computers, broadband, and social networking

Nobody wants to live in a nursing home. Yeah, yeah. We get it. The NY Times offers up an opinion echoing what Politico writers and all older adults believe -- until the need actually arises. You’ve read those echo chamber opinions (and about the Green House alternatives with 10 residents each) for the past 19 years. The traditional nursing home model of 100+ residents (funded by Medicare for rehab and Medicaid for long term stays) was declared dead in 2009. Still, there are at least 1.4 million seniors who live in traditional nursing homes today. Why? You know why. Older adults with dementia or other high-care health issues, economies of scale for staffing, cost of private pay assisted living, cost of private pay home care, no near-by or any family members. No news there. Changing the subject, here are four blog posts from July 2021:

We should not accept that we are the product, always sharable.  From Amazon Sidewalk bandwidth sharing to always listening devices to smart assistants saving us from typing to recommendation engines (“If you liked this…”). The assumption derived from our behavior with new tech innovations? We have bought in – unless we go to ridiculous lengths to avoid having our data and information used (or abused) online. Consider ways in which algorithms still make mistakes that the individual referenced cannot easily correct.

Broadband penetration among adults in the US – is the job done? According to Parks Associates, 88% of US households have broadband. Do you find that confusing? Startling in the face of all of the state and government initiatives to connect more households? Minimum speed issues possibly going to be revised? What speeds are they talking about? Watch a Netflix movie? Participate in a zoom call? Not exactly. Turns out the current speed definitions “aren’t high enough to do anything.” Not a single area of West Virginia is properly served, according to that June 25, 2021 article. Colorado, Virginia – same complaint. Slow speed access is akin to no-speed access. Moving slowly past the speed issue – gets you to the adoption problem for older adults. What’s that you say? 22 million older adults, or 42% of the 65+ population, lack wireline broadband? Shouldn't that matter?

Apple recognizes that aging is at the core of a device/health strategy.  Several features were announced at Apple’s developer conference this week that were specifically relevant for an older demographic. Perhaps that population, likely aged 70+, may not (yet) have an iPhone or an Apple Watch. Noting the tech adoption gaps cited by AARP (wearables) and Pew (smartphones), Apple wants to change that, whether via family member gifts and/or pressure, possibly from healthcare providers. iPhones will offer real-time assessment of walking steadiness and fall risk, based on balance, stability and coordination while carrying the phone, not the watch. In addition, Apple added ‘opt-in’ health data sharing with other iOS users, such as aging parents, so that caregivers or family can see any worrisome trends like fall risk. No, data can’t be shared with Android or PC users. Why not, since, oddly, those users can launch a FaceTime call? Just because.  

April 2021 – the season for tech surveys.  Tech adoption continues apace.  If the new AARP Tech Trends of the 50+ and Pew Mobile Fact Sheet surveys were representative, fewer and fewer older adults are missing out on technology use. Unfortunately, both of these surveys band upper age responders into age 70+ and 65+ respectively – so it is impossible to detect what the Real Seniors aged 75+ are using. Today there are at least 23 million people in the US age 75+.  Don’t they deserve a demographic sub-category? Especially given the bad news from the January Humana report stating that 22 million aged 65+ lack broadband and thus miss a great deal. Are they living alone? In rural areas?  What if a government agency wanted to provide them with a free broadband plan, a smartphone and smart watch, how would they be located?