Aging, ageism

You see it in the media and hear about it with investors.  Digital Health is in its bubble of $8.1 billion in 2018,  which amounted to 8.6 % of VC investments, despite limited exit strategies – but investors love it.    Startups focused on the aging/technology space, however, receive only 0.7% of venture capital investment, including the big money ($115 million to date) that has gone to just one company.  (And that company is quietly pivoting to become a home care consolidator/platform company).  Meanwhile, over at the $30 billion (2018) home care market, a worsening shortage of workers in the midst of demand growth, is creating a recruiting near-panic among agencies, senior living firms and families, and produced.

You may have seen that rechargeable hearing aid commercial.   What was most striking about the commercial to a hearing industry outsider is the upfront commentary on what sounded like the predatory price of hearing aids – providers “charge whatever they can get.”   Several interesting aspects to that commercial – but the most interesting was that comment.  Who is ‘they’, how much can they ‘get’, and is there insurance that pays for them?  This is in an era where hearing aids have evolved to incorporate embedded AI, fall detection, direct connections for phone calls, and numerous other features and functions.

Investors continue to salivate over health tech.  Rant on.   So the first half of 2018 saw $3.4 billion invested in Digital Health (which means whatever you want it to mean.) And even when investments or company roll-ups are specifically about the Medicare population – frothy writers cannot bring themselves to use clear wording. So Optum acquires DaVita Medical Group and Humana acquires Kindred Healthcare. Gee, what do they do? Yes that is vertical integration in the continuum of care – specifically for health services to elderly Medicare recipients.  And the $146 million that went into PointClickCare – that is software for long-term post-acute care (LTPAC), another euphemism for what it really is – care of the elderly, generally in nursing homes.

Google discovers seniors (sort of) and thus a market is maybe born. There was a breathlessness to the CNBC article on July 23, 2018 – Google is mulling older adult applications for its Nest product line – particularly in senior housing settings, hopefully at less cost per installation than its website pricing.  And gee whiz, one of the uses is pathway lighting to find the bathroom – presumably replacing motion-sensing night lights for $7.97 from Walmart. Up next, predicting life-threatening falls, perhaps as an alternative to Philips CareSage or BioSensics Frailty Meter, for example.  Google execs qualified our enthusiasm, per the article: “The ideas are only in the discussion stage and may not find their way into shipping products.” Since his role at Google is to do “something interesting” -- perhaps this may not turn out to be.