Archive for May, 2009

The Effect of Knowing Your Irrationality

Saturday, May 30th, 2009

The other day we had an hour call with David Lee, one of GE’s health economists (who we mentioned the other day). Anyway, I have about six pages of notes I need to parse and start posting, but this morning I was thinking about something very specific he said: People tend to overestimate small risks. A perfect example is cancer, while any individual’s chance of having it is relatively small we don’t tend to think about it that way. This overestimation can keep us from doing things like getting cancer screenings because we’re afraid of what we might learn.

So … In bed this morning I was wondering whether anyone had studied the effect of knowing this human trait on decision making. Like what happens if you remind people right before you ask them whether they’d like to be screened that all humans tend to overestimate the chances of something that is actually quite rare? Will have to ask David this next time we speak (and if it hasn’t been done maybe we can get someone to do the study). In some ways this feels like exactly the kind of intersection between marketing, health and economics that we can really be helpful in (as marketers).

Just a thought.

Misaligned Incentives

Thursday, May 28th, 2009

There is a really good article in The New Yorker about healthcare costs and their inverse relationship with the level of care patients recieve. Just a quick quote to get you excited about reading it:

There is no insurance system that will make the two aims match perfectly. But having a system that does so much to misalign them has proved disastrous. As economists have often pointed out, we pay doctors for quantity, not quality. As they point out less often, we also pay them as individuals, rather than as members of a team working together for their patients. Both practices have made for serious problems.

Good News for Engineering

Tuesday, May 26th, 2009

One of the things we’ve discussed a lot around here is the goal of getting more young people interested in science. As a company GE needs more folks like this and as a country it seems to have fallen out of fashion.

Christian Science Monitor had a bit of good news in this area:

Across the United States, enrollment in engineering programs has risen to levels not seen in three decades. The recession appears to be one factor, as students and their parents look for dependable careers.

But some education officials detect a shift in opinion about the profession itself, as global warming and stem-cell research make fields like chemical and bioengineering more than just wise choices for job-seekers – but fashionable ones, too.

While the article acknowledges the US is still behind in producing engineers, it’s a good sign.

What Does It Take to Get People to Lose Weight?

Tuesday, May 26th, 2009

Interesting short piece over at the economist blog about what works and doesn’t (mostly the latter) in policies that promote weight loss.

The conclusion is something for us to think about:

It takes more than a small financial incentive to change your lifestyle. Better education and awareness about nutrition and exercise is necessary. Unfortunately, that is harder and more expensive than taxing soda, subsidising weight loss, or encouraging people to plant gardens.

How can companies (like GE) get involved in better education and awareness around nutrition? (The title of the piece, The Biggest Loser, offers one hint.) Most of what’s out there is scare tactics (being overweight is dangerous to your heart!), which never seems to work particularly well. Maybe part of the answer lies in how we frame the situation, studies have shown that making people feel like everyone else around them is doing something (like eating too much) will only make them think they should be doing it too, not that they shouldn’t. The fact is that 32% of the US population is obese and while that may seem like a lot, it means that you can look to 2 out of 3 people around for better eating habits. Maybe that’s a slightly better way to frame the issue?

Opening Up Some Data

Thursday, May 21st, 2009

I was thinking some more today about something I mentioned the other day in the visualizing health post. Specifically, “it might be fun to try and get our hands on this data” that makes up the GE health visualizer.

One of the things we’ve been chatting with GE about a lot is about letting things live free on the web. This is why this blog is structured the way it is and lots of the ideas that have come out of it are about just that. A great example of that sort of behavior is an API.

In laymen’s terms an API basically allows a computer program to ask another computer program for some information which it relays back in a format that was agreed upon beforehand. The term gets thrown around a lot in terms of mashups and one of the better known APIs (though I doubt most people realize it) is the one that goes along with Google Maps. Basically what Google did when they launched their maps application is make it super easy for developers to build stuff on top. Pretty much immediately after launch lots of new Google Maps mashups popped up that tapped the technology.

In this case the business results are immediately obvious: First, Google let everyone else promote their new maps service for them and second, it outsourced it’s R&D. Rather than deciding what features to build immediately it sat back and watched what the internet made on top and then built those features in to later versions. The most obvious example of this is My Maps. Basically it allows a non-programmer to do the first thing everyone did when they saw what Google Maps could handle: Build a map with your favorite spots. So, rather than building it in initially they waited and watched.

