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"content": "\u003cp>Virtual reality's appeal as a medical tool is nothing new. It's been used to \u003ca href=\"http://www.uoflphysicians.com/virtual-reality-therapy\" target=\"_blank\">treat phobias\u003c/a>, \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/05/28/how-virtual-reality-worlds-can-help-reduce-pain/\" target=\"_blank\">reduce pain\u003c/a> and even \u003ca href=\"http://web.stanford.edu/group/sailsbury_robotx/cgi-bin/salisbury_lab/?page_id=205\" target=\"_blank\">help doctors perform surgery\u003c/a>.\u003c/p>\n\u003cp>And now, it's increasingly used to help people with disabilities explore the world in ways they may never be able to in real life—at a price within reach.\u003c/p>\n\u003cp>For $10 you can buy a cardboard virtual reality \"headset,\" download a free iPhone app, slot in your phone and explore virtual worlds from a wheelchair, bed or couch.\u003c/p>\n\u003cp>\u003cstrong>'That Butterfly Happiness'\u003c/strong>\u003c/p>\n\u003cp>A couple months ago, virtual reality company \u003ca href=\"http://www.speculartheory.com/\" target=\"_blank\">Specular Theory \u003c/a>was hosting a table at Singularity University's \u003ca href=\"http://singularityhub.com/event/fovr/\" target=\"_blank\">Future of Virtual Reality\u003c/a> event, when Danny Kurtzman cruised by in his wheelchair.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘This goes beyond empathy—it’s a way to inspire people with disabilities and give them new experiences, as if they are real.’\u003ccite> Ryan Pulliam, Specular Theory VR\u003c/cite>\u003c/aside>\n\u003cp>Kurtzman, who has muscular dystrophy, surfs in real life through a non-profit organization that helps people with paralysis engage in action sports. With the assistance of a 12-person team from \u003ca href=\"http://www.liferollson.org/\" target=\"_blank\">Life Rolls On\u003c/a>, Kurtzman can lie down on a board, get carried into the water, and then move into the waves.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The day Kurtzman stopped at the Specular Theory table, he had no idea what he'd be watching.\u003c/p>\n\u003cp>Then co-founder \u003ca href=\"https://about.me/ryanpulliam\" target=\"_blank\">Ryan Pulliam\u003c/a> handed him a virtual surfing experience.\u003c/p>\n\u003cp>\"It was such a trip because I went surfing last week but I was laying down on the board,\" Kurtzman says. \"In the headset I could actually experience surfing standing up!\"\u003c/p>\n\u003cp>The Newport Beach native says he'd never had that sensation before.\u003c/p>\n\u003cp>\"It gave me that awesome feeling —that butterfly happiness feeling,\" he says. \"It allowed me to experience something I thought I never could experience.\"\u003c/p>\n\u003cp>Pulliam and her co-founder Morris May were mesmerized watching Kurtzman test out the demo.\u003c/p>\n\u003cfigure id=\"attachment_52253\" class=\"wp-caption alignleft\" style=\"max-width: 357px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Danny-Kurtzman.jpg\">\u003cimg class=\" wp-image-52253\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Danny-Kurtzman-800x600.jpg\" alt=\"Danny Kurtzman, who has muscular distrophy, said being able to virtually surf via Specular Theory's demo gave him "goosebumps."\" width=\"357\" height=\"267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/Danny-Kurtzman-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Danny-Kurtzman-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Danny-Kurtzman-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Danny-Kurtzman-1920x1440.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Danny-Kurtzman-960x720.jpg 960w\" sizes=\"(max-width: 357px) 100vw, 357px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Danny Kurtzman, who has muscular distrophy, says being able to virtually surf via Specular Theory's demo gave him \"goosebumps.\"\u003c/figcaption>\u003c/figure>\n\u003cp>“I’ll never forget looking at him, he was stoked,” Pulliam says. \"He made us realize this goes beyond empathy—it’s a way to inspire people with disabilities and give them new experiences as if they are real. It’s this powerful, magical moment.\"\u003c/p>\n\u003cp>Pulliam and her team created the virtual reality experience by using proprietary software to film professional surfers in California and Mexico. She says the video is not interactive--the user can't move his or her body in real life and see it move in the headset.\u003c/p>\n\u003cp>\"It's a cinematic experience,\" she says, \"where you can look down at the board and feel like you're barreling through a wave.\"\u003c/p>\n\u003cp>\u003cstrong>VR Lures Big Tech\u003c/strong>\u003c/p>\n\u003cp>In 2014, Facebook purchased VR company Oculus for $2 billion; analysts predict the company will sell millions of units next year, when its Oculus Rift headset hits the market.\u003c/p>\n\u003caside class=\"pullquote alignright\">'It is a pivotal moment in virtual reality, as VR migrates from the laboratory to living rooms across the world.'\u003ccite>Jeremy Bailenson,\u003cbr>\nVirtual Human Interaction Lab\u003c/cite>\u003c/aside>\n\u003cp>Google now offers \u003ca href=\"http://mashable.com/2014/12/18/street-view-virtual-reality/\" target=\"_blank\">Street View via virtual reality \u003c/a>and sells \u003ca href=\"https://www.google.com/get/cardboard/\" target=\"_blank\">inexpensive VR cardboard headsets\u003c/a> online.\u003c/p>\n\u003cp>Google's birthplace, Stanford University, launched a \u003ca href=\"https://vhil.stanford.edu/\" target=\"_blank\">Virtual Human Interaction Lab\u003c/a> in 2003 that is pioneering the development of new virtual worlds.\u003c/p>\n\u003cp>Jeremy Bailenson runs the lab and measures VR's affect on its participants. He has even studied how being disabled in a virtual world affects able-bodied users.\u003c/p>\n\u003cp>He found that people who experienced color blindness in a virtual world were more likely to \u003ca href=\"http://vhil.stanford.edu/pubs/2013/ahn-mp-embodied-experiences.pdf\" target=\"_blank\">voluntarily assist people with color blindness\u003c/a> in real life.\u003c/p>\n\u003cp>He has also created a world where users have more limbs than they would in real life. They might have three arms and need to adapt to this new body.\u003c/p>\n\u003cp>Through VR's sensory feedback, we can gain a new understanding of our bodies, Bailenson says. Through virtual experiences, we can even reshape our homunculus—a map of the body we have in the brain.\u003c/p>\n\u003cp>Since the lab started in 2003, its researchers have met with influential figures like \u003ca href=\"http://mashable.com/2014/03/26/zuckerberg-tried-stanford-vr-oculus-rift/#5OBFuHKPESq4\" target=\"_blank\">Mark Zuckerberg \u003c/a>and \u003ca href=\"http://news.stanford.edu/news/2015/february/students-meet-prez-022415.html\" target=\"_blank\">President Obama\u003c/a>.\u003c/p>\n\u003cp>Attendees at the presidential event on the Stanford University campus say Obama even joked that Congress could benefit from the lab's empathy work.\u003c/p>\n\u003cfigure id=\"attachment_53188\" class=\"wp-caption alignright\" style=\"max-width: 508px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Dale-Garrett_Honor-Everywhere.jpg\">\u003cimg class=\" wp-image-53188\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Dale-Garrett_Honor-Everywhere-800x450.jpg\" alt=\"Dale Garrett of Columbia, MO is a 96-year-old WWII Veteran that is able to virtually visit his war memorial.\" width=\"508\" height=\"286\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/Dale-Garrett_Honor-Everywhere-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Dale-Garrett_Honor-Everywhere-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Dale-Garrett_Honor-Everywhere-1180x663.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Dale-Garrett_Honor-Everywhere-1920x1079.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Dale-Garrett_Honor-Everywhere-960x540.jpg 960w\" sizes=\"(max-width: 508px) 100vw, 508px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dale Garrett of Columbia, MO is a 96-year-old WWII Veteran who is able to virtually visit his war memorial through virtual reality. \u003ccite>(Honor Everywhere)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>VR for Social Benefit\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"http://honoreverywhere.com\" target=\"_blank\">Honor Everywhere\u003c/a> has created VR experiences for aging or terminally ill WWII veterans so they can virtually visit their war memorials halfway across the country.\u003c/p>\n\u003cp>For younger Americans, the University of Georgia and the Georgia Institute of Technology developed a program called \u003ca href=\"http://www.georgiabreakthru.org/\" target=\"_blank\">BreakThru\u003c/a> to help students with disabilities pursue STEM careers.\u003c/p>\n\u003cp>Through virtual reality, students solve complex problems in imagined worlds that may be applicable to their future careers. Funded by the National Science Foundation, the program has helped place 225 students in STEM careers.\u003c/p>\n\u003cp>Though virtual reality has been around for decades, the advancements we're seeing now are momentous.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"It is a pivotal moment in virtual reality,\" Bailenson says, \"as VR migrates from the laboratory to living rooms across the world.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The day Kurtzman stopped at the Specular Theory table, he had no idea what he'd be watching.\u003c/p>\n\u003cp>Then co-founder \u003ca href=\"https://about.me/ryanpulliam\" target=\"_blank\">Ryan Pulliam\u003c/a> handed him a virtual surfing experience.\u003c/p>\n\u003cp>\"It was such a trip because I went surfing last week but I was laying down on the board,\" Kurtzman says. \"In the headset I could actually experience surfing standing up!\"\u003c/p>\n\u003cp>The Newport Beach native says he'd never had that sensation before.\u003c/p>\n\u003cp>\"It gave me that awesome feeling —that butterfly happiness feeling,\" he says. \"It allowed me to experience something I thought I never could experience.\"\u003c/p>\n\u003cp>Pulliam and her co-founder Morris May were mesmerized watching Kurtzman test out the demo.\u003c/p>\n\u003cfigure id=\"attachment_52253\" class=\"wp-caption alignleft\" style=\"max-width: 357px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Danny-Kurtzman.jpg\">\u003cimg class=\" wp-image-52253\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Danny-Kurtzman-800x600.jpg\" alt=\"Danny Kurtzman, who has muscular distrophy, said being able to virtually surf via Specular Theory's demo gave him "goosebumps."\" width=\"357\" height=\"267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/Danny-Kurtzman-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Danny-Kurtzman-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Danny-Kurtzman-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Danny-Kurtzman-1920x1440.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Danny-Kurtzman-960x720.jpg 960w\" sizes=\"(max-width: 357px) 100vw, 357px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Danny Kurtzman, who has muscular distrophy, says being able to virtually surf via Specular Theory's demo gave him \"goosebumps.\"\u003c/figcaption>\u003c/figure>\n\u003cp>“I’ll never forget looking at him, he was stoked,” Pulliam says. \"He made us realize this goes beyond empathy—it’s a way to inspire people with disabilities and give them new experiences as if they are real. It’s this powerful, magical moment.\"\u003c/p>\n\u003cp>Pulliam and her team created the virtual reality experience by using proprietary software to film professional surfers in California and Mexico. She says the video is not interactive--the user can't move his or her body in real life and see it move in the headset.\u003c/p>\n\u003cp>\"It's a cinematic experience,\" she says, \"where you can look down at the board and feel like you're barreling through a wave.\"\u003c/p>\n\u003cp>\u003cstrong>VR Lures Big Tech\u003c/strong>\u003c/p>\n\u003cp>In 2014, Facebook purchased VR company Oculus for $2 billion; analysts predict the company will sell millions of units next year, when its Oculus Rift headset hits the market.\u003c/p>\n\u003caside class=\"pullquote alignright\">'It is a pivotal moment in virtual reality, as VR migrates from the laboratory to living rooms across the world.'\u003ccite>Jeremy Bailenson,\u003cbr>\nVirtual Human Interaction Lab\u003c/cite>\u003c/aside>\n\u003cp>Google now offers \u003ca href=\"http://mashable.com/2014/12/18/street-view-virtual-reality/\" target=\"_blank\">Street View via virtual reality \u003c/a>and sells \u003ca href=\"https://www.google.com/get/cardboard/\" target=\"_blank\">inexpensive VR cardboard headsets\u003c/a> online.\u003c/p>\n\u003cp>Google's birthplace, Stanford University, launched a \u003ca href=\"https://vhil.stanford.edu/\" target=\"_blank\">Virtual Human Interaction Lab\u003c/a> in 2003 that is pioneering the development of new virtual worlds.\u003c/p>\n\u003cp>Jeremy Bailenson runs the lab and measures VR's affect on its participants. He has even studied how being disabled in a virtual world affects able-bodied users.\u003c/p>\n\u003cp>He found that people who experienced color blindness in a virtual world were more likely to \u003ca href=\"http://vhil.stanford.edu/pubs/2013/ahn-mp-embodied-experiences.pdf\" target=\"_blank\">voluntarily assist people with color blindness\u003c/a> in real life.\u003c/p>\n\u003cp>He has also created a world where users have more limbs than they would in real life. They might have three arms and need to adapt to this new body.\u003c/p>\n\u003cp>Through VR's sensory feedback, we can gain a new understanding of our bodies, Bailenson says. Through virtual experiences, we can even reshape our homunculus—a map of the body we have in the brain.\u003c/p>\n\u003cp>Since the lab started in 2003, its researchers have met with influential figures like \u003ca href=\"http://mashable.com/2014/03/26/zuckerberg-tried-stanford-vr-oculus-rift/#5OBFuHKPESq4\" target=\"_blank\">Mark Zuckerberg \u003c/a>and \u003ca href=\"http://news.stanford.edu/news/2015/february/students-meet-prez-022415.html\" target=\"_blank\">President Obama\u003c/a>.\u003c/p>\n\u003cp>Attendees at the presidential event on the Stanford University campus say Obama even joked that Congress could benefit from the lab's empathy work.\u003c/p>\n\u003cfigure id=\"attachment_53188\" class=\"wp-caption alignright\" style=\"max-width: 508px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Dale-Garrett_Honor-Everywhere.jpg\">\u003cimg class=\" wp-image-53188\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Dale-Garrett_Honor-Everywhere-800x450.jpg\" alt=\"Dale Garrett of Columbia, MO is a 96-year-old WWII Veteran that is able to virtually visit his war memorial.\" width=\"508\" height=\"286\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/Dale-Garrett_Honor-Everywhere-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Dale-Garrett_Honor-Everywhere-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Dale-Garrett_Honor-Everywhere-1180x663.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Dale-Garrett_Honor-Everywhere-1920x1079.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Dale-Garrett_Honor-Everywhere-960x540.jpg 960w\" sizes=\"(max-width: 508px) 100vw, 508px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dale Garrett of Columbia, MO is a 96-year-old WWII Veteran who is able to virtually visit his war memorial through virtual reality. \u003ccite>(Honor Everywhere)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>VR for Social Benefit\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"http://honoreverywhere.com\" target=\"_blank\">Honor Everywhere\u003c/a> has created VR experiences for aging or terminally ill WWII veterans so they can virtually visit their war memorials halfway across the country.\u003c/p>\n\u003cp>For younger Americans, the University of Georgia and the Georgia Institute of Technology developed a program called \u003ca href=\"http://www.georgiabreakthru.org/\" target=\"_blank\">BreakThru\u003c/a> to help students with disabilities pursue STEM careers.\u003c/p>\n\u003cp>Through virtual reality, students solve complex problems in imagined worlds that may be applicable to their future careers. Funded by the National Science Foundation, the program has helped place 225 students in STEM careers.\u003c/p>\n\u003cp>Though virtual reality has been around for decades, the advancements we're seeing now are momentous.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"It is a pivotal moment in virtual reality,\" Bailenson says, \"as VR migrates from the laboratory to living rooms across the world.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>Update, 3.38 p.m. Oct 16: \u003c/strong>Theranos\u003ca href=\"https://theranos.com/news/posts/statement-from-theranos-2\"> issued the following statement\u003c/a> this afternoon. The company said the FDA is putting its Nanotainer tube, which it uses to collect blood samples, through a rigorous review process. The statement said the use of its Nanotainer has been cleared for one test for Herpes, and implied that the process would be straightforward:\u003c/p>\n\u003cblockquote>\u003cp>Now we’re working with them on clearance of just the Nanotainer™ tubes across all tests. But it’s the same tube. We’ve already met their rigorous standards in our first submission on our systems, and we’ll continue to do so.\u003c/p>\u003c/blockquote>\n\u003cp>But attorney Bradley Merrill Thompson, who specializes in FDA law with the firm Becker Epstein & Green, said it won't necessarily be easy for Theranos to get the use of the Nanotainer approved for all of its tests.\u003c/p>\n\u003cp>\"\u003cspan class=\"s1\">The chemistry of each test is slightly different,\" he explained. \"And the type of blood impacts the test in different ways for different tests.\" \u003c/span>\u003c/p>\n\u003cp>\u003cstrong>Update, 12:23 p.m. Oct. 16:\u003c/strong> An FDA spokeswoman says the agency does not have any information to share at this time. Theranos has not responded to a request for comment.\u003c/p>\n\u003cp>\u003cstrong>Update, 9 p.m. Oct. 15:\u003c/strong> A new report from The Wall Street Journal \u003ca href=\"http://www.wsj.com/articles/hot-startup-theranos-dials-back-lab-tests-at-fdas-behest-1444961864\">claims that Theranos\u003c/a> has stopped selling all but one of its finger stick tests under pressure from federal regulators, citing an unnamed source. The source also said that federal regulators had shown up unannounced at Theranos' doorstep. \u003ca href=\"http://www.cnbc.com/2015/10/15/theranos-ceo-fires-back-at-wsj-i-was-shocked.html\">Theranos' CEO spoke on CNBC's Mad Money\u003c/a> to refute the Wall Street Journal's claims.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Original Story:\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"http://www.wsj.com/articles/theranos-has-struggled-with-blood-tests-1444881901\" target=\"_blank\">The Wall Street Journal on Thursday \u003c/a>delivered an unexpected, scathing report on \u003ca href=\"https://theranos.com/\">Theranos\u003c/a>, the diagnostics startup with its charismatic, young founder Elizabeth Holmes.\u003c/p>\n\u003cp>For those who aren't familiar with Theranos, the biotech burst onto the scene in 2014, with its bold claim that it could diagnose a variety of diseases with a finger stick that takes just a few drops of blood -- as opposed to a blood draw. Theranos quickly became a media sensation, with its CEO depicted as a\u003ca href=\"http://fortune.com/2014/06/12/theranos-blood-holmes/\" target=\"_blank\"> young visionary\u003c/a> in the pages of New Yorker, Forbes and Fortune.\u003c/p>\n\u003cp>But some scientists and health writers saw past the hype months ago. They took to their personal blogs and social media to ask some \u003ca href=\"http://pathologyblawg.com/pathology-news/new-yorker-theranos-founders-description-chemistry-process-comically-vague/\" target=\"_blank\">pertinent questions about the science behind Theranos' test\u003c/a>, which largely went unanswered. Some requested that Theranos \u003ca href=\"http://www.medscape.com/viewarticle/840267\" target=\"_blank\">publish peer-reviewed studies\u003c/a> to prove the validity of its test.\u003c/p>\n\u003cp>At health conferences and gatherings, I've heard similar skepticism about Theranos' science and its multi-billion dollar valuation, as well as increasing calls for proof to back up its claims. Theranos has sought FDA approval for its tests, but it \u003ca href=\"http://www.businessinsider.com/science-of-elizabeth-holmes-theranos-2015-4\" target=\"_blank\">has evaded questions about its technology. \u003c/a>\u003c/p>\n\u003cp>As Dr. David Koch, president of the American Association for Clinical Chemistry and a professor at Emory University \u003ca href=\"http://www.businessinsider.com/science-of-elizabeth-holmes-theranos-2015-4\">told Business Insider in April\u003c/a>: \"It's impossible to comment on how good this is going to be — it may be wonderful and it may bomb, but I really can't be more definitive because there's nothing to really look at, to read, to react to.\" Theranos' \u003ca href=\"http://www.forbes.com/sites/danmunro/2015/07/13/an-inside-look-at-the-theranos-direct-to-consumer-experience/\" target=\"_blank\">blood test is available\u003c/a> in select Walgreens, including in Palo Alto, Calif. and throughout Arizona.\u003c/p>\n\u003cp>WSJ did dig up some fresh criticisms in its report, primarily from unnamed former employees. Here are some of the key points from WSJ's piece, \u003ca href=\"http://www.wsj.com/articles/theranos-has-struggled-with-blood-tests-1444881901\" target=\"_blank\">which is well worth a read\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>Rather than hundreds of tests, the article claims that Theranos can only do fifteen on its Edison machines. Theranos responded that this is false, citing \"trade secrets.\"\u003c/li>\n\u003cli>Doctors shared mixed views of Theranos' test. Some say it's convenient as the results arrive in 15 minutes. Others expressed that they couldn't trust the data.\u003c/li>\n\u003cli>Theranos doesn't need FDA approval, but it has sought it in order to be rigorous and transparent. But WSJ reporters say they reviewed \"internal emails,\" which suggest that the results may be off. Also, a chart in the article showed how a Theranos blood test result vastly differed from a \"hospital result.\" Theranos responded to say that these fluctuations are commonplace, and due to diet and other lifestyle choices.\u003c/li>\n\u003cli>A nurse and doctor interviewed by the WSJ reported abnormal test results after using Theranos' test.\u003c/li>\n\u003c/ul>\n\u003cp>In my view, Theranos' secretive approach is leaving it open to these kind of criticisms. \u003cspan style=\"line-height: 1.5\">While I appreciate the importance of trade secrets and intellectual property, Theranos says it did provide 1,000 pages of data to WSJ. How about sharing this with other media outlets and/or academics scientists, so they can form their own opinion about the test? And I'm not the only reporter who has expressed this view: \u003c/span>\u003c/p>\n\u003cp>https://twitter.com/fmanjoo/status/654711546208120832\u003c/p>\n\u003cp>As you might expect, Theranos \u003ca href=\"https://theranos.com/news/posts/statement-from-theranos\" target=\"_blank\">wrote a rebuttal to the WSJ piece\u003c/a>. Here's my summary of the key points:\u003c/p>\n\u003cul>\n\u003cli>Why didn't the Wall Street Journal publish over 1,000 pages of documents and evidence, rather than relying on disgruntled former employees?\u003c/li>\n\u003cli>Theranos' tests have proven accurate for tens of thousands of customers.\u003c/li>\n\u003cli>Theranos is working closely with the FDA to seek approval for its tests.\u003c/li>\n\u003cli>The sources that WSJ spoke to were not in a position to understand the technology and the science. WSJ declined an opportunity to try out the test for themselves.\u003c/li>\n\u003cli>Stories like these \"come along when you threaten to change things.\"\u003c/li>\n\u003c/ul>\n\u003cp>https://twitter.com/eholmes2003/status/654695247394435072?lang=en\u003c/p>\n\u003cp>I'm sympathetic to Holmes, particularly in her claim that innovators are often the subject of skepticism, but I for one would like to see greater transparency going forward.\u003c/p>\n\u003cp>\u003ca href=\"http://www.forbes.com/sites/matthewherper/2015/10/15/theranos-elizabeth-holmes-needs-to-stop-complaining-and-answer-questions/\" target=\"_blank\">As Matthew Herper from Forbes points out\u003c/a>, an FDA approval doesn't answer all the questions a patient or health professional might have about the test. Moreover, Theranos did not make available its CEO to answer the WSJ's legitimate concerns. Let's hope this conversation will result in some much-needed answers.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Editor's Note:\u003c/strong> An earlier version of this story stated that the FDA had ordered Theranos to stop selling all but one of its finger-stick tests. What the Wall Street Journal story said is that Theranos withdrew all but one of its finger-stick tests \"under pressure from regulators.\"\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update, 3.38 p.m. Oct 16: \u003c/strong>Theranos\u003ca href=\"https://theranos.com/news/posts/statement-from-theranos-2\"> issued the following statement\u003c/a> this afternoon. The company said the FDA is putting its Nanotainer tube, which it uses to collect blood samples, through a rigorous review process. The statement said the use of its Nanotainer has been cleared for one test for Herpes, and implied that the process would be straightforward:\u003c/p>\n\u003cblockquote>\u003cp>Now we’re working with them on clearance of just the Nanotainer™ tubes across all tests. But it’s the same tube. We’ve already met their rigorous standards in our first submission on our systems, and we’ll continue to do so.\u003c/p>\u003c/blockquote>\n\u003cp>But attorney Bradley Merrill Thompson, who specializes in FDA law with the firm Becker Epstein & Green, said it won't necessarily be easy for Theranos to get the use of the Nanotainer approved for all of its tests.\u003c/p>\n\u003cp>\"\u003cspan class=\"s1\">The chemistry of each test is slightly different,\" he explained. \"And the type of blood impacts the test in different ways for different tests.\" \u003c/span>\u003c/p>\n\u003cp>\u003cstrong>Update, 12:23 p.m. Oct. 16:\u003c/strong> An FDA spokeswoman says the agency does not have any information to share at this time. Theranos has not responded to a request for comment.