Laurie Orlov's blog

The 3G sunset has had plenty of warning, but will that matter to older adults? Many people do not remember much about January 1, 2000, the day all systems that stored 2-digit years would become useless calculators. But there was much preparation and so life went on, mostly normal. Will that be the case with the 3G-to-5G network transition?  The big three carriers (Verizon, AT&T, T-Mobile) are motoring ahead with this switchover to enable them to free up, as they say, faster and more reliable bandwidth.  But there are worries that they may leave some users with a phone that is nothing more than a useless brick.  Experts in the industry (perhaps consultants to the carriers) say "that there will be a mere few hundred thousand customers impacted at each carrier, totaling fewer than 1 million people." Really? With 300 million cell phones in use in the US (there are only 332 million people!) and AT&T acknowledging that 196 million of them use its network!

Are you starting to notice a pattern, so to speak?  There seems to be a growing number of tech offerings that can see, sense, detect, and learn about behavioral patterns as part of new tools for older adults and their caregivers. Changes like these and others in this space will be addressed in a new report launching this month: "The Future of Sensors and Predictive Analytics for Older Adults."  In the meantime, here are eight new offerings in the market that are designed to improve wellbeing and care.  All text is drawn from the websites of the companies -- they are presented here in alphabetical order. 

The Meta Pixel problem – who would have thought? Never a dull moment in tech world. Meta (how tiresome, we know it is Facebook) has been sending patient data from hospital systems back to Facebook (appointments, doctor, and a host of other patient-specific data) through the use of a tracking pixel.   Results from a study identifying the problem are now published, and the first of possibly multiple lawsuits are being file for mishandling personal patient data. The point of the pixel was to help in tracking consumer responses to advertising. Like many privacy violations and data misuse on the Internet, consumers are usually powerless other than voting with our feet. With this lawsuit, coupled with government attempts to crack down on big tech, is the tide is turning? 

Is there a search problem to solve? Or are we just lazy searchers? The Atlantic tried to assess the Decline of Google as a search tool, citing a variety of fairly technical arguments as to why, sourcing commentary from bloggers and ‘experts’ who track and analyze search engines. The major complaint over time seems to have been the growing presence of ads and perception of selective ranking in favor of Google’s own products (like showing YouTube videos) and/or business alliances. And certainly there are multiple blogs out there that condemn Google as a search tool, suggesting one of many other search tools out there, including Microsoft Bing, Yahoo and (mostly) non-tracking DuckDuckGo. The conclusion of the Atlantic article would seem to be facetious – ‘Google is still useful for many’, considering that 91% of searches are done with it. 

Voice assistants made device hardware actually seem smart. By 2018, more technology (and associated improvements) could be found in the Cloud. Besides these invisible upgrades, the voice assistant technology has been continually improving – and if the user could be made aware of those improvements (a BIG IF), they might find them to be very useful. Consider voice-enabled smart plugs, thermostats, audio books, traffic directions, weather, and news updates – and answers to questions that might matter about health, social connection, and personal safety. Today 95 million million US adults have smart speakers and 85% of US adults own a smartphone. Both platforms are now in position to deliver value and benefit to older users -- and thus the opportunity to speak and be heard.

 A well-known consulting firm assesses the growing care gap. Boston Consulting Group analyzed the care crisis recently asserts that the lack of paid or unpaid care workers to provide care of children or aging parents may prevent them from filling unfilled jobs, noting the 99 million people today who are not in the workforce. y do an interesting analysis built around the premise that some people who could work do not because of care responsibilities. The conclusion -- the one hand, quality affordable care could be subsidized so that more would want to do the work, filling the unfilled care jobs (day care, elder care). And family members could thus remain in jobs that they would otherwise abandon to provide care. Okay, hard to argue with this macro view, but there are some key points missing. Take a look at Exhibit One in the document which asserts that nearly 50 million people, aged 18-64, could become part of the care labor force, particularly those that have children and remain at home to care for them.

This was conceived by Andrea Cohen, Founder and Vice-Chair of HouseWorks, a home care company started in Boston.  Andrea noted, "When employed to its fullest, remote care technology improves every aspect of how care is delivered in the home.  Imagine what's possible when every stakeholder wins."  The vision:  Change the work process to produce Engaged Caregivers, a Connected Care Team, and Informed Families.  Why does this matter now? The home care industry is enormously challenged today --  soaring demand, labor shortages and worker (and client) retention challenges.   At the same time, a vulnerable older adult population lacks adequate care in many parts of the country, sometimes due to wage issues, but more often due to the overall fierce competition for workers across industries. Yet the home care industry can attract those who care about older adults and provide them with improved working conditions that underpin their tasks with technology that improves efficiency and care effectiveness. [See report The Future of Remote Care Technology and Older Adults, where this graphic first appeared.]

PERS Insider helpfully listed the most common PERS Google searches. The result was bleak and informative. Their website identifies the top item (16,000 searches, results with ads) as a 'medical alert bracelet'. Except for the deep-pocketed Medical Guardian which bought ads everywhere, these were all bracelets to help emergency workers determine a health issue. The next one, Medical alert systems (14K searches) turned up ads for multi-vendor sales sites with names like 10 best, 5 best in Florida, and look, there's Medical Guardian! The US News site was not an ad itself, but the article was filled with ads for devices. Ditto for ConsumerAffairs.com.' Best and worst companies – more ads -- and Medical Guardian. Even 'I’ve Fallen and I Can’t Get Up' is one of top four search terms (4800), no doubt from those miserable LifeAlert ads. 

Is 2022 the tipping point for technology and older adults? Scanning through the collection of blog posts from April and May, the obvious has finally occurred. Baby boomers are aging and want to stay in their homes as long as feasible. Soon all 54 million of them will be over 65. Many will need to be monitored in their home for chronic diseases and in-home risk of falling – Amazon noticed with Alexa Together – Verizon noticed with its Care Smart Watch. Home care companies, senior living companies, skilled nursing facilities are all desperate for workers to address this overwhelming market. At the insistence of customers and prospects, technology offerings (beyond telehealth) will be required in all of these settings, especially at home -- and so as long-predicted, they must proliferate and improve. Consider these six blog posts from April and May 2022.

When it comes to people, the US Census has all the data.  From its American Community Survey (ACS) summary files and detailed tables, we know as of November, 2021, for example, the US population (315 million), the number of housing units (133 million) and whether they are owner-occupied. Further, it tells  the number of people in geographic locations, education and marital status, employment status (173 million), the percent aged 65+ (more than 55 million as of the date of the most recent survey).  The questionnaire is publicly available on the Census website. While many of the questions are intriguing (and used for redistricting) and the data results are much-reported, technology ownership is rarely discussed.  So here are some snapshots of changes in the ACS data from 2015 to 2021: