As Adult Vaccination Levels Fall, We Must Assert the Value of Vaccines

The rate of vaccinations among people 65 years of age and older has declined since 2019 — a personal health challenge for aging Americans and their caregivers and families, and a public health problem for the U.S. The Centers for Disease Control’s National Center for Health Statistics published Data Brief 547 on the situation on January 21, 2026. In the meantime, serendipity and timing are uncanny in the moment as The Value of Vaccines conversation series from Pfizer was launched this week. I am grateful to have participated in this project with several sisters-in-expertise: Elif Alyanak from Avalere, Venesa Day
Distrust is the default, insularity is our mindset: The Edelman Trust Barometer in 2026

ss Last year’s “shared reality” was a culture of trust and a crisis of grievance: this year, it’s trust and insularity, we learn from the Edelman Trust Barometer for 2026, launched this week during the World Economic Forum in Davos, Switzerland. Here are the Top 10 findings from the annual study, which Edelman conducted among nearly 34,000 citizens in 28 countries in October and November 2025: Insularity undermines trust The mass class divide deepens Nationalism is widespread Optimism for the future wanes Personal networks fill a void left by
In the U.S., Belief and Trust in Science and Scientists is Tied to Political Party and Education

Most Americans believe it’s very important for the nation to lead in scientific achievements. But twice as many Democrats as Republications, 65% versus 32%, say the U.S. is losing ground in science innovations. The Pew Research Center asks and answers the Do Americans Think the Country Is Losing or Gaining Ground in Science? And the answer is, “millions of people do think so.” The Pew team polled 5,111 U.S. adults in late October 2025 for this research. There are a few political chasms related to science-trust in the U.S. that are important
While Nurses Continue to Rank Top in Honesty and Ethics, Americans’ Respect for All Professions is Tanking

While nurses continue to rank high for honesty and ethics, Americans’ trust in the nations’ professions is tanking, found in this year’s Gallup Poll update titled, Nurses Continue to Lead in Honesty and Ethics Ratings. Nurses perennially top this chart, usually followed by doctors and pharmacists. But this year, it’s military veterans who garner the second spot in the Gallup Poll, with doctors and pharmacists in positions 3 and 4. Ranking at the bottom as least-respected for honesty and ethics are Members of Congress, again garnering the low-point in this study, with telemarketers trailing the
Exercise is Health Care, and Consumers Are Willing to Pay – Context for #CES2026

“Americans are not just setting fitness goals; they are budgeting for them,” Liz Clark, President and CEO of the Health & Fitness Association observed. “People increasingly see exercise as an essential investment in their long-term health. Even in a challenging economic environment, Americans are prioritizing physical activity as a proactive form of preventive healthcare.” Americans see exercise as healthcare — and health — according to a survey from the Health & Fitness Association (HFA). HFA commissioned Kantar to conduct the online survey among 2,000 U.S. adults 18 and over in December 2025 — well-timed for the
Navigating a Constellation of Uncertainties: Health/Care in 2026 (My Un-Forecast)

Almost from the first year of launching Health Populi in 2007, I’ve written a “TrendCast” for the coming year of health care. Over many years, there weren’t so many blogs devoted to health care which featured such prognostications, and so readers could divine signal from noise and move forward into new years with manageable lists of What To Expect Next Year in Healthcare. Here’s one from ten years ago that brings a sense of déjà vu: most of the findings are consistent with what we know for sure about 2026 and it’s useful to look back with today’s eyes to
A Month Until #CES2026 – The Journey to Our Personal Health Operating Systems

In a month, I’ll board a plane for Las Vegas to spend a week at CES 2026, the annual electronics conference that last year brought together over 140,000 global technology stakeholders to display, demonstrate, and sell the latest in consumer-facing tech. This will be my fourteenth CES (including the virtually convened meeting held in 2021). If you want to time travel, here’s a link to an early CES post featuring “The Battle of the (Wrist)bands.” Indeed, the digital health aisle at the time had many wrist-worn activity trackers, largely amped-up pedometers, with the likes
As SNAP Benefits Were Threatened to be Cut in the U.S., Eli Lilly’s Obesity Drugs Rose to the World’s Best-Selling Drug

Today, 1 November, the Supplemental Nutrition Assistance Program (SNAP) was to be shuttered and unfunded in at least 25 states until the U.S. Congress agreed to re-open the Federal government and fund this safety net for food security that covers 42 million people in America. Those 42 million people included 16 million children, about 39% of SNAP program beneficiaries. Then last night, a Federal judge intervened to order President Trump’s administration to reinstate funding for food assistance just-in-time. At this moment, I cannot tell you what the exact timing nor the amounts beneficiaries will receive will be.
A Chasm Between U.S. Health Citizens: Is Vaccination a Personal Choice, or for the Benefit of All?

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





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