\u003c/p>\n\u003cp>\u003cstrong>Update, 9 p.m. Oct. 15:\u003c/strong> A new report from The Wall Street Journal \u003ca href=\"http://www.wsj.com/articles/hot-startup-theranos-dials-back-lab-tests-at-fdas-behest-1444961864\">claims that Theranos\u003c/a> has stopped selling all but one of its finger stick tests under pressure from federal regulators, citing an unnamed source. The source also said that federal regulators had shown up unannounced at Theranos' doorstep. \u003ca href=\"http://www.cnbc.com/2015/10/15/theranos-ceo-fires-back-at-wsj-i-was-shocked.html\">Theranos' CEO spoke on CNBC's Mad Money\u003c/a> to refute the Wall Street Journal's claims.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Original Story:\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"http://www.wsj.com/articles/theranos-has-struggled-with-blood-tests-1444881901\" target=\"_blank\">The Wall Street Journal on Thursday \u003c/a>delivered an unexpected, scathing report on \u003ca href=\"https://theranos.com/\">Theranos\u003c/a>, the diagnostics startup with its charismatic, young founder Elizabeth Holmes.\u003c/p>\n\u003cp>For those who aren't familiar with Theranos, the biotech burst onto the scene in 2014, with its bold claim that it could diagnose a variety of diseases with a finger stick that takes just a few drops of blood -- as opposed to a blood draw. Theranos quickly became a media sensation, with its CEO depicted as a\u003ca href=\"http://fortune.com/2014/06/12/theranos-blood-holmes/\" target=\"_blank\"> young visionary\u003c/a> in the pages of New Yorker, Forbes and Fortune.\u003c/p>\n\u003cp>But some scientists and health writers saw past the hype months ago. They took to their personal blogs and social media to ask some \u003ca href=\"http://pathologyblawg.com/pathology-news/new-yorker-theranos-founders-description-chemistry-process-comically-vague/\" target=\"_blank\">pertinent questions about the science behind Theranos' test\u003c/a>, which largely went unanswered. Some requested that Theranos \u003ca href=\"http://www.medscape.com/viewarticle/840267\" target=\"_blank\">publish peer-reviewed studies\u003c/a> to prove the validity of its test.\u003c/p>\n\u003cp>At health conferences and gatherings, I've heard similar skepticism about Theranos' science and its multi-billion dollar valuation, as well as increasing calls for proof to back up its claims. Theranos has sought FDA approval for its tests, but it \u003ca href=\"http://www.businessinsider.com/science-of-elizabeth-holmes-theranos-2015-4\" target=\"_blank\">has evaded questions about its technology. \u003c/a>\u003c/p>\n\u003cp>As Dr. David Koch, president of the American Association for Clinical Chemistry and a professor at Emory University \u003ca href=\"http://www.businessinsider.com/science-of-elizabeth-holmes-theranos-2015-4\">told Business Insider in April\u003c/a>: \"It's impossible to comment on how good this is going to be — it may be wonderful and it may bomb, but I really can't be more definitive because there's nothing to really look at, to read, to react to.\" Theranos' \u003ca href=\"http://www.forbes.com/sites/danmunro/2015/07/13/an-inside-look-at-the-theranos-direct-to-consumer-experience/\" target=\"_blank\">blood test is available\u003c/a> in select Walgreens, including in Palo Alto, Calif. and throughout Arizona.\u003c/p>\n\u003cp>WSJ did dig up some fresh criticisms in its report, primarily from unnamed former employees. Here are some of the key points from WSJ's piece, \u003ca href=\"http://www.wsj.com/articles/theranos-has-struggled-with-blood-tests-1444881901\" target=\"_blank\">which is well worth a read\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>Rather than hundreds of tests, the article claims that Theranos can only do fifteen on its Edison machines. Theranos responded that this is false, citing \"trade secrets.\"\u003c/li>\n\u003cli>Doctors shared mixed views of Theranos' test. Some say it's convenient as the results arrive in 15 minutes. Others expressed that they couldn't trust the data.\u003c/li>\n\u003cli>Theranos doesn't need FDA approval, but it has sought it in order to be rigorous and transparent. But WSJ reporters say they reviewed \"internal emails,\" which suggest that the results may be off. Also, a chart in the article showed how a Theranos blood test result vastly differed from a \"hospital result.\" Theranos responded to say that these fluctuations are commonplace, and due to diet and other lifestyle choices.\u003c/li>\n\u003cli>A nurse and doctor interviewed by the WSJ reported abnormal test results after using Theranos' test.\u003c/li>\n\u003c/ul>\n\u003cp>In my view, Theranos' secretive approach is leaving it open to these kind of criticisms. \u003cspan style=\"line-height: 1.5\">While I appreciate the importance of trade secrets and intellectual property, Theranos says it did provide 1,000 pages of data to WSJ. How about sharing this with other media outlets and/or academics scientists, so they can form their own opinion about the test? And I'm not the only reporter who has expressed this view: \u003c/span>\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>As you might expect, Theranos \u003ca href=\"https://theranos.com/news/posts/statement-from-theranos\" target=\"_blank\">wrote a rebuttal to the WSJ piece\u003c/a>. Here's my summary of the key points:\u003c/p>\n\u003cul>\n\u003cli>Why didn't the Wall Street Journal publish over 1,000 pages of documents and evidence, rather than relying on disgruntled former employees?\u003c/li>\n\u003cli>Theranos' tests have proven accurate for tens of thousands of customers.\u003c/li>\n\u003cli>Theranos is working closely with the FDA to seek approval for its tests.\u003c/li>\n\u003cli>The sources that WSJ spoke to were not in a position to understand the technology and the science. WSJ declined an opportunity to try out the test for themselves.\u003c/li>\n\u003cli>Stories like these \"come along when you threaten to change things.\"\u003c/li>\n\u003c/ul>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>I'm sympathetic to Holmes, particularly in her claim that innovators are often the subject of skepticism, but I for one would like to see greater transparency going forward.\u003c/p>\n\u003cp>\u003ca href=\"http://www.forbes.com/sites/matthewherper/2015/10/15/theranos-elizabeth-holmes-needs-to-stop-complaining-and-answer-questions/\" target=\"_blank\">As Matthew Herper from Forbes points out\u003c/a>, an FDA approval doesn't answer all the questions a patient or health professional might have about the test. Moreover, Theranos did not make available its CEO to answer the WSJ's legitimate concerns. Let's hope this conversation will result in some much-needed answers.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Editor's Note:\u003c/strong> An earlier version of this story stated that the FDA had ordered Theranos to stop selling all but one of its finger-stick tests. What the Wall Street Journal story said is that Theranos withdrew all but one of its finger-stick tests \"under pressure from regulators.\"\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "This Should Be the Best Time to be a Doctor, But It's Not",
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"content": "\u003cp>\u003cem>This is an op-ed from Cosima Gretton, a doctor who has worked part-time at Bay Area health-technology startups.\u003c/em>\u003c/p>\n\u003cp>There’s a huge disparity going on in healthcare. The digital health hype is at an all time high. It seems like every day, I read a new article stipulating that technology is ‘revolutionizing healthcare.’\u003c/p>\n\u003cp>But inside hospitals, the story is very different.\u003c/p>\n\u003cfigure id=\"attachment_47483\" class=\"wp-caption alignright\" style=\"max-width: 329px\">\u003cimg class=\" wp-image-47483\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Screen-Shot-2014-09-28-at-22.59.28-784x600.png\" alt=\"The author Cosima Gretton. \" width=\"329\" height=\"252\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/Screen-Shot-2014-09-28-at-22.59.28-784x600.png 784w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Screen-Shot-2014-09-28-at-22.59.28-400x306.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Screen-Shot-2014-09-28-at-22.59.28.png 938w\" sizes=\"(max-width: 329px) 100vw, 329px\">\u003cfigcaption class=\"wp-caption-text\">The author Cosima Gretton. \u003ccite>(Cosima Gretton)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>I work as a doctor at a well-known hospital in London. Technology is changing rapidly in other sectors, but health care is having a hard time keeping up. Outdated IT systems are compounding the stress that doctors already experience in their daily lives, as well as making it more difficult to interact with patients. In the U.S., \u003ca href=\"http://www.forbes.com/sites/johngoodman/2014/09/11/why-are-doctors-so-unhappy/\">a recent survey found\u003c/a> that only six percent of doctors are satisfied with their jobs, in part due to the poorly-implemented \u003ca href=\"http://ww2.kqed.org/futureofyou/broken-medical-records\">electronic medical record systems\u003c/a>.\u003c/p>\n\u003cp>This situation may get worse before it gets better. In the U.K., where I work, there is a \u003ca href=\"http://www.theguardian.com/society/2015/sep/18/junior-doctors-new-contract-cut-pay-40-per-cent\">current row \u003c/a>over contracts that would \u003ca href=\"//www.buzzfeed.com/robertwarren/8-reasons-you-should-support-junior-doctors-going-1vc2s\">increase working hours while cutting our pay\u003c/a> by as much as 40 percent. Globally, there’s a huge lack of doctors: the U.S. alone will \u003ca href=\"https://www.aamc.org/newsroom/newsreleases/426166/20150303.html\">face a shortage\u003c/a> of between 46,000 to 90,000 physicians by 2025, according to the Association of American Medical Colleges. It's a supply and demand problem: It takes more than a decade of expensive training for doctors to care for the growing pool of aging patients.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Unfortunately, all this discontent impacts on patient care: \u003ca href=\"http://www.theatlantic.com/health/archive/2015/10/the-misery-of-a-doctors-first-days/408004/\">tired, unhappy people don’t make the best physicians. \u003c/a>And with more doctors \u003ca href=\"http://www.npr.org/sections/health-shots/2015/07/19/423882899/siren-song-of-tech-lures-new-doctors-away-from-medicine\">leaving the profession\u003c/a>, the workload for those that remain may become untenable. Greater workload means less time spent with each patient, or the prioritization of only the very unwell over others who may also be in need.\u003c/p>\n\u003caside class=\"pullquote alignright\">“Outdated IT systems are compounding the stress that doctors already experience in their daily lives, as well as making it more difficult to interact with patients.\"\u003cbr>\n\u003ccite>Dr. Cosima Gretton \u003c/cite>\u003c/aside>\n\u003cp>In my hospital, for example, there are 19 different software systems across the departments, few of which communicate data with each other. This quadruples the administrative work that doctors do and reduces time spent with patients.\u003c/p>\n\u003cp>Compounding the crisis is the fact that core medical education has not been upgraded for the 21st-century. As a graduate medical student, working part-time with health technology startups on both sides of the Atlantic, I was amazed to find such a disparity between my medical school curriculum and the technology for patients and doctors already on the market.\u003c/p>\n\u003cp>\u003cstrong>So What Can We Do?\u003c/strong>\u003c/p>\n\u003cp>To begin with, medication education needs a major upgrade and rebrand to attract the next generation and improve the doctor-patient relationship.\u003c/p>\n\u003cp>One potential solution lies in post-graduate education. Some recent initiatives are moving in the right direction, adapting the profession for the future and making it more attractive to young doctors.\u003c/p>\n\u003cp>At the \u003ca href=\"http://www.sibleyhub.com/about/\">John Hopkins Sibley Innovation Hub in Maryland\u003c/a>, they have trained over 200 doctors in design thinking, giving them time and skills to innovate and improve the system that they work in. Harvard Medical School recently overhauled its curriculum to \u003ca href=\"http://www.thecrimson.com/article/2015/9/2/hms-curriculum-major-revamp/\">include a new focus on health policy and regulation. \u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_50939\" class=\"wp-caption alignleft\" style=\"max-width: 292px\">\u003cimg class=\" wp-image-50939\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/eric-topol-409x600.jpg\" alt=\"Dr. Eric Topol has advocated for a practice style that is more inclusive of patients. \" width=\"292\" height=\"428\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/eric-topol-409x600.jpg 409w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/eric-topol-400x587.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/eric-topol.jpg 530w\" sizes=\"(max-width: 292px) 100vw, 292px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Eric Topol has advocated for a practice style that is more inclusive of patients. \u003ccite>(Ed Uthman/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>We also need to see a more drastic shift in consultation styles, shifting away from paternalistic medicine and more toward the patient. Consumer-facing technology giants like Apple are driving this further, putting diagnosis and management of many diseases into the patient’s hands.\u003c/p>\n\u003cp>One physician who is leading the push to a \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/07/31/inside-dr-eric-topols-modern-black-bag/\">more patient-centric practice is Eric Topo\u003c/a>\u003ca href=\"http://ww2.kqed.org/futureofyou/2015/07/31/inside-dr-eric-topols-modern-black-bag/\">l\u003c/a>, a cardiologist and author of 'The Patient Will See You Now.' Topol told me that many of his patients use a smartphone-based \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/05/06/can-a-smartwatch-help-prevent-a-heart-attack/\">heart monitor called the AliveCor.\u003c/a>\u003c/p>\n\u003cp>“My patients think they are having a major arrhythmia, they put their fingers on their phone sensors, realize they are OK and don’t go to the doctor,\" he told me. \"When they do, armed with their information, the doctor becomes more of a co-pilot in managing their care.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Finally, the potential for technology and a new era of genomic medicine to bring about a radical change in the way we deliver services is huge. It’s an exiting time to be in healthcare, but it sure is a \u003ca href=\"http://www.theguardian.com/healthcare-network/views-from-the-nhs-frontline/2015/sep/21/new-junior-doctors-contract-changes-everything-i-signed-up-for\">difficult time to be a doctor\u003c/a>. It's time we changed that.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This is an op-ed from Cosima Gretton, a doctor who has worked part-time at Bay Area health-technology startups.\u003c/em>\u003c/p>\n\u003cp>There’s a huge disparity going on in healthcare. The digital health hype is at an all time high. It seems like every day, I read a new article stipulating that technology is ‘revolutionizing healthcare.’\u003c/p>\n\u003cp>But inside hospitals, the story is very different.\u003c/p>\n\u003cfigure id=\"attachment_47483\" class=\"wp-caption alignright\" style=\"max-width: 329px\">\u003cimg class=\" wp-image-47483\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Screen-Shot-2014-09-28-at-22.59.28-784x600.png\" alt=\"The author Cosima Gretton. \" width=\"329\" height=\"252\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/Screen-Shot-2014-09-28-at-22.59.28-784x600.png 784w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Screen-Shot-2014-09-28-at-22.59.28-400x306.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Screen-Shot-2014-09-28-at-22.59.28.png 938w\" sizes=\"(max-width: 329px) 100vw, 329px\">\u003cfigcaption class=\"wp-caption-text\">The author Cosima Gretton. \u003ccite>(Cosima Gretton)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>I work as a doctor at a well-known hospital in London. Technology is changing rapidly in other sectors, but health care is having a hard time keeping up. Outdated IT systems are compounding the stress that doctors already experience in their daily lives, as well as making it more difficult to interact with patients. In the U.S., \u003ca href=\"http://www.forbes.com/sites/johngoodman/2014/09/11/why-are-doctors-so-unhappy/\">a recent survey found\u003c/a> that only six percent of doctors are satisfied with their jobs, in part due to the poorly-implemented \u003ca href=\"http://ww2.kqed.org/futureofyou/broken-medical-records\">electronic medical record systems\u003c/a>.\u003c/p>\n\u003cp>This situation may get worse before it gets better. In the U.K., where I work, there is a \u003ca href=\"http://www.theguardian.com/society/2015/sep/18/junior-doctors-new-contract-cut-pay-40-per-cent\">current row \u003c/a>over contracts that would \u003ca href=\"//www.buzzfeed.com/robertwarren/8-reasons-you-should-support-junior-doctors-going-1vc2s\">increase working hours while cutting our pay\u003c/a> by as much as 40 percent. Globally, there’s a huge lack of doctors: the U.S. alone will \u003ca href=\"https://www.aamc.org/newsroom/newsreleases/426166/20150303.html\">face a shortage\u003c/a> of between 46,000 to 90,000 physicians by 2025, according to the Association of American Medical Colleges. It's a supply and demand problem: It takes more than a decade of expensive training for doctors to care for the growing pool of aging patients.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Unfortunately, all this discontent impacts on patient care: \u003ca href=\"http://www.theatlantic.com/health/archive/2015/10/the-misery-of-a-doctors-first-days/408004/\">tired, unhappy people don’t make the best physicians. \u003c/a>And with more doctors \u003ca href=\"http://www.npr.org/sections/health-shots/2015/07/19/423882899/siren-song-of-tech-lures-new-doctors-away-from-medicine\">leaving the profession\u003c/a>, the workload for those that remain may become untenable. Greater workload means less time spent with each patient, or the prioritization of only the very unwell over others who may also be in need.\u003c/p>\n\u003caside class=\"pullquote alignright\">“Outdated IT systems are compounding the stress that doctors already experience in their daily lives, as well as making it more difficult to interact with patients.\"\u003cbr>\n\u003ccite>Dr. Cosima Gretton \u003c/cite>\u003c/aside>\n\u003cp>In my hospital, for example, there are 19 different software systems across the departments, few of which communicate data with each other. This quadruples the administrative work that doctors do and reduces time spent with patients.\u003c/p>\n\u003cp>Compounding the crisis is the fact that core medical education has not been upgraded for the 21st-century. As a graduate medical student, working part-time with health technology startups on both sides of the Atlantic, I was amazed to find such a disparity between my medical school curriculum and the technology for patients and doctors already on the market.\u003c/p>\n\u003cp>\u003cstrong>So What Can We Do?\u003c/strong>\u003c/p>\n\u003cp>To begin with, medication education needs a major upgrade and rebrand to attract the next generation and improve the doctor-patient relationship.\u003c/p>\n\u003cp>One potential solution lies in post-graduate education. Some recent initiatives are moving in the right direction, adapting the profession for the future and making it more attractive to young doctors.\u003c/p>\n\u003cp>At the \u003ca href=\"http://www.sibleyhub.com/about/\">John Hopkins Sibley Innovation Hub in Maryland\u003c/a>, they have trained over 200 doctors in design thinking, giving them time and skills to innovate and improve the system that they work in. Harvard Medical School recently overhauled its curriculum to \u003ca href=\"http://www.thecrimson.com/article/2015/9/2/hms-curriculum-major-revamp/\">include a new focus on health policy and regulation. \u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_50939\" class=\"wp-caption alignleft\" style=\"max-width: 292px\">\u003cimg class=\" wp-image-50939\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/eric-topol-409x600.jpg\" alt=\"Dr. Eric Topol has advocated for a practice style that is more inclusive of patients. \" width=\"292\" height=\"428\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/eric-topol-409x600.jpg 409w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/eric-topol-400x587.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/eric-topol.jpg 530w\" sizes=\"(max-width: 292px) 100vw, 292px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Eric Topol has advocated for a practice style that is more inclusive of patients. \u003ccite>(Ed Uthman/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>We also need to see a more drastic shift in consultation styles, shifting away from paternalistic medicine and more toward the patient. Consumer-facing technology giants like Apple are driving this further, putting diagnosis and management of many diseases into the patient’s hands.\u003c/p>\n\u003cp>One physician who is leading the push to a \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/07/31/inside-dr-eric-topols-modern-black-bag/\">more patient-centric practice is Eric Topo\u003c/a>\u003ca href=\"http://ww2.kqed.org/futureofyou/2015/07/31/inside-dr-eric-topols-modern-black-bag/\">l\u003c/a>, a cardiologist and author of 'The Patient Will See You Now.' Topol told me that many of his patients use a smartphone-based \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/05/06/can-a-smartwatch-help-prevent-a-heart-attack/\">heart monitor called the AliveCor.\u003c/a>\u003c/p>\n\u003cp>“My patients think they are having a major arrhythmia, they put their fingers on their phone sensors, realize they are OK and don’t go to the doctor,\" he told me. \"When they do, armed with their information, the doctor becomes more of a co-pilot in managing their care.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Finally, the potential for technology and a new era of genomic medicine to bring about a radical change in the way we deliver services is huge. It’s an exiting time to be in healthcare, but it sure is a \u003ca href=\"http://www.theguardian.com/healthcare-network/views-from-the-nhs-frontline/2015/sep/21/new-junior-doctors-contract-changes-everything-i-signed-up-for\">difficult time to be a doctor\u003c/a>. It's time we changed that.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>For six months, Eliza Kinrose worked about ten hours a week delivering anything from cupcakes to art supplies to strangers’ homes.\u003c/p>\n\u003cp>Shortly after quitting her steady job as a recruiter, Kinrose, 29, signed up to work for a new San Francisco-based mobile delivery service called \u003ca href=\"https://postmates.com/\">Postmates\u003c/a>. She made about $15 an hour for six months, which was just enough to scrape by until she launched a yoga business.\u003c/p>\n\u003cp>Postmates is just one of an explosion of “gig economy” or “on-demand economy” companies that connect people seeking services with sellers of those services in a few minutes’ time. Those who work for the gig economy do not receive health insurance, or any of the other social protections extended to employees. Unless they are employed elsewhere, they need to find and pay for these protections on their own.\u003c/p>\n\u003cp>But one evening, Kinrose received an email from Postmates about an intriguing free \"perk\" to help her find health insurance called \u003ca href=\"https://www.stridehealth.com/\">Stride Health.\u003c/a>\u003c/p>\n\u003cp>Stride Health is a startup health insurance broker service, which makes recommendations about health plans that are tailored to people's needs. The company offers web and mobile services to assist customers once they've purchased a health plan, including premium payment reminders and guidance on whether they qualify for subsidies. Stride Health also shows customers how much scenarios, like asthma or heart disease, would affect their out of pocket costs.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>San Francisco-based Stride Health is one of many startups taking advantage of new opportunities created by the \u003ca href=\"http://www.hhs.gov/healthcare/rights/\">Affordable Care Act\u003c/a> and the perceived failings of the federal and state marketplaces for individuals to buy health insurance. It is unique, however, in targeting gig economy workers like Kinrose. Uber, Postmates and Taskrabbit, three of the largest gig economy companies, market Stride Health's service to their workers.\u003c/p>\n\u003cfigure id=\"attachment_48816\" class=\"wp-caption alignright\" style=\"max-width: 307px\">\u003cimg class=\" wp-image-48816\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/uber-sidecar-400x600.jpg\" alt=\"Many workers, like Rick Warren, drive for multiple companies, including Sidecar and Lyft. \" width=\"307\" height=\"461\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/uber-sidecar-400x600.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/uber-sidecar-787x1180.jpg 787w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/uber-sidecar-1180x1770.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/uber-sidecar-960x1440.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/uber-sidecar.jpg 1280w\" sizes=\"(max-width: 307px) 100vw, 307px\">\u003cfigcaption class=\"wp-caption-text\">Many workers, like Rick Warren, drive for multiple companies, including Sidecar and Lyft.\u003c/figcaption>\u003c/figure>\n\u003cp>Stride Health's involvement with the gig economy may signal a shift in attitudes and priorities. According to Stride Health CEO Noah Lang, Uber and the rest are starting to care about the needs of their workers. \"They want to make sure people don't end up in a tough spot by forgoing coverage,\" he said.\u003c/p>\n\u003cp>But critics of the gig economy say Stride Health is a bandaid solution, as workers are still on the hook to pay for their own health insurance.\u003c/p>\n\u003cp>“When we have a jobs-based social welfare system, some people get a combination of health care, disability and more,” said Ken Jacobs, chair of the Labor Center at UC Berkeley, who specializes in health care coverage and public policy. “In a world where people are operating separately from that, the safety net goes away.\"\u003c/p>\n\u003cp>\u003cstrong>How Big Is the Gig Economy, Really?\u003c/strong>\u003c/p>\n\u003cp>In cities across the United States, anyone with a smartphone can order a meal from Postmates, a ride to work via Lyft or Uber, groceries on Instacart or a home cleaning on Handy. These services are so pervasive, with billions in total sales as a group that it’s hard to believe they only sprung up in the past five years.\u003c/p>\n\u003caside class=\"pullquote alignright\">“These marketplaces care about growing and maintaining their labor pool. But at the same time, they have to minimize their risks by not stepping over any of the lines.”