

Women in the U.S. have lower life expectancy, greater risks of heart disease, and more likely to face medical bills and self-rationing due to costs, we learn in the latest look into Health Care for Women: How the U.S. Compares Internationally from The Commonwealth Fund. The Fund identified four key conclusions in this global study: Mortality, shown in the first chart which illustrates women in the U.S. having the lowest life expectancy of 80 years versus women in other high-income countries; Health status, with women in the U.S. more likely to consume multiple prescription
The Health Care Costs for Someone Retiring in 2024 in the U.S. Will Reach $165,000 – Fidelity’s 23rd Annual Update

The average person in the U.S. retiring in 2024 will need to bank $165,000 to pay for health care costs in retirement — a sum that does not include long-term care, Fidelity Investments advises us in the 23rd annual look at this always-impactful (and sobering) forecast. I’ve covered this study every year since 2011 here in Health Populi, continuing to add to this bar chart; in the interest of space and legibility, I started this year’s version of the chart at 2014, when the cost for a couple was gauged at $220K. Fidelity began
Trust in Institutions Among Americans: Small Biz, the Military and Police More than the Medical System

Two-thirds of Americans have a lot of confidence in small business in the U.S. In second place, 61% of people in the U.S. have confidence in the military, followed by 51% with the police. The Gallup Poll on Americans’ confidence in 17 U.S. institutions is out today, reflecting a snapshot of U.S. adults’ views on the organizations that touch their daily lives. And health care doesn’t fare too well in this latest read. Only 36% of Americans have confidence in the U.S. medical system, tied with peoples’ feelings of lack of confidence
Financial Strain Among Older People in America, and What Project 2025 Could Mean for Their Well-Being

Over one-half of people 50 years of age and older in the U.S. have felt financial strain in the past year, resulting in 1 in 2 folks cutting back on everyday expenses like groceries and gas. We learn that nearly one-half of people 50 and over say they’ve been impacted by inflation “a great deal” in Making Ends Meet: Financial Strain and Well-Being Among Older Adults, the latest report from the Institute for Healthcare Policy and Innovation’s National Poll on Healthy Aging based at the University of Michigan (my alma mater). The poll was conducted by NORC at the University
How to Get Better Care to More People? Address Burnout, Bridge Insights with AI, Embed Sustainability – the Philips Future Health Index 2024

Health care access is a challenge in rural and urban areas, cities and suburbs, and across more demographic groups than you might realize, as we see wait times grow for appointments, primary care shortages, and delays in screening plaguing health systems around the world. In the Future Health Index 2024, Philips’ latest annual report presents a profile of the state of health care focused on how to provide better care for more people. For the report, Philips surveyed a total of 2,800 healthcare leaders consisting of 200 respondents in 14 countries: Australia, Brazil, China,
Telehealth Legislation Passes Ways & Means, As GLP-1s Are Fast-Meshing with Telemedicine in the Marketplace

Yesterday, the U.S. House Committee on Ways and Means passed six pieces of legislation that would bolster telehealth in the U.S. for the next two years, assuring several aspects of access for health citizens across the country. “One of our top priorities on this Committee is helping every American access health care in the community where they live, work, and raise a family,” Committee Chairman Jason Smith (R-Mo.) explained in his introductory statement. Being from Missouri, Chairman Smith is especially keen on the role virtual care and telehealth can play to expand access to the under-served in the U.S. “In rural
The Cost of Medical Care, Long-Term Care, and Prescription Drugs Top Older Americans’ Health-Related Concerns – With Social Security and Medicare Top of Mind

Among Americans 50 years of age and over, the top health-related concerns are Cost, Cost, and Cost — for medical services, for long-term and home care, and for prescription medications. Quality of care ranks lower as a concern versus the financial aspects of health care in America among people 50 years of age and older, as we learn what’s On Their Minds: Older Adults’ Top Health-Related Concerns from the University of Michigan Institute for Healthcare Policy and Innovation. AARP sponsors this study, which is published nearly every month of the year on the Michigan Medicine portal.
Healthcare 2030: Are We Consumers, CEOs, Health Citizens, or Castaways? 4 Scenarios On the Future of Health Care and Who We Are – Part 2

This post follows up Part 1 of a two-part series I’ve prepared in advance of the AHIP 2024 conference where I’ll be brainstorming these scenarios with a panel of folks who know their stuff in technology, health care and hospital systems, retail health, and pharmacy, among other key issues. Now, let’s dive into the four alternative futures built off of our two driving forces we discussed in Part 1. The stories: 4 future health care worlds for 2030 My goal for this post and for the AHIP panel is to brainstorm what the person’s
Healthcare 2030: Are We Consumers, CEOs, Health Citizens, or Castaways? 4 Scenarios On the Future of Health Care and Who We Are – Part 1

