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When on deadline she fuels herself almost exclusively on chocolate chips.\u003c/span>\r\n\r\n\u003cspan style=\"font-weight: 400;\"> \u003c/span>","avatar":"https://secure.gravatar.com/avatar/3fb78e873af3312f34d0bc1d60a07c7f?s=600&d=blank&r=g","twitter":"lesleywmcclurg","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["author"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["editor"]},{"site":"stateofhealth","roles":["author"]},{"site":"science","roles":["editor"]}],"headData":{"title":"Lesley McClurg | KQED","description":"KQED Health Correspondent","ogImgSrc":"https://secure.gravatar.com/avatar/3fb78e873af3312f34d0bc1d60a07c7f?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/3fb78e873af3312f34d0bc1d60a07c7f?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/lesleymcclurg"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"home","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"futureofyou_440544":{"type":"posts","id":"futureofyou_440544","meta":{"index":"posts_1591205157","site":"futureofyou","id":"440544","score":null,"sort":[1522279197000]},"guestAuthors":[],"slug":"e-cigarettes-may-be-toxic-to-the-body-study","title":"E-Cigarettes May Be Toxic To the Body","publishDate":1522279197,"format":"audio","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>\u003cspan style=\"font-weight: 400\">Many smokers turn to electronic cigarettes and vaporizers as a way to quit their habit, but recent research shows that swapping smoke for vapor might also lead to serious health risks. \u003c/span>\u003c/p>\n\u003caside class=\"pullquote alignright\">'When e-cigarettes first became available there was a lot of hope that they would be better than cigarettes but the more we learn the worse they look.'\u003ccite>Stanton Glantz, UCSF\u003c/cite>\u003c/aside>\n\u003cp>\u003cspan style=\"font-weight: 400\">Jordan Hall is taking a break on the rooftop deck above the Vapor Den, an electronic cigarette store in San Francisco. \u003c/span>\u003cspan style=\"font-weight: 400\">While looking out over the city he pulls out a shiny red device. \u003c/span>\u003cspan style=\"font-weight: 400\">The handheld machine, called a vapor mod, converts liquid nicotine into vapor.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">After a deep breath, Hall leans back, looks up and exhales a giant cloud of mist. His posture relaxes and he smiles. \u003c/span>\u003c/p>\n\u003cp>“I fell in love with it and I completely stopped smoking cigarettes,\" says Hall through wafts of vapor that smell like watermelon. \"I ended up working for the Vapor Den, and since then I've been helping other people stop smoking as well.”\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">That was five years ago. At the time he was smoking Camel Reds daily. \u003c/span>\u003cspan style=\"font-weight: 400\">\"I hated it,\" says Hall. \"I had been smoking for about eight years.\" \u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_440552\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-440552\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/03/IMG_4821-e1522276677380-800x512.jpg\" alt=\"\" width=\"800\" height=\"512\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2018/03/IMG_4821-e1522276677380-800x512.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2018/03/IMG_4821-e1522276677380-160x102.jpg 160w, https://ww2.kqed.org/app/uploads/sites/13/2018/03/IMG_4821-e1522276677380-768x491.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2018/03/IMG_4821-e1522276677380-1020x652.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/13/2018/03/IMG_4821-e1522276677380-1180x755.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2018/03/IMG_4821-e1522276677380-960x614.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2018/03/IMG_4821-e1522276677380-240x154.jpg 240w, https://ww2.kqed.org/app/uploads/sites/13/2018/03/IMG_4821-e1522276677380-375x240.jpg 375w, https://ww2.kqed.org/app/uploads/sites/13/2018/03/IMG_4821-e1522276677380-520x333.jpg 520w, https://ww2.kqed.org/app/uploads/sites/13/2018/03/IMG_4821-e1522276677380.jpg 1718w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Jordan Hall exhales strawberry watermelon menthol flavored mist from a vape mod. \u003ccite>(Lesley McClurg/ KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"font-weight: 400\">But he says it was easy to quit when he found vaping. Within a week of switching to electronic cigarettes he says his sleep, stamina and the stench of tobacco no longer lingered on his clothes.\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">[contextly_sidebar id=\"BowHf9BbnzG3Vig8La9GoeLiPOcjwa6Y\"]Back in the Vapor Den where consumers lounge on couches enjoying e-cigs, Hall pulls out drawer after drawer of clear liquid droppers filled with exotic flavors. \u003c/span>\u003c/p>\n\u003cp>\"We’ve got strawberry parfaits, banana custards, blueberry parfaits, apple juice,\" says Hall. \"And milk and honey for a more savory option.\"\u003c/p>\n\u003cp>\u003cstrong>Flavoring Compounds May Be Toxic\u003c/strong>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But \u003ca href=\"https://www.med.unc.edu/cellbiophysio/faculty-old/tarran/images/flori-sassano/view\" target=\"_blank\" rel=\"noopener\">Flori Sassano\u003c/a>, a pharmacologist at the University of North Carolina, worries about all those fruity ingredients.\u003c/span>\u003c/p>\n\u003cp>“Even though they all sound great,\" says Sassano. \"That doesn’t mean they're actually made from that. They’re made from chemicals.”\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Scientists do not know how the body reacts to inhaling artificial flavors. The Food and Drug Administration has only tested the flavor agents for consumption, that's why Sassano just completed a \u003ca href=\"http://journals.plos.org/plosbiology/article?id=10.1371/journal.pbio.2003904\" target=\"_blank\" rel=\"noopener\">study\u003c/a> on e-liquids. The research was published today\u003c/span>\u003cspan style=\"font-weight: 400\"> in the Journal \u003cem>PLOS Biology\u003c/em>. Sassano's team exposed human cells in test tubes to about 150 of the more than 7,700 commercially available flavored nicotine liquids. \u003c/span>\u003c/p>\n\u003cp>“We found that some of them were very highly toxic to the cells,\" says Sassano. “Not only stopping the growth but also killing them.”\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The researchers found that results varied widely across the e-liquid products tested, and overall, more ingredients led to increased toxicity. The worst culprits were cinnamaldehyde\u003cem> \u003c/em>and vanillin. \u003c/span>\u003cspan style=\"font-weight: 400\">And it wasn’t just the flavors that were dangerous. Sassano also found that the base ingredients used in e-liquids, propylene glycol and vegetable glycerin, were harmful to the cells.\u003c/span>\u003c/p>\n\u003cp>\u003cstrong>Potentially Hard on the Heart\u003c/strong>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">This worries Stanton Glantz, the director of the \u003ca href=\"https://tobacco.ucsf.edu/\" target=\"_blank\" rel=\"noopener\">Center for Tobacco Control Research and Education\u003c/a> at UCSF.\u003c/span>\u003c/p>\n\u003cp>“When e-cigarettes first became available there was a lot of hope that they would be better than cigarettes but the more we learn the worse they look,\" Glantz says.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">He recently presented research at the annual meeting of the Society for Research on Nicotine and Tobacco indicating e-cigarettes might increase your risk of heart attacks. \u003c/span>\u003c/p>\n\u003cp>“If you use e-cigarettes only on a daily basis you have nearly a doubling of your risk of having a heart attack,\" says Glantz. \"When people use an e-cigarette it shuts off normal functioning of their arteries just like a cigarette does.”\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But other researchers said Glantz's conclusions were premature. The data Glantz used was sourced from surveys conducted by the Centers for Disease Control and Prevention. The agency asked participants whether they vaped and whether they had a heart attack. It did not follow people over time to determine if vaping was the likely cause of the cardiac arrest. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"We don't even know that these people used e-cigarettes before they had the heart attack,\" \u003c/span>\u003cspan style=\"font-weight: 400\">Michael Siegel says, a professor at Boston University's School of Public Health, who \u003ca href=\"http://abc7news.com/health/controversial-ucsf-study-links-e-cigarettes-with-heart-attacks/3145433/\" target=\"_blank\" rel=\"noopener\">spoke\u003c/a> to ABC News. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In other words, the participants could have been life long smokers who had just starting vaping.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\"> Glantz agrees that more long term studies are needed to know whether e-cigs cause cardiac arrest. \u003c/span>\u003c/p>\n\u003cp>\u003cstrong>Vaping May Make it Hard to Breathe\u003c/strong>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">There’s also a growing body of \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed?term=tarran%20e-cigarette&holding=ucsflib&otool=cdlotool&cmd=search\" target=\"_blank\" rel=\"noopener\">research\u003c/a> showing that vaping may lead to asthma and lung inflammation. \u003c/span>\u003c/p>\n\u003cp>“The evidence for adverse affects on lungs is that they're actually looking worse than cigarettes,” Glantz says.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Because scientists have only studied vaping for the last five to ten years, conclusive data on it’s health effects isn’t available yet. A recent \u003ca href=\"http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=24952\" target=\"_blank\" rel=\"noopener\">report\u003c/a> from the National Academies of Science, Engineering and Medicine concluded that e-cigarettes are 'likely far less harmful than conventional cigarettes.' Even so, Glantz and other doctors worry that users are under a false impression that vaping is safe. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The \u003ca href=\"https://www.cnbc.com/2017/09/06/san-francisco-big-tobacco-set-for-a-showdown-over-flavored-products.html\" target=\"_blank\" rel=\"noopener\">issue\u003c/a> goes before San Francisco voters soon. In June, residents will vote on whether to ban all flavored vaping and tobacco products. You can check an online \u003ca href=\"http://www.eliquidinfo.org\" target=\"_blank\" rel=\"noopener\">database\u003c/a> of e-liquid ingredients to determine if your favorite flavor is toxic. \u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n","blocks":[],"excerpt":"Some smokers swear e-cigarettes helped them quit, but new research reveals vaping brings health risks. ","status":"publish","parent":0,"modified":1524014714,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":30,"wordCount":943},"headData":{"title":"E-Cigarettes May Be Toxic To the Body | KQED","description":"Some smokers swear e-cigarettes helped them quit, but new research reveals vaping brings health risks. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"E-Cigarettes May Be Toxic To the Body","datePublished":"2018-03-28T23:19:57.000Z","dateModified":"2018-04-18T01:25:14.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"440544 https://ww2.kqed.org/futureofyou/?p=440544","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/03/28/e-cigarettes-may-be-toxic-to-the-body-study/","disqusTitle":"E-Cigarettes May Be Toxic To the Body","source":"KQED News","audioUrl":"https://www.kqed.org/.stream/anon/radio/science/2018/03/McClurgECigs.mp3","path":"/futureofyou/440544/e-cigarettes-may-be-toxic-to-the-body-study","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">Many smokers turn to electronic cigarettes and vaporizers as a way to quit their habit, but recent research shows that swapping smoke for vapor might also lead to serious health risks. \u003c/span>\u003c/p>\n\u003caside class=\"pullquote alignright\">'When e-cigarettes first became available there was a lot of hope that they would be better than cigarettes but the more we learn the worse they look.'\u003ccite>Stanton Glantz, UCSF\u003c/cite>\u003c/aside>\n\u003cp>\u003cspan style=\"font-weight: 400\">Jordan Hall is taking a break on the rooftop deck above the Vapor Den, an electronic cigarette store in San Francisco. \u003c/span>\u003cspan style=\"font-weight: 400\">While looking out over the city he pulls out a shiny red device. \u003c/span>\u003cspan style=\"font-weight: 400\">The handheld machine, called a vapor mod, converts liquid nicotine into vapor.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">After a deep breath, Hall leans back, looks up and exhales a giant cloud of mist. His posture relaxes and he smiles. \u003c/span>\u003c/p>\n\u003cp>“I fell in love with it and I completely stopped smoking cigarettes,\" says Hall through wafts of vapor that smell like watermelon. \"I ended up working for the Vapor Den, and since then I've been helping other people stop smoking as well.”\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">That was five years ago. At the time he was smoking Camel Reds daily. \u003c/span>\u003cspan style=\"font-weight: 400\">\"I hated it,\" says Hall. \"I had been smoking for about eight years.\" \u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_440552\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-440552\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/03/IMG_4821-e1522276677380-800x512.jpg\" alt=\"\" width=\"800\" height=\"512\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2018/03/IMG_4821-e1522276677380-800x512.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2018/03/IMG_4821-e1522276677380-160x102.jpg 160w, https://ww2.kqed.org/app/uploads/sites/13/2018/03/IMG_4821-e1522276677380-768x491.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2018/03/IMG_4821-e1522276677380-1020x652.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/13/2018/03/IMG_4821-e1522276677380-1180x755.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2018/03/IMG_4821-e1522276677380-960x614.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2018/03/IMG_4821-e1522276677380-240x154.jpg 240w, https://ww2.kqed.org/app/uploads/sites/13/2018/03/IMG_4821-e1522276677380-375x240.jpg 375w, https://ww2.kqed.org/app/uploads/sites/13/2018/03/IMG_4821-e1522276677380-520x333.jpg 520w, https://ww2.kqed.org/app/uploads/sites/13/2018/03/IMG_4821-e1522276677380.jpg 1718w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Jordan Hall exhales strawberry watermelon menthol flavored mist from a vape mod. \u003ccite>(Lesley McClurg/ KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"font-weight: 400\">But he says it was easy to quit when he found vaping. Within a week of switching to electronic cigarettes he says his sleep, stamina and the stench of tobacco no longer lingered on his clothes.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003cp>\u003c/p>\u003cp>Back in the Vapor Den where consumers lounge on couches enjoying e-cigs, Hall pulls out drawer after drawer of clear liquid droppers filled with exotic flavors. \u003c/span>\u003c/p>\n\u003cp>\"We’ve got strawberry parfaits, banana custards, blueberry parfaits, apple juice,\" says Hall. \"And milk and honey for a more savory option.\"\u003c/p>\n\u003cp>\u003cstrong>Flavoring Compounds May Be Toxic\u003c/strong>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But \u003ca href=\"https://www.med.unc.edu/cellbiophysio/faculty-old/tarran/images/flori-sassano/view\" target=\"_blank\" rel=\"noopener\">Flori Sassano\u003c/a>, a pharmacologist at the University of North Carolina, worries about all those fruity ingredients.\u003c/span>\u003c/p>\n\u003cp>“Even though they all sound great,\" says Sassano. \"That doesn’t mean they're actually made from that. They’re made from chemicals.”\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Scientists do not know how the body reacts to inhaling artificial flavors. The Food and Drug Administration has only tested the flavor agents for consumption, that's why Sassano just completed a \u003ca href=\"http://journals.plos.org/plosbiology/article?id=10.1371/journal.pbio.2003904\" target=\"_blank\" rel=\"noopener\">study\u003c/a> on e-liquids. The research was published today\u003c/span>\u003cspan style=\"font-weight: 400\"> in the Journal \u003cem>PLOS Biology\u003c/em>. Sassano's team exposed human cells in test tubes to about 150 of the more than 7,700 commercially available flavored nicotine liquids. \u003c/span>\u003c/p>\n\u003cp>“We found that some of them were very highly toxic to the cells,\" says Sassano. “Not only stopping the growth but also killing them.”\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The researchers found that results varied widely across the e-liquid products tested, and overall, more ingredients led to increased toxicity. The worst culprits were cinnamaldehyde\u003cem> \u003c/em>and vanillin. \u003c/span>\u003cspan style=\"font-weight: 400\">And it wasn’t just the flavors that were dangerous. Sassano also found that the base ingredients used in e-liquids, propylene glycol and vegetable glycerin, were harmful to the cells.\u003c/span>\u003c/p>\n\u003cp>\u003cstrong>Potentially Hard on the Heart\u003c/strong>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">This worries Stanton Glantz, the director of the \u003ca href=\"https://tobacco.ucsf.edu/\" target=\"_blank\" rel=\"noopener\">Center for Tobacco Control Research and Education\u003c/a> at UCSF.\u003c/span>\u003c/p>\n\u003cp>“When e-cigarettes first became available there was a lot of hope that they would be better than cigarettes but the more we learn the worse they look,\" Glantz says.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">He recently presented research at the annual meeting of the Society for Research on Nicotine and Tobacco indicating e-cigarettes might increase your risk of heart attacks. \u003c/span>\u003c/p>\n\u003cp>“If you use e-cigarettes only on a daily basis you have nearly a doubling of your risk of having a heart attack,\" says Glantz. \"When people use an e-cigarette it shuts off normal functioning of their arteries just like a cigarette does.”\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But other researchers said Glantz's conclusions were premature. The data Glantz used was sourced from surveys conducted by the Centers for Disease Control and Prevention. The agency asked participants whether they vaped and whether they had a heart attack. It did not follow people over time to determine if vaping was the likely cause of the cardiac arrest. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"We don't even know that these people used e-cigarettes before they had the heart attack,\" \u003c/span>\u003cspan style=\"font-weight: 400\">Michael Siegel says, a professor at Boston University's School of Public Health, who \u003ca href=\"http://abc7news.com/health/controversial-ucsf-study-links-e-cigarettes-with-heart-attacks/3145433/\" target=\"_blank\" rel=\"noopener\">spoke\u003c/a> to ABC News. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In other words, the participants could have been life long smokers who had just starting vaping.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\"> Glantz agrees that more long term studies are needed to know whether e-cigs cause cardiac arrest. \u003c/span>\u003c/p>\n\u003cp>\u003cstrong>Vaping May Make it Hard to Breathe\u003c/strong>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">There’s also a growing body of \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed?term=tarran%20e-cigarette&holding=ucsflib&otool=cdlotool&cmd=search\" target=\"_blank\" rel=\"noopener\">research\u003c/a> showing that vaping may lead to asthma and lung inflammation. \u003c/span>\u003c/p>\n\u003cp>“The evidence for adverse affects on lungs is that they're actually looking worse than cigarettes,” Glantz says.