\u003cbr>\n\u003ccite>Noah Lang, Stride Health cofounder and CEO\u003c/cite>\u003c/aside>\n\u003cp>The on-demand economy has been hailed as the next big thing, but labor economists say it still hasn’t made much of a dent in the overall U.S. economy. The idea may be disruptive to the status quo, but the most recent data suggests that Americans are no less likely to be self-employed than a decade ago.\u003c/p>\n\u003cp>“The gig economy currently is not really even big enough to show up in the [national economic] data,” said Jacobs. “And unfortunately, we don’t yet have a good sense of how big it will be.”\u003c/p>\n\u003cp>One promising trend, according to Jacobs, is that the companies are starting to release more data on their workers. In 2014, Uber collaborated with Princeton University economist Alan Kreuger on a report that determined the company had 160,000 “driver partners” in the United States. By contrast, the Bureau of Labor Statistics estimated that there were some 230,000 taxi-drivers in the U.S. in 2012.\u003c/p>\n\u003cp>Uber may not show up in national data just yet, but it is having an outsized impact in politics and popular culture. Even the presidential candidates are taking a side: While Hilary Clinton says she wants to “crack down” on sharing economy abuses of workers, Jeb Bush was recently spotted hailing an Uber ride in San Francisco.\u003c/p>\n\u003cp>\u003cb>Independent\u003c/b>\u003cstrong> Contractors or Employees? \u003c/strong>\u003c/p>\n\u003cp>By targeting the gig economy, Stride Health has taken a central role in an ongoing debate between policymakers, investors, and litigators, about whether on-demand companies should be treating their workers as employees and paying their expenses, as well as providing health insurance and other benefits.\u003c/p>\n\u003cp>Uber, a San Francisco-based company that uses a smartphone app to link people needing car rides with drivers for hire who use their own vehicles, is currently facing a\u003ca href=\"http://ww2.kqed.org/futureofyou/2015/09/23/uc-riverside-professor-slams-feds-stands-by-his-health-app/\"> looming class action lawsuit\u003c/a>. In the suit, three Uber drivers are collectively challenging the company on whether they should be considered employees under the law – and not independent contractors, as the company now classifies them.\u003c/p>\n\u003cp>And in June, the California Labor Commission ruled against Uber in determining that an ex-driver was entitled to reimbursement for business expenses.\u003c/p>\n\u003cp>“Many drivers have included on their list of issues that they are on their own for health insurance,” said Shannon Liss-Riordan, of Boston, Mass. the lead plaintiff attorney in the class action lawsuit against Uber. Liss-Riordan is also taking aim against Uber’s main rival, Lyft, and has spoken to hundreds of people who drive for these companies. “These drivers are left in the cold,” she said.\u003c/p>\n\u003cp>How the Uber case ends up could have national implications. If the company loses its class-action lawsuit and has to reclassify its drivers from independent contractors to employees, that would force the company to pay for things like expenses, and provide benefits to full-time drivers. One recent estimate is that Uber would need to \u003ca href=\"http://recode.net/2015/07/14/uber-could-have-to-pay-an-additional-209-million-to-reclassify-its-drivers-in-california/\">pay $209 million a year\u003c/a> to reclassify its drivers to employees – and that’s just in California.\u003c/p>\n\u003cp>Not everyone believes that Uber and the rest have left anyone out in the cold.\u003c/p>\n\u003cfigure id=\"attachment_48815\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-48815\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Uber-1-800x533.jpg\" alt=\"Lyft driver Deco Carter scanning for a fare.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/Uber-1-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Uber-1-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Uber-1-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Uber-1.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Uber-1-960x640.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Lyft driver Deco Carter scanning for a fare. \u003ccite>(Alan Toth/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For one thing, the Affordable Care Act has relieved the burden for many drivers, as it provides subsidies for low-income people to buy health insurance independently. Uber's CEO Travis Kalanick reportedly referred to the ACA as \"huge\" for the gig economy.\u003c/p>\n\u003cp>Some policymakers envision a middle ground, where workers have some added protections but are not full employees. One idea is a new worker category called a \"dependent contractor,\" which is legal in Germany, Canada and other countries, but not in the United States.\u003c/p>\n\u003cp>U.S. Senator Mark Warner, D-Virginia, has spent more than a year researching the on-demand economy. \u003ca href=\"http://onlabor.org/2015/06/22/a-new-category-of-worker-for-the-on-demand-economy/\">He has proposed \u003c/a>numerous paths forward to broker a peace in the legal wars, including the dependent contractor model. He has also proposed similar marketplaces to the Affordable Care Act for other key benefits, including workers' compensation.\u003c/p>\n\u003cp>But Warner doesn't agree that the ACA is a silver bullet for the gig economy, as these companies do not pay into it. Uber avoids providing health insurance to drivers, which it considers contractors, as the ACA mandates that only employers extend coverage to full-time employees. That’s a loophole that saves gig economy companies a lot of money.\u003c/p>\n\u003cp>\u003cstrong>Walking the Tightrope \u003c/strong>\u003c/p>\n\u003cp>Some \u003ca href=\"http://qz.com/299655/why-your-uber-driver-hates-uber/\">critics of Uber have painted the company’s top executives as indifferent to the plight of workers\u003c/a>. But by providing services to workers, these companies risk adding fuel to the legal argument that they should be employees and not independent contractors.\u003c/p>\n\u003cp>\u003ca href=\"http://docs.procurement.ku.edu/departmental_policies/Independent_Contractor_Excerpts.pdf\">The I.R.S. has about twenty factors\u003c/a> that it takes into account when determining a worker classification. One important distinction is how much \"control\" an employer has over the work that's being done, but it's not always clear what control means.\u003c/p>\n\u003cp>“Essentially, this [partnership with Stride Health] is about how these workers can get health care without exposing Uber and the rest to liability or responsibility,” said UC Berkeley’s Jacobs.\u003c/p>\n\u003cfigure id=\"attachment_48819\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-48819\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/IMG_1692-800x600.jpg\" alt=\"Stride Health's founders Noah Lang (left) and Matt Butner (right) \" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_1692-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_1692-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_1692-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_1692-1920x1440.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_1692-960x720.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Stride Health's founders Noah Lang (left) and Matt Butner (right) \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lang doesn’t totally disagree, but paints the partnership in a more positive light: “These marketplaces care about growing and maintaining their labor pool,” he said. “But at the same time, they have to minimize their risks by not stepping over any of the lines.”\u003c/p>\n\u003cp>If these companies do nothing, their practices may draw fire from policymakers. An uninsured and at-risk population is likely to incur major health costs in the long-term, costs that could eventually be borne by taxpayers. According to Lang, about 40 percent of gig economy workers surveyed by Stride Health said they would \"not have gotten coverage otherwise.\"\u003c/p>\n\u003cp>Stride Health seems to be a safe solution for the gig economy companies. It is unclear how many workers are using the tool, but Uber said it is helping those who are uninsured drivers find an affordable health plan. And drivers seem to like it.\u003c/p>\n\u003cp>“Finding affordable, effective health insurance is top of mind for many drivers,\" an Uber spokesperson said in a press release. A spokesperson for Taskrabbit said the company “vetted other options” but ultimately opted to partner with Stride due to the “thoughtful approach for independent contractors.”\u003c/p>\n\u003cp>Postmates declined to comment on its reasons for partnering with Stride. \u003cspan class=\"s1\">Uber and Taskrabbit emailed statements that could not be attributed to any company official. \u003c/span>\u003c/p>\n\u003cp>\u003cstrong>Will On-Demand Companies Ever Provide Health Insurance to Workers?\u003c/strong>\u003c/p>\n\u003cp>Critics of the on-demand economy say that Uber and the rest are the latest in a long line of companies that use fancy wordplay and questionable tactics to avoid protecting workers. These legal battles go back decades, with FedEx most recently settling a lawsuit with drivers who claimed they had been misclassified.\u003c/p>\n\u003cp>“Uber tries to argue that it’s not in the car service industry; it’s a technology platform,” said Liss-Riordan in an interview. “The court rejected that.”\u003c/p>\n\u003caside class=\"pullquote alignright\">“Some folks are working part-time for other jobs. Others have not had health insurance in a long time and need extra help navigating their options.\"\u003cbr>\n\u003ccite>An Uber spokesperson\u003c/cite>\u003c/aside>\n\u003cp>Some on-demand economy companies are now taking steps to reclassify their workers as employees, including \u003ca href=\"http://www.doctorondemand.com/\">Doctor on Demand\u003c/a>, a company that connects people with doctors online in a matter of minutes, as well as mobile delivery services Instacart and Shyp.\u003c/p>\n\u003cp>But Lang is doubtful that this will trigger a shift for the on-demand economy at large. As Lang points out, Uber’s labor pool is much larger than \u003ca href=\"http://www.businessinsider.com/why-instacart-is-reclassifing-some-of-its-workers-as-employees-2015-6\">an Instarcart\u003c/a> or Shyp and its workers are not specialized like Doctor on Demand’s physicians – all they need is a drivers’ license. “I give Shyp and Instacart kudos, of course,” he said, “but it’s also opportunistic for them.”\u003c/p>\n\u003cp>A change in federal law or a landmark Supreme Court ruling might force Uber, Lyft and others to treat their workers as employees. This wouldn’t mean that every driver would receive employee-sponsored health insurance overnight.\u003c/p>\n\u003cp>Dan Diamond, executive editor for the research and consulting firm \u003ca href=\"https://www.advisory.com/\">The Advisory Board\u003c/a>, has written about how Uber would handle the health care problem if its drivers were considered employees. Diamond does not believe that workers would immediately benefit from a reclassification.\u003c/p>\n\u003cp>Uber might opt to avoid providing health insurance by paying a fee under the Affordable Care Act (a requirement if businesses do not provide health insurance to employees who work more than 30 hours per week). It might also cap workers’ at 29 hours per week to keep them part-time employees.\u003c/p>\n\u003cp>Diamond expects that Uber will use every weapon in its arsenal to avoid such an outcome. “For Uber, none of these options are ideal.”\u003c/p>\n\u003cp>Deco Carter, a Bay Area-based Lyft driver, said he “knew the risks” when he joined the growing ranks of gig economy workers. He has been involved in two auto accidents, and lacked income for several weeks until he got his car fixed.\u003c/p>\n\u003cp>\"I really didn't have anything to fall back on,\" he said. \"If it wasn't for my fiancé, I don't know what I would have done.\"\u003c/p>\n\u003cp>In the years ahead, he hopes that Lyft would consider extending benefits to drivers, particularly to those who work full-time hours. Lyft is not currently working with Stride Health, but it drivers have access to an alternative service called the eHealth marketplace. A spokesperson denied requests from KQED for an interview.\u003c/p>\n\u003cp>But while executives at these companies may want to do more to protect workers, they are also under pressure to protect their bottom line. It would be highly expensive for them to reclassify workers.\u003c/p>\n\u003cp>Most experts are watching the presidential race as an indicator of what’s to come.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“My fear is that we’ll either re-classify everyone as an employee or trust the unfettered hand of capitalism,” said Warner. “Before that happens, I’m hoping those of us who are thinking about this in a bipartisan fashion can come up with some policy ideas that might be embraced by both sides.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>For six months, Eliza Kinrose worked about ten hours a week delivering anything from cupcakes to art supplies to strangers’ homes.\u003c/p>\n\u003cp>Shortly after quitting her steady job as a recruiter, Kinrose, 29, signed up to work for a new San Francisco-based mobile delivery service called \u003ca href=\"https://postmates.com/\">Postmates\u003c/a>. She made about $15 an hour for six months, which was just enough to scrape by until she launched a yoga business.\u003c/p>\n\u003cp>Postmates is just one of an explosion of “gig economy” or “on-demand economy” companies that connect people seeking services with sellers of those services in a few minutes’ time. Those who work for the gig economy do not receive health insurance, or any of the other social protections extended to employees. Unless they are employed elsewhere, they need to find and pay for these protections on their own.\u003c/p>\n\u003cp>But one evening, Kinrose received an email from Postmates about an intriguing free \"perk\" to help her find health insurance called \u003ca href=\"https://www.stridehealth.com/\">Stride Health.\u003c/a>\u003c/p>\n\u003cp>Stride Health is a startup health insurance broker service, which makes recommendations about health plans that are tailored to people's needs. The company offers web and mobile services to assist customers once they've purchased a health plan, including premium payment reminders and guidance on whether they qualify for subsidies. Stride Health also shows customers how much scenarios, like asthma or heart disease, would affect their out of pocket costs.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>San Francisco-based Stride Health is one of many startups taking advantage of new opportunities created by the \u003ca href=\"http://www.hhs.gov/healthcare/rights/\">Affordable Care Act\u003c/a> and the perceived failings of the federal and state marketplaces for individuals to buy health insurance. It is unique, however, in targeting gig economy workers like Kinrose. Uber, Postmates and Taskrabbit, three of the largest gig economy companies, market Stride Health's service to their workers.\u003c/p>\n\u003cfigure id=\"attachment_48816\" class=\"wp-caption alignright\" style=\"max-width: 307px\">\u003cimg class=\" wp-image-48816\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/uber-sidecar-400x600.jpg\" alt=\"Many workers, like Rick Warren, drive for multiple companies, including Sidecar and Lyft. \" width=\"307\" height=\"461\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/uber-sidecar-400x600.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/uber-sidecar-787x1180.jpg 787w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/uber-sidecar-1180x1770.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/uber-sidecar-960x1440.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/uber-sidecar.jpg 1280w\" sizes=\"(max-width: 307px) 100vw, 307px\">\u003cfigcaption class=\"wp-caption-text\">Many workers, like Rick Warren, drive for multiple companies, including Sidecar and Lyft.\u003c/figcaption>\u003c/figure>\n\u003cp>Stride Health's involvement with the gig economy may signal a shift in attitudes and priorities. According to Stride Health CEO Noah Lang, Uber and the rest are starting to care about the needs of their workers. \"They want to make sure people don't end up in a tough spot by forgoing coverage,\" he said.\u003c/p>\n\u003cp>But critics of the gig economy say Stride Health is a bandaid solution, as workers are still on the hook to pay for their own health insurance.\u003c/p>\n\u003cp>“When we have a jobs-based social welfare system, some people get a combination of health care, disability and more,” said Ken Jacobs, chair of the Labor Center at UC Berkeley, who specializes in health care coverage and public policy. “In a world where people are operating separately from that, the safety net goes away.\"\u003c/p>\n\u003cp>\u003cstrong>How Big Is the Gig Economy, Really?\u003c/strong>\u003c/p>\n\u003cp>In cities across the United States, anyone with a smartphone can order a meal from Postmates, a ride to work via Lyft or Uber, groceries on Instacart or a home cleaning on Handy. These services are so pervasive, with billions in total sales as a group that it’s hard to believe they only sprung up in the past five years.\u003c/p>\n\u003caside class=\"pullquote alignright\">“These marketplaces care about growing and maintaining their labor pool. But at the same time, they have to minimize their risks by not stepping over any of the lines.”\u003cbr>\n\u003ccite>Noah Lang, Stride Health cofounder and CEO\u003c/cite>\u003c/aside>\n\u003cp>The on-demand economy has been hailed as the next big thing, but labor economists say it still hasn’t made much of a dent in the overall U.S. economy. The idea may be disruptive to the status quo, but the most recent data suggests that Americans are no less likely to be self-employed than a decade ago.\u003c/p>\n\u003cp>“The gig economy currently is not really even big enough to show up in the [national economic] data,” said Jacobs. “And unfortunately, we don’t yet have a good sense of how big it will be.”\u003c/p>\n\u003cp>One promising trend, according to Jacobs, is that the companies are starting to release more data on their workers. In 2014, Uber collaborated with Princeton University economist Alan Kreuger on a report that determined the company had 160,000 “driver partners” in the United States. By contrast, the Bureau of Labor Statistics estimated that there were some 230,000 taxi-drivers in the U.S. in 2012.\u003c/p>\n\u003cp>Uber may not show up in national data just yet, but it is having an outsized impact in politics and popular culture. Even the presidential candidates are taking a side: While Hilary Clinton says she wants to “crack down” on sharing economy abuses of workers, Jeb Bush was recently spotted hailing an Uber ride in San Francisco.\u003c/p>\n\u003cp>\u003cb>Independent\u003c/b>\u003cstrong> Contractors or Employees? \u003c/strong>\u003c/p>\n\u003cp>By targeting the gig economy, Stride Health has taken a central role in an ongoing debate between policymakers, investors, and litigators, about whether on-demand companies should be treating their workers as employees and paying their expenses, as well as providing health insurance and other benefits.\u003c/p>\n\u003cp>Uber, a San Francisco-based company that uses a smartphone app to link people needing car rides with drivers for hire who use their own vehicles, is currently facing a\u003ca href=\"http://ww2.kqed.org/futureofyou/2015/09/23/uc-riverside-professor-slams-feds-stands-by-his-health-app/\"> looming class action lawsuit\u003c/a>. In the suit, three Uber drivers are collectively challenging the company on whether they should be considered employees under the law – and not independent contractors, as the company now classifies them.\u003c/p>\n\u003cp>And in June, the California Labor Commission ruled against Uber in determining that an ex-driver was entitled to reimbursement for business expenses.\u003c/p>\n\u003cp>“Many drivers have included on their list of issues that they are on their own for health insurance,” said Shannon Liss-Riordan, of Boston, Mass. the lead plaintiff attorney in the class action lawsuit against Uber. Liss-Riordan is also taking aim against Uber’s main rival, Lyft, and has spoken to hundreds of people who drive for these companies. “These drivers are left in the cold,” she said.\u003c/p>\n\u003cp>How the Uber case ends up could have national implications. If the company loses its class-action lawsuit and has to reclassify its drivers from independent contractors to employees, that would force the company to pay for things like expenses, and provide benefits to full-time drivers. One recent estimate is that Uber would need to \u003ca href=\"http://recode.net/2015/07/14/uber-could-have-to-pay-an-additional-209-million-to-reclassify-its-drivers-in-california/\">pay $209 million a year\u003c/a> to reclassify its drivers to employees – and that’s just in California.\u003c/p>\n\u003cp>Not everyone believes that Uber and the rest have left anyone out in the cold.\u003c/p>\n\u003cfigure id=\"attachment_48815\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-48815\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Uber-1-800x533.jpg\" alt=\"Lyft driver Deco Carter scanning for a fare.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/Uber-1-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Uber-1-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Uber-1-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Uber-1.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Uber-1-960x640.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Lyft driver Deco Carter scanning for a fare. \u003ccite>(Alan Toth/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For one thing, the Affordable Care Act has relieved the burden for many drivers, as it provides subsidies for low-income people to buy health insurance independently. Uber's CEO Travis Kalanick reportedly referred to the ACA as \"huge\" for the gig economy.\u003c/p>\n\u003cp>Some policymakers envision a middle ground, where workers have some added protections but are not full employees. One idea is a new worker category called a \"dependent contractor,\" which is legal in Germany, Canada and other countries, but not in the United States.\u003c/p>\n\u003cp>U.S. Senator Mark Warner, D-Virginia, has spent more than a year researching the on-demand economy. \u003ca href=\"http://onlabor.org/2015/06/22/a-new-category-of-worker-for-the-on-demand-economy/\">He has proposed \u003c/a>numerous paths forward to broker a peace in the legal wars, including the dependent contractor model. He has also proposed similar marketplaces to the Affordable Care Act for other key benefits, including workers' compensation.\u003c/p>\n\u003cp>But Warner doesn't agree that the ACA is a silver bullet for the gig economy, as these companies do not pay into it. Uber avoids providing health insurance to drivers, which it considers contractors, as the ACA mandates that only employers extend coverage to full-time employees. That’s a loophole that saves gig economy companies a lot of money.\u003c/p>\n\u003cp>\u003cstrong>Walking the Tightrope \u003c/strong>\u003c/p>\n\u003cp>Some \u003ca href=\"http://qz.com/299655/why-your-uber-driver-hates-uber/\">critics of Uber have painted the company’s top executives as indifferent to the plight of workers\u003c/a>. But by providing services to workers, these companies risk adding fuel to the legal argument that they should be employees and not independent contractors.\u003c/p>\n\u003cp>\u003ca href=\"http://docs.procurement.ku.edu/departmental_policies/Independent_Contractor_Excerpts.pdf\">The I.R.S. has about twenty factors\u003c/a> that it takes into account when determining a worker classification. One important distinction is how much \"control\" an employer has over the work that's being done, but it's not always clear what control means.\u003c/p>\n\u003cp>“Essentially, this [partnership with Stride Health] is about how these workers can get health care without exposing Uber and the rest to liability or responsibility,” said UC Berkeley’s Jacobs.\u003c/p>\n\u003cfigure id=\"attachment_48819\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-48819\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/IMG_1692-800x600.jpg\" alt=\"Stride Health's founders Noah Lang (left) and Matt Butner (right) \" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_1692-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_1692-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_1692-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_1692-1920x1440.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_1692-960x720.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Stride Health's founders Noah Lang (left) and Matt Butner (right) \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lang doesn’t totally disagree, but paints the partnership in a more positive light: “These marketplaces care about growing and maintaining their labor pool,” he said. “But at the same time, they have to minimize their risks by not stepping over any of the lines.”\u003c/p>\n\u003cp>If these companies do nothing, their practices may draw fire from policymakers. An uninsured and at-risk population is likely to incur major health costs in the long-term, costs that could eventually be borne by taxpayers. According to Lang, about 40 percent of gig economy workers surveyed by Stride Health said they would \"not have gotten coverage otherwise.\"\u003c/p>\n\u003cp>Stride Health seems to be a safe solution for the gig economy companies. It is unclear how many workers are using the tool, but Uber said it is helping those who are uninsured drivers find an affordable health plan. And drivers seem to like it.\u003c/p>\n\u003cp>“Finding affordable, effective health insurance is top of mind for many drivers,\" an Uber spokesperson said in a press release. A spokesperson for Taskrabbit said the company “vetted other options” but ultimately opted to partner with Stride due to the “thoughtful approach for independent contractors.”\u003c/p>\n\u003cp>Postmates declined to comment on its reasons for partnering with Stride. \u003cspan class=\"s1\">Uber and Taskrabbit emailed statements that could not be attributed to any company official. \u003c/span>\u003c/p>\n\u003cp>\u003cstrong>Will On-Demand Companies Ever Provide Health Insurance to Workers?\u003c/strong>\u003c/p>\n\u003cp>Critics of the on-demand economy say that Uber and the rest are the latest in a long line of companies that use fancy wordplay and questionable tactics to avoid protecting workers. These legal battles go back decades, with FedEx most recently settling a lawsuit with drivers who claimed they had been misclassified.\u003c/p>\n\u003cp>“Uber tries to argue that it’s not in the car service industry; it’s a technology platform,” said Liss-Riordan in an interview. “The court rejected that.”\u003c/p>\n\u003caside class=\"pullquote alignright\">“Some folks are working part-time for other jobs. Others have not had health insurance in a long time and need extra help navigating their options.\"\u003cbr>\n\u003ccite>An Uber spokesperson\u003c/cite>\u003c/aside>\n\u003cp>Some on-demand economy companies are now taking steps to reclassify their workers as employees, including \u003ca href=\"http://www.doctorondemand.com/\">Doctor on Demand\u003c/a>, a company that connects people with doctors online in a matter of minutes, as well as mobile delivery services Instacart and Shyp.\u003c/p>\n\u003cp>But Lang is doubtful that this will trigger a shift for the on-demand economy at large. As Lang points out, Uber’s labor pool is much larger than \u003ca href=\"http://www.businessinsider.com/why-instacart-is-reclassifing-some-of-its-workers-as-employees-2015-6\">an Instarcart\u003c/a> or Shyp and its workers are not specialized like Doctor on Demand’s physicians – all they need is a drivers’ license. “I give Shyp and Instacart kudos, of course,” he said, “but it’s also opportunistic for them.”\u003c/p>\n\u003cp>A change in federal law or a landmark Supreme Court ruling might force Uber, Lyft and others to treat their workers as employees. This wouldn’t mean that every driver would receive employee-sponsored health insurance overnight.\u003c/p>\n\u003cp>Dan Diamond, executive editor for the research and consulting firm \u003ca href=\"https://www.advisory.com/\">The Advisory Board\u003c/a>, has written about how Uber would handle the health care problem if its drivers were considered employees. Diamond does not believe that workers would immediately benefit from a reclassification.\u003c/p>\n\u003cp>Uber might opt to avoid providing health insurance by paying a fee under the Affordable Care Act (a requirement if businesses do not provide health insurance to employees who work more than 30 hours per week). It might also cap workers’ at 29 hours per week to keep them part-time employees.\u003c/p>\n\u003cp>Diamond expects that Uber will use every weapon in its arsenal to avoid such an outcome. “For Uber, none of these options are ideal.”\u003c/p>\n\u003cp>Deco Carter, a Bay Area-based Lyft driver, said he “knew the risks” when he joined the growing ranks of gig economy workers. He has been involved in two auto accidents, and lacked income for several weeks until he got his car fixed.\u003c/p>\n\u003cp>\"I really didn't have anything to fall back on,\" he said. \"If it wasn't for my fiancé, I don't know what I would have done.\"\u003c/p>\n\u003cp>In the years ahead, he hopes that Lyft would consider extending benefits to drivers, particularly to those who work full-time hours. Lyft is not currently working with Stride Health, but it drivers have access to an alternative service called the eHealth marketplace. A spokesperson denied requests from KQED for an interview.\u003c/p>\n\u003cp>But while executives at these companies may want to do more to protect workers, they are also under pressure to protect their bottom line. It would be highly expensive for them to reclassify workers.\u003c/p>\n\u003cp>Most experts are watching the presidential race as an indicator of what’s to come.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“My fear is that we’ll either re-classify everyone as an employee or trust the unfettered hand of capitalism,” said Warner. “Before that happens, I’m hoping those of us who are thinking about this in a bipartisan fashion can come up with some policy ideas that might be embraced by both sides.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Prone to Brain Trauma, NFL Players and Military Vets Get Virtual Care",
