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September 2018

Apple accidentally shines a light on its technology ageism

Consider the Apple Watch fall detection age default.  Rant on. By now, and for most, no big deal, you may know that the Series 4 watch has fall detection. The setup includes your ‘emergency contacts’ acquired from your Medical ID, assuming you have Wrist Detection turned on.  Still with me? And perhaps you have also turned on the Health app (somewhere) and entered your birthdate. Still with me?  Assuming that Apple knows your date of birth AND it is 65+, the default setting turns the Fall Detection feature on – you then have to turn it off.  Which, since it is set to call Emergency Services unless you Cancel, might, as it has been with Apple Watch emergency calls, be a problem

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The Apple Watch and Fall Detection – What’s it Mean?

When Apple speaks, a puzzled market listens. When Apple announces, industries crane their necks to hear. Last week they announced two features of a new watch, ECG monitoring and fall detection. In July, Tim Cook apparently did not want to get into the world of FDA regulation. Well, that was then – or he just wasn’t saying. In this new watch, both the ECG feature and fall detection have received FDA clearance within 30 days of applying, startling some observers who noted that closer to 150 days was more typical for a medical device.  Healthcare observers are concerned that false positives from ECG readings could propel people unnecessarily to already-overloaded Emergency Rooms. To date, the Apple Watch may have been of greatest interest to 40 year old males. Interestingly, 70% of cases of atrial fibrillation are among the 65+ population.  Does Apple really want the 65+ population to buy an Apple watch?

Hyperlocal social networking – when Nextdoor matters most

It's that awful time – the hurricane season.  The time when the national hurricane center forecasts, repeated ad nauseum, are destined to frighten everyone, no matter how far from affected regions. The same broadcast can dwell on cones and paths, and almost as an aside, remind those in beach areas that the evacuation instructions are meant for them.  Reversing highway direction and talking constantly about evacuation sounds like a plan – but some observe that the distance required to evacuate to safety could be as much as 250-300 miles. So residents who will 'shelter in place' stock up on supplies and watch the 24-hour source of all fear – cable news, looking for guidance from Jim Cantore, that icon among storm trackers.

Four technology (health and aging) blog posts from August 2018

Vacations and out of office messages – it must have been August.  Some have said that there is no point in attempting a business meeting, even online, for August. Perhaps you were one of the 5 million visitors to Cape Cod, roaming the hillside vineyards in California or attending an antique car auction on the coast of Maine.  Having managed to pull off two of those three in the same month, it’s not that crazy. But there were issues, disruptions and sizable opportunities worth noting in August, the biggest one was Best Buy's purchase of GreatCall, just six weeks after Amazon acquired PillPack, the latest big company acquisition -- part of a to-be-continued series important to families and providers of care to seniors. Here are the blog posts from the month:

The technology category that cannot be spoken aloud – serving older adults


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

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