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Because scientists have only studied vaping for the last five to ten years, conclusive data on it’s health effects isn’t available yet. A recent \u003ca href=\"http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=24952\" target=\"_blank\" rel=\"noopener\">report\u003c/a> from the National Academies of Science, Engineering and Medicine concluded that e-cigarettes are 'likely far less harmful than conventional cigarettes.' Even so, Glantz and other doctors worry that users are under a false impression that vaping is safe. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The \u003ca href=\"https://www.cnbc.com/2017/09/06/san-francisco-big-tobacco-set-for-a-showdown-over-flavored-products.html\" target=\"_blank\" rel=\"noopener\">issue\u003c/a> goes before San Francisco voters soon. In June, residents will vote on whether to ban all flavored vaping and tobacco products. You can check an online \u003ca href=\"http://www.eliquidinfo.org\" target=\"_blank\" rel=\"noopener\">database\u003c/a> of e-liquid ingredients to determine if your favorite flavor is toxic. \u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/440544/e-cigarettes-may-be-toxic-to-the-body-study","authors":["11229"],"categories":["futureofyou_1","futureofyou_73"],"tags":["futureofyou_1479","futureofyou_1275","futureofyou_270","futureofyou_23","futureofyou_1136","futureofyou_1234","futureofyou_1478"],"featImg":"futureofyou_440553","label":"source_futureofyou_440544"},"futureofyou_121640":{"type":"posts","id":"futureofyou_121640","meta":{"index":"posts_1591205157","site":"futureofyou","id":"121640","score":null,"sort":[1456965243000]},"guestAuthors":[],"slug":"yes-even-crispr-pioneer-jennifer-doudna-experiences-gender-bias","title":"Yes, Even CRISPR Pioneer Jennifer Doudna Experiences Gender Bias","publishDate":1456965243,"format":"standard","headTitle":"Future of You | KQED Future of You | KQED Science","labelTerm":{"term":54,"site":"futureofyou"},"content":"\u003cp>A Google search for the exact phrase \"\u003ca href=\"https://www.google.com/?gws_rd=ssl#q=%22barriers+to+women+in+science%22\" target=\"_blank\" rel=\"noopener\">barriers to women in science\u003c/a>\" brings up 85,000 results. \"\u003ca href=\"https://www.google.com/?gws_rd=ssl#q=%22barriers+for+women+in+science%22\" target=\"_blank\" rel=\"noopener\">Barriers for women in science\u003c/a>\" fetches another 30k and change.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"I've gotten to a point where I do now see signs of the glass ceiling.\"\u003ccite>Jennifer Doudna\u003c/cite>\u003c/aside>\n\u003cp>Here's a 2010 \u003ca href=\"http://www.aauw.org/files/2013/02/Why-So-Few-Women-in-Science-Technology-Engineering-and-Mathematics.pdf\" target=\"_blank\" rel=\"noopener\">report\u003c/a> from the American Association of University Women that found negative stereotypes contributing to implicit bias against females in the STEM fields. This 2014 \u003ca href=\"http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0102172\" target=\"_blank\" rel=\"noopener\">survey\u003c/a> found 70 percent of female scientist trainees doing fieldwork had experienced sexual harassment.\u003c/p>\n\u003cp>So no, it's not a new concept. And yet, it was still a little unnerving to hear someone as prestigious as Jennifer Doudna -- a pioneer of the gene-editing technique CRISPR whom \u003ca href=\"http://www.nytimes.com/2015/05/12/science/jennifer-doudna-crispr-cas9-genetic-engineering.html\" target=\"_blank\" rel=\"noopener\">The New York Times\u003c/a> said \"helped make one of the most monumental discoveries in biology\" -- \u003ca href=\"http://www.kqed.org/a/forum/R201602151000\" target=\"_blank\" rel=\"noopener\">say on KQED Forum recently\u003c/a> that she, too, was hitting the proverbial glass ceiling. When asked if she'd ever experienced gender discrimination, she told host Michael Krasny:\u003c/p>\n\u003cblockquote>\u003cp>\"This topic comes up a lot and I have to say, earlier in my career, honestly, I never gave it a thought. I didn't think about my gender, I pursued my passion for science and research. But I do have to tell you, as I've gone on in my career, particularly the last 10 years or so, I've gotten to a point where I do now see signs of the glass ceiling. I don't think it's always intentional bias, but ... I do experience bias against women in some settings.\u003c/p>\n\u003cp>\"I think that what we're seeing is that it's very difficult for women to break into the top echelons of leadership in science. I'm not talking so much here about university leadership, but more leadership in the highest levels of public policy and the government, as well as in company board rooms.\"\u003c/p>\u003c/blockquote>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/247244078\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003cbr>\n\u003cstrong>Overcoming Bias\u003c/strong>\u003c/p>\n\u003cp>Doudna is not alone. Last month, a panel at the Women in Science Summit in San Francisco shared personal experiences of gender discrimination.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"All along the way I would hear about my opportunities in science,\" said oceanographer Anne Russell. \"For example, ‘You could marry this guy, he’s a really good hydrologist.' [Or] you’d be talking to someone about your ideas and then he puts his arm around you.”\u003c/p>\n\u003cp>Russell now runs her own lab. But she is still aware of the potential for being minimized. When the press covers her research, she said, she makes sure she is the one piloting the boat.\u003c/p>\n\u003cp>Dawn Wright, chief scientist at the Environmental System Research Institute, said she was once on a months-long expedition at sea where she was one of five women on board, and the only woman of color. Despite her trepidation, she became friends with a male oil driller who had never worked with an African-American, let alone one who was a female scientist. She urged her colleagues, outnumbered in the male-dominated sciences, to persevere.\u003c/p>\n\u003cp>\"There is peril out there; we can't avoid it,\" she said. \"But there are really, really good things that can come from it as well if we continue to be courageous.\"\u003c/p>\n\u003cp>Finally there was Jonathan Eisen, a microbiologist at the University of California, Davis who has become an outspoken critic on social media of the lack of diversity at scientific conferences. He said his awareness about barriers to women's participation started when he saw a nanny watching a baby outside a scientific conference; she'd been hired so the infant's mother could attend the conference.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It was literally one of those light bulb epiphany moments where my privilege in my life came front and center to me, because it had never occurred to me to that this would be an issue for anybody,” Eisen said. “I changed on that day from being an oblivious, privileged person to being a little less oblivious, privileged person,” he said.\u003c/p>\n\n","blocks":[],"excerpt":"\"I've gotten to a point where I do now see signs of the glass ceiling.\"","status":"publish","parent":0,"modified":1508352153,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":717},"headData":{"title":"Yes, Even CRISPR Pioneer Jennifer Doudna Experiences Gender Bias | KQED","description":""I've gotten to a point where I do now see signs of the glass ceiling."","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Yes, Even CRISPR Pioneer Jennifer Doudna Experiences Gender Bias","datePublished":"2016-03-03T00:34:03.000Z","dateModified":"2017-10-18T18:42:33.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"121640 http://ww2.kqed.org/futureofyou/?p=121640","disqusUrl":"https://ww2.kqed.org/futureofyou/2016/03/02/yes-even-crispr-pioneer-jennifer-doudna-experiences-gender-bias/","disqusTitle":"Yes, Even CRISPR Pioneer Jennifer Doudna Experiences Gender Bias","nprByline":"Lisa Marie Potter and Jon Brooks","path":"/futureofyou/121640/yes-even-crispr-pioneer-jennifer-doudna-experiences-gender-bias","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A Google search for the exact phrase \"\u003ca href=\"https://www.google.com/?gws_rd=ssl#q=%22barriers+to+women+in+science%22\" target=\"_blank\" rel=\"noopener\">barriers to women in science\u003c/a>\" brings up 85,000 results. \"\u003ca href=\"https://www.google.com/?gws_rd=ssl#q=%22barriers+for+women+in+science%22\" target=\"_blank\" rel=\"noopener\">Barriers for women in science\u003c/a>\" fetches another 30k and change.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"I've gotten to a point where I do now see signs of the glass ceiling.\"\u003ccite>Jennifer Doudna\u003c/cite>\u003c/aside>\n\u003cp>Here's a 2010 \u003ca href=\"http://www.aauw.org/files/2013/02/Why-So-Few-Women-in-Science-Technology-Engineering-and-Mathematics.pdf\" target=\"_blank\" rel=\"noopener\">report\u003c/a> from the American Association of University Women that found negative stereotypes contributing to implicit bias against females in the STEM fields. This 2014 \u003ca href=\"http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0102172\" target=\"_blank\" rel=\"noopener\">survey\u003c/a> found 70 percent of female scientist trainees doing fieldwork had experienced sexual harassment.