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"content": "\u003cp>Like many veterans, C.J. Keller returned home with unresolved trauma after a tour of duty in Iraq. He couldn't tolerate crowded places, and he sought relief by drinking heavily and working out aggressively at the gym.\u003c/p>\n\u003cp>\"I could have been a statistic,\" said Keller, who recently relocated from Baltimore, Maryland to Moorestown, New Jersey.\u003c/p>\n\u003cp>But Keller met another U.S. Marine Corps veteran by chance, who convinced him to try yoga and get involved in occupational therapy. \"It saved my life,\" Keller said.\u003c/p>\n\u003cp>Keller had something in common with another cohort involved in stressful situations. \u003ca href=\"http://www.pbs.org/wgbh/pages/frontline/sports/concussion-watch/new-87-deceased-nfl-players-test-positive-for-brain-disease/\">Studies have shown\u003c/a> that retired professional football players and veterans suffer from a wide range of \u003ca href=\"https://www.bostonglobe.com/lifestyle/health-wellness/2012/05/16/boston-scientists-lead-team-that-pinpoints-brain-damage-vets-similar-football-injuries/cxhZosm8At1o5Er7dqjRUN/story.html\">neurological issues\u003c/a>. Both groups \u003ca href=\"http://www.latimes.com/nation/la-na-veteran-suicide-20150115-story.html\">experience high rates of suicides\u003c/a>, and many do not receive the medical attention they need.\u003c/p>\n\u003cp>(More on this via PBS' FRONTLINE: \u003ca href=\"http://www.pbs.org/wgbh/pages/frontline/sports/concussion-watch/new-87-deceased-nfl-players-test-positive-for-brain-disease/\">87 Deceased NFL Players Test Positive for Brain Disease\u003c/a>.)\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Now, however, \u003ca href=\"http://www.marketwired.com/press-release/-2057481.htm\">a program\u003c/a> from the \u003ca href=\"https://www.urmc.rochester.edu/\">University of Rochester Medical Center \u003c/a>and the \u003ca href=\"https://www.crowdrise.com/lightitup\">Light It Up Foundation\u003c/a>, an outreach organization founded by retired NFL linebacker Keith Mitchell, aims to provide a new type of treatment to these groups. Like Keller, Mitchell \u003ca href=\"http://health.usnews.com/health-news/blogs/eat-run/2015/06/09/how-a-former-pro-football-player-found-yoga\">credits yoga\u003c/a> as a crucial part of his recovery.\u003c/p>\n\u003caside class=\"pullquote alignright\">“It's a very intense experience that puts the brain into warrior mode. But when they come home, they're not a warrior. That impacts their ability to live outside of that environment.\"\u003cbr>\n\u003ccite>Heidi Schwarz, professor of clinical neurology at the University of Rochester\u003c/cite>\u003c/aside>\n\u003cp>The first 50 patients who are selected for the program will receive free medical treatment at the University of Rochester, as well as training in yoga, nutrition, mindfulness and meditation. To make it sustainable in the long-term, the program also has a digital component, courtesy of a San Francisco-based health technology startup called \u003ca href=\"https://www.grandrounds.com/\">Grand Rounds.\u003c/a>\u003c/p>\n\u003cp>According to Grand Rounds' CEO Owen Tripp, his company will help gather patients’ medical records online and connect those being treated to a multidisciplinary group of specialists at the University of Rochester and elsewhere for ongoing virtual consultations. Grand Rounds will also digitize patients’ care plans once their doctors have agreed on an intervention and course of treatment.\u003c/p>\n\u003cp>The program kicks off the first week of October, when participants will arrive in New York for a retreat. They will immediately be seen on-site by doctors from the University of Rochester before embarking on several days of guided meditations, yoga training and other health and wellness programs.\u003c/p>\n\u003cp>Once they return home, their doctors will contact them online via Grand Rounds, and they'll be offered the option to continue their mindfulness training online for eight weeks.\u003c/p>\n\u003cp>\u003cstrong>'No Easy Cure'\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_46101\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-46101\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/mitchell-800x494.jpg\" alt=\"The program is the brainchild of former NFL player Keith Mitchell.\" width=\"800\" height=\"494\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/mitchell-800x494.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/mitchell-400x247.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/mitchell-1180x729.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/mitchell-960x593.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/mitchell.jpg 1435w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The program is the brainchild of former NFL player Keith Mitchell. \u003ccite>(Keith Mitchell/Amir Magal)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"Many of their problems do not have an easy cure,\" said Heidi Schwarz, a professor of clinical neurology at the University of Rochester. Schwarz expects some of the participants will be diagnosed with Parkinson's disease, post-traumatic stress disorder and other neurological conditions.\u003c/p>\n\u003cp>\"Medications can be helpful, but a lot of what really makes a difference is lifestyle,\" she explained.\u003c/p>\n\u003cp>Schwarz said about half of the participants are veterans, and the other half are retired football players. It may sound like a yogi's dream, but the program is specifically designed for those who have \"unmet needs that are crying out for help\" and \"not just general wellness,\" she said.\u003c/p>\n\u003cp>Many football players receive health insurance through the NFL for five years into their retirement. Symptoms of dementia typically do not manifest until much later, although some players may qualify for longer-term health benefits in the \u003ca href=\"http://www.cnn.com/2015/04/22/us/nfl-concussion-lawsuit-settlement/\">wake of a class action lawsuit and settlement\u003c/a> between the NFL and thousands of former players.\u003c/p>\n\u003cp>The experiences of veterans and athletes vary widely. But Schwarz said there may be some benefit to bringing these individuals together. \"In both cases, it's an intense experience that puts the brain into warrior mode,\" she said. \"But when they come home, they're not a warrior. That impacts their ability to live outside of that environment.\"\u003c/p>\n\u003cp>For this reason, the program is a year long with regular virtual check-ins between the doctors and patients.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"This isn't just about brain damage; it's about mental health too,\" Schwarz said.\u003c/p>\n\n",
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"excerpt": "A new program from the University of Rochester Medical Center and the Light It Up Foundation, an outreach organization founded by retired NFL linebacker Keith Mitchell, aims to provide a new brand of treatment to these groups.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Like many veterans, C.J. Keller returned home with unresolved trauma after a tour of duty in Iraq. He couldn't tolerate crowded places, and he sought relief by drinking heavily and working out aggressively at the gym.\u003c/p>\n\u003cp>\"I could have been a statistic,\" said Keller, who recently relocated from Baltimore, Maryland to Moorestown, New Jersey.\u003c/p>\n\u003cp>But Keller met another U.S. Marine Corps veteran by chance, who convinced him to try yoga and get involved in occupational therapy. \"It saved my life,\" Keller said.\u003c/p>\n\u003cp>Keller had something in common with another cohort involved in stressful situations. \u003ca href=\"http://www.pbs.org/wgbh/pages/frontline/sports/concussion-watch/new-87-deceased-nfl-players-test-positive-for-brain-disease/\">Studies have shown\u003c/a> that retired professional football players and veterans suffer from a wide range of \u003ca href=\"https://www.bostonglobe.com/lifestyle/health-wellness/2012/05/16/boston-scientists-lead-team-that-pinpoints-brain-damage-vets-similar-football-injuries/cxhZosm8At1o5Er7dqjRUN/story.html\">neurological issues\u003c/a>. Both groups \u003ca href=\"http://www.latimes.com/nation/la-na-veteran-suicide-20150115-story.html\">experience high rates of suicides\u003c/a>, and many do not receive the medical attention they need.\u003c/p>\n\u003cp>(More on this via PBS' FRONTLINE: \u003ca href=\"http://www.pbs.org/wgbh/pages/frontline/sports/concussion-watch/new-87-deceased-nfl-players-test-positive-for-brain-disease/\">87 Deceased NFL Players Test Positive for Brain Disease\u003c/a>.)\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Now, however, \u003ca href=\"http://www.marketwired.com/press-release/-2057481.htm\">a program\u003c/a> from the \u003ca href=\"https://www.urmc.rochester.edu/\">University of Rochester Medical Center \u003c/a>and the \u003ca href=\"https://www.crowdrise.com/lightitup\">Light It Up Foundation\u003c/a>, an outreach organization founded by retired NFL linebacker Keith Mitchell, aims to provide a new type of treatment to these groups. Like Keller, Mitchell \u003ca href=\"http://health.usnews.com/health-news/blogs/eat-run/2015/06/09/how-a-former-pro-football-player-found-yoga\">credits yoga\u003c/a> as a crucial part of his recovery.\u003c/p>\n\u003caside class=\"pullquote alignright\">“It's a very intense experience that puts the brain into warrior mode. But when they come home, they're not a warrior. That impacts their ability to live outside of that environment.\"\u003cbr>\n\u003ccite>Heidi Schwarz, professor of clinical neurology at the University of Rochester\u003c/cite>\u003c/aside>\n\u003cp>The first 50 patients who are selected for the program will receive free medical treatment at the University of Rochester, as well as training in yoga, nutrition, mindfulness and meditation. To make it sustainable in the long-term, the program also has a digital component, courtesy of a San Francisco-based health technology startup called \u003ca href=\"https://www.grandrounds.com/\">Grand Rounds.\u003c/a>\u003c/p>\n\u003cp>According to Grand Rounds' CEO Owen Tripp, his company will help gather patients’ medical records online and connect those being treated to a multidisciplinary group of specialists at the University of Rochester and elsewhere for ongoing virtual consultations. Grand Rounds will also digitize patients’ care plans once their doctors have agreed on an intervention and course of treatment.\u003c/p>\n\u003cp>The program kicks off the first week of October, when participants will arrive in New York for a retreat. They will immediately be seen on-site by doctors from the University of Rochester before embarking on several days of guided meditations, yoga training and other health and wellness programs.\u003c/p>\n\u003cp>Once they return home, their doctors will contact them online via Grand Rounds, and they'll be offered the option to continue their mindfulness training online for eight weeks.\u003c/p>\n\u003cp>\u003cstrong>'No Easy Cure'\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_46101\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-46101\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/mitchell-800x494.jpg\" alt=\"The program is the brainchild of former NFL player Keith Mitchell.\" width=\"800\" height=\"494\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/mitchell-800x494.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/mitchell-400x247.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/mitchell-1180x729.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/mitchell-960x593.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/mitchell.jpg 1435w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The program is the brainchild of former NFL player Keith Mitchell. \u003ccite>(Keith Mitchell/Amir Magal)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"Many of their problems do not have an easy cure,\" said Heidi Schwarz, a professor of clinical neurology at the University of Rochester. Schwarz expects some of the participants will be diagnosed with Parkinson's disease, post-traumatic stress disorder and other neurological conditions.\u003c/p>\n\u003cp>\"Medications can be helpful, but a lot of what really makes a difference is lifestyle,\" she explained.\u003c/p>\n\u003cp>Schwarz said about half of the participants are veterans, and the other half are retired football players. It may sound like a yogi's dream, but the program is specifically designed for those who have \"unmet needs that are crying out for help\" and \"not just general wellness,\" she said.\u003c/p>\n\u003cp>Many football players receive health insurance through the NFL for five years into their retirement. Symptoms of dementia typically do not manifest until much later, although some players may qualify for longer-term health benefits in the \u003ca href=\"http://www.cnn.com/2015/04/22/us/nfl-concussion-lawsuit-settlement/\">wake of a class action lawsuit and settlement\u003c/a> between the NFL and thousands of former players.\u003c/p>\n\u003cp>The experiences of veterans and athletes vary widely. But Schwarz said there may be some benefit to bringing these individuals together. \"In both cases, it's an intense experience that puts the brain into warrior mode,\" she said. \"But when they come home, they're not a warrior. That impacts their ability to live outside of that environment.\"\u003c/p>\n\u003cp>For this reason, the program is a year long with regular virtual check-ins between the doctors and patients.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"This isn't just about brain damage; it's about mental health too,\" Schwarz said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>In the past decade, the practice of medicine has transformed in a big way.\u003c/p>\n\u003cp>Today's doctors are jotting notes on an iPad, and navigating various electronic medical record systems. And payment models are shifting to reward physicians for improving patient outcomes, rather than for ordering expensive tests and procedures.\u003c/p>\n\u003cp>The top medical schools are adapting slowly to these changes. Many schools are in the process of exploring which new skills should be taught to young doctors, either through the core curriculum or as an elective, and which are better learned as part of professional development. The American Medical Association recently doled out $11 million to about a dozen schools for new programs on the \u003ca href=\"http://www.ama-assn.org/sub/accelerating-change/index.shtml\">future of medical education.\u003c/a>\u003c/p>\n\u003caside class=\"pullquote alignright\">'We need to have the emotional intelligence to understand how patients are really feeling.'\u003ccite>Alex Djuricich, University of Indiana\u003c/cite>\u003c/aside>\n\u003cp>\"We're grappling with this big question of what should be the job of the medical school in the 21st-century,\" said Lawrence Sherman, a New York-based medical educator \u003ca href=\"https://www.youtube.com/watch?v=YpSd5u_di9w\">and TED speaker\u003c/a>. \"We're still determining what the new skills should be, how they're taught and when they're taught.\"\u003c/p>\n\u003cp>KQED asked more than 20 doctors of all ages and specialties about the skill they wished they had learned (or learned about in more detail) in medical school. Some physicians wanted help understanding the new technologies; others saw benefit in focusing more on keeping their patients healthy, rather than just treating the sick. Here are their top picks:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Data Science and Statistics \u003c/strong>\u003c/p>\n\u003cp>A handful of physicians said they could benefit from a richer understanding of data science. It's not just businesses, but also medical practices and hospitals that are dealing with a deluge of data.\u003c/p>\n\u003cp>Top academic hospitals like Mount Sinai in New York are forging ahead with initiatives to \u003ca href=\"http://www.fastcoexist.com/3022050/futurist-forum/in-the-hospital-of-the-future-big-data-is-one-of-your-doctors\">collect data about a large patient population \u003c/a>and connect that to outcomes in order to understand disease and improve treatment.\u003c/p>\n\u003cp>\"Medicine is increasingly data-driven,\" said Michael Turken, an internal medicine resident at \u003ca href=\"https://stanfordhealthcare.org/\">Stanford Healthcare\u003c/a> and a graduate of UCSF's medical school. \"And yet, almost none of us is equipped to understand the data as fully as we should, as fully as we need to.\"\u003c/p>\n\u003cp>\u003cstrong>Nutrition and Disease Prevention \u003c/strong>\u003c/p>\n\u003cp>Do you regularly talk to your doctor about nutrition and exercise? If so, you're an anomaly. \u003ca href=\"https://www.washingtonpost.com/news/to-your-health/wp/2014/06/23/your-doctor-says-he-doesnt-know-enough-about-nutrition-or-exercise/\">According to recent polls\u003c/a>, fewer than 25 percent of doctors say they got sufficient education to give nutritional or fitness advice to a patient. In fact, the number of hours dedicated to teaching nutrition in medical school has declined in recent years.\u003c/p>\n\u003cp>\"We received two or three hours of instruction on nutrition in four years of medical school,\" said Amanda Angelotti, a UCSF medical school graduate and clinical systems designer at primary care chain \u003ca href=\"http://www.onemedical.com/\">One Medical Group\u003c/a>. \"Lifestyle diseases drive some of the biggest costs in healthcare and have some of arguably the biggest impacts on patients' lives.\"\u003c/p>\n\u003cfigure id=\"attachment_43352\" class=\"wp-caption alignleft\" style=\"max-width: 307px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.44.01-PM.png\">\u003cimg class=\" wp-image-43352\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.44.01-PM.png\" alt=\"Cardiologist Eric Topol says he would have benefited from ultrasound imaging training.\" width=\"307\" height=\"359\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.44.01-PM.png 449w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.44.01-PM-400x469.png 400w\" sizes=\"(max-width: 307px) 100vw, 307px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Cardiologist Eric Topol says he would have benefited from ultrasound imaging training. \u003ccite>(Ed Uthman/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Ultrasound Training\u003c/strong>\u003c/p>\n\u003cp>Ultrasound imaging is now pervasive, but many doctors said they lacked sufficient training in medical school. Instead, they learned how to leverage the technology over time and on an ad-hoc basis.\u003c/p>\n\u003cp>Eric Topol, a cardiologist and the chief academic officer for Scripps Health, said \u003ca href=\"http://www.cnet.com/news/smartphone-ultrasound-device-hits-market/\">ultrasound technology has evolved in the past decade\u003c/a> to be portable and compatible with mobile devices. These days, he said, \"exquisite\" imaging can be achieved with a probe connected to a smartphone. \"But I need remedial training.\"\u003c/p>\n\u003cp>\u003cstrong>Information Technology 101 \u003c/strong>\u003c/p>\n\u003cp>Doctors are increasingly using technology in their practices, whether it's to record notes or store patient data in an electronic medical record. Some doctors are using the newest telemedicine tools to consult with patients online.\u003c/p>\n\u003cp>Mia Finkelston, a medical director and practicing physician at \u003ca href=\"https://www.linkedin.com/company/online-care-group\">Online Care Group\u003c/a>, said she wished she'd learned basic word-processing skills, and shortcuts such as how to copy and paste in different formats. \"It would have saved me time on so many levels.\"\u003c/p>\n\u003cp>\u003cstrong>Communications and Empathy \u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_43355\" class=\"wp-caption alignright\" style=\"max-width: 347px\">\u003cimg class=\" wp-image-43355\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1.jpeg\" alt=\"Continuing medical education expert Alex Djuricich said medical schools are recruiting communications experts.\" width=\"347\" height=\"347\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1.jpeg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1-32x32.jpeg 32w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1-64x64.jpeg 64w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1-96x96.jpeg 96w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1-128x128.jpeg 128w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1-75x75.jpeg 75w\" sizes=\"(max-width: 347px) 100vw, 347px\">\u003cfigcaption class=\"wp-caption-text\">Continuing medical education expert Alex Djuricich said medical schools are recruiting communications experts. \u003ccite>(Alex Djuricich/Twitter)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The most effective doctors understand how to communicate with patients. That doesn't mean rattling off a diagnosis and sending them home. It requires picking up on the subtle indications that a patient has not understood something, or is too upset to take in information.\u003c/p>\n\u003cp>\"[We need] ways to sustain empathy and provide reassurance to patients,\" said David Scales, a resident physician of internal medicine from the \u003ca href=\"http://www.challiance.org/Main/Home.aspx\">Cambridge Health Alliance\u003c/a> in Massachusetts and a graduate of Yale Medical School. \"And that goes beyond trying to teach doctors how to be nice people.\"\u003c/p>\n\u003cp>Some medical schools do teach communications skills, but several graduates said the instructors were often senior physicians, rather than people with training or credentials. \"That's starting to change,\" said Alex Djuricich, the associate dean for continuing medical education at the University of Indiana. \"A lot of schools are looking to bring in communications experts. We need to have the emotional intelligence to understand how patients are really feeling.\"\u003c/p>\n\u003cp>\u003cstrong>Personal Finance\u003c/strong>\u003c/p>\n\u003cp>The average doctor today graduates with a massive $166,750 in medical school debt. Meanwhile, many doctors' salaries are dropping, \u003ca href=\"http://www.cbsnews.com/news/1-million-mistake-becoming-a-doctor/\">according to recent survey\u003c/a> from personal finance tool \u003ca href=\"https://www.nerdwallet.com/\">NerdWallet\u003c/a>.\u003c/p>\n\u003cp>It's now imperative that doctors learn to manage their money, or they risk drowning in debt. Several recent medical school graduates said they could benefit from some formal education about how to use the latest web and mobile tools to manage their finances.