In the past few years, what event or innovation has had the metaphorical impact of hitting you upside the head and disrupted your best-laid plans in health care? A few such forces for me have been the COVID-19 pandemic, the emergence of Chat-GPT, and Russia’s invasion of Ukraine. That’s just three, and to be sure, there are several others that have compelled me to shift my mind-set about what I thought I knew-I-knew for my work with organizations spanning the health care ecosystem. I’m a long-time practitioner of scenario planning, thanks to the early education at the side of Ian
A Vote for Telehealth is a Vote for American Patients’ and Doctors’ Well-Being

Whether you’re a patient or a physician in the U.S., you’re burned out, tapped out, stressed out, timed out. While the 118th U.S. Congress can’t agree on much before the 2024 summer recess, there’s one bipartisan stroke of political pens in Washington, DC, that could provide some satisfaction for both patients and doctors: bring telehealth back to patients and providers permanently. Those pens would do two things to modernize American health care for both patients and doctors: first, Congress would pass the CONNECT for Health Act (HR 4189. S 2016) and second, re-introduce and sign the Telehealth Modernization Act.
A Health Consumer Bill of Rights: Assuring Affordability, Access, Autonomy, and Equity

Let’s put “health” back into the U.S. health care system. That’s the mantra coming out of this week’s annual Capitol Conference convened by the National Association of Benefits and Insurance Professionals (NABIP). (FYI you might know of NABIP by its former acronym, NAHU, the National Association of Health Underwriters). NABIP, whose members represent professionals in the health insurance benefits industry, drafted and adopted a new American Healthcare Consumer Bill of Rights launched at the meeting. While the digital health stakeholder community is convening this week at VIVE in Los Angeles to share innovations in health tech, NABIP
The Trust-Innovation Gap – Welcome to the 2024 Edelman Trust Barometer

If it’s January, it’s Davos-time — that is the annual meeting of the World Economic Forum convening global experts and passionistas focused on big ideas and challenges facing us mere humans living on Planet Earth. Parallel with the WEF is the annual publication of the 2024 Edelman Trust Barometer, now in its 24th year, focusing on global citizens’ concerns that unite people around the world. For the 2024 study, Edelman’s team fielded the survey in November 2023, collecting input from over 32,000 people living in 28 countries. About 1,150 interviews (plus or minus) were done in each nation which included
Access to Technology Is the New Pillar for Well-Being: CES & the UN Partner for Human Security for All

In kicking off #CES2024, CTA’s researchers noted the acceleration of global connectivity, with gaps in peoples’ ability to connect depending where they live: by region, the percent of people connected to the internet today are, according to CTA’s data, 92% in the U.S. 87% in the E.U. 76% in Latin America 73% in China 55% in Nigeria 46% in India. Such gaps in connectivity threaten peoples’ individual well-being, but also social and political stability that impacts the entire world’s security. And not to overlook, as well, the promise of AI to do good at scale at the enterprise-level, globally.
Inflation and the cost of health care top U.S. voters’ issues for 2024 elections

The cost of living ranks top in U.S. voters’ minds among many issues Americans are feeling and following in late 2023. A close second in line is affordability of health care, as consumers’ household budgets must make room for paying medical bills — with prescription drug costs also very important as a discussion topic for 2024 Presidential candidates, we learn from the latest KFF Health Tracking Poll published 1 December. The monthly study focused on U.S. voters’ top issues and perspectives on the health system and care approaching the new year of 2024. KFF fielded the study among 1,301 U.S.
What If We Built a Consumer-Enchanting Health System in the Context of HLTH 2023? Building Blocks for the Scenario

What if….you were given the opportunity to build a health system from scratch in this new era of platforms, cloud computing, AI and machine learning, curious-digital-empowered consumers, and collaborators in retail and community settings operating close to peoples’ homes and workplaces? With the HLTH 2023 Conference meeting up in Vegas these past couple of days, this “what if” scenario can be constructed with announcements coming out of the meeting, coupled with recent developments in the larger health/care ecosystem. Start with General Catalyst’s news of engaging Dr. Marc Harrison, most recently CEO of Intermountain Health,
Food-As-Medicine Grows Its Cred Across the Health/Care and Retail Ecosystem