\u003c/p>\n\u003cp>So no, it's not a new concept. And yet, it was still a little unnerving to hear someone as prestigious as Jennifer Doudna -- a pioneer of the gene-editing technique CRISPR whom \u003ca href=\"http://www.nytimes.com/2015/05/12/science/jennifer-doudna-crispr-cas9-genetic-engineering.html\" target=\"_blank\" rel=\"noopener\">The New York Times\u003c/a> said \"helped make one of the most monumental discoveries in biology\" -- \u003ca href=\"http://www.kqed.org/a/forum/R201602151000\" target=\"_blank\" rel=\"noopener\">say on KQED Forum recently\u003c/a> that she, too, was hitting the proverbial glass ceiling. When asked if she'd ever experienced gender discrimination, she told host Michael Krasny:\u003c/p>\n\u003cblockquote>\u003cp>\"This topic comes up a lot and I have to say, earlier in my career, honestly, I never gave it a thought. I didn't think about my gender, I pursued my passion for science and research. But I do have to tell you, as I've gone on in my career, particularly the last 10 years or so, I've gotten to a point where I do now see signs of the glass ceiling. I don't think it's always intentional bias, but ... I do experience bias against women in some settings.\u003c/p>\n\u003cp>\"I think that what we're seeing is that it's very difficult for women to break into the top echelons of leadership in science. I'm not talking so much here about university leadership, but more leadership in the highest levels of public policy and the government, as well as in company board rooms.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/247244078&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/247244078'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003cbr>\n\u003cstrong>Overcoming Bias\u003c/strong>\u003c/p>\n\u003cp>Doudna is not alone. Last month, a panel at the Women in Science Summit in San Francisco shared personal experiences of gender discrimination.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"All along the way I would hear about my opportunities in science,\" said oceanographer Anne Russell. \"For example, ‘You could marry this guy, he’s a really good hydrologist.' [Or] you’d be talking to someone about your ideas and then he puts his arm around you.”\u003c/p>\n\u003cp>Russell now runs her own lab. But she is still aware of the potential for being minimized. When the press covers her research, she said, she makes sure she is the one piloting the boat.\u003c/p>\n\u003cp>Dawn Wright, chief scientist at the Environmental System Research Institute, said she was once on a months-long expedition at sea where she was one of five women on board, and the only woman of color. Despite her trepidation, she became friends with a male oil driller who had never worked with an African-American, let alone one who was a female scientist. She urged her colleagues, outnumbered in the male-dominated sciences, to persevere.\u003c/p>\n\u003cp>\"There is peril out there; we can't avoid it,\" she said. \"But there are really, really good things that can come from it as well if we continue to be courageous.\"\u003c/p>\n\u003cp>Finally there was Jonathan Eisen, a microbiologist at the University of California, Davis who has become an outspoken critic on social media of the lack of diversity at scientific conferences. He said his awareness about barriers to women's participation started when he saw a nanny watching a baby outside a scientific conference; she'd been hired so the infant's mother could attend the conference.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It was literally one of those light bulb epiphany moments where my privilege in my life came front and center to me, because it had never occurred to me to that this would be an issue for anybody,” Eisen said. “I changed on that day from being an oblivious, privileged person to being a little less oblivious, privileged person,” he said.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/121640/yes-even-crispr-pioneer-jennifer-doudna-experiences-gender-bias","authors":["byline_futureofyou_121640"],"programs":["futureofyou_54"],"categories":["futureofyou_1","futureofyou_73"],"tags":["futureofyou_94","futureofyou_791","futureofyou_790","futureofyou_270","futureofyou_80"],"featImg":"futureofyou_341963","label":"futureofyou_54"},"futureofyou_72394":{"type":"posts","id":"futureofyou_72394","meta":{"index":"posts_1591205157","site":"futureofyou","id":"72394","score":null,"sort":[1449680448000]},"guestAuthors":[],"slug":"doctors-need-to-stop-boasting-about-their-lack-of-sleep","title":"Hey Docs! You Need Sleep Like Everyone Else","publishDate":1449680448,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Countless studies have shown the\u003ca href=\"https://newsinhealth.nih.gov/issue/apr2013/feature1\" target=\"_blank\"> benefits of getting enough sleep\u003c/a>. Most neuroscientists will tell you high-quality sleep can boost your intellectual function, memory, alertness, mood, and more.\u003c/p>\n\u003cp>And yet, doctors and medical students continue to forgo a good night's rest. They regularly make important decisions about their patients' health on an unhealthy amount of sleep.\u003c/p>\n\u003cp>Despite some\u003ca href=\"http://www.latimes.com/science/sciencenow/la-sci-sn-doctors-work-hours-training-20141209-story.html\" target=\"_blank\"> recent restrictions on the amount of hours\u003c/a> that doctors can work, culture is still a problem. Sleep is rarely a topic at the medical conferences I attend. Doctors will talk your ear off about innovative medical products, challenges with medical records, or exciting new drug therapies. All that is great, don't get me wrong, but rarely do you hear them talking about the health benefits of sleep.\u003c/p>\n\u003cp>At the recent \u003ca href=\"https://exponential.singularityu.org/medicine/\" target=\"_blank\">Exponential Medicine\u003c/a> conference, I overheard a half-dozen conversations between doctors in the coffee line, boasting about how little sleep they needed. This prompted me to call them out on Twitter to gauge the reaction of other attendees.\u003c/p>\n\u003cp>https://twitter.com/chrissyfarr/status/664643207813136384\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The exception was John Mattison, the chief medical information officer at Kaiser Permanente. Mattison urged the audience to restore \"ancient wisdoms,\" like exercising, maintaining a healthy diet, and getting adequate rest.\u003c/p>\n\u003cp>\u003cstrong>Where Does This Attitude Come From? \u003c/strong>\u003c/p>\n\u003cp>Popular culture has almost certainly contributed to the problem. As a longtime fan of medical dramas like \u003ca href=\"https://en.wikipedia.org/wiki/House_(TV_series)\" target=\"_blank\">House\u003c/a> and \u003ca href=\"http://abc.go.com/shows/greys-anatomy\" target=\"_blank\">Grey's Anatomy,\u003c/a> I've wondered how the bleary-eyed doctors in these programs can trust themselves to make important life-and-death decisions. The show's protagonists seem to flit between surgery, flirtatious banter in the elevators and throwing back shots in the local bar, with little or no regard for sleep.\u003c/p>\n\u003cp>Moreover, medical schools are known for pushing their students to work late into the night, a form of hazing. Here's how one medical student \u003ca href=\"http://www.kevinmd.com/blog/2012/01/sleep-deprivation-medical-student.html\" target=\"_blank\">described his experience\u003c/a> in a recent post for the medical blog \u003ca href=\"http://www.kevinmd.com/blog/\" target=\"_blank\">KevinMD\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Sleep deprivation is a unique experience. Imagine falling into a pool filled with caramel. You try desperately to swim out but slowly sink to the bottom, and there you are, looking up to see a brown-tinged world. Despite all of your best efforts to swim out, the caramel is just too thick.\u003c/p>\u003c/blockquote>\n\u003cp>This author would occasionally pinch his skin in an effort to stay alert, but the effect only lasted about 30 seconds. Would you trust a person that sleep-deprived to make snap decisions about your health? (For more on this, check out this \u003ca href=\"http://www.sunnyskyz.com/good-news/1165/A-Blog-Posted-Photos-Shaming-A-Doctor-For-Sleeping-On-The-Job-And-It-Started-A-Social-Media-Movement\" target=\"_blank\">viral meme \u003c/a>where doctors tweet pics of themselves sleeping on the job.)\u003c/p>\n\u003caside class=\"pullquote alignright\">\"The doctors who think being sleep-deprived is cool, they will run into problems later in life as patients.'\u003ccite>Dr. Jordan Shlain, San Francisco\u003c/cite>\u003c/aside>\n\u003cp>Some doctors say this attitude toward sleep has persisted in medical schools and residency programs, even today. There's still a fallacy that doctors are operating on a higher plane than the rest of us.\u003c/p>\n\u003cp>\"It's both this desire to seem superhuman as well as this unhealthy self-sacrificing attitude,\" says Connie Chen, a graduate of UCSF's medical school and cofounder of a health coaching startup, \u003ca href=\"https://www.vida.com/\" target=\"_blank\">Vida Health\u003c/a>. \"I think too often doctors try to solve problems by giving more of themselves, when really they should delegate more, and think of themselves as just one person in a team taking care of the patient.\"\u003c/p>\n\u003cp>One current resident at Stanford, who requested anonymity, says the work-hour restrictions haven't made much difference. It's common to fill out charts late into the night after a shift, this resident says, and those hours don't count. And \"machismo\" is a pervasive problem, along with the fear of being seen among colleagues as \"not carrying your weight.\"\u003c/p>\n\u003cp>Moreover, there's little \"institutional or cultural backing\" pushing young doctors to get strict about their on-duty hours, so residents will routinely go for several weeks on less than three hours sleep a night.\u003c/p>\n\u003cp>\"The true cost is the well-being of the physicians,\" the Stanford resident says, \"the emotional and physical toll leads to intense burnout, and diminished patience and compassion.\"\u003c/p>\n\u003cp>https://twitter.com/CatchTheBaby/status/664236922038956032\u003c/p>\n\u003cp>\u003cstrong>How Can We Solve the Problem?