\u003c/p>\n\u003cfigure id=\"attachment_43353\" class=\"wp-caption alignleft\" style=\"max-width: 301px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.46.57-PM.png\">\u003cimg class=\" wp-image-43353\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.46.57-PM.png\" alt=\"Connie Chen, cofounder of Vida Health, said medical students need more exposure to management training. \" width=\"301\" height=\"350\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.46.57-PM.png 426w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.46.57-PM-400x466.png 400w\" sizes=\"(max-width: 301px) 100vw, 301px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Connie Chen, cofounder of Vida Health, said medical students need more exposure to management training. \u003ccite>(Josh Cassidy/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Management and Leadership \u003c/strong>\u003c/p>\n\u003cp>Connie Chen, a San Francisco-based physician and entrepreneur with \u003ca href=\"https://www.vida.com\">Vida Health\u003c/a>, said physicians are often placed in leadership roles early in their careers. Even in their residency years, doctors have to run teams of interns, coordinate with other physicians and nurses, and align families around shared treatment goals, she said.\u003c/p>\n\u003cp>\"And yet there is almost no training on how to succeed in the working world,\" she said.\u003c/p>\n\u003cp>Chen said she would have benefited from basic management skills, such as providing feedback and motivating others, as well as tips on how to collaborate and manage projects. Cyrus Yamin, a Harvard Medical School graduate who now works at \u003ca href=\"https://healthy.kaiserpermanente.org/html/kaiser/index.shtml\">Kaiser Permanente\u003c/a>, said medical students could use training on how to lead a room full of people with different roles, experiences and emotions, especially in the trauma bay.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[\u003cem>Editors' Note:\u003c/em> I received a fantastic response questioning the premise of the article. It's from Chris Chen, a second-year resident in internal medicine at Massachusetts General Hospital: \"We all know 20 percent of patients consume 80 percent of healthcare resources and our energy as doctors: The old, the chronically ill, the functionally limited. But in med school, we spend 80 percent of our time on 20 percent of diseases, including a litany of esoteric rare disorders that are academically illuminating but most clinicians will never see in their entire careers. I don't need to know the enzyme defect in Fabry disease. I need to know how to manage dementia; to manage pain thoughtfully; to assess patient home safety. I suspect the biggest gap in 21st century medical training is a lack of old-school skills, and not high-tech coding.\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In the past decade, the practice of medicine has transformed in a big way.\u003c/p>\n\u003cp>Today's doctors are jotting notes on an iPad, and navigating various electronic medical record systems. And payment models are shifting to reward physicians for improving patient outcomes, rather than for ordering expensive tests and procedures.\u003c/p>\n\u003cp>The top medical schools are adapting slowly to these changes. Many schools are in the process of exploring which new skills should be taught to young doctors, either through the core curriculum or as an elective, and which are better learned as part of professional development. The American Medical Association recently doled out $11 million to about a dozen schools for new programs on the \u003ca href=\"http://www.ama-assn.org/sub/accelerating-change/index.shtml\">future of medical education.\u003c/a>\u003c/p>\n\u003caside class=\"pullquote alignright\">'We need to have the emotional intelligence to understand how patients are really feeling.'\u003ccite>Alex Djuricich, University of Indiana\u003c/cite>\u003c/aside>\n\u003cp>\"We're grappling with this big question of what should be the job of the medical school in the 21st-century,\" said Lawrence Sherman, a New York-based medical educator \u003ca href=\"https://www.youtube.com/watch?v=YpSd5u_di9w\">and TED speaker\u003c/a>. \"We're still determining what the new skills should be, how they're taught and when they're taught.\"\u003c/p>\n\u003cp>KQED asked more than 20 doctors of all ages and specialties about the skill they wished they had learned (or learned about in more detail) in medical school. Some physicians wanted help understanding the new technologies; others saw benefit in focusing more on keeping their patients healthy, rather than just treating the sick. Here are their top picks:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Data Science and Statistics \u003c/strong>\u003c/p>\n\u003cp>A handful of physicians said they could benefit from a richer understanding of data science. It's not just businesses, but also medical practices and hospitals that are dealing with a deluge of data.\u003c/p>\n\u003cp>Top academic hospitals like Mount Sinai in New York are forging ahead with initiatives to \u003ca href=\"http://www.fastcoexist.com/3022050/futurist-forum/in-the-hospital-of-the-future-big-data-is-one-of-your-doctors\">collect data about a large patient population \u003c/a>and connect that to outcomes in order to understand disease and improve treatment.\u003c/p>\n\u003cp>\"Medicine is increasingly data-driven,\" said Michael Turken, an internal medicine resident at \u003ca href=\"https://stanfordhealthcare.org/\">Stanford Healthcare\u003c/a> and a graduate of UCSF's medical school. \"And yet, almost none of us is equipped to understand the data as fully as we should, as fully as we need to.\"\u003c/p>\n\u003cp>\u003cstrong>Nutrition and Disease Prevention \u003c/strong>\u003c/p>\n\u003cp>Do you regularly talk to your doctor about nutrition and exercise? If so, you're an anomaly. \u003ca href=\"https://www.washingtonpost.com/news/to-your-health/wp/2014/06/23/your-doctor-says-he-doesnt-know-enough-about-nutrition-or-exercise/\">According to recent polls\u003c/a>, fewer than 25 percent of doctors say they got sufficient education to give nutritional or fitness advice to a patient. In fact, the number of hours dedicated to teaching nutrition in medical school has declined in recent years.\u003c/p>\n\u003cp>\"We received two or three hours of instruction on nutrition in four years of medical school,\" said Amanda Angelotti, a UCSF medical school graduate and clinical systems designer at primary care chain \u003ca href=\"http://www.onemedical.com/\">One Medical Group\u003c/a>. \"Lifestyle diseases drive some of the biggest costs in healthcare and have some of arguably the biggest impacts on patients' lives.\"\u003c/p>\n\u003cfigure id=\"attachment_43352\" class=\"wp-caption alignleft\" style=\"max-width: 307px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.44.01-PM.png\">\u003cimg class=\" wp-image-43352\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.44.01-PM.png\" alt=\"Cardiologist Eric Topol says he would have benefited from ultrasound imaging training.\" width=\"307\" height=\"359\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.44.01-PM.png 449w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.44.01-PM-400x469.png 400w\" sizes=\"(max-width: 307px) 100vw, 307px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Cardiologist Eric Topol says he would have benefited from ultrasound imaging training. \u003ccite>(Ed Uthman/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Ultrasound Training\u003c/strong>\u003c/p>\n\u003cp>Ultrasound imaging is now pervasive, but many doctors said they lacked sufficient training in medical school. Instead, they learned how to leverage the technology over time and on an ad-hoc basis.\u003c/p>\n\u003cp>Eric Topol, a cardiologist and the chief academic officer for Scripps Health, said \u003ca href=\"http://www.cnet.com/news/smartphone-ultrasound-device-hits-market/\">ultrasound technology has evolved in the past decade\u003c/a> to be portable and compatible with mobile devices. These days, he said, \"exquisite\" imaging can be achieved with a probe connected to a smartphone. \"But I need remedial training.\"\u003c/p>\n\u003cp>\u003cstrong>Information Technology 101 \u003c/strong>\u003c/p>\n\u003cp>Doctors are increasingly using technology in their practices, whether it's to record notes or store patient data in an electronic medical record. Some doctors are using the newest telemedicine tools to consult with patients online.\u003c/p>\n\u003cp>Mia Finkelston, a medical director and practicing physician at \u003ca href=\"https://www.linkedin.com/company/online-care-group\">Online Care Group\u003c/a>, said she wished she'd learned basic word-processing skills, and shortcuts such as how to copy and paste in different formats. \"It would have saved me time on so many levels.\"\u003c/p>\n\u003cp>\u003cstrong>Communications and Empathy \u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_43355\" class=\"wp-caption alignright\" style=\"max-width: 347px\">\u003cimg class=\" wp-image-43355\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1.jpeg\" alt=\"Continuing medical education expert Alex Djuricich said medical schools are recruiting communications experts.\" width=\"347\" height=\"347\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1.jpeg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1-32x32.jpeg 32w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1-64x64.jpeg 64w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1-96x96.jpeg 96w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1-128x128.jpeg 128w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1-75x75.jpeg 75w\" sizes=\"(max-width: 347px) 100vw, 347px\">\u003cfigcaption class=\"wp-caption-text\">Continuing medical education expert Alex Djuricich said medical schools are recruiting communications experts. \u003ccite>(Alex Djuricich/Twitter)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The most effective doctors understand how to communicate with patients. That doesn't mean rattling off a diagnosis and sending them home. It requires picking up on the subtle indications that a patient has not understood something, or is too upset to take in information.\u003c/p>\n\u003cp>\"[We need] ways to sustain empathy and provide reassurance to patients,\" said David Scales, a resident physician of internal medicine from the \u003ca href=\"http://www.challiance.org/Main/Home.aspx\">Cambridge Health Alliance\u003c/a> in Massachusetts and a graduate of Yale Medical School. \"And that goes beyond trying to teach doctors how to be nice people.\"\u003c/p>\n\u003cp>Some medical schools do teach communications skills, but several graduates said the instructors were often senior physicians, rather than people with training or credentials. \"That's starting to change,\" said Alex Djuricich, the associate dean for continuing medical education at the University of Indiana. \"A lot of schools are looking to bring in communications experts. We need to have the emotional intelligence to understand how patients are really feeling.\"\u003c/p>\n\u003cp>\u003cstrong>Personal Finance\u003c/strong>\u003c/p>\n\u003cp>The average doctor today graduates with a massive $166,750 in medical school debt. Meanwhile, many doctors' salaries are dropping, \u003ca href=\"http://www.cbsnews.com/news/1-million-mistake-becoming-a-doctor/\">according to recent survey\u003c/a> from personal finance tool \u003ca href=\"https://www.nerdwallet.com/\">NerdWallet\u003c/a>.\u003c/p>\n\u003cp>It's now imperative that doctors learn to manage their money, or they risk drowning in debt. Several recent medical school graduates said they could benefit from some formal education about how to use the latest web and mobile tools to manage their finances.\u003c/p>\n\u003cfigure id=\"attachment_43353\" class=\"wp-caption alignleft\" style=\"max-width: 301px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.46.57-PM.png\">\u003cimg class=\" wp-image-43353\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.46.57-PM.png\" alt=\"Connie Chen, cofounder of Vida Health, said medical students need more exposure to management training. \" width=\"301\" height=\"350\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.46.57-PM.png 426w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.46.57-PM-400x466.png 400w\" sizes=\"(max-width: 301px) 100vw, 301px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Connie Chen, cofounder of Vida Health, said medical students need more exposure to management training. \u003ccite>(Josh Cassidy/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Management and Leadership \u003c/strong>\u003c/p>\n\u003cp>Connie Chen, a San Francisco-based physician and entrepreneur with \u003ca href=\"https://www.vida.com\">Vida Health\u003c/a>, said physicians are often placed in leadership roles early in their careers. Even in their residency years, doctors have to run teams of interns, coordinate with other physicians and nurses, and align families around shared treatment goals, she said.\u003c/p>\n\u003cp>\"And yet there is almost no training on how to succeed in the working world,\" she said.\u003c/p>\n\u003cp>Chen said she would have benefited from basic management skills, such as providing feedback and motivating others, as well as tips on how to collaborate and manage projects. Cyrus Yamin, a Harvard Medical School graduate who now works at \u003ca href=\"https://healthy.kaiserpermanente.org/html/kaiser/index.shtml\">Kaiser Permanente\u003c/a>, said medical students could use training on how to lead a room full of people with different roles, experiences and emotions, especially in the trauma bay.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>[\u003cem>Editors' Note:\u003c/em> I received a fantastic response questioning the premise of the article. It's from Chris Chen, a second-year resident in internal medicine at Massachusetts General Hospital: \"We all know 20 percent of patients consume 80 percent of healthcare resources and our energy as doctors: The old, the chronically ill, the functionally limited. But in med school, we spend 80 percent of our time on 20 percent of diseases, including a litany of esoteric rare disorders that are academically illuminating but most clinicians will never see in their entire careers. I don't need to know the enzyme defect in Fabry disease. I need to know how to manage dementia; to manage pain thoughtfully; to assess patient home safety. I suspect the biggest gap in 21st century medical training is a lack of old-school skills, and not high-tech coding.\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "UC Riverside Professor Slams Feds, Stands By His Health App",
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"content": "\u003cp>UC Riverside professor of psychology Aaron Seitz had an idea for a mobile health app based on his area of research. In 2014, he launched.\u003c/p>\n\u003cp>In 2015, he was hit with a substantial fine and a firestorm of \u003ca href=\"https://www.washingtonpost.com/news/the-switch/wp/2015/09/17/apps-are-making-health-claims-but-they-may-not-have-the-science-to-back-them-up/\" target=\"_blank\">bad press\u003c/a>.\u003c/p>\n\u003cp>Seitz is the academic behind \u003ca href=\"https://ultimeyesvision.com/\" target=\"_blank\">UltimEyes\u003c/a>, the vision improvement app that \u003ca href=\"https://www.ftc.gov/news-events/press-releases/2015/09/ftc-charges-marketers-vision-improvement-app-deceptive-claims\">got dinged by the Federal Trade Commission (FTC)\u003c/a> for $150,000 last week for making deceptive claims about the app's efficacy. Seitz and his business partner, Adam Goldberg, are the co-owners and only employees of Carrot Neurotechnology, Inc., the company that sells UltimEyes. Seitz told KQED in an interview Tuesday he and Goldberg had to pony up $75,000 each.\u003c/p>\n\u003caside class=\"pullquote alignright\">“If you look at the mobile apps being promoted, it’s still the wild west out there.\"\u003ccite>Attorney Bradley Merrill Thompson\u003c/cite>\u003c/aside>\n\u003cp>As for the legal fees, he said, \"Don't ask me about that. It's crazy.\"\u003c/p>\n\u003cp>Aside from the money owed, Seitz and Goldberg \u003ca href=\"https://www.ftc.gov/system/files/documents/cases/150917carrotneuroorder.pdf\" target=\"_blank\">agreed\u003c/a> to stop making claims about the mobile app's ability to improve vision. Prior to the FTC's involvement, \u003ca href=\"https://www.ftc.gov/system/files/documents/cases/150917carrotneuroexhibits.pdf\" target=\"_blank\">promotional material and language\u003c/a> on the UltimEyes website (still available on the Apple and Google Play app stores, for $5.99) said the app was “scientifically shown\" to do just that.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The \u003ca href=\"https://www.ftc.gov/system/files/documents/cases/150917carrotneurocmpt.pdf\" target=\"_blank\">FTC complaint\u003c/a> against Carrot Neurotechnology lists an array of related assertions on that theme, including one that the app improved vision an average of 31 percent and two lines on the standard \u003ca href=\"http://www.nytimes.com/2013/05/26/magazine/who-made-that-eye-chart.html?_r=0\" target=\"_blank\">Stellen eye chart\u003c/a>, and another that it helps mitigate \u003ca href=\"http://www.mayoclinic.org/diseases-conditions/presbyopia/basics/definition/con-2003226\" target=\"_blank\">presbyopia\u003c/a>, the gradual loss of the ability to focus on nearby objects.\u003c/p>\n\u003cp>The FTC also reprimanded Carrot for not disclosing Seitz’s connection to the company when it cited his own research. Seitz says as soon as the FTC brought that to the company's attention, it disclosed the potential conflict of interest on its site.\u003c/p>\n\u003cp>\u003cstrong>Standing by Claims\u003c/strong>\u003c/p>\n\u003cp>Despite the agreement with the FTC, Seitz stands by the original UltimEyes claims. He called the FTC action “dangerous.”\u003c/p>\n\u003cp>“Is it a good thing that you have the FTC not just going after companies, but going after individuals when they’re trying to take the university mission of taking research and translating it to the public good?\" he said. \"Scientists should be incentivized to translate the research in the way I’m doing.”\u003c/p>\n\u003cp>Seitz has laid out his concerns in an \u003ca href=\"http://www.faculty.ucr.edu/~aseitz/OpenLetter.html\" target=\"_blank\">open letter \u003c/a>on his UC Riverside faculty page, asking friends and colleagues to post supportive \u003ca href=\"https://www.ftc.gov/policy/public-comments/initiative-625\" target=\"_blank\">comments \u003c/a>with the FTC during the public comment period. Seitz said “numerous scientists” have come to the defense of the company.\u003c/p>\n\u003cp>“The government really needs to be listening to scientists here,\" he said. \"They ignored experts we brought to testify and the scientific literature. They're using us as a way to establish some precedent so they can go after some larger companies in the industry.\"\u003c/p>\n\u003cp>The FTC said UltimEyes racked up more than $350,000 in U.S. sales from January 2012 to June 2015. Seitz acknowledges that if the app had hit it big, he would have gained financially. But, he said, “my main aim was to let the public get a hold of my research.” He said neither he nor his partner made any money from the app.\u003c/p>\n\u003cp>In its complaint, the FTC also cited \u003ca href=\"http://tune.pk/video/2448640/Brain-Training-Makes-Better-Batters\">a video that was posted on the UltimEyes site\u003c/a> featuring Seitz and others discussing a study involving the 2013 UC Riverside baseball team, which ostensibly improved its performance after going through the app's exercises. In the video, a researcher says players reported they could “see things in dimmer light conditions, being able to see the ball better, being able to hit the ball better.”\u003c/p>\n\u003cp>\u003cstrong>The Research\u003c/strong>\u003c/p>\n\u003cp>Seitz says UltimEyes is based on \u003ca href=\"https://www.google.com/search?q=perceptual+learning\" target=\"_blank\">perceptual learning\u003c/a>, which he describes as \"an improvement in a perceptual task induced by practice or experience. \" The National Institutes of Health gave him a \u003ca href=\"http://ucrtoday.ucr.edu/18771\" target=\"_blank\">$1.7 million grant\u003c/a> in 2013 to study the field.\u003c/p>\n\u003cp>Last year, \u003ca href=\"http://mashable.com/2014/05/01/ultimeyes-test-video/#nng4T.bGuqkP\">Mashable\u003c/a> tested the app out on an iPad and called it “half-game, half-eye exam.”\u003c/p>\n\u003cp>[Scroll to the bottom of this post for a video of the app in action.]\u003c/p>\n\u003cp>The UC Riverside baseball experiment was also the subject of a \u003ca href=\"http://www.cell.com/current-biology/abstract/S0960-9822(14)00005-0\">paper published in Current Biology\u003c/a>, co-authored by Seitz. (Not to mention the subject of a \u003ca href=\"http://www.scpr.org/news/2014/03/28/43098/how-neuroscience-is-helping-uc-riverside-baseball/\" target=\"_blank\">Southern California Public Radio story\u003c/a> in 2014).\u003c/p>\n\u003cp>That was one of three peer-reviewed studies, Seitz says, that prove UltimEyes does what it said. He said the FTC went after the app because the agency wants to see randomized, double blind studies to substantiate such claims. Seitz does not agree with that standard.\u003c/p>\n\u003cp>“They’re saying that if research is not done with a double blind placebo study, it doesn’t provide evidence of anything. ... But if you talk with most scientists, they say that there are tons of studies that use that methodology that are junk, and tons of studies that don’t use it that are informative.\u003c/p>\n\u003cp>“It’s a useful study design that provides information and context. It has great purpose, but there are many circumstances -- and this research is actually one of them -- where it doesn’t apply.”\u003c/p>\n\u003cp>The FTC declined to comment.\u003c/p>\n\u003cp>\u003cstrong>Federal Agencies \"Doing a Reasonable Job\" of Policing Apps\u003c/strong>\u003c/p>\n\u003cp>Dr. John Halamka, co-chair of the federal Health Information Technology Standards Committee, which advises the U.S. Department of Health and Human Services on technology and health care, does not agree with Seitz that the FTC overreached in taking action against his app. He says requiring a stringent level of proof is appropriate here.\u003c/p>\n\u003cp>\"This is not one that is just face valid, or peer review could say, ‘okay sounds reasonable.’ It needs to be proven,\" he said, adding that peer review doesn't prove \"rigorous scientific evaluation of a phenomena.\"\u003c/p>\n\u003cp>Halamka said using UltimEyes presents a certain level of risk to the public because it involves diagnosis or therapy.\u003c/p>\n\u003cp>\"In the case of apps that are making claims that may or may not be true, if this is a therapy claiming a result, I think all of our federal agencies are doing a reasonable job to ask for rigor.\"\u003c/p>\n\u003cp>\u003cstrong>More to Come?\u003c/strong>\u003c/p>\n\u003cp>Enforcement actions like the one against UltimEyes are probably going to happen more frequently, says Bradley Merrill Thompson, a lawyer at Epstein, Becker & Green who works on regulatory issues with medical device and drug companies.\u003c/p>\n\u003cp>“The agreement is the next step in a whole series of cases the FTC has brought with respect to mobile applications,\" he said. Last month, the FTC \u003ca href=\"https://www.ftc.gov/news-events/press-releases/2015/08/melanoma-detection-app-sellers-barred-making-deceptive-health\" target=\"_blank\">barred a company\u003c/a> from making claims that the“Mole Detective” line of apps could detect melanoma.\u003c/p>\n\u003cp>\"I fear that there will be a lot more cases, ” Merrill Thompson said. \"If you look at the mobile apps being promoted, it’s still the wild west out there. There’s still a lot of very small organizations operating out of their garage, making boastful claims about their technology.\"\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/futureofyou/\">KQED Future of You\u003c/a> editor Christina Farr wrote about the \u003ca href=\"http://www.reuters.com/article/2014/06/10/us-mobilephone-healthcare-idUSKBN0EL23M20140610\" target=\"_blank\">proliferation of unproven claims\u003c/a> by health-related apps for Reuters in 2014. She reported that a recent study from the New England Center for Investigative Research revealed that of the 1,500 health apps it evaluated, 20 percent claimed to treat or cure medical problems, but only a small percentage of them had been clinically validated.\u003c/p>\n\u003cp>Farr wrote that the FDA lacks the resources to monitor all the health-related apps on the market.\u003c/p>\n\u003cp>Bradley Merrill Thompson says the FDA has been “suspiciously quiet” on the topic.\u003c/p>\n\u003cp>“One would have to be suspicious that the FDA and FTC are collaborating behind the scenes, and the FTC has agreed to be the bad cop,” said Merrill Thompson. “The FDA has been embattled over the past few years as being too heavy-handed and too burdensome in regard to mobile apps.”\u003c/p>\n\u003cp>He explained that in a case like the one against UltimEyes, the FTC is viewing the app as a medical device, which comes under the purview of both agencies.\u003c/p>\n\u003cp>“Clearly there’s overlap,” he said, and either agency could have brought an action.\u003c/p>\n\u003cp>[vimeo 90324562 w=500 h=313]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This post has been updated to reflect the FTC's declining to comment.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>UC Riverside professor of psychology Aaron Seitz had an idea for a mobile health app based on his area of research. In 2014, he launched.\u003c/p>\n\u003cp>In 2015, he was hit with a substantial fine and a firestorm of \u003ca href=\"https://www.washingtonpost.com/news/the-switch/wp/2015/09/17/apps-are-making-health-claims-but-they-may-not-have-the-science-to-back-them-up/\" target=\"_blank\">bad press\u003c/a>.\u003c/p>\n\u003cp>Seitz is the academic behind \u003ca href=\"https://ultimeyesvision.com/\" target=\"_blank\">UltimEyes\u003c/a>, the vision improvement app that \u003ca href=\"https://www.ftc.gov/news-events/press-releases/2015/09/ftc-charges-marketers-vision-improvement-app-deceptive-claims\">got dinged by the Federal Trade Commission (FTC)\u003c/a> for $150,000 last week for making deceptive claims about the app's efficacy. Seitz and his business partner, Adam Goldberg, are the co-owners and only employees of Carrot Neurotechnology, Inc., the company that sells UltimEyes. Seitz told KQED in an interview Tuesday he and Goldberg had to pony up $75,000 each.\u003c/p>\n\u003caside class=\"pullquote alignright\">“If you look at the mobile apps being promoted, it’s still the wild west out there.\"\u003ccite>Attorney Bradley Merrill Thompson\u003c/cite>\u003c/aside>\n\u003cp>As for the legal fees, he said, \"Don't ask me about that. It's crazy.\"\u003c/p>\n\u003cp>Aside from the money owed, Seitz and Goldberg \u003ca href=\"https://www.ftc.gov/system/files/documents/cases/150917carrotneuroorder.pdf\" target=\"_blank\">agreed\u003c/a> to stop making claims about the mobile app's ability to improve vision. Prior to the FTC's involvement, \u003ca href=\"https://www.ftc.gov/system/files/documents/cases/150917carrotneuroexhibits.pdf\" target=\"_blank\">promotional material and language\u003c/a> on the UltimEyes website (still available on the Apple and Google Play app stores, for $5.99) said the app was “scientifically shown\" to do just that.