In the nation’s search for spending smarter on health care, the U.S. could save at least $13 billion a year through deploying medically-tailored meals for people enrolled in Medicare, Medicaid, and private insurance programs, according to the True Cost of Food, research published by the Tufts School of Nutrition Science and Policy collaborating with The Rockefeller Foundation. It’s been one year since the White House convened the Conference on Hunger, Nutrition, and Health, kicking off the Biden Administration’s national strategy to improve health citizens’ access to healthy food as a matter of public health and economic security.
“Healthcare Isn’t Healthy:” the Global Challenge of Health Equity, and Calls-to-Action

Discrimination in health care is reported by more people in the U.S. than in Germany, Spain, or the U.K., we learn in the research reported in The Intersection of Health Equity in Communities & Business Strategy: A Call-to-Action, from Omnicomm PR Group (OPRG) and Atlantic Insights. The study was conducted among 6,000 people living in Germany, Spain, the United Kingdom and the United States, fielding 1,500 interviews in each of the four countries in March 2023. The U.S. survey sample included 375 people identifying as Black, White, Hispanic, or
The Elevator, Trust and the Data Commons: Bart de Witte Makes the Case for Open AI for Health at WHO/Europe

“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
Channeling Tip O’Neill: “All Public Health (Love) is Local,” U.S. Health Citizens Tell the de Beaumont Foundation

Appreciation for public health in America tends to be a local-love thing, according to research from the de Beaumont Foundation. The COVID-19 pandemic raised health citizens’ awareness of the role and importance of public health — and for 7 in 10 people in the U.S., inspired a favorable opinion of their local public health officials, de Beaumont found. the Foundation’s President and CEO, Briant Castrucci, DrPH, observed, “The shared pandemic experience seems to have driven deeper familiarity with and support of public health departments and officials, along with a stronger understanding of the important
A Tale of Barbie, Beyonce and Taylor, the Economy and the Gynecologist

This weekend’s Wall Street Journal Saturday/Sunday edition featured a big story on the economic force of women in the summer of 2023, termed “the women’s multiplier effect” — that women’s spending is a powerful force in the U.S. economy (and as it turns out, in Sweden’s economy as well). The article was titled, “Women Own This Summer. The Economy Proves It,” and featured a Photoshopped image in various shades of pink with Margot Robbie as Barbie in the center, flanked by Beyonce to the left and Taylor Swift to the right. I’m
Hims and Hers and Hearts – Cardiology Blurs Into DTC Retail Health

Statin therapy has been used for decades to lower cholesterol with the goal of reducing mortality and preventing cardiovascular problems such as heart attacks and strokes. Hims & Hers announced a new service offering for health consumers and clinicians concerned about heart health called Heart Health by Hims. This is Hims & Hers’ first foray into cardiovascular health, working in collaboration with the American College of Cardiology (ACC). ACC clinical guidelines will inform the Hims’ provider platform for the program. “Prevention is the ideal mechanism to decrease cardiovascular events and ensure optimal heart
Patients, Nurses and Doctors Blame Health Insurers for Increasing Costs and Barriers to Care

Most patients, nurses and doctors believe that health insurance plans reduce access to health care which contributes to clinician burnout and increases costs, based on three surveys conducted by Morning Consult for the American Hospital Association (AHA). Most patients have experienced at least one health insurance related barrier in the past two years, and 4 in 10 of those people said their health got worse as a result of that care-barrier. “These surveys bear out what we’ve heard for years — certain insurance companies’ policies and practices are reducing health care access and making
There’s a New “O” in Medicine-Town – Welcome OPill to the Front of the Counter

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.
Happy 75th Birthday, NHS – Through A U.S. Health Care Lens

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
The State of Healthcare in America, State-By-State

If you live in Massachusetts, Hawaii, and New Hampshire, you win a kind of state lottery for public health and well-being, based on this year’s read of the 2023 Scorecard on State Health System Performance from The Commonwealth Fund. Here’s a picture of the annual study’s top-line findings, a roster of the fifty U.S. states ranked by a mash-up of health system indicators. As Annie Burkey of FierceHealthcare succinctly summed it up, the “Commonwealth Fund gives healthcare in southeastern states failing grades across the board.” I’ll give you more details about the Top and Bottom
Our Mental and Emotional Health Are Interwoven With What We Eat and Drink – Chewing On the IFIC 2023 Food and Health Survey