\u003c/strong>\u003c/p>\n\u003cp>For starters, more medical schools need to teach their students about staying well, and not just treating the sick. Nutrition and sleep hygiene are a good place to start.\u003c/p>\n\u003cp>\"Medical schools teach you about all the diseases; things you can test and treat,\" says Jordan Shlain, a Bay Area-based primary care doctor. Shlain says too few doctors talk to their patients about sleep, or take the time to ask them about the stressors in their lives that result in sleep troubles. And many doctors he knows don't seem to value sleep.\u003c/p>\n\u003cp>\"I definitely saw this attitude, mostly among surgeons, that they were masters of the universe who didn't need sleep,\" he says. \"It's an ego-driven thing.\"\u003c/p>\n\u003cp>Many of the doctors I spoke to say they've seen some improvements in the past two decades. Since the \u003ca href=\"http://articles.chicagotribune.com/1988-03-24/news/8803030133_1_libby-zion-grand-jury-young-cancer-patient\" target=\"_blank\">Libby Zion case in the 1980s\u003c/a>, which threw into the spotlight the common practice of exhausted, inexperienced doctors treating patients, medical educators are thinking about how to teach doctors about sleep debt.\u003c/p>\n\u003cp>Lawrence Sherman, a medical educator and \u003ca href=\"https://www.youtube.com/watch?v=YpSd5u_di9w\" target=\"_blank\">TED speaker\u003c/a>, says young doctors are increasingly being introduced to this topic in their professional development, or \"continuing medical education.\"\u003c/p>\n\u003cp>But to see the kind of change we need, I would implore organizers of medical conferences to introduce sessions and panels about sleep: Why doctors need it, how to talk to patients about it, and whether to use new technologies for sleep-tracking, like the \u003ca href=\"https://jawbone.com/up\" target=\"_blank\">Jawbone UP\u003c/a> and the \u003ca href=\"http://misfit.com/?locale=en\" target=\"_blank\">Misfit\u003c/a>.\u003c/p>\n\u003cp>\"The doctors who think being sleep-deprived is cool, they will run into problems later in life as patients,\" says Shlain.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Are you a doctor who doesn't get enough sleep? Or a patient who has had an experience with a sleep-deprived physician? Let us know at @KQEDScience on Twitter. \u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Sleep deprivation is still a pervasive problem in medicine. Why is haggard better than refreshed?","status":"publish","parent":0,"modified":1449623890,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":1043},"headData":{"title":"Hey Docs! You Need Sleep Like Everyone Else | KQED","description":"Sleep deprivation is still a pervasive problem in medicine. Why is haggard better than refreshed?","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Hey Docs! You Need Sleep Like Everyone Else","datePublished":"2015-12-09T17:00:48.000Z","dateModified":"2015-12-09T01:18:10.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"72394 http://ww2.kqed.org/futureofyou/?p=72394","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/12/09/doctors-need-to-stop-boasting-about-their-lack-of-sleep/","disqusTitle":"Hey Docs! You Need Sleep Like Everyone Else","path":"/futureofyou/72394/doctors-need-to-stop-boasting-about-their-lack-of-sleep","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Countless studies have shown the\u003ca href=\"https://newsinhealth.nih.gov/issue/apr2013/feature1\" target=\"_blank\"> benefits of getting enough sleep\u003c/a>. Most neuroscientists will tell you high-quality sleep can boost your intellectual function, memory, alertness, mood, and more.\u003c/p>\n\u003cp>And yet, doctors and medical students continue to forgo a good night's rest. They regularly make important decisions about their patients' health on an unhealthy amount of sleep.\u003c/p>\n\u003cp>Despite some\u003ca href=\"http://www.latimes.com/science/sciencenow/la-sci-sn-doctors-work-hours-training-20141209-story.html\" target=\"_blank\"> recent restrictions on the amount of hours\u003c/a> that doctors can work, culture is still a problem. Sleep is rarely a topic at the medical conferences I attend. Doctors will talk your ear off about innovative medical products, challenges with medical records, or exciting new drug therapies. All that is great, don't get me wrong, but rarely do you hear them talking about the health benefits of sleep.\u003c/p>\n\u003cp>At the recent \u003ca href=\"https://exponential.singularityu.org/medicine/\" target=\"_blank\">Exponential Medicine\u003c/a> conference, I overheard a half-dozen conversations between doctors in the coffee line, boasting about how little sleep they needed. This prompted me to call them out on Twitter to gauge the reaction of other attendees.\u003c/p>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"singleTwitterStatus","attributes":{"named":{"id":"664643207813136384"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The exception was John Mattison, the chief medical information officer at Kaiser Permanente. Mattison urged the audience to restore \"ancient wisdoms,\" like exercising, maintaining a healthy diet, and getting adequate rest.\u003c/p>\n\u003cp>\u003cstrong>Where Does This Attitude Come From? \u003c/strong>\u003c/p>\n\u003cp>Popular culture has almost certainly contributed to the problem. As a longtime fan of medical dramas like \u003ca href=\"https://en.wikipedia.org/wiki/House_(TV_series)\" target=\"_blank\">House\u003c/a> and \u003ca href=\"http://abc.go.com/shows/greys-anatomy\" target=\"_blank\">Grey's Anatomy,\u003c/a> I've wondered how the bleary-eyed doctors in these programs can trust themselves to make important life-and-death decisions. The show's protagonists seem to flit between surgery, flirtatious banter in the elevators and throwing back shots in the local bar, with little or no regard for sleep.\u003c/p>\n\u003cp>Moreover, medical schools are known for pushing their students to work late into the night, a form of hazing. Here's how one medical student \u003ca href=\"http://www.kevinmd.com/blog/2012/01/sleep-deprivation-medical-student.html\" target=\"_blank\">described his experience\u003c/a> in a recent post for the medical blog \u003ca href=\"http://www.kevinmd.com/blog/\" target=\"_blank\">KevinMD\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Sleep deprivation is a unique experience. Imagine falling into a pool filled with caramel. You try desperately to swim out but slowly sink to the bottom, and there you are, looking up to see a brown-tinged world. Despite all of your best efforts to swim out, the caramel is just too thick.\u003c/p>\u003c/blockquote>\n\u003cp>This author would occasionally pinch his skin in an effort to stay alert, but the effect only lasted about 30 seconds. Would you trust a person that sleep-deprived to make snap decisions about your health? (For more on this, check out this \u003ca href=\"http://www.sunnyskyz.com/good-news/1165/A-Blog-Posted-Photos-Shaming-A-Doctor-For-Sleeping-On-The-Job-And-It-Started-A-Social-Media-Movement\" target=\"_blank\">viral meme \u003c/a>where doctors tweet pics of themselves sleeping on the job.)\u003c/p>\n\u003caside class=\"pullquote alignright\">\"The doctors who think being sleep-deprived is cool, they will run into problems later in life as patients.'\u003ccite>Dr. Jordan Shlain, San Francisco\u003c/cite>\u003c/aside>\n\u003cp>Some doctors say this attitude toward sleep has persisted in medical schools and residency programs, even today. There's still a fallacy that doctors are operating on a higher plane than the rest of us.\u003c/p>\n\u003cp>\"It's both this desire to seem superhuman as well as this unhealthy self-sacrificing attitude,\" says Connie Chen, a graduate of UCSF's medical school and cofounder of a health coaching startup, \u003ca href=\"https://www.vida.com/\" target=\"_blank\">Vida Health\u003c/a>. \"I think too often doctors try to solve problems by giving more of themselves, when really they should delegate more, and think of themselves as just one person in a team taking care of the patient.\"\u003c/p>\n\u003cp>One current resident at Stanford, who requested anonymity, says the work-hour restrictions haven't made much difference. It's common to fill out charts late into the night after a shift, this resident says, and those hours don't count. And \"machismo\" is a pervasive problem, along with the fear of being seen among colleagues as \"not carrying your weight.\"\u003c/p>\n\u003cp>Moreover, there's little \"institutional or cultural backing\" pushing young doctors to get strict about their on-duty hours, so residents will routinely go for several weeks on less than three hours sleep a night.\u003c/p>\n\u003cp>\"The true cost is the well-being of the physicians,\" the Stanford resident says, \"the emotional and physical toll leads to intense burnout, and diminished patience and compassion.\"\u003c/p>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"singleTwitterStatus","attributes":{"named":{"id":"664236922038956032"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>\u003cstrong>How Can We Solve the Problem?\u003c/strong>\u003c/p>\n\u003cp>For starters, more medical schools need to teach their students about staying well, and not just treating the sick. Nutrition and sleep hygiene are a good place to start.\u003c/p>\n\u003cp>\"Medical schools teach you about all the diseases; things you can test and treat,\" says Jordan Shlain, a Bay Area-based primary care doctor. Shlain says too few doctors talk to their patients about sleep, or take the time to ask them about the stressors in their lives that result in sleep troubles. And many doctors he knows don't seem to value sleep.\u003c/p>\n\u003cp>\"I definitely saw this attitude, mostly among surgeons, that they were masters of the universe who didn't need sleep,\" he says. \"It's an ego-driven thing.