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The \u003ca href=\"https://www.ftc.gov/system/files/documents/cases/150917carrotneurocmpt.pdf\" target=\"_blank\">FTC complaint\u003c/a> against Carrot Neurotechnology lists an array of related assertions on that theme, including one that the app improved vision an average of 31 percent and two lines on the standard \u003ca href=\"http://www.nytimes.com/2013/05/26/magazine/who-made-that-eye-chart.html?_r=0\" target=\"_blank\">Stellen eye chart\u003c/a>, and another that it helps mitigate \u003ca href=\"http://www.mayoclinic.org/diseases-conditions/presbyopia/basics/definition/con-2003226\" target=\"_blank\">presbyopia\u003c/a>, the gradual loss of the ability to focus on nearby objects.\u003c/p>\n\u003cp>The FTC also reprimanded Carrot for not disclosing Seitz’s connection to the company when it cited his own research. Seitz says as soon as the FTC brought that to the company's attention, it disclosed the potential conflict of interest on its site.\u003c/p>\n\u003cp>\u003cstrong>Standing by Claims\u003c/strong>\u003c/p>\n\u003cp>Despite the agreement with the FTC, Seitz stands by the original UltimEyes claims. He called the FTC action “dangerous.”\u003c/p>\n\u003cp>“Is it a good thing that you have the FTC not just going after companies, but going after individuals when they’re trying to take the university mission of taking research and translating it to the public good?\" he said. \"Scientists should be incentivized to translate the research in the way I’m doing.”\u003c/p>\n\u003cp>Seitz has laid out his concerns in an \u003ca href=\"http://www.faculty.ucr.edu/~aseitz/OpenLetter.html\" target=\"_blank\">open letter \u003c/a>on his UC Riverside faculty page, asking friends and colleagues to post supportive \u003ca href=\"https://www.ftc.gov/policy/public-comments/initiative-625\" target=\"_blank\">comments \u003c/a>with the FTC during the public comment period. Seitz said “numerous scientists” have come to the defense of the company.\u003c/p>\n\u003cp>“The government really needs to be listening to scientists here,\" he said. \"They ignored experts we brought to testify and the scientific literature. They're using us as a way to establish some precedent so they can go after some larger companies in the industry.\"\u003c/p>\n\u003cp>The FTC said UltimEyes racked up more than $350,000 in U.S. sales from January 2012 to June 2015. Seitz acknowledges that if the app had hit it big, he would have gained financially. But, he said, “my main aim was to let the public get a hold of my research.” He said neither he nor his partner made any money from the app.\u003c/p>\n\u003cp>In its complaint, the FTC also cited \u003ca href=\"http://tune.pk/video/2448640/Brain-Training-Makes-Better-Batters\">a video that was posted on the UltimEyes site\u003c/a> featuring Seitz and others discussing a study involving the 2013 UC Riverside baseball team, which ostensibly improved its performance after going through the app's exercises. In the video, a researcher says players reported they could “see things in dimmer light conditions, being able to see the ball better, being able to hit the ball better.”\u003c/p>\n\u003cp>\u003cstrong>The Research\u003c/strong>\u003c/p>\n\u003cp>Seitz says UltimEyes is based on \u003ca href=\"https://www.google.com/search?q=perceptual+learning\" target=\"_blank\">perceptual learning\u003c/a>, which he describes as \"an improvement in a perceptual task induced by practice or experience. \" The National Institutes of Health gave him a \u003ca href=\"http://ucrtoday.ucr.edu/18771\" target=\"_blank\">$1.7 million grant\u003c/a> in 2013 to study the field.\u003c/p>\n\u003cp>Last year, \u003ca href=\"http://mashable.com/2014/05/01/ultimeyes-test-video/#nng4T.bGuqkP\">Mashable\u003c/a> tested the app out on an iPad and called it “half-game, half-eye exam.”\u003c/p>\n\u003cp>[Scroll to the bottom of this post for a video of the app in action.]\u003c/p>\n\u003cp>The UC Riverside baseball experiment was also the subject of a \u003ca href=\"http://www.cell.com/current-biology/abstract/S0960-9822(14)00005-0\">paper published in Current Biology\u003c/a>, co-authored by Seitz. (Not to mention the subject of a \u003ca href=\"http://www.scpr.org/news/2014/03/28/43098/how-neuroscience-is-helping-uc-riverside-baseball/\" target=\"_blank\">Southern California Public Radio story\u003c/a> in 2014).\u003c/p>\n\u003cp>That was one of three peer-reviewed studies, Seitz says, that prove UltimEyes does what it said. He said the FTC went after the app because the agency wants to see randomized, double blind studies to substantiate such claims. Seitz does not agree with that standard.\u003c/p>\n\u003cp>“They’re saying that if research is not done with a double blind placebo study, it doesn’t provide evidence of anything. ... But if you talk with most scientists, they say that there are tons of studies that use that methodology that are junk, and tons of studies that don’t use it that are informative.\u003c/p>\n\u003cp>“It’s a useful study design that provides information and context. It has great purpose, but there are many circumstances -- and this research is actually one of them -- where it doesn’t apply.”\u003c/p>\n\u003cp>The FTC declined to comment.\u003c/p>\n\u003cp>\u003cstrong>Federal Agencies \"Doing a Reasonable Job\" of Policing Apps\u003c/strong>\u003c/p>\n\u003cp>Dr. John Halamka, co-chair of the federal Health Information Technology Standards Committee, which advises the U.S. Department of Health and Human Services on technology and health care, does not agree with Seitz that the FTC overreached in taking action against his app. He says requiring a stringent level of proof is appropriate here.\u003c/p>\n\u003cp>\"This is not one that is just face valid, or peer review could say, ‘okay sounds reasonable.’ It needs to be proven,\" he said, adding that peer review doesn't prove \"rigorous scientific evaluation of a phenomena.\"\u003c/p>\n\u003cp>Halamka said using UltimEyes presents a certain level of risk to the public because it involves diagnosis or therapy.\u003c/p>\n\u003cp>\"In the case of apps that are making claims that may or may not be true, if this is a therapy claiming a result, I think all of our federal agencies are doing a reasonable job to ask for rigor.\"\u003c/p>\n\u003cp>\u003cstrong>More to Come?\u003c/strong>\u003c/p>\n\u003cp>Enforcement actions like the one against UltimEyes are probably going to happen more frequently, says Bradley Merrill Thompson, a lawyer at Epstein, Becker & Green who works on regulatory issues with medical device and drug companies.\u003c/p>\n\u003cp>“The agreement is the next step in a whole series of cases the FTC has brought with respect to mobile applications,\" he said. Last month, the FTC \u003ca href=\"https://www.ftc.gov/news-events/press-releases/2015/08/melanoma-detection-app-sellers-barred-making-deceptive-health\" target=\"_blank\">barred a company\u003c/a> from making claims that the“Mole Detective” line of apps could detect melanoma.\u003c/p>\n\u003cp>\"I fear that there will be a lot more cases, ” Merrill Thompson said. \"If you look at the mobile apps being promoted, it’s still the wild west out there. There’s still a lot of very small organizations operating out of their garage, making boastful claims about their technology.\"\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/futureofyou/\">KQED Future of You\u003c/a> editor Christina Farr wrote about the \u003ca href=\"http://www.reuters.com/article/2014/06/10/us-mobilephone-healthcare-idUSKBN0EL23M20140610\" target=\"_blank\">proliferation of unproven claims\u003c/a> by health-related apps for Reuters in 2014. She reported that a recent study from the New England Center for Investigative Research revealed that of the 1,500 health apps it evaluated, 20 percent claimed to treat or cure medical problems, but only a small percentage of them had been clinically validated.\u003c/p>\n\u003cp>Farr wrote that the FDA lacks the resources to monitor all the health-related apps on the market.\u003c/p>\n\u003cp>Bradley Merrill Thompson says the FDA has been “suspiciously quiet” on the topic.\u003c/p>\n\u003cp>“One would have to be suspicious that the FDA and FTC are collaborating behind the scenes, and the FTC has agreed to be the bad cop,” said Merrill Thompson. “The FDA has been embattled over the past few years as being too heavy-handed and too burdensome in regard to mobile apps.”\u003c/p>\n\u003cp>He explained that in a case like the one against UltimEyes, the FTC is viewing the app as a medical device, which comes under the purview of both agencies.\u003c/p>\n\u003cp>“Clearly there’s overlap,” he said, and either agency could have brought an action.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This post has been updated to reflect the FTC's declining to comment.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Unlike previous generations, young people today have countless options when it comes to their medical care. Millennials can video chat with a doctor practicing anywhere in the country, or sign up with a concierge medical group and schedule an appointment with the next-available provider online.\u003c/p>\n\u003cp>A millennial myself, I haven't had a steady primary care doctor since I moved to the U.S. four years ago. I prize convenience over anything else, even if it means having to repeat basic information like my allergies and family history. Over the past few months, I've interviewed more than a dozen millennials and a range of health experts to find out whether I'm the exception or the norm, and whether doctor-patient loyalty is truly a thing of the past.\u003c/p>\n\u003cp>My friend Olivia June Poole couldn't tell me the name of her primary care doctor. When she's feeling unwell, she makes an appointment online through San Francisco-based \u003ca href=\"http://www.onemedical.com/\">One Medical\u003c/a>, a new brand of concierge care that prides itself on its online offerings.\u003c/p>\n\u003cp>\"I personally don't care what doctor I see as long as they're competent, they have access to my medical records, and I can see them as soon as I need to,\" said Poole, a technology entrepreneur in her late twenties.\u003c/p>\n\u003cp>Almost all of the millennials I spoke with said they had high expectations for their primary care and were willing to \"doctor shop\" until they felt satisfied. Most saw value in same-day appointments, online scheduling and access to their medical record, as well as the option to text or email the doctor between visits.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>These days, \"the notion of having a single doctor that is theirs is a foreign concept\" to millennials, said Dr. Pat Basu, the chief medical officer at \u003ca href=\"http://www.doctorondemand.com/\">Doctor On Demand\u003c/a>, a San Francisco company that offers video visits with doctors for $40 per session.\u003c/p>\n\u003cp>\u003cstrong>Is the Lack of Loyalty a Bad Thing? \u003c/strong>\u003c/p>\n\u003cp>Unfortunately, I did not find a large-scale dataset to prove that millennials are less loyal to their doctor than previous generations -- one may not exist yet. But bits and pieces of research paint a picture of a millennial-set that is increasingly demanding of their primary care doctors.\u003c/p>\n\u003caside class=\"pullquote alignright\">“The notion of having a single doctor that is theirs is a foreign concept\"\u003cbr>\n\u003ccite>Dr. Pat Basu, chief medical officer at Doctor On Demand\u003c/cite>\u003c/aside>\n\u003cp>A 2012 survey from Harris Poll, a market research firm, found a disparity between the desire for online health services and the availability of those services. Among those surveyed, 52 percent of baby boomers said they were \"very satisfied\" with their health care experience, compared to 48 percent of Gen Xers and just 35 percent of millennials.\u003c/p>\n\u003cp>Services like Doctor On Demand do offer people the option to see the same doctor again. But according to Basu, 30 to 40 percent of patients do not typically maintain a relationship with one doctor, as it means longer wait times. That number jumps to more than 50 percent for patients in their twenties.\u003c/p>\n\u003cp>But copious data does exist to show that there's still a great deal of value in a doctor-patient relationship, particularly for those with chronic or complex medical conditions. For instance, \u003ca href=\"http://content.healthaffairs.org/content/34/7/1113.abstract\">recently-published research\u003c/a> in the journal Health Affairs found that in California, continuity with a regular source of primary care leads to fewer hospitalizations and emergency room visits.\u003c/p>\n\u003cp>\"Even in this digital age, someway, somehow there needs to be a connection [between doctor and patient],\" said Paul Grundy, IBM's director of healthcare transformation and the founding president of the \u003ca href=\"https://www.pcpcc.org/\">Patient Centered Primary Care Collaborative\u003c/a>, a coalition of health care providers, patient advocates and employers based in Washington DC that advocates for higher quality care at a lower cost.\u003c/p>\n\u003cp>Grundy's research from 2008 found that those who have a regular relationship with a primary care doctor, or \"healer\" as he calls them, cost the health system one-third less and experience a 19 percent lower mortality rate over a 15-year window than those who can't name their primary care doctor.\u003c/p>\n\u003cp>\"If you have a medical condition like cancer or HIV, then you should value the relationship,\" added Bob Kocher, an investor at health care-focused investment firm \u003ca href=\"http://www.venrock.com/\">Venrock\u003c/a> and a former specialist assistant to President Obama who helped write the Affordable Care Act.\u003c/p>\n\u003cp>According to Kocher, there isn't an easy way for one doctor to share instructions or learnings for the next doctor. Information can get lost in the shuffle. Patients may undergo repeat tests, and will very likely need to spend time filling out a family history.\u003c/p>\n\u003cp>\"There's certainly a lot lost when the next doctor tries to figure out what to do with you,\" he said.\u003c/p>\n\u003cp>\u003cstrong>Wanting it All\u003c/strong>\u003c/p>\n\u003cp>What surprised me in my research is that while millennials do shop around for primary care, similar to how they compare auto insurance or airline flights, many said they were willing to commit once they've found a doctor who fits the bill. Others told me that they would prioritize seeing their regular doctor and would only consider seeing a new doctor via Doctor On Demand or One Medical if the wait time for a visit surpassed a couple days.\u003c/p>\n\u003cp>Ali Boldish, 28, of Medford, Ore., still values loyalty above all else. She said she has taken the time to choose a doctor who will spend time really listening to her, rather than staring at a screen or hastening her out the door after a few minutes.\u003c/p>\n\u003cp>\"I trust they [my doctor] will be open and honest with me and that they trust me to hear not only my worries but my thoughts as well and take those into account,” she said. “I expect not to be rushed.”\u003c/p>\n\u003cp>During a recent trip to the East Coast, I paid a visit to Manhattan-based \u003ca href=\"https://www.zocdoc.com/\">ZocDoc\u003c/a>, a website that helps millions of patients each month across the U.S. schedule doctor's visits. The vast majority of people who use ZocDoc are under the age of 40.\u003c/p>\n\u003caside class=\"pullquote alignright\">“Even in this digital age, someway, somehow there needs to be a connection [between doctor and patient]\"\u003cbr>\n\u003ccite>Paul Grundy, IBM's director of healthcare transformation \u003c/cite>\u003c/aside>\n\u003cp>Many patients who use ZocDoc hold a similar view as Ali Boldish. Three out of four returning patients will choose the same doctor, company spokeswoman Amy Juaristi said, adding that many of the doctors who have signed up to ZocDoc offer texts and email communication as well as weekend and evening appointments to appeal to busy young professionals.\u003c/p>\n\u003cp>\"Twenty-somethings are extremely loyal to their primary doctor if it means they don't have to give up on convenience. We try to foster that,\" said Oliver Kharraz, the company's president and founder. In order words, millennials are willing to wait a bit to see their regular doctor, but not a few weeks or months.\u003c/p>\n\u003cp>Nikolaos Bonatsos, a 31-year-old venture capitalist based in Palo Alto, has been seeing the same doctor for four years. Recently, he said he felt a bout of fatigue and tried to schedule a time to talk about his symptoms. Only when he didn't hear back for two days, did he opt to schedule an online visit via One Medical with a doctor who happened to be available.\u003c/p>\n\u003cp>\"F\u003cspan class=\"s1\">or small stuff, do I have loyalty? No,\" he said. \u003c/span>\u003c/p>\n\u003cp class=\"p1\">\u003cspan class=\"s1\">\"In the era of text messaging and instant gratification, speed matters a lot. Traditional health providers don't do well,\" he added. \"So if you are a techie or a hypochondriac you start looking around for other alternatives.\"\u003c/span>\u003c/p>\n\u003cp>For their part, primary care groups say they're doing their best to improve the experience for young people, so they don't flock to a virtual alternative.\u003c/p>\n\u003cp>Dr. Robert Wergin of the \u003ca href=\"http://www.aafp.org/about.html\">American Academy of Family Physicians\u003c/a> said the organization conducts surveys of its members every year, which show a steady increase in doctors modernizing their practices by offering email communication and online access to billing and/or medical records since 2008. The American Academy of Family Physicians represents over 120,000 U.S. doctors.\u003c/p>\n\u003cp>\"Our approach is to encourage doctors to think about what a millennial would want and adapt,\" Wergin said. \"We still think patients benefit from having a consistent physician, or at least gravitating to one when they can.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Do you value your relationship with your primary care doctor? Have you ever consulted with your doctor via video chat? Share your story with me at cfarr@kqed.org \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Unlike previous generations, young people today have countless options when it comes to their medical care. Millennials can video chat with a doctor practicing anywhere in the country, or sign up with a concierge medical group and schedule an appointment with the next-available provider online.\u003c/p>\n\u003cp>A millennial myself, I haven't had a steady primary care doctor since I moved to the U.S. four years ago. I prize convenience over anything else, even if it means having to repeat basic information like my allergies and family history. Over the past few months, I've interviewed more than a dozen millennials and a range of health experts to find out whether I'm the exception or the norm, and whether doctor-patient loyalty is truly a thing of the past.\u003c/p>\n\u003cp>My friend Olivia June Poole couldn't tell me the name of her primary care doctor. When she's feeling unwell, she makes an appointment online through San Francisco-based \u003ca href=\"http://www.onemedical.com/\">One Medical\u003c/a>, a new brand of concierge care that prides itself on its online offerings.\u003c/p>\n\u003cp>\"I personally don't care what doctor I see as long as they're competent, they have access to my medical records, and I can see them as soon as I need to,\" said Poole, a technology entrepreneur in her late twenties.\u003c/p>\n\u003cp>Almost all of the millennials I spoke with said they had high expectations for their primary care and were willing to \"doctor shop\" until they felt satisfied. Most saw value in same-day appointments, online scheduling and access to their medical record, as well as the option to text or email the doctor between visits.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>These days, \"the notion of having a single doctor that is theirs is a foreign concept\" to millennials, said Dr. Pat Basu, the chief medical officer at \u003ca href=\"http://www.doctorondemand.com/\">Doctor On Demand\u003c/a>, a San Francisco company that offers video visits with doctors for $40 per session.\u003c/p>\n\u003cp>\u003cstrong>Is the Lack of Loyalty a Bad Thing? \u003c/strong>\u003c/p>\n\u003cp>Unfortunately, I did not find a large-scale dataset to prove that millennials are less loyal to their doctor than previous generations -- one may not exist yet. But bits and pieces of research paint a picture of a millennial-set that is increasingly demanding of their primary care doctors.\u003c/p>\n\u003caside class=\"pullquote alignright\">“The notion of having a single doctor that is theirs is a foreign concept\"\u003cbr>\n\u003ccite>Dr. Pat Basu, chief medical officer at Doctor On Demand\u003c/cite>\u003c/aside>\n\u003cp>A 2012 survey from Harris Poll, a market research firm, found a disparity between the desire for online health services and the availability of those services. Among those surveyed, 52 percent of baby boomers said they were \"very satisfied\" with their health care experience, compared to 48 percent of Gen Xers and just 35 percent of millennials.\u003c/p>\n\u003cp>Services like Doctor On Demand do offer people the option to see the same doctor again. But according to Basu, 30 to 40 percent of patients do not typically maintain a relationship with one doctor, as it means longer wait times. That number jumps to more than 50 percent for patients in their twenties.\u003c/p>\n\u003cp>But copious data does exist to show that there's still a great deal of value in a doctor-patient relationship, particularly for those with chronic or complex medical conditions. For instance, \u003ca href=\"http://content.healthaffairs.org/content/34/7/1113.abstract\">recently-published research\u003c/a> in the journal Health Affairs found that in California, continuity with a regular source of primary care leads to fewer hospitalizations and emergency room visits.\u003c/p>\n\u003cp>\"Even in this digital age, someway, somehow there needs to be a connection [between doctor and patient],\" said Paul Grundy, IBM's director of healthcare transformation and the founding president of the \u003ca href=\"https://www.pcpcc.org/\">Patient Centered Primary Care Collaborative\u003c/a>, a coalition of health care providers, patient advocates and employers based in Washington DC that advocates for higher quality care at a lower cost.\u003c/p>\n\u003cp>Grundy's research from 2008 found that those who have a regular relationship with a primary care doctor, or \"healer\" as he calls them, cost the health system one-third less and experience a 19 percent lower mortality rate over a 15-year window than those who can't name their primary care doctor.\u003c/p>\n\u003cp>\"If you have a medical condition like cancer or HIV, then you should value the relationship,\" added Bob Kocher, an investor at health care-focused investment firm \u003ca href=\"http://www.venrock.com/\">Venrock\u003c/a> and a former specialist assistant to President Obama who helped write the Affordable Care Act.\u003c/p>\n\u003cp>According to Kocher, there isn't an easy way for one doctor to share instructions or learnings for the next doctor. Information can get lost in the shuffle. Patients may undergo repeat tests, and will very likely need to spend time filling out a family history.\u003c/p>\n\u003cp>\"There's certainly a lot lost when the next doctor tries to figure out what to do with you,\" he said.\u003c/p>\n\u003cp>\u003cstrong>Wanting it All\u003c/strong>\u003c/p>\n\u003cp>What surprised me in my research is that while millennials do shop around for primary care, similar to how they compare auto insurance or airline flights, many said they were willing to commit once they've found a doctor who fits the bill. Others told me that they would prioritize seeing their regular doctor and would only consider seeing a new doctor via Doctor On Demand or One Medical if the wait time for a visit surpassed a couple days.\u003c/p>\n\u003cp>Ali Boldish, 28, of Medford, Ore., still values loyalty above all else. She said she has taken the time to choose a doctor who will spend time really listening to her, rather than staring at a screen or hastening her out the door after a few minutes.\u003c/p>\n\u003cp>\"I trust they [my doctor] will be open and honest with me and that they trust me to hear not only my worries but my thoughts as well and take those into account,” she said. “I expect not to be rushed.”\u003c/p>\n\u003cp>During a recent trip to the East Coast, I paid a visit to Manhattan-based \u003ca href=\"https://www.zocdoc.com/\">ZocDoc\u003c/a>, a website that helps millions of patients each month across the U.S. schedule doctor's visits. The vast majority of people who use ZocDoc are under the age of 40.\u003c/p>\n\u003caside class=\"pullquote alignright\">“Even in this digital age, someway, somehow there needs to be a connection [between doctor and patient]\"\u003cbr>\n\u003ccite>Paul Grundy, IBM's director of healthcare transformation \u003c/cite>\u003c/aside>\n\u003cp>Many patients who use ZocDoc hold a similar view as Ali Boldish. Three out of four returning patients will choose the same doctor, company spokeswoman Amy Juaristi said, adding that many of the doctors who have signed up to ZocDoc offer texts and email communication as well as weekend and evening appointments to appeal to busy young professionals.\u003c/p>\n\u003cp>\"Twenty-somethings are extremely loyal to their primary doctor if it means they don't have to give up on convenience. We try to foster that,\" said Oliver Kharraz, the company's president and founder. In order words, millennials are willing to wait a bit to see their regular doctor, but not a few weeks or months.\u003c/p>\n\u003cp>Nikolaos Bonatsos, a 31-year-old venture capitalist based in Palo Alto, has been seeing the same doctor for four years. Recently, he said he felt a bout of fatigue and tried to schedule a time to talk about his symptoms. Only when he didn't hear back for two days, did he opt to schedule an online visit via One Medical with a doctor who happened to be available.\u003c/p>\n\u003cp>\"F\u003cspan class=\"s1\">or small stuff, do I have loyalty? No,\" he said. \u003c/span>\u003c/p>\n\u003cp class=\"p1\">\u003cspan class=\"s1\">\"In the era of text messaging and instant gratification, speed matters a lot. Traditional health providers don't do well,\" he added. \"So if you are a techie or a hypochondriac you start looking around for other alternatives.\"\u003c/span>\u003c/p>\n\u003cp>For their part, primary care groups say they're doing their best to improve the experience for young people, so they don't flock to a virtual alternative.