Okay, so back to GE and healthcare generally. There is an insane amount of data out there in the healthosphere. Much of it is personal and confidential, but lots of it is likely scrubbed and eager to be dug into (kind of like the stuff that goes into the Health Visualizer). We’re working on trying to figure out a way to organize and release some of that for the world (and us) to experiment with.

The Working Sick

Wednesday, May 20th, 2009

Just ran across an interesting chart that shows the number of guaranteed sick and leave days in different countries (sick days are like you have a cold, leave days are like you have cancer).

Sick Days by Country

This relates to my post about the role of companies in the health of their employees (and the country as a whole). The sick leave entry suggests that the government mandate some number of days. I’ll avoid that question for politics sake, but I do generally think that this speaks to the misaligned incentives in health in this country. As a sick person I’m encouraged to go to work because otherwise I won’t be paid. When I go I am spreading that sickness to all the other folks in the office, ultimately creating a larger loss in productivity than if I had just stayed home for the day (not to mention I’m less likely to get better than having rested).

Yup, misaligned incentives seems to be where it’s at. Excited to speak to David Lee, one of GE’s health economist about some of this stuff.

Adding Turbines to Existing Structures

Wednesday, May 20th, 2009

The photo below is a mock-up of the winning idea for Metropolis Magazine’s 2009 Next Generation Competition: Wind turbines attached to electrical towers.

Wind It

While the article acknowledges some shortfalls in the idea (“The general consensus was that the adaptive-reuse model would be tricky to justify financially.”) it brings up an interesting question around how you can begin to integrate the technology into the landscape even more whether it’s possible to effectively (and efficiently) use existing construction (it sounds tough, but not impossible). I also really like the look of their designs, as we mentioned in our Turbine Aesthetics post last month, we think there are big opportunities to bring a little more flair to the design and layout.

Visualizing Health

Tuesday, May 19th, 2009

Just ran across this awesome GE health visualizer by way of Information Aesthetics.

As they explain over at Information Aesthetics, “While the visual and the animations seem simple at first sight, the real strength lies in empowering users to explore the many (often causal) relationships between different sets of statistical data in an intuitive way.” I agree.

It also struck me that it might be fun to try and get our hands on this data and run it through something like Gapminder which is now part of the Google Visualization API.

GE Comics!

Wednesday, May 13th, 2009

This morning I was googling GE Adventure, just to see where we sat in the results and I randomly stumbled on some full scans of old GE comics which I promptly grabbed and uploaded to our Flickr account.

GE comics

In case you’re up for it I’ve uploaded Inside the Atom, Adventures in Jet Power, Adventures in Electricity (7) and Adventure into the Past. I especially liked the explanation of how a turbine works Adventures in Jet Power.

The Role of Companies in Health

Tuesday, May 12th, 2009

One of the things that struck me at Thursday’s health briefing was the trend of companies taking an active role in the health of their employees. As we’ve been thinking about preventative health (which we’ve been tending to think of under the heading life optimization), it’s pretty clear that people aren’t so good at taking care of themselves. For better or worse, they tend to value today over tomorrow. The same isn’t true for businesses, however, where a sick employee can carry a hefty price tag. With that in mind, some businesses are beginning to invest in the wellness of their employees in all sorts of different ways.

One of those companies is General Mills, who were actually represented at the event. On one of the panels they mentioned an article about them in the New England Journal of Medicine which I quickly pulled up and purchased. It was super interesting and actually started to put some meat on the bones of some of the preventative health ideas we’ve been throwing around.

Essentially these companies are putting rewards (and sometimes penalties) for not keeping healthy. While I’m sure that sounds a bit big brotherish for some, I have to say it doesn’t bother me a whole lot (after all, employment is an agreement between both parties). What’s more, it reflects some of the stuff going on in government with cities all over the world banning smoking (and even trans fats in New York City).

Anyway, one of the core features of the General Mills program s a thing called the “health number”:

Employees at General Mills assess their risk factors and compute their “Health Number” by answering seven behavior-related questions — concerning exercise, diet, alcohol intake, tobacco use, stress management and mood, seat-belt use, and cancer screening — plus three questions concerning body-mass index, blood pressure, and blood lipid levels. Employees with a Health Number indicating intermediate risk are advised to consider lifestyle changes, and those with high risk are urged to initiate such changes, either on their own or with the company’s help.

This was especially interesting as we’ve been thinking a lot about how you begin to make health a little bit more like a game. Actually one of the conversations we had at the briefing was about just this, where we were told about some company (whose name I can’t remember) that does something similar and then creates an anonymous leaderboard for you to see how you stack up against the competition. Not sure how effective this stuff is, but would love to find out more.

Anyway, lots of good stuff to think about.