As most Americans confess to feeling stressed over the past six months, peoples’ food and beverage choices have been intimately connected with their mental and emotional well-being, we learn from the 2023 Food & Health Survey from the International Food Information Council (IFIC). For this year’s study, IFIC commissioned Greenwald Research to conduct 1,022 interviews with adults between 18 and 80 years of age in April 2023. The research explored consumers’ perspectives on healthy food, the cost of food, approaches to self-care through food consumption, the growing role of social media in the food system, and the influence of sustainability
Virtual Health Care Can Reduce Carbon Emissions: the Environmental ROI on Telehealth

As implemented in the COVID-19 era and its immediate wake, the most obvious environmental benefits offered by telehealth visits replacing in-person patient encounters have been achieved through reduced patient travel, considering The Role of Virtual Consulting in Developing Environmentally Sustainable Health Care, a systematic literature review published in the Journal of Medical Internet Research. This study, led by researchers at the University of Oxford, UK, and the University of Oslo, Norway, identified over 1,600 scientific papers, narrowing the most rigorous and relevant to 23 papers focusing on virtual consulting and carbon emissions. This is an important question for two major
A Public Health Wake-Up Call: Reading Between the Lines in IQVIA’s 2023 Use of Medicines Report

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
Thinking Pharma on a Friday: Europe’s Big Reforms for a Health Union & the U.S. 50-State Fragments

The COVID-19 pandemic re-shaped European Union leaders to reimagine healthcare, public health, and health citizenship in the EU. Welcome to #HealthUnion, the hashtag that the European Commission has adopted with the vision of assuring access to medicines for all people living in the 27-nation EU area — regardless of socioeconomic status. On 26th April 2023, the EC unveiled the most significant reforms for the region’s pharmaceutical industry in twenty years. It’s really a package or “toolkit” in the words of EC Health and Food Safety Commissioner Stella Kyriakides for addressing several strategic health pillars
Health Care Financing: How Inflation and Health Care Prices Could Hit the U.S. Consumer

In the U.S. in 2021, per person health care spending increased by nearly 15%, reversing 2020’s spending decline of 3.5% in the first year of the COVID-19 pandemic. The latest Health Care Cost and Utilization Report from the Health Care Cost Institute (HCCI) details health spending in 2021, dissecting the change in terms of utilization of services and prices by category. That’s a big rise over consumers’ household inflation for food, energy, and other kitchen-table considerations, prompting me to look for additional context from a recent paper published by the OECD on Health care financing in times of high inflation,
Food Is Medicine, Especially When You Are Hungry – The American Heart Association‘s FIM Initiative

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
Consumers Expect Every Company to Play a Meaningful Role in “My Health” – New Insights from the 2023 Edelman Trust Barometer

People have expanded their definitions of health in 2023, with mental health supplanting physical health for the top-ranked factor in feeling healthy. Welcome to the Edelman Trust Barometer Special Report: Trust and Health, released this week, with striking findings about how the economic, post-pandemic life, pollution and climate change all feed mis-trust among citizens living in 13 countries — and their eroding trust for health care systems. While these factors vary by country in terms of relative contribution to citizen trust, note that in the U.S., social polarization plays an outsized role in factors that “make us
My Health, My Data – Thinking Consumers, Privacy and Self-Care at HIMSS 2023

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
Don’t Mess with Medicare and Medicaid, Washington: They Remain Popular with Americans Across Party ID

A majority of the U.S. public does not want politicians to “up-end” government-funded health programs, according to the Kaiser Family Foundation’s March 2023 Health Tracking Poll. Social Security, Medicare, and Medicaid all garner most partisans’ support whether identifying as Democrat, Independent, or Republican, KFF found in their monthly poll of U.S. voters ages 18 and over. The survey was conducted online and by telephone among 1,271 U.S. adults between March 14-23, 2023. Among all the important findings in this well-timed poll, I’ll point to the issue of public
The New Deaths of Despair in America – Among U.S. Children

The phenomenon of Deaths of Despair is the short-hand name for rising mortality among certainly people living in the U.S. due to overdose, accidents, and suicide. Angus Deaton and Anne Case published their first of many research papers on Deaths of Despair in 2015. Their research uncovered the risks of dying a Death of Despair to be higher among men, especially those between the ages of 25 and 64. But mortality isn’t only going in the wrong direction for those people most closely associated with the Deaths of Despair demographic: there’s another life-span line graph moving in the wrong direction,
The Patient Is Still the Payor – And May Skip Paying for Prevention (Eyes on the ACA & Texas)