\"\u003c/p>\n\u003cp>Many of the doctors I spoke to say they've seen some improvements in the past two decades. Since the \u003ca href=\"http://articles.chicagotribune.com/1988-03-24/news/8803030133_1_libby-zion-grand-jury-young-cancer-patient\" target=\"_blank\">Libby Zion case in the 1980s\u003c/a>, which threw into the spotlight the common practice of exhausted, inexperienced doctors treating patients, medical educators are thinking about how to teach doctors about sleep debt.\u003c/p>\n\u003cp>Lawrence Sherman, a medical educator and \u003ca href=\"https://www.youtube.com/watch?v=YpSd5u_di9w\" target=\"_blank\">TED speaker\u003c/a>, says young doctors are increasingly being introduced to this topic in their professional development, or \"continuing medical education.\"\u003c/p>\n\u003cp>But to see the kind of change we need, I would implore organizers of medical conferences to introduce sessions and panels about sleep: Why doctors need it, how to talk to patients about it, and whether to use new technologies for sleep-tracking, like the \u003ca href=\"https://jawbone.com/up\" target=\"_blank\">Jawbone UP\u003c/a> and the \u003ca href=\"http://misfit.com/?locale=en\" target=\"_blank\">Misfit\u003c/a>.\u003c/p>\n\u003cp>\"The doctors who think being sleep-deprived is cool, they will run into problems later in life as patients,\" says Shlain.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Are you a doctor who doesn't get enough sleep? Or a patient who has had an experience with a sleep-deprived physician? Let us know at @KQEDScience on Twitter. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/72394/doctors-need-to-stop-boasting-about-their-lack-of-sleep","authors":["3252"],"categories":["futureofyou_1"],"tags":["futureofyou_270","futureofyou_80","futureofyou_180"],"featImg":"futureofyou_72492","label":"futureofyou"},"futureofyou_71903":{"type":"posts","id":"futureofyou_71903","meta":{"index":"posts_1591205157","site":"futureofyou","id":"71903","score":null,"sort":[1448989224000]},"guestAuthors":[],"slug":"virtual-reality-is-going-to-be-big-for-medicine","title":"Virtual Reality Could Be Big For Medicine","publishDate":1448989224,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Virtual reality may be an emerging technology, but it's already making an impact in health care.\u003c/p>\n\u003cp>Virtual reality or \"VR\" goggles offer an immersive and three-dimensional experience. \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/10/19/affordable-virtual-reality-creates-worlds-for-people-with-disabilities/\" target=\"_blank\">People who have worn VR goggles\u003c/a> from Oculus Rift, Google Cardboard, or Samsung Gear VR describe the experience as highly realistic—you're sitting in your living room but you \u003cem>feel\u003c/em> like you're surfing a wave, playing with dinosaurs, or walking on the moon.\u003c/p>\n\u003cp>At the \u003ca href=\"https://exponential.singularityu.org/medicine/\" target=\"_blank\">Exponential Medicine conference\u003c/a> in San Diego last week, virtual reality was all the rage. During the medical education track, doctors showed off \u003ca href=\"https://www.youtube.com/watch?v=VAUbacNs4MQ\" target=\"_blank\">a new video\u003c/a>, which is designed to be viewed from an Oculus Rift headset. The video was produced by London-based \u003ca href=\"http://www.medicalrealities.com/\" target=\"_blank\">Medical Realities\u003c/a>, a business focused on bringing gaming and virtual reality to medical education.\u003c/p>\n\u003cp>If you don't have access to a pair of VR goggles, but do have a newer computer and software, it's still worth a watch. Try dragging your cursor from a regular old smartphone or desktop to change the angle of view.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=n7ALZkPoTYQ\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"For virtual reality, the biggest opportunity in medicine is education,\" Halle Tecco told me. She's a founder of Rock Health, a venture firm dedicated to digital health.\u003c/p>\n\u003cp>In the past, medical schools relied on more passive forms of learning, including watching two-dimensional videos and taking exams. But Tecco says progressive medical educators are taking an interest in virtual reality.\u003c/p>\n\u003cp>Virtual reality gives students the opportunity to learn (and potentially even make mistakes) in a more realistic and interactive environment. One medical school, Western University of Health Sciences in Pomona, Calif., recently opened a virtual reality lab so its students can take a \u003ca href=\"http://fortune.com/2015/10/16/western-university-is-using-virtual-reality-to-teach/\" target=\"_blank\">virtual tour of human anatomy\u003c/a>.\u003c/p>\n\u003cp>Tecco says she also see possibilities for patients to view their own surgeries. People who are considering a surgery might wish to watch their doctor perform a similar procedure on a patient. Others might opt to watch a video of their own surgery.\u003c/p>\n\u003cp>While this might sound distasteful or downright bizarre, it's actually a growing trend. Some well-known doctors, \u003ca href=\"https://www.youtube.com/user/DrSandraLee\" target=\"_blank\">like this dermatologist\u003c/a>, have build an enormous following by posting graphic videos of their procedures. But be advised: If you have a weak stomach, do not dive into any of these videos right before lunch!\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Would you give your doctor permission to film your surgery for medical education? Would you want to watch it? Let us know at @KQEDhealth.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"I came across this fascinating video at the Exponential Medicine conference last week.\r\n","status":"publish","parent":0,"modified":1477273149,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":12,"wordCount":440},"headData":{"title":"Virtual Reality Could Be Big For Medicine | KQED","description":"I came across this fascinating video at the Exponential Medicine conference last week.\r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Virtual Reality Could Be Big For Medicine","datePublished":"2015-12-01T17:00:24.000Z","dateModified":"2016-10-24T01:39:09.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"71903 http://ww2.kqed.org/futureofyou/?p=71903","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/12/01/virtual-reality-is-going-to-be-big-for-medicine/","disqusTitle":"Virtual Reality Could Be Big For Medicine","path":"/futureofyou/71903/virtual-reality-is-going-to-be-big-for-medicine","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Virtual reality may be an emerging technology, but it's already making an impact in health care.\u003c/p>\n\u003cp>Virtual reality or \"VR\" goggles offer an immersive and three-dimensional experience. \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/10/19/affordable-virtual-reality-creates-worlds-for-people-with-disabilities/\" target=\"_blank\">People who have worn VR goggles\u003c/a> from Oculus Rift, Google Cardboard, or Samsung Gear VR describe the experience as highly realistic—you're sitting in your living room but you \u003cem>feel\u003c/em> like you're surfing a wave, playing with dinosaurs, or walking on the moon.\u003c/p>\n\u003cp>At the \u003ca href=\"https://exponential.singularityu.org/medicine/\" target=\"_blank\">Exponential Medicine conference\u003c/a> in San Diego last week, virtual reality was all the rage. During the medical education track, doctors showed off \u003ca href=\"https://www.youtube.com/watch?v=VAUbacNs4MQ\" target=\"_blank\">a new video\u003c/a>, which is designed to be viewed from an Oculus Rift headset. The video was produced by London-based \u003ca href=\"http://www.medicalrealities.com/\" target=\"_blank\">Medical Realities\u003c/a>, a business focused on bringing gaming and virtual reality to medical education.\u003c/p>\n\u003cp>If you don't have access to a pair of VR goggles, but do have a newer computer and software, it's still worth a watch. Try dragging your cursor from a regular old smartphone or desktop to change the angle of view.\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/n7ALZkPoTYQ'\n title='//www.youtube.com/embed/n7ALZkPoTYQ'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"For virtual reality, the biggest opportunity in medicine is education,\" Halle Tecco told me. She's a founder of Rock Health, a venture firm dedicated to digital health.\u003c/p>\n\u003cp>In the past, medical schools relied on more passive forms of learning, including watching two-dimensional videos and taking exams. But Tecco says progressive medical educators are taking an interest in virtual reality.\u003c/p>\n\u003cp>Virtual reality gives students the opportunity to learn (and potentially even make mistakes) in a more realistic and interactive environment. One medical school, Western University of Health Sciences in Pomona, Calif., recently opened a virtual reality lab so its students can take a \u003ca href=\"http://fortune.com/2015/10/16/western-university-is-using-virtual-reality-to-teach/\" target=\"_blank\">virtual tour of human anatomy\u003c/a>.\u003c/p>\n\u003cp>Tecco says she also see possibilities for patients to view their own surgeries. People who are considering a surgery might wish to watch their doctor perform a similar procedure on a patient. Others might opt to watch a video of their own surgery.\u003c/p>\n\u003cp>While this might sound distasteful or downright bizarre, it's actually a growing trend. Some well-known doctors, \u003ca href=\"https://www.youtube.com/user/DrSandraLee\" target=\"_blank\">like this dermatologist\u003c/a>, have build an enormous following by posting graphic videos of their procedures. But be advised: If you have a weak stomach, do not dive into any of these videos right before lunch!\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Would you give your doctor permission to film your surgery for medical education? Would you want to watch it? Let us know at @KQEDhealth.