\u003c/p>\n\u003cp>Dr. Robert Wergin of the \u003ca href=\"http://www.aafp.org/about.html\">American Academy of Family Physicians\u003c/a> said the organization conducts surveys of its members every year, which show a steady increase in doctors modernizing their practices by offering email communication and online access to billing and/or medical records since 2008. The American Academy of Family Physicians represents over 120,000 U.S. doctors.\u003c/p>\n\u003cp>\"Our approach is to encourage doctors to think about what a millennial would want and adapt,\" Wergin said. \"We still think patients benefit from having a consistent physician, or at least gravitating to one when they can.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Do you value your relationship with your primary care doctor? Have you ever consulted with your doctor via video chat? Share your story with me at cfarr@kqed.org \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>\u003ca href=\"http://www.scpr.org/blogs/health/2015/07/29/18052/looking-for-a-doctor-word-of-mouth-data-both-helpf/\">This post originally appeared on KPCC's consumer health blog, Impatient.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>My friend Sarah Rothbard recently started a new job. That meant switching insurance plans and finding a primary care doctor in her network that she liked.\u003c/p>\n\u003cp>And that proved to be a challenging task, even though she took a textbook approach to finding a doctor:\u003c/p>\n\u003cul>\n\u003cli>She tried asking friends for recommendations.\u003c/li>\n\u003cli>When that didn't work, she went to the website of her insurance company, Aetna, and searched for in-network doctors near her home or work.\u003c/li>\n\u003cli>She checked out where the doctors went to medical school and when they graduated, and cross-referenced this information with online reviews.\u003c/li>\n\u003c/ul>\n\u003cp>\"I'm a pretty meticulous planner, so when I plan a vacation, I'll Google it, then I'll ask friends and I'll also go to TripAdvisor,\" Rothbard, 31, says. \"I thought I would do this kind of thing for finding a doctor and it didn't really work out that way.\"\u003c/p>\n\u003cfigure id=\"attachment_21572\" class=\"wp-caption aligncenter\" style=\"max-width: 736px\">\u003cimg class=\"size-medium wp-image-21572\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/109389-full-736x600.jpg\" alt=\"Looking for the right doctor can be a frustrating procces\" width=\"736\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/08/109389-full-736x600.jpg 736w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/109389-full-400x326.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/109389-full-960x783.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/109389-full.jpg 1024w\" sizes=\"(max-width: 736px) 100vw, 736px\">\u003cfigcaption class=\"wp-caption-text\">Looking for the right doctor can be a frustrating process \u003ccite>(Sybren Stüvel via Flickr Creative Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>She eventually selected a doctor based on her research, but after visiting his office, she decided he was not the right fit for her.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Data \"Inadequate\" \u003c/strong>\u003c/p>\n\u003cp>Finding a high-quality primary care doctor that you like and is covered by your insurance is a challenge. That's even true for other doctors, admits Dr. Bob Wachter, professor and interim chairman of the UC San Francisco Department of Medicine.\u003c/p>\n\u003cp>\"I think the data that are available to patients to help them make these decisions are really inadequate,\" Wachter says. He adds that he runs a department of some 700 doctors and \"even in my position, I don't have any great way of figuring out who's really good at what they do.\"\u003c/p>\n\u003cp>That being said, Wachter says there are some basic things to do when searching for a high-quality doctor:\u003c/p>\n\u003cul>\n\u003cli>Check whether the doctor went through reputable training programs\u003c/li>\n\u003cli>Ensure the doctor is board-certified in his or her specialty\u003c/li>\n\u003cli>Check online review sites, but take the feedback with a grain of salt.\u003c/li>\n\u003c/ul>\n\u003cp>\"There are doctors who have wonderful bedside manner and get terrific reviews and yet are dangerous,\" Wachter cautions. \"And there are other doctors who are a little bit grumpy, who are really terrific technically at surgery or cognitively.\"\u003c/p>\n\u003cp>\"When you're looking at the online reviews, chances are you're really getting a snapshot into their bedside manner, which is clearly important but not the only thing you care about.\"\u003c/p>\n\u003cp>Consumer Reports also offers \u003ca href=\"http://www.consumerreports.org/cro/2014/09/how-to-choose-a-doctor/index.htm\">these tips\u003c/a> for finding a doctor.\u003c/p>\n\u003cp>\u003cstrong>Some Websites Offer More Data \u003c/strong>\u003c/p>\n\u003cp>Rothbard and Wachter are not alone in this struggle. In fact, it's spurred the development of at least two startup companies that aim to empower patients to connect with high quality, in-network doctors that they like and trust.\u003c/p>\n\u003cp>Through \u003ca href=\"https://www.zocdoc.com/\">ZocDoc\u003c/a>, you can search for a type of doctor, filtered by zip code and your insurance carrier. A list of doctors pops up; you can then click on their individual profiles to get information about their medical education, hospital affiliations, board certifications and which insurance plans they accept. You can also see how other ZocDoc users reviewed the doctor.\u003c/p>\n\u003cp>Another cool thing about ZocDoc: You can book an appointment with a doctor through the site.\u003c/p>\n\u003cp>With \u003ca href=\"https://betterdoctor.com/\">BetterDoctor\u003c/a>, you can search for doctors by specialty and location. Again, a list of doctors pops up; you can check out their individual profiles to learn about their medical education and specialties, as well as patients' Yelp reviews.\u003c/p>\n\u003caside class=\"pullquote alignright\">“Why should it be that I get more information about buying a car or a refrigerator than trying to find a doctor for my cancer or my heart disease?\"\u003cbr>\n\u003ccite>Bob Wachter, professor and interim chairman of the UC San Francisco Department of Medicine.\u003c/cite>\u003c/aside>\n\u003cp>The site also integrates data from the \u003ca href=\"http://www.cms.gov/\">Centers for Medicare and Medicaid Services\u003c/a> regarding how often other physicians refer patients to this particular doctor and how often the doctor performs certain procedures.\u003c/p>\n\u003cp>I asked Wachter to look at both sites and he liked what he saw. He called the emergence of sites like these a \"healthy trend\" toward making quality and safety data more accessible to patients.\u003c/p>\n\u003cp>\"Why should it be that I get more information about buying a car or a refrigerator than trying to find a doctor for my cancer or my heart disease,\" Wachter says. \"It's crazy but it's changing very, very quickly.\"\u003c/p>\n\u003cp>\u003cstrong>'Word-of-Mouth Trumps All'\u003c/strong>\u003c/p>\n\u003cp>Back to my friend Sarah Rothbard: Not satisfied with the doctor she had selected, she went back to the drawing board. This time, she got a recommendation from one of her new colleagues.\u003c/p>\n\u003cp>\"When you're overwhelmed, word-of-mouth trumps all,\" says Rothbard, noting that she hasn't yet visited the new physician. \"I think when it comes to finding a doctor, it pretty quickly becomes overwhelming.\"\u003c/p>\n\u003cp>I ran this idea by Ari Tulla, co-founder and CEO of BetterDoctor. He says his site provides a sort of second opinion during the doctor search.\u003c/p>\n\u003cp>\"I'm a huge believer of peer recommendations and word-of-mouth,\" Tulla says. \"I think BetterDoctor and other tools are good at augmenting it.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Have you had trouble finding a doctor or specialist that you like? What strategies have you used to find a doctor? Tell me all about it in the comments section below or e-mail me at Impatient@scpr.org.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003ca href=\"http://www.scpr.org/blogs/health/2015/07/29/18052/looking-for-a-doctor-word-of-mouth-data-both-helpf/\">This post originally appeared on KPCC's consumer health blog, Impatient.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>My friend Sarah Rothbard recently started a new job. That meant switching insurance plans and finding a primary care doctor in her network that she liked.\u003c/p>\n\u003cp>And that proved to be a challenging task, even though she took a textbook approach to finding a doctor:\u003c/p>\n\u003cul>\n\u003cli>She tried asking friends for recommendations.\u003c/li>\n\u003cli>When that didn't work, she went to the website of her insurance company, Aetna, and searched for in-network doctors near her home or work.\u003c/li>\n\u003cli>She checked out where the doctors went to medical school and when they graduated, and cross-referenced this information with online reviews.\u003c/li>\n\u003c/ul>\n\u003cp>\"I'm a pretty meticulous planner, so when I plan a vacation, I'll Google it, then I'll ask friends and I'll also go to TripAdvisor,\" Rothbard, 31, says. \"I thought I would do this kind of thing for finding a doctor and it didn't really work out that way.\"\u003c/p>\n\u003cfigure id=\"attachment_21572\" class=\"wp-caption aligncenter\" style=\"max-width: 736px\">\u003cimg class=\"size-medium wp-image-21572\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/109389-full-736x600.jpg\" alt=\"Looking for the right doctor can be a frustrating procces\" width=\"736\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/08/109389-full-736x600.jpg 736w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/109389-full-400x326.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/109389-full-960x783.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/109389-full.jpg 1024w\" sizes=\"(max-width: 736px) 100vw, 736px\">\u003cfigcaption class=\"wp-caption-text\">Looking for the right doctor can be a frustrating process \u003ccite>(Sybren Stüvel via Flickr Creative Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>She eventually selected a doctor based on her research, but after visiting his office, she decided he was not the right fit for her.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Data \"Inadequate\" \u003c/strong>\u003c/p>\n\u003cp>Finding a high-quality primary care doctor that you like and is covered by your insurance is a challenge. That's even true for other doctors, admits Dr. Bob Wachter, professor and interim chairman of the UC San Francisco Department of Medicine.\u003c/p>\n\u003cp>\"I think the data that are available to patients to help them make these decisions are really inadequate,\" Wachter says. He adds that he runs a department of some 700 doctors and \"even in my position, I don't have any great way of figuring out who's really good at what they do.\"\u003c/p>\n\u003cp>That being said, Wachter says there are some basic things to do when searching for a high-quality doctor:\u003c/p>\n\u003cul>\n\u003cli>Check whether the doctor went through reputable training programs\u003c/li>\n\u003cli>Ensure the doctor is board-certified in his or her specialty\u003c/li>\n\u003cli>Check online review sites, but take the feedback with a grain of salt.\u003c/li>\n\u003c/ul>\n\u003cp>\"There are doctors who have wonderful bedside manner and get terrific reviews and yet are dangerous,\" Wachter cautions. \"And there are other doctors who are a little bit grumpy, who are really terrific technically at surgery or cognitively.\"\u003c/p>\n\u003cp>\"When you're looking at the online reviews, chances are you're really getting a snapshot into their bedside manner, which is clearly important but not the only thing you care about.\"\u003c/p>\n\u003cp>Consumer Reports also offers \u003ca href=\"http://www.consumerreports.org/cro/2014/09/how-to-choose-a-doctor/index.htm\">these tips\u003c/a> for finding a doctor.\u003c/p>\n\u003cp>\u003cstrong>Some Websites Offer More Data \u003c/strong>\u003c/p>\n\u003cp>Rothbard and Wachter are not alone in this struggle. In fact, it's spurred the development of at least two startup companies that aim to empower patients to connect with high quality, in-network doctors that they like and trust.\u003c/p>\n\u003cp>Through \u003ca href=\"https://www.zocdoc.com/\">ZocDoc\u003c/a>, you can search for a type of doctor, filtered by zip code and your insurance carrier. A list of doctors pops up; you can then click on their individual profiles to get information about their medical education, hospital affiliations, board certifications and which insurance plans they accept. You can also see how other ZocDoc users reviewed the doctor.\u003c/p>\n\u003cp>Another cool thing about ZocDoc: You can book an appointment with a doctor through the site.\u003c/p>\n\u003cp>With \u003ca href=\"https://betterdoctor.com/\">BetterDoctor\u003c/a>, you can search for doctors by specialty and location. Again, a list of doctors pops up; you can check out their individual profiles to learn about their medical education and specialties, as well as patients' Yelp reviews.\u003c/p>\n\u003caside class=\"pullquote alignright\">“Why should it be that I get more information about buying a car or a refrigerator than trying to find a doctor for my cancer or my heart disease?\"\u003cbr>\n\u003ccite>Bob Wachter, professor and interim chairman of the UC San Francisco Department of Medicine.\u003c/cite>\u003c/aside>\n\u003cp>The site also integrates data from the \u003ca href=\"http://www.cms.gov/\">Centers for Medicare and Medicaid Services\u003c/a> regarding how often other physicians refer patients to this particular doctor and how often the doctor performs certain procedures.\u003c/p>\n\u003cp>I asked Wachter to look at both sites and he liked what he saw. He called the emergence of sites like these a \"healthy trend\" toward making quality and safety data more accessible to patients.\u003c/p>\n\u003cp>\"Why should it be that I get more information about buying a car or a refrigerator than trying to find a doctor for my cancer or my heart disease,\" Wachter says. \"It's crazy but it's changing very, very quickly.\"\u003c/p>\n\u003cp>\u003cstrong>'Word-of-Mouth Trumps All'\u003c/strong>\u003c/p>\n\u003cp>Back to my friend Sarah Rothbard: Not satisfied with the doctor she had selected, she went back to the drawing board. This time, she got a recommendation from one of her new colleagues.\u003c/p>\n\u003cp>\"When you're overwhelmed, word-of-mouth trumps all,\" says Rothbard, noting that she hasn't yet visited the new physician. \"I think when it comes to finding a doctor, it pretty quickly becomes overwhelming.\"\u003c/p>\n\u003cp>I ran this idea by Ari Tulla, co-founder and CEO of BetterDoctor. He says his site provides a sort of second opinion during the doctor search.\u003c/p>\n\u003cp>\"I'm a huge believer of peer recommendations and word-of-mouth,\" Tulla says. \"I think BetterDoctor and other tools are good at augmenting it.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Have you had trouble finding a doctor or specialist that you like? What strategies have you used to find a doctor? Tell me all about it in the comments section below or e-mail me at Impatient@scpr.org.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Bay Area Doctors Quit Medicine to Work for Digital Health Startups",
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"content": "\u003cp>Even as a young child, Amanda Angelotti dreamed about becoming a doctor. Five years after graduating from college, she enrolled in the University of California, San Francisco medical school.\u003c/p>\n\u003cp>But by her third year, Angelotti couldn't shake the feeling that something was missing. During a routine shift at the hospital, making rounds with her fellow students, Angelotti said her thoughts kept drifting.\u003c/p>\n\u003cp>\"I was supposed to be focused on the patient's vital signs and presenting a summary, but I was consumed with thoughts about how to improve the process of rounds,\" she said. Most striking was the patient's absence from the discussion. \"I kept asking myself, 'how could we change things to involve the patient more?'\"\u003c/p>\n\u003cp>Just a stone's throw from UCSF Medical Center, a small group of entrepreneurs at \u003ca href=\"http://rockhealth.com\">Rock Health, \u003c/a>a new accelerator program (and now a venture firm), were thinking about how to shake up the health care process with technology. These startups were developing new wearable devices and mobile apps to help patients take more control of their own health.\u003c/p>\n\u003cfigure id=\"attachment_12284\" class=\"wp-caption alignright\" style=\"max-width: 407px\">\u003cimg class=\" wp-image-12284\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/07/JV0A7413-800x533.jpg\" alt=\"Amanda Angelotti and Connie Chen developed a passion for digital health while at medical school \" width=\"407\" height=\"272\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/07/JV0A7413-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/JV0A7413-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/JV0A7413-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/JV0A7413-960x640.jpg 960w\" sizes=\"(max-width: 407px) 100vw, 407px\">\u003cfigcaption class=\"wp-caption-text\">Amanda Angelotti and Connie Chen developed a passion for digital health during medical school \u003ccite>(Josh Cassidy, KQED )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The timing was right to bring new ideas to the sector. By 2012, hospitals around the country were rapidly moving away from paper-based medical records to electronic systems, a first step to moving health care into the digital age.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Angelotti graduated the following year, but she did not apply for any residency programs at U.S. hospitals. Instead, she applied to work at Rock Health as a researcher and writer before joining the new medical review site \u003ca href=\"http://www.iodine.com/\">Iodine\u003c/a>, one of an exploding number of digital health startups in San Francisco.\u003c/p>\n\u003cp>By the end of that year, Rock Health projected that digital health funding had exceeded $1.9 billion, a 39 percent jump from the prior year.\u003c/p>\n\u003cp>\u003cstrong>The Rising Tide of Doctors Turning to Entrepreneurship\u003c/strong>\u003c/p>\n\u003cp>Angelotti is far from alone in making the leap from medical school to digital health.\u003c/p>\n\u003cp>Students from around the Bay Area and the country are increasingly dropping out of residency programs and instead going into careers in high-tech start-ups.\u003c/p>\n\u003cp>“We’ve seen that many of these Bay Area-based medical students are drawn to startup opportunities — it used to be biotech, and now it’s more often digital health,” said Jeff Tangney, CEO of Doximity, a physician-network that generates data for the \u003ca href=\"http://health.usnews.com/health-news/blogs/second-opinion/2014/01/10/doximity-begins-surveying-physicians-for-us-news-best-hospitals\">U.S. News Best Hospitals rankings\u003c/a>.\u003c/p>\n\u003cp>Tangney said many of the top digital health companies are more than willing to hire new grads straight out of medical school, who lack years of clinical experience.\u003c/p>\n\u003cp>Dropout doctors are well-positioned, he added, for a career in digital health as they have an insider’s view of the industry — and ideas about how to fix it.\u003c/p>\n\u003cp> \u003c/p>\n\u003cfigure id=\"attachment_13015\" class=\"wp-caption alignright\" style=\"max-width: 437px\">\u003cimg class=\" wp-image-13015\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/07/sean-duffy-800x533.jpg\" alt=\"Harvard Medical School dropout Sean Duffy addressing a group from Kaiser Permanente\" width=\"437\" height=\"291\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/07/sean-duffy-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/sean-duffy-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/sean-duffy-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/sean-duffy-960x640.jpg 960w\" sizes=\"(max-width: 437px) 100vw, 437px\">\u003cfigcaption class=\"wp-caption-text\">Harvard Medical School dropout Sean Duffy addressing a group from Kaiser Permanente \u003ccite>(Omada Health )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As Sean Duffy, the CEO of Omada Health and a Harvard medical school dropout put it: \"I wanted to understand what's in the trenches, so I could redefine the trenches.\" Omada Health offers an online program to help people change their behavior and avoid the onset of diabetes.\u003c/p>\n\u003cp>Duffy is part of a private Facebook group called \"dropout doctors,\" which includes some of the biggest names in digital health. It functions as a support group, of sorts, and meets every few months for dinner or drinks. Some members, like Angelotti, said they find solace in the group as it can be difficult and lonely to opt out of clinical medicine and follow a different path.\u003c/p>\n\u003cp>The membership includes Angelotti, who now works at primary care chain One Medical; Duffy, CEO of Omada Health\u003ca href=\"https://omadahealth.com/\">;\u003c/a> Connie Chen, the cofounder of Vida Health; Shaundra Eichstadt, medical director at \u003ca href=\"https://www.grandrounds.com/\">Grand Rounds\u003c/a>; Abhas Gupta, a health-focused venture capitalist with the firm \u003ca href=\"http://www.mdv.com/\">Mohr Davidow\u003c/a>; Molly Maloof, a medical advisor to \u003ca href=\"https://doctorbase.com/\">DoctorBase;\u003c/a> and Rebecca Coelius, the director of health at \u003ca href=\"https://www.codeforamerica.org/\">Code for America\u003c/a>.\u003c/p>\n\u003cp>\u003cb>'I Never Thought I Would Leave Medicine' \u003c/b>\u003c/p>\n\u003cp>Experts say it's both 'push and pull' effect that is motivating young doctors to seek out opportunities with the growing intersection of technology and health care, rather than pursue brick and mortar medicine.\u003c/p>\n\u003cp>Many of the students at the top Bay Area medical schools, Stanford and UCSF, are exposed to entrepreneurial thinking during the course of their education, which can be a major draw.\u003c/p>\n\u003cp>\"I never thought I would leave medicine,\" said Eichstadt, who now works at Grand Rounds Health, a San Francisco-based startup that helps patients access second opinions from top medical experts online. \"But there's such a rich opportunity at companies here.\"\u003c/p>\n\u003cfigure id=\"attachment_13016\" class=\"wp-caption alignright\" style=\"max-width: 410px\">\u003cimg class=\" wp-image-13016\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/07/SE-photo-800x565.jpg\" alt=\"Dr. Shaundra Eichstadt made the transition from medicine to digital health. \" width=\"410\" height=\"289\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/07/SE-photo-800x565.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/SE-photo-400x282.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/SE-photo-1180x833.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/SE-photo-960x678.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/SE-photo.jpg 2048w\" sizes=\"(max-width: 410px) 100vw, 410px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Shaundra Eichstadt made the transition from medicine to digital health. \u003ccite>(Shaundra Eichstadt )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Eichstadt graduated from Stanford and pursued several years of residency, specializing in plastic and reconstructive surgery.\u003c/p>\n\u003cp>\"I realized that the system isn't designed for doctors to make the real change you would like to for the patient,\" she said. Eichstadt said she believed that she could make a bigger impact elsewhere.\u003c/p>\n\u003cp>Many of the dropout docs expressed a desire to improve the doctor-patient experience. In interviews with \u003cem>KQED,\u003c/em> several said they spent very little time administering care during medical school, and they felt that patients were too often kept out of the loop.\u003c/p>\n\u003cp>A recent study found that doctors-in-training spend\u003ca href=\"http://well.blogs.nytimes.com/2013/05/30/for-new-doctors-8-minutes-per-patient/\"> an average of just eight minutes\u003c/a> with each patient. This is a drastic decrease from previous generations and is linked to more record-keeping requirements and restricted on-duty hours.\u003c/p>\n\u003cp>Connie Chen still practices medicine a half-day each week. But shortly after medical school, Chen co-founded an app called \u003ca href=\"https://www.vida.com\">Vida\u003c/a>, which connects people with chronic diseases to virtual health coaches, like nutritionists and nurses.\u003c/p>\n\u003cp>Chen said she learned very little about nutrition at medical school. But digital health opened up opportunities for Chen to educate herself about wellness, so she can help patients stay healthy.\u003c/p>\n\u003caside class=\"pullquote alignright\">“Tech culture is very appealing when juxtaposed against the hierarchy and myriad hoops to be jumped through in clinical medicine.\"\u003ccite>Rebecca Coelius, Director of Health at Code for America\u003c/cite>\u003c/aside>\n\u003cp>\"Traditional health care is really oriented to make the life of the provider easier,\" she said. \"Your patients cycle in and out of the hospital, and very often, no one makes enough of an effort to communicate with them.\"\u003c/p>\n\u003cp>\u003cstrong>Lack of Opportunities \u003c/strong>\u003c/p>\n\u003cp>Other dropout docs said they felt pushed out of medicine, due to the lack of career opportunities or earning potential. Family practitioners, who serve at the front lines of health care, \u003ca href=\"http://healthland.time.com/2012/04/27/doctors-salaries-who-earns-the-most-and-the-least/\">are paid the least\u003c/a>.\u003c/p>\n\u003cp>Recent studies have also shown rising levels of \u003ca href=\"http://khn.org/news/doctor-burnout/\">discontent among primary care doctors\u003c/a>. Nearly half of 7,200 doctors who responded to a Mayo Clinic survey in 2012 said they felt a lack of enthusiasm about medicine or cynicism about it. A decade ago, one quarter of doctors reported feeling burnt out.\u003c/p>\n\u003cp>\"I loved working with patients but I looked around me and realized that I didn't want the jobs of anybody who had 'succeeded' as a clinician,\" said Rebecca Coelius, who graduated with an MD from UCSF.\u003c/p>\n\u003cp>Coelius now advises a number of health-tech startups, including Doximity and previously worked for \u003ca href=\"http://healthloop.com/\">HealthLoop\u003c/a>, which was founded by another entrepreneurial MD, Dr. Jordan Shlain. She's also worked for the government as a medical innovation officer.\u003c/p>\n\u003cp>\"Tech culture is very appealing when juxtaposed against the hierarchy and myriad hoops to be jumped through in clinical medicine,\" she explained.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Correction: An earlier version of this article contained data from Doximity on the percentage of Stanford and UCSF medical students applying to residency programs. Doximity says it failed to factor in medical school graduates who pursue further post-graduate studies and that the Stanford information it provided was inaccurate. Stanford officials say Stanford has a 95 percent rate of medical students pursuing residency after graduation.\u003c/em>\u003c/p>\n\n",
