Aging, ageism

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.

In a taxi in DC – the driver wends his way around buses and pedestrians.  It’s the day after the self-driving car killed a pedestrian. The next day, you can find scores of link references to a police comment that the car was likely not at fault though no investigation has completed – or even been started. In another tech publication (“Big Think – your daily microdose of genius”), you can read that in over 1.5 million miles of testing, one year ago was the first time the car had been at fault when it crashed with a bus. Really? How does the writer know this? Because Google says it was a ‘misunderstanding in the car’s software and from now on, the car will understand that large vehicles and buses will be less likely to yield.’

Surveys affirm increasing tech use among older adults, but for some, not so fast. Whether it is new data from Pew or AARP, some older adults refuse or are unable to use newer technologies, whether it is smartphones, online banking services, or (perhaps especially) social media.  Maybe they prefer feature phones (450 million shipped in 2017!) They may not be interested in being the first to test a new gadget or service.  Maybe they can’t get the packaging for a wearable opened without a hacksaw.  For that matter, how many of us are storing a pliers in their kitchen for vacuum-sealed containers?  But the tech of the day is particularly an anathema to a number of people, whether it is due to costly Internet plans, pricey and fragile smartphones, or hacker-improved, uh, enriched social media.