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/71903/virtual-reality-is-going-to-be-big-for-medicine","authors":["3252"],"categories":["futureofyou_1063"],"tags":["futureofyou_270","futureofyou_80","futureofyou_380","futureofyou_668"],"featImg":"futureofyou_72419","label":"futureofyou"},"futureofyou_72422":{"type":"posts","id":"futureofyou_72422","meta":{"index":"posts_1591205157","site":"futureofyou","id":"72422","score":null,"sort":[1448470818000]},"guestAuthors":[],"slug":"more-women-are-freezing-their-eggs-but-will-they-ever-use-them","title":"More Women Are Freezing Their Eggs, But Will They Ever Use Them?","publishDate":1448470818,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>If egg freezing once sounded like science fiction, those days are over. Women now hear about it from their friends, their doctors and informational events like Wine and Freeze.\u003c/p>\n\u003cp>\u003ca href=\"https://www.shadygrovefertility.com\">Shady Grove Fertility Center\u003c/a> in the Washington, D.C., area hosts Wine and Freeze nights for prospective patients every few months. Fifteen or so women in their 30s gathered at one recently over wine, brownies and sticky buns. A doctor explained the procedure, the costs and the odds of frozen eggs resulting in a baby — which decline as a woman ages.\u003c/p>\n\u003cp>Egg freezing for medical reasons — often women undergoing chemotherapy — has been possible for decades. Some 5,000 babies have been born from eggs that were frozen, thawed and fertilized.\u003c/p>\n\u003cp>In 2012, the American Society for Reproductive Medicine decided egg freezing was no longer an experimental procedure. That opened the door for clinics like Shady Grove to market it to women who don't have a medical reason to do it but are simply worried about their declining fertility — what's being dubbed as \"social\" egg freezing.\u003c/p>\n\u003cp>The \"social\" egg freezing business these days is good, says Shady Grove medical director \u003ca href=\"https://www.shadygrovefertility.com/doctors/widra\">Dr. Eric Widra\u003c/a>. \"This is clearly a time where the technological ability to do this is converging with the demographics,\" he says. \"There are more and more women who find themselves in a situation where they may potentially benefit from having their eggs frozen.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">“Before you know it, I'm 40, and I thought, oh, my goodness, this is very real for me.\"\u003cbr>\n\u003ccite>Stacey Samuel, producer with CBS in Washington, D.C.\u003c/cite>\u003c/aside>\n\u003cp>The majority of women currently freezing their eggs live in cities like New York, San Francisco and Los Angeles, according to Jake Anderson-Bialis, who's building a company called \u003ca href=\"http://fertilityiq.com/\">FertilityIQ \u003c/a>with his wife, Deborah. \"Marketing is aggressively happening, and these are the hubs where fertility clinics will prove out the concept,\" he says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Anderson-Bialis says he's hoping to serve women freezing their eggs, as well as couples doing in vitro fertilization, with a database of fertility doctors and reviews from patients. FertilityIQ has so far gotten about 200 women who have frozen their eggs to write reviews of their experience.\u003c/p>\n\u003cp>\u003cstrong>A Cmplicated, Physically Demanding Process\u003c/strong>\u003c/p>\n\u003cp>The fact that wine is served at egg-freezing info sessions around the country might imply that this is no big deal, even fun. In fact, it's a complicated and physically demanding process.\u003c/p>\n\u003cp>Women inject themselves with hormones for up to two weeks to stimulate their ovaries to get as many mature eggs as possible. There's a surgical procedure to retrieve them. And there can be side effects along the way.\u003c/p>\n\u003cp>It also isn't cheap. One round averages about $12,000, and multiple rounds may be needed. No insurance companies cover egg freezing, but in October, a third tech company, Intel, \u003ca href=\"http://blogs.intel.com/jobs/2015/10/19/intel-expands-family-benefits/\">joined\u003c/a> Apple and Facebook in offering to pay the costs of egg freezing for employees. Financing may be available from a company called EggBanxx as well as some fertility clinics.\u003c/p>\n\u003cp>Stacey Samuel is a producer with CBS in Washington, D.C., (formerly with CNN). She thought about freezing her eggs earlier, but couldn't afford it until this year. \"Before you know it, I'm 40, and I thought, oh, my goodness, this is very real for me,\" Samuel says.\u003c/p>\n\u003cp>Doctors prefer that women freeze their eggs before their mid-30s. But Samuel thought that advice might not apply to her. \"I'm a black, South Asian female. Fertility in my culture and family extends for many years,\" she says. \"So I'm thinking 40 is nothing but a number — I still get carded.\"\u003c/p>\n\u003cp>She assumed she'd get the 15 to 20 eggs that doctors recommend women freeze. But in the middle of her cycle, while she was injecting hormones, there were complications. She ended up with just 10.\u003c/p>\n\u003cp>\"Even when I choose to go use those eggs, I could lose them again,\" Samuel says. \"So that feeling of reassurance that I thought I was buying with my near $20,000 on the table — I'm still unable to control the outcome.\"\u003c/p>\n\u003cp>\u003cstrong>Risky business?\u003c/strong>\u003c/p>\n\u003cp>Preserved eggs offer women like Samuel hope for beating the biological clock. But you can't escape the fact that your body will continue to age. The older a woman is when she freezes her eggs and when she uses them with in vitro fertilization, the lower her chances of success.\u003c/p>\n\u003cp>\"There was a lot of encouragement to go forth even if it looks like you're kind of a risky case, because I think these dedicated doctors really want to know where they can take this,\" Samuel says. \"And they need the numbers, and they need those of us who are willing to go through with it.\"\u003c/p>\n\u003cp>That concerns \u003ca href=\"https://law.utexas.edu/faculty/jr43/\">John Robertson\u003c/a>, a professor of law and bioethics at the University of Texas Law School. He wrote a \u003ca href=\"http://jlb.oxfordjournals.org/content/early/2014/03/28/jlb.lsu002.full\">paper\u003c/a> published in 2014 in the \u003cem>Journal of Law and the Biosciences\u003c/em> on how women freezing their eggs can be both empowered and alienated by the procedure.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“The vast majority say, 'Well, it's given me peace of mind, I feel a sense of relief, it's taken the pressure off of me to rush into a relationship with someone who isn't right.\"\u003cbr>\n\u003ccite>Marcia Inhorn, medical anthropologist at Yale University\u003c/cite>\u003c/aside>\n\u003cp>\"The problem is it may be marketed to women who are in the older age group who may have very little chance of obtaining viable eggs,\" Robertson says. \"So it's extremely important that there be full disclosure at every step of the process.\"\u003c/p>\n\u003cp>\u003ca href=\"http://www.embryo.net/fertility-center/fertility-doctors\">Dr. Kevin Doody\u003c/a> agrees. He codirects the Center for Assisted Reproduction in Dallas, and is president-elect of the Society for Assisted Reproductive Technology, or SART.\u003c/p>\n\u003cp>\"I do not think that this should be highly promoted for the older-age woman,\" Doody says. \"I'm not saying one should refuse or deny services if a 40- or 42-year-old woman wanted to have her eggs frozen. But I think it would warrant a substantial counseling session with that patient.\"\u003c/p>\n\u003cp>SART collects data on egg freezing in the U.S. And Doody says in 2013, about 4,000 women froze their eggs, up from about 2,500 the year before. And he predicts the number this year will be much higher.\u003c/p>\n\u003cp>But so far very few women who've frozen their eggs since the experimental label was lifted in 2012 have gone back to try to use them. SART found that of the 353 egg-thaw cycles in 2012, only 83 resulted in live births. In 2013, there were 414 thaw cycles and 99 live births. \"Live birth\" is not babies born — it means delivery of one or more infants, so it can include twins.\u003c/p>\n\u003cp>Overall, the success rate of live births from frozen eggs has remained consistently pretty low, at about 20 to 24 percent since 2009. And, Doody adds, \"Even if the success rates were significantly higher, there's never going to be a guarantee for an individual patient that the eggs she would bank would ultimately result in a baby for her.\"\u003c/p>\n\u003cp>Medical anthropologist \u003ca href=\"http://marciainhorn.com/\">Marcia Inhorn\u003c/a> at Yale University is conducting a study of the women who have frozen their eggs.\u003c/p>\n\u003cp>\"The vast majority say, 'Well, it's given me peace of mind, I feel a sense of relief, it's taken the pressure off of me to rush into a relationship with someone who isn't right,' \" she says.\u003c/p>\n\u003cp>Inhorn has interviewed about 100 women so far for her study.\u003c/p>\n\u003cp>\"Most of these women are amazing professional women, I have to say,\" says Inhorn. \"But the major reason over and over is not being able to find the right person to embark on a partnership and parenthood with.\"\u003c/p>\n\u003cp>Finding the right person is likely to be just as big a challenge for women in the future, Inhorn says. Which is why she believes this technology will become normalized, like in vitro fertilization.\u003c/p>\n\u003cp>And maybe it's already happening if people like Mindy Kaling are talking about it. The actress, producer and writer hit on this in an \u003ca href=\"http://www.hulu.com/watch/865280\">episode\u003c/a> of her Hulu show \u003cem>The Mindy Project\u003c/em>. Her character, a fertility doctor, goes to a college campus to peddle her newest service for women.