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"excerpt": "KQED reports on the growing trend of Bay Area-based doctors making the leap from traditional medicine to digital health. These \"dropout doctors\" say they can make a bigger impact by transforming health care from the outside in, rather than the inside out. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Even as a young child, Amanda Angelotti dreamed about becoming a doctor. Five years after graduating from college, she enrolled in the University of California, San Francisco medical school.\u003c/p>\n\u003cp>But by her third year, Angelotti couldn't shake the feeling that something was missing. During a routine shift at the hospital, making rounds with her fellow students, Angelotti said her thoughts kept drifting.\u003c/p>\n\u003cp>\"I was supposed to be focused on the patient's vital signs and presenting a summary, but I was consumed with thoughts about how to improve the process of rounds,\" she said. Most striking was the patient's absence from the discussion. \"I kept asking myself, 'how could we change things to involve the patient more?'\"\u003c/p>\n\u003cp>Just a stone's throw from UCSF Medical Center, a small group of entrepreneurs at \u003ca href=\"http://rockhealth.com\">Rock Health, \u003c/a>a new accelerator program (and now a venture firm), were thinking about how to shake up the health care process with technology. These startups were developing new wearable devices and mobile apps to help patients take more control of their own health.\u003c/p>\n\u003cfigure id=\"attachment_12284\" class=\"wp-caption alignright\" style=\"max-width: 407px\">\u003cimg class=\" wp-image-12284\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/07/JV0A7413-800x533.jpg\" alt=\"Amanda Angelotti and Connie Chen developed a passion for digital health while at medical school \" width=\"407\" height=\"272\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/07/JV0A7413-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/JV0A7413-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/JV0A7413-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/JV0A7413-960x640.jpg 960w\" sizes=\"(max-width: 407px) 100vw, 407px\">\u003cfigcaption class=\"wp-caption-text\">Amanda Angelotti and Connie Chen developed a passion for digital health during medical school \u003ccite>(Josh Cassidy, KQED )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The timing was right to bring new ideas to the sector. By 2012, hospitals around the country were rapidly moving away from paper-based medical records to electronic systems, a first step to moving health care into the digital age.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Angelotti graduated the following year, but she did not apply for any residency programs at U.S. hospitals. Instead, she applied to work at Rock Health as a researcher and writer before joining the new medical review site \u003ca href=\"http://www.iodine.com/\">Iodine\u003c/a>, one of an exploding number of digital health startups in San Francisco.\u003c/p>\n\u003cp>By the end of that year, Rock Health projected that digital health funding had exceeded $1.9 billion, a 39 percent jump from the prior year.\u003c/p>\n\u003cp>\u003cstrong>The Rising Tide of Doctors Turning to Entrepreneurship\u003c/strong>\u003c/p>\n\u003cp>Angelotti is far from alone in making the leap from medical school to digital health.\u003c/p>\n\u003cp>Students from around the Bay Area and the country are increasingly dropping out of residency programs and instead going into careers in high-tech start-ups.\u003c/p>\n\u003cp>“We’ve seen that many of these Bay Area-based medical students are drawn to startup opportunities — it used to be biotech, and now it’s more often digital health,” said Jeff Tangney, CEO of Doximity, a physician-network that generates data for the \u003ca href=\"http://health.usnews.com/health-news/blogs/second-opinion/2014/01/10/doximity-begins-surveying-physicians-for-us-news-best-hospitals\">U.S. News Best Hospitals rankings\u003c/a>.\u003c/p>\n\u003cp>Tangney said many of the top digital health companies are more than willing to hire new grads straight out of medical school, who lack years of clinical experience.\u003c/p>\n\u003cp>Dropout doctors are well-positioned, he added, for a career in digital health as they have an insider’s view of the industry — and ideas about how to fix it.\u003c/p>\n\u003cp> \u003c/p>\n\u003cfigure id=\"attachment_13015\" class=\"wp-caption alignright\" style=\"max-width: 437px\">\u003cimg class=\" wp-image-13015\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/07/sean-duffy-800x533.jpg\" alt=\"Harvard Medical School dropout Sean Duffy addressing a group from Kaiser Permanente\" width=\"437\" height=\"291\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/07/sean-duffy-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/sean-duffy-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/sean-duffy-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/sean-duffy-960x640.jpg 960w\" sizes=\"(max-width: 437px) 100vw, 437px\">\u003cfigcaption class=\"wp-caption-text\">Harvard Medical School dropout Sean Duffy addressing a group from Kaiser Permanente \u003ccite>(Omada Health )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As Sean Duffy, the CEO of Omada Health and a Harvard medical school dropout put it: \"I wanted to understand what's in the trenches, so I could redefine the trenches.\" Omada Health offers an online program to help people change their behavior and avoid the onset of diabetes.\u003c/p>\n\u003cp>Duffy is part of a private Facebook group called \"dropout doctors,\" which includes some of the biggest names in digital health. It functions as a support group, of sorts, and meets every few months for dinner or drinks. Some members, like Angelotti, said they find solace in the group as it can be difficult and lonely to opt out of clinical medicine and follow a different path.\u003c/p>\n\u003cp>The membership includes Angelotti, who now works at primary care chain One Medical; Duffy, CEO of Omada Health\u003ca href=\"https://omadahealth.com/\">;\u003c/a> Connie Chen, the cofounder of Vida Health; Shaundra Eichstadt, medical director at \u003ca href=\"https://www.grandrounds.com/\">Grand Rounds\u003c/a>; Abhas Gupta, a health-focused venture capitalist with the firm \u003ca href=\"http://www.mdv.com/\">Mohr Davidow\u003c/a>; Molly Maloof, a medical advisor to \u003ca href=\"https://doctorbase.com/\">DoctorBase;\u003c/a> and Rebecca Coelius, the director of health at \u003ca href=\"https://www.codeforamerica.org/\">Code for America\u003c/a>.\u003c/p>\n\u003cp>\u003cb>'I Never Thought I Would Leave Medicine' \u003c/b>\u003c/p>\n\u003cp>Experts say it's both 'push and pull' effect that is motivating young doctors to seek out opportunities with the growing intersection of technology and health care, rather than pursue brick and mortar medicine.\u003c/p>\n\u003cp>Many of the students at the top Bay Area medical schools, Stanford and UCSF, are exposed to entrepreneurial thinking during the course of their education, which can be a major draw.\u003c/p>\n\u003cp>\"I never thought I would leave medicine,\" said Eichstadt, who now works at Grand Rounds Health, a San Francisco-based startup that helps patients access second opinions from top medical experts online. \"But there's such a rich opportunity at companies here.\"\u003c/p>\n\u003cfigure id=\"attachment_13016\" class=\"wp-caption alignright\" style=\"max-width: 410px\">\u003cimg class=\" wp-image-13016\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/07/SE-photo-800x565.jpg\" alt=\"Dr. Shaundra Eichstadt made the transition from medicine to digital health. \" width=\"410\" height=\"289\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/07/SE-photo-800x565.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/SE-photo-400x282.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/SE-photo-1180x833.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/SE-photo-960x678.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/SE-photo.jpg 2048w\" sizes=\"(max-width: 410px) 100vw, 410px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Shaundra Eichstadt made the transition from medicine to digital health. \u003ccite>(Shaundra Eichstadt )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Eichstadt graduated from Stanford and pursued several years of residency, specializing in plastic and reconstructive surgery.\u003c/p>\n\u003cp>\"I realized that the system isn't designed for doctors to make the real change you would like to for the patient,\" she said. Eichstadt said she believed that she could make a bigger impact elsewhere.\u003c/p>\n\u003cp>Many of the dropout docs expressed a desire to improve the doctor-patient experience. In interviews with \u003cem>KQED,\u003c/em> several said they spent very little time administering care during medical school, and they felt that patients were too often kept out of the loop.\u003c/p>\n\u003cp>A recent study found that doctors-in-training spend\u003ca href=\"http://well.blogs.nytimes.com/2013/05/30/for-new-doctors-8-minutes-per-patient/\"> an average of just eight minutes\u003c/a> with each patient. This is a drastic decrease from previous generations and is linked to more record-keeping requirements and restricted on-duty hours.\u003c/p>\n\u003cp>Connie Chen still practices medicine a half-day each week. But shortly after medical school, Chen co-founded an app called \u003ca href=\"https://www.vida.com\">Vida\u003c/a>, which connects people with chronic diseases to virtual health coaches, like nutritionists and nurses.\u003c/p>\n\u003cp>Chen said she learned very little about nutrition at medical school. But digital health opened up opportunities for Chen to educate herself about wellness, so she can help patients stay healthy.\u003c/p>\n\u003caside class=\"pullquote alignright\">“Tech culture is very appealing when juxtaposed against the hierarchy and myriad hoops to be jumped through in clinical medicine.\"\u003ccite>Rebecca Coelius, Director of Health at Code for America\u003c/cite>\u003c/aside>\n\u003cp>\"Traditional health care is really oriented to make the life of the provider easier,\" she said. \"Your patients cycle in and out of the hospital, and very often, no one makes enough of an effort to communicate with them.\"\u003c/p>\n\u003cp>\u003cstrong>Lack of Opportunities \u003c/strong>\u003c/p>\n\u003cp>Other dropout docs said they felt pushed out of medicine, due to the lack of career opportunities or earning potential. Family practitioners, who serve at the front lines of health care, \u003ca href=\"http://healthland.time.com/2012/04/27/doctors-salaries-who-earns-the-most-and-the-least/\">are paid the least\u003c/a>.\u003c/p>\n\u003cp>Recent studies have also shown rising levels of \u003ca href=\"http://khn.org/news/doctor-burnout/\">discontent among primary care doctors\u003c/a>. Nearly half of 7,200 doctors who responded to a Mayo Clinic survey in 2012 said they felt a lack of enthusiasm about medicine or cynicism about it. A decade ago, one quarter of doctors reported feeling burnt out.\u003c/p>\n\u003cp>\"I loved working with patients but I looked around me and realized that I didn't want the jobs of anybody who had 'succeeded' as a clinician,\" said Rebecca Coelius, who graduated with an MD from UCSF.\u003c/p>\n\u003cp>Coelius now advises a number of health-tech startups, including Doximity and previously worked for \u003ca href=\"http://healthloop.com/\">HealthLoop\u003c/a>, which was founded by another entrepreneurial MD, Dr. Jordan Shlain. She's also worked for the government as a medical innovation officer.\u003c/p>\n\u003cp>\"Tech culture is very appealing when juxtaposed against the hierarchy and myriad hoops to be jumped through in clinical medicine,\" she explained.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Correction: An earlier version of this article contained data from Doximity on the percentage of Stanford and UCSF medical students applying to residency programs. Doximity says it failed to factor in medical school graduates who pursue further post-graduate studies and that the Stanford information it provided was inaccurate. Stanford officials say Stanford has a 95 percent rate of medical students pursuing residency after graduation.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Each day, thousands of people turn to online discussion forums to share their health care experiences.\u003c/p>\n\u003cp>One site alone, \u003ca href=\"https://www.patientslikeme.com/\">PatientsLikeMe\u003c/a>, counts 350,000 patients worldwide who are using its service to compare symptoms, describe side effects to medications, and track the progress of their disease.\u003c/p>\n\u003cp>For PatientsLikeMe, all that personal health information is a potential gold-mine. It's not only attractive to large pharmaceutical vendors and clinical researchers, who will pay to eavesdrop on patient chats, but also government agencies.\u003c/p>\n\u003cp>This week, PatientsLikeMe signed a research agreement with the U.S. Food and Drug Administration, the government agency that is responsible for public health. The agency will assess whether the data will boost its drug safety surveillance efforts.\u003c/p>\n\u003cp>PatientsLikeMe has agreed to share the data with the FDA at no cost.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"\u003cspan class=\"s1\">FDA is interested in the patient's voice,\" said FDA spokeswoman Sandy Walsh in an email interview with KQED\u003cem>. \u003c/em>\u003c/span>\u003c/p>\n\u003cp>\"\u003cspan class=\"s1\">By design, this research collaboration agreement is intended to be exploratory,\" she explained. \"We have very little, if any, experience with data of this type.\"\u003cbr>\n\u003c/span>\u003c/p>\n\u003cp>\u003cspan class=\"s1\">This is the first time that \u003c/span>\u003cspan class=\"s1\">\u003ca href=\"http://www.fda.gov/AboutFDA/CentersOffices/OfficeofMedicalProductsandTobacco/CDER/\">FDA's Center for Drug Evaluation and Research\u003c/a> has explored using a continuous source of patient data for drug safety, said Walsh. But going forward, the agency sees opportunities to tap into patient-generated health information on popular social media sites. \u003c/span>\u003c/p>\n\u003cp>That presents new opportunities for understanding the patient perspective -- but also raises privacy questions.\u003c/p>\n\u003cp>\u003cstrong>Should you be Concerned About Your Privacy?\u003c/strong>\u003c/p>\n\u003cp>Some privacy rights groups fear that patients have not been adequately informed that their intimate data could be shared with third parties.\u003c/p>\n\u003cp>The data that PatientsLikeMe collects won't include \"identifying\" information, like a patient's name and email, Heywood said. Partners and customers are \"contractually obligated\" to avoid \"re-identifying the data\" to connect symptoms to a specific patient.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.eff.org/\">Electronic Frontier Foundation\u003c/a>'s Lee Tien said he still harbors concerns about the type of data that is being collected and that patients haven't been adequately informed about where it's going. Tien is a senior staff attorney for the San Francisco-based foundation, which specializes in protecting people's civil liberties.\u003c/p>\n\u003cp>In its privacy policy, PatientsLikeMe states that it will not share personal information as part of the registration process. But if a patient shares it in a \"free text\" field like their biography or as part of a survey, PatientsLikeMe may share this information with its partners.\u003c/p>\n\u003cp>The company's privacy policy also \"reserves the right\" for regulatory bodies, like the FDA, to contact patients for follow-up information at the agency's request.\u003c/p>\n\u003cp>\"PatientsLikeMe is fairly well known as a 'sharing' site, so it's not a place for those who are strongly concerned about their own medical privacy,\" said Tien.\u003c/p>\n\u003cp>\u003cstrong>Understanding How Patients Respond to Drugs in the Real World\u003c/strong>\u003c/p>\n\u003cp>Some people may delight in handing over their data to a government agency like the FDA. This massive store of information may help future generations of patients avoid drugs that do more harm than good.\u003c/p>\n\u003cp>\"Clinical trials help us understand the effects of drugs, but it's very difficult to keep track of that once the drug hits the market,\" said Ben Heywood, co-founder and president of PatientsLikeMe.\u003c/p>\n\u003cp>Drug makers are flocking to PatientsLikeMe for those real-world insights. The company's pharmaceutical customers include Janssen Pharmaceuticals and Roche-owned Genentech.\u003c/p>\n\u003cp>Pharma companies are well-aware of the limitations of clinical trials. These studies involve a very small number of patients -- in the hundreds or low thousands, depending on the research phase. They are also skewed to favor certain demographics: the majority of participants are male, for instance. This is problematic as men and women often respond to drugs differently.\u003c/p>\n\u003cp>But on sites like PatientsLikeMe, patients share information about their medication use with each other in ways that can be documented and tracked. This data is stored in a structured format, and includes rows and columns about treatment, side effects, outcomes and symptomology.\u003c/p>\n\u003cp>\"Unlike clinical trials, we tend to bias a little bit towards women and our average age is in the mid-40s,\" said Heywood. The most popular patient communities on PatientsLikeMe are dedicated to fibromyalgia and multiple sclerosis.\u003c/p>\n\u003cp>[\u003ca href=\"http://ww2.kqed.org/futureofyou/2015/05/15/womens-health-is-too-often-overlooked-will-digital-health-be-the-exception/\">Related: Women’s Health is Too Often Overlooked; Will Digital Health be the Exception.\u003c/a>]\u003c/p>\n\u003cp>In the future, PatientsLikeMe plans to supplement this database with data from mobile apps and sensors that patients use, such as an \u003ca href=\"http://www.alivecor.com/home\">AliveCor\u003c/a> heart health tracker.\u003c/p>\n\u003cp>Heywood has some ambitious plans for the research, which won't necessarily involve the FDA. He points out that not all side-effects are negative. He hopes that PatientsLikeMe can help uncover new uses for existing drugs. If\u003cspan style=\"line-height: 1.5\"> a large cohort of patients complain about an allergy medication that causes dry mouth, that same drug could help patients with ALS who routinely struggle with excess saliva. \u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"In general, we're not trying to get drugs off the market,\" he said. \"We're trying to help individual patients find the right intervention.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"\u003cspan class=\"s1\">FDA is interested in the patient's voice,\" said FDA spokeswoman Sandy Walsh in an email interview with KQED\u003cem>. \u003c/em>\u003c/span>\u003c/p>\n\u003cp>\"\u003cspan class=\"s1\">By design, this research collaboration agreement is intended to be exploratory,\" she explained. \"We have very little, if any, experience with data of this type.\"\u003cbr>\n\u003c/span>\u003c/p>\n\u003cp>\u003cspan class=\"s1\">This is the first time that \u003c/span>\u003cspan class=\"s1\">\u003ca href=\"http://www.fda.gov/AboutFDA/CentersOffices/OfficeofMedicalProductsandTobacco/CDER/\">FDA's Center for Drug Evaluation and Research\u003c/a> has explored using a continuous source of patient data for drug safety, said Walsh. But going forward, the agency sees opportunities to tap into patient-generated health information on popular social media sites. \u003c/span>\u003c/p>\n\u003cp>That presents new opportunities for understanding the patient perspective -- but also raises privacy questions.\u003c/p>\n\u003cp>\u003cstrong>Should you be Concerned About Your Privacy?\u003c/strong>\u003c/p>\n\u003cp>Some privacy rights groups fear that patients have not been adequately informed that their intimate data could be shared with third parties.\u003c/p>\n\u003cp>The data that PatientsLikeMe collects won't include \"identifying\" information, like a patient's name and email, Heywood said. Partners and customers are \"contractually obligated\" to avoid \"re-identifying the data\" to connect symptoms to a specific patient.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.eff.org/\">Electronic Frontier Foundation\u003c/a>'s Lee Tien said he still harbors concerns about the type of data that is being collected and that patients haven't been adequately informed about where it's going. Tien is a senior staff attorney for the San Francisco-based foundation, which specializes in protecting people's civil liberties.\u003c/p>\n\u003cp>In its privacy policy, PatientsLikeMe states that it will not share personal information as part of the registration process. But if a patient shares it in a \"free text\" field like their biography or as part of a survey, PatientsLikeMe may share this information with its partners.\u003c/p>\n\u003cp>The company's privacy policy also \"reserves the right\" for regulatory bodies, like the FDA, to contact patients for follow-up information at the agency's request.\u003c/p>\n\u003cp>\"PatientsLikeMe is fairly well known as a 'sharing' site, so it's not a place for those who are strongly concerned about their own medical privacy,\" said Tien.\u003c/p>\n\u003cp>\u003cstrong>Understanding How Patients Respond to Drugs in the Real World\u003c/strong>\u003c/p>\n\u003cp>Some people may delight in handing over their data to a government agency like the FDA. This massive store of information may help future generations of patients avoid drugs that do more harm than good.\u003c/p>\n\u003cp>\"Clinical trials help us understand the effects of drugs, but it's very difficult to keep track of that once the drug hits the market,\" said Ben Heywood, co-founder and president of PatientsLikeMe.\u003c/p>\n\u003cp>Drug makers are flocking to PatientsLikeMe for those real-world insights. The company's pharmaceutical customers include Janssen Pharmaceuticals and Roche-owned Genentech.\u003c/p>\n\u003cp>Pharma companies are well-aware of the limitations of clinical trials. These studies involve a very small number of patients -- in the hundreds or low thousands, depending on the research phase. They are also skewed to favor certain demographics: the majority of participants are male, for instance. This is problematic as men and women often respond to drugs differently.\u003c/p>\n\u003cp>But on sites like PatientsLikeMe, patients share information about their medication use with each other in ways that can be documented and tracked. This data is stored in a structured format, and includes rows and columns about treatment, side effects, outcomes and symptomology.\u003c/p>\n\u003cp>\"Unlike clinical trials, we tend to bias a little bit towards women and our average age is in the mid-40s,\" said Heywood. The most popular patient communities on PatientsLikeMe are dedicated to fibromyalgia and multiple sclerosis.\u003c/p>\n\u003cp>[\u003ca href=\"http://ww2.kqed.org/futureofyou/2015/05/15/womens-health-is-too-often-overlooked-will-digital-health-be-the-exception/\">Related: Women’s Health is Too Often Overlooked; Will Digital Health be the Exception.\u003c/a>]\u003c/p>\n\u003cp>In the future, PatientsLikeMe plans to supplement this database with data from mobile apps and sensors that patients use, such as an \u003ca href=\"http://www.alivecor.com/home\">AliveCor\u003c/a> heart health tracker.\u003c/p>\n\u003cp>Heywood has some ambitious plans for the research, which won't necessarily involve the FDA. He points out that not all side-effects are negative. He hopes that PatientsLikeMe can help uncover new uses for existing drugs. 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"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
"airtime": "SUN 9pm-10pm",
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"meta": {
"site": "radio",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.commonwealthclub.org/podcasts",
"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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}
},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
}
},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"id": "here-and-now",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/hiddenbrain.jpg",
"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
"site": "news",
"source": "NPR"
},
"link": "/radio/program/hidden-brain",
"subscribe": {
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"tuneIn": "https://tunein.com/podcasts/Science-Podcasts/Hidden-Brain-p787503/",
"rss": "https://feeds.npr.org/510308/podcast.xml"
}
},
"how-i-built-this": {
"id": "how-i-built-this",
"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"rss": "https://feeds.npr.org/510313/podcast.xml"
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
"imageAlt": "KQED Hyphenación",
"officialWebsiteLink": "/podcasts/hyphenacion",
"meta": {
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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"amazon": "https://music.amazon.com/podcasts/6c3dd23c-93fb-4aab-97ba-1725fa6315f1/hyphenaci%C3%B3n",
"rss": "https://feeds.megaphone.fm/KQINC2275451163"
}
},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Political Mind of Jerry Brown",
"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/xtTd",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
"site": "news",
"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
"meta": {
"site": "news",
"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
"meta": {
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/id73801135",
"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
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},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/M4f5",
"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
"tuneIn": "https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/",
"rss": "https://feeds.npr.org/510289/podcast.xml"
}
},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Political Breakdown",
"officialWebsiteLink": "/podcasts/politicalbreakdown",
"meta": {
"site": "radio",
"source": "kqed",
"order": 5
},
"link": "/podcasts/politicalbreakdown",
"subscribe": {
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"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
"npr": "https://www.npr.org/podcasts/572155894/political-breakdown",
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