Many health citizens in the U.S. would likely skip receiving preventive health care services if the Affordable Care Act’s (ACA) coverage for them goes away, a Morning Consult survey found. The first chart illustrates the top-line of this research: that most U.S. adults would not pay out of pocket for several preventive services including tobacco cessation, drug use screening, weight loss measures to prevent obesity-related illnesses, as well as screening for depression or HIV. One of the key benefits embedded in the ACA was “free” without co-pay shares for preventive care. These
What Are Patients Looking for in a Doctor? It Depends on Who You Ask…and Their Race

While the same proportion of Black and White patients say they are looking for a doctor with empathy and compassion, there are relatively large differences between patients based on their race, found in the Everyday Health-Castle Connolly Physician-Consumer study. The survey was conducted in December 2022 among a group of 1,001 U.S. consumers and 277 Castle Connolly health care professionals. As the first bar chart illustrates “where patients differ, “Black people were nearly twice as likely as white people (41 percent versus 22 percent) to completely agree that they would be more comfortable and
The Polarization of Trust in 2023 – What It Means for Health, via Edelman at Davos WEF 23

For the third year in a row, citizens in most of the world see business as the most-trusted institution, above government, media, and NGOs, found in the 2023 Edelman Trust Barometer, unveiled this week at the annual World Economic Forum in Davos, Switzerland. The Edelman team conducted this 23rd annual study in November 2022 in 28 countries, among over 32,000 people — some 1,150 residents per country polled. (Note that Russia, studied in the surveys between 2007 and 2022, was not included in the 2023 research). The first chart arrays
While Nurses and Doctors Still Rank Highest in Trust, Gallup Finds Trust-Erosion by Party ID

In the annual 2023 Gallup poll on honesty and ethics in professions in the U.S., the good news for the human capital of health care is that nurses, physicians and pharmacists continue to lead Americans’ ratings across professions in first, second, and third place respectively. The bummer is that that trust equity has eroded in the past year — especially among health citizens who identify as Republican voters. Start with the upside, which is the perennial Gallup finding that health care’s front-line workers are the most-trusted professions in the U.S. And
Can Consumer Electronics Help Stem the Decline of U.S. Life-Years? A Preface for #CES2023

Life expectancy in the U.S. dropped nearly three years between 2019 and 2021, from close to 79 years down to 76. We ended 2022 with this new, sobering statistic from the Centers tor Disease Control (CDC). We begin 2023 with the opening of CES 2023, the world’s largest annual meet-up of consumer electronics innovators, companies, and retailers. How can digital health and other consumer-facing technologies help our health? First, consider the stark data point(s), and then we can better respond to the question’s answer in the Hot Points, below. In case you
When Household Economics Blur with Health, Technology and Trust – Health Populi’s 2023 TrendCast

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
A Call to Embrace Civic Engagement (Including Voting Access) as a Driver of Health

“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
Consumers’ Trust In Pharmacists As Providers Grows Along with Omnichannel Health Care

What is a “pharmacy” these days? You might have recently walked into a brick-and-mortar retail pharmacy. Or, you might have refilled a prescription to help you manage a chronic condition, online. Or, perhaps, you asked the pharmacist staffing your favorite grocery store Rx counter to give you the latest vaccine to keep COVID-19 variants at-bay. The pharmacy is all these things, and increasingly digital-first, we learn in The Rx Report: A new day in retail pharmacy, a consumer survey from CVS Health. CVS Health, one of the two largest pharmacies operating in the U.S. in 2021
Health in the 2022 U.S. Midterm Elections – Women, Prescription Drugs, and Who Shows Up to Vote

On Tuesday November 8, 2022, health and medical issues will be on many U.S. voters’ minds as they enter voting booths to select representatives for the House and the Senate, along with some states’ ballots addressing specific healthcare issues. Health policy experts from Manatt, Phelps & Phillips, AARP, and the United States of Care recently shared perspectives on the health care issues on voters’ and policy makers’ minds for the 2022 midterm elections. This post synthesizes their analyses as we lead up to what will be a pivotal election for Americans’ public health, individual well-being, and access to care.
Telehealth-As-Healthcare Is a Mainstream Expectation Among Consumers, J.D. Power Finds

Telehealth has increased access to mental health services, I’ve highlighted this Mental Illness Awareness Week here in Health Populi. But telehealth has also emerged as a preferred channel for routine health care services, we learn from J.D. Power’s 2022 Telehealth Satisfaction Study. Among people who had used virtual care in the past year, telehealth-as-healthcare is now part of mainstream Americans’ expectations as a normal part of their medical care. That’s because 9 in 10 users of telehealth in the U.S. would use virtual care to receive medical services in the future, J.D. Power found in