Laurie Orlov's blog

The biggest older adult tech news from August was audible.  The US Food and Drug Administration approved the over-the-counter sale of hearing aids. Ironically that will not actually be official until October.  The implications are staggering – hopefully the implementation will match.  The big five hearing aid manufacturers will once again remake and remarket themselves, their brands and pricing to fit the new rule. Also in August, a new report on the status of US broadband access was released, highlighting major expansion underway.  Here are the five blog posts from August 2022:

The stats on death from falls are startling – especially for the 65+.  Death rates are rising, projected to be 7 up to deaths per hour for the 65+ by 2030.  And that falls are the leading cause of injury death among the 65+.  Did you know that the majority of hip fractures are from falling, usually sideways?  Did you know that medical costs from falls was $50 billion in were projected to be $52 billion in 2020? And that the costs (estimated at $754 million in 2015) were mostly paid by Medicare and Medicaid (the latter likely in nursing homes.)  So many factors contribute to the risk of falling, including lower body weakness, balance issues, medications, and home hazards.

In recent years, TV Remote control devices became more usable – except for Apple’s.  Rant on. Starting with the older one (“Ridiculously symmetrical and highly unusable”) to the most recent Siri remote – where they give up on usable buttons and enable changing the channel by voice. You gotta love a company with a device so devoid of buttons – and so easily off the rails with an accidental touch.  No wonder it makes more sense to talk to it. Meanwhile, many usable TV remote control devices are in the market, including an Apple TV button remote from Function101 and you can also get a button universal remote control – and even one that is back-lit – so you can see the buttons – crazy!  Why are these devices called senior remotes?  Duh, because they have buttons, which seniors, maybe tired of all the accidentally swiping and zooming they do with their smartphones, just seem comforting and accessible.

Yesterday was a big day that should have happened several years ago. Finally. The US Food and Drug Administration approved the over-the-counter sale of hearing aids for those with mild-to-moderate hearing loss. Consider that this was first proposed in 2017! Consider the hearing aid ecosystem that has grown over many years to involve audiologists, a shrinking number of hearing aid makers – only five control 90% of the market! Consider the high price (upwards of $6000 per pair), limited insurance company assistance, and much individual isolation, misery, and family frustration. Consider the now-known and studied connection between untreated hearing loss and dementia.  Consider the multi-year delay between the onset of hearing loss for individuals, especially men, and actually doing anything about it. Consider the social isolation experienced by those with hearing loss.

The Census knows the growth and potential explosion of care needs and older adults. Consider their newly published document explaining the industries to those who may still not see what’s happening. "Assisted Living Facilities for the Elderly saw a 34.4% increase in revenue from 2013 to 2020.  Home Health Care Services experienced an even larger increase – 50.5% -- during the same period." These assertions are built on the Service Annual Survey (2021).   The U.S. Census Bureau projects that in 2050, the U.S. population ages 65 and over will be 83.9 million, nearly double what it was (43.1 million) in 2012.

Some might say that sensor technology for older adults is nothing new.   What’s the big deal? Remote monitoring products and services built with sensors have been around for decades. Grandcare Systems was founded in 2004 followed by a sensor-based remote monitoring startup and consolidation wave in 2009-2010. This type of tech had obvious benefits, even then, but today, what was obvious then has become a crisis of care today. There are simply not enough workers to care for the aging boomers and beyond. That spells opportunity for motion and camera-based sensors that are being deployed for care of older adults. This will be discussed further in a report later this year, The Future of Sensors and Older Adults 2022. Among the many types and features of sensors, here are five offerings, all info from the companies:

July offered time to think about gaps and staff shortages. For example, we expect tech products to be more intuitive and usable than they are. So often we become mired in a swamp of settings, especially when upgrading to a new device or software version. Everyone seems to know someone who has waved a hand and dismissed even being trained on new offerings. At the same time, many are eager to learn and wish they knew how to know what they needed to know. Meanwhile, the labor shortage has impacted every aspect of senior care, requiring a rethink of financial health of the businesses and the role of technology. Occupancy in senior living dipped below 80% in 2021, though said now to be in a period of recovery --even as costs to operate and resident prices rise. Here are the four blog posts from July 2022.

There is a labor shortage everywhere -- ditto in senior care. We know that one of the biggest issues in senior living (and home care, nursing homes, home health care) today is a shortage of labor. This roll-up of statistics shows more than 400,000 employees lost between 2020 and 2022, with long-term care facilities (aka nursing homes) being the most impacted. There is quite a bit of chatter in long-term care publications about the need for more technology use, and providers are asked to offer best examples of tech use to win an award (separate categories for senior living, home care, and skilled nursing) at the upcoming Leading Age event in October. Remember that memory care is a sub-category within both senior living (aka assisted living) and skilled nursing facilities (aka SNFs).

Design still needs to include older adults. One might say that there’s nothing left to say about this topic – it’s been said in multiple and sometimes overlapping and confusing ways. You can read about inclusive design, sometimes called design-for-all, accessible design, and universal design.  None of these concepts are specific to designing for inclusion of aging adults. And we know that older adults, some not online, are an afterthought when new emergency processes are created.  At a recent event, recommendations from design experts were discussed and considered in the context of aging adults.  But is the distinction between approaches, in fact, based on history and legal compliance? What should (really, this time!) change?

The 3G sunset has had plenty of warning, but will that matter to older adults? Many people do not remember much about January 1, 2000, the day all systems that stored 2-digit years would become useless calculators. But there was much preparation and so life went on, mostly normal. Will that be the case with the 3G-to-5G network transition?  The big three carriers (Verizon, AT&T, T-Mobile) are motoring ahead with this switchover to enable them to free up, as they say, faster and more reliable bandwidth.  But there are worries that they may leave some users with a phone that is nothing more than a useless brick.  Experts in the industry (perhaps consultants to the carriers) say "that there will be a mere few hundred thousand customers impacted at each carrier, totaling fewer than 1 million people." Really? With 300 million cell phones in use in the US (there are only 332 million people!) and AT&T acknowledging that 196 million of them use its network!