\u003c/p>\n\u003cp>Here's what she tells them:\u003c/p>\n\u003cblockquote>\u003cp>\"When I was your age, I thought that I was going to be married by the time I was 25. But it took a lot longer than that. And unfortunately your body does not care if you are dating the wrong guy. ... Your body and your eggs just keep getting older, which is why freezing them is a pretty smart idea, 'cause it gives you a little bit more time.\"\u003c/p>\u003c/blockquote>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>But it will be years before there's enough data showing us whether egg freezing actually helps most of the women doing it fulfill their dreams of motherhood.\u003c/p>\n\u003cdiv class=\"fullattribution\">\u003cem>Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=More+Women+Are+Freezing+Their+Eggs%2C+But+Will+They+Ever+Use+Them%3F&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/em>\u003c/div>\n\n","blocks":[],"excerpt":"The procedure is rapidly going mainstream, but it's so new that it's impossible to know if these women will exercise their option to have a child. Also, live birth rates from frozen eggs remain low.","status":"publish","parent":0,"modified":1477273213,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":36,"wordCount":1507},"headData":{"title":"More Women Are Freezing Their Eggs, But Will They Ever Use Them? | KQED","description":"The procedure is rapidly going mainstream, but it's so new that it's impossible to know if these women will exercise their option to have a child. Also, live birth rates from frozen eggs remain low.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"More Women Are Freezing Their Eggs, But Will They Ever Use Them?","datePublished":"2015-11-25T17:00:18.000Z","dateModified":"2016-10-24T01:40:13.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"72422 http://ww2.kqed.org/futureofyou/?p=72422","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/11/25/more-women-are-freezing-their-eggs-but-will-they-ever-use-them/","disqusTitle":"More Women Are Freezing Their Eggs, But Will They Ever Use Them?","nprByline":"Eliza Barclay","nprImageAgency":"Maria Fabrizio for NPR","nprStoryId":"456671203","nprApiLink":"http://api.npr.org/query?id=456671203&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2015/11/24/456671203/more-women-are-freezing-their-eggs-but-will-they-ever-use-them?ft=nprml&f=456671203","nprRetrievedStory":"1","nprPubDate":"Tue, 24 Nov 2015 15:48:00 -0500","nprStoryDate":"Tue, 24 Nov 2015 05:04:00 -0500","nprLastModifiedDate":"Tue, 24 Nov 2015 15:48:35 -0500","nprAudio":"http://pd.npr.org/anon.npr-mp3/npr/me/2015/11/20151124_me_more_women_are_freezing_their_eggs_but_will_they_ever_use_them.mp3?orgId=1&topicId=1128&aggIds=177622347&d=365&p=3&story=456671203&t=progseg&e=457201160&seg=4&ft=nprml&f=456671203","nprAudioM3u":"http://api.npr.org/m3u/1457203878-5c0383.m3u?orgId=1&topicId=1128&aggIds=177622347&d=365&p=3&story=456671203&t=progseg&e=457201160&seg=4&ft=nprml&f=456671203","path":"/futureofyou/72422/more-women-are-freezing-their-eggs-but-will-they-ever-use-them","audioUrl":"http://pd.npr.org/anon.npr-mp3/npr/me/2015/11/20151124_me_more_women_are_freezing_their_eggs_but_will_they_ever_use_them.mp3?orgId=1&topicId=1128&aggIds=177622347&d=365&p=3&story=456671203&t=progseg&e=457201160&seg=4&ft=nprml&f=456671203","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>If egg freezing once sounded like science fiction, those days are over. Women now hear about it from their friends, their doctors and informational events like Wine and Freeze.\u003c/p>\n\u003cp>\u003ca href=\"https://www.shadygrovefertility.com\">Shady Grove Fertility Center\u003c/a> in the Washington, D.C., area hosts Wine and Freeze nights for prospective patients every few months. Fifteen or so women in their 30s gathered at one recently over wine, brownies and sticky buns. A doctor explained the procedure, the costs and the odds of frozen eggs resulting in a baby — which decline as a woman ages.\u003c/p>\n\u003cp>Egg freezing for medical reasons — often women undergoing chemotherapy — has been possible for decades. Some 5,000 babies have been born from eggs that were frozen, thawed and fertilized.\u003c/p>\n\u003cp>In 2012, the American Society for Reproductive Medicine decided egg freezing was no longer an experimental procedure. That opened the door for clinics like Shady Grove to market it to women who don't have a medical reason to do it but are simply worried about their declining fertility — what's being dubbed as \"social\" egg freezing.\u003c/p>\n\u003cp>The \"social\" egg freezing business these days is good, says Shady Grove medical director \u003ca href=\"https://www.shadygrovefertility.com/doctors/widra\">Dr. Eric Widra\u003c/a>. \"This is clearly a time where the technological ability to do this is converging with the demographics,\" he says. \"There are more and more women who find themselves in a situation where they may potentially benefit from having their eggs frozen.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">“Before you know it, I'm 40, and I thought, oh, my goodness, this is very real for me.\"\u003cbr>\n\u003ccite>Stacey Samuel, producer with CBS in Washington, D.C.\u003c/cite>\u003c/aside>\n\u003cp>The majority of women currently freezing their eggs live in cities like New York, San Francisco and Los Angeles, according to Jake Anderson-Bialis, who's building a company called \u003ca href=\"http://fertilityiq.com/\">FertilityIQ \u003c/a>with his wife, Deborah. \"Marketing is aggressively happening, and these are the hubs where fertility clinics will prove out the concept,\" he says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Anderson-Bialis says he's hoping to serve women freezing their eggs, as well as couples doing in vitro fertilization, with a database of fertility doctors and reviews from patients. FertilityIQ has so far gotten about 200 women who have frozen their eggs to write reviews of their experience.\u003c/p>\n\u003cp>\u003cstrong>A Cmplicated, Physically Demanding Process\u003c/strong>\u003c/p>\n\u003cp>The fact that wine is served at egg-freezing info sessions around the country might imply that this is no big deal, even fun. In fact, it's a complicated and physically demanding process.\u003c/p>\n\u003cp>Women inject themselves with hormones for up to two weeks to stimulate their ovaries to get as many mature eggs as possible. There's a surgical procedure to retrieve them. And there can be side effects along the way.\u003c/p>\n\u003cp>It also isn't cheap. One round averages about $12,000, and multiple rounds may be needed. No insurance companies cover egg freezing, but in October, a third tech company, Intel, \u003ca href=\"http://blogs.intel.com/jobs/2015/10/19/intel-expands-family-benefits/\">joined\u003c/a> Apple and Facebook in offering to pay the costs of egg freezing for employees. Financing may be available from a company called EggBanxx as well as some fertility clinics.\u003c/p>\n\u003cp>Stacey Samuel is a producer with CBS in Washington, D.C., (formerly with CNN). She thought about freezing her eggs earlier, but couldn't afford it until this year. \"Before you know it, I'm 40, and I thought, oh, my goodness, this is very real for me,\" Samuel says.\u003c/p>\n\u003cp>Doctors prefer that women freeze their eggs before their mid-30s. But Samuel thought that advice might not apply to her. \"I'm a black, South Asian female. Fertility in my culture and family extends for many years,\" she says. \"So I'm thinking 40 is nothing but a number — I still get carded.\"\u003c/p>\n\u003cp>She assumed she'd get the 15 to 20 eggs that doctors recommend women freeze. But in the middle of her cycle, while she was injecting hormones, there were complications. She ended up with just 10.\u003c/p>\n\u003cp>\"Even when I choose to go use those eggs, I could lose them again,\" Samuel says. \"So that feeling of reassurance that I thought I was buying with my near $20,000 on the table — I'm still unable to control the outcome.\"\u003c/p>\n\u003cp>\u003cstrong>Risky business?\u003c/strong>\u003c/p>\n\u003cp>Preserved eggs offer women like Samuel hope for beating the biological clock. But you can't escape the fact that your body will continue to age. The older a woman is when she freezes her eggs and when she uses them with in vitro fertilization, the lower her chances of success.\u003c/p>\n\u003cp>\"There was a lot of encouragement to go forth even if it looks like you're kind of a risky case, because I think these dedicated doctors really want to know where they can take this,\" Samuel says. \"And they need the numbers, and they need those of us who are willing to go through with it.\"\u003c/p>\n\u003cp>That concerns \u003ca href=\"https://law.utexas.edu/faculty/jr43/\">John Robertson\u003c/a>, a professor of law and bioethics at the University of Texas Law School. He wrote a \u003ca href=\"http://jlb.oxfordjournals.org/content/early/2014/03/28/jlb.lsu002.full\">paper\u003c/a> published in 2014 in the \u003cem>Journal of Law and the Biosciences\u003c/em> on how women freezing their eggs can be both empowered and alienated by the procedure.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“The vast majority say, 'Well, it's given me peace of mind, I feel a sense of relief, it's taken the pressure off of me to rush into a relationship with someone who isn't right.\"\u003cbr>\n\u003ccite>Marcia Inhorn, medical anthropologist at Yale University\u003c/cite>\u003c/aside>\n\u003cp>\"The problem is it may be marketed to women who are in the older age group who may have very little chance of obtaining viable eggs,\" Robertson says. \"So it's extremely important that there be full disclosure at every step of the process.\"\u003c/p>\n\u003cp>\u003ca href=\"http://www.embryo.net/fertility-center/fertility-doctors\">Dr. Kevin Doody\u003c/a> agrees. He codirects the Center for Assisted Reproduction in Dallas, and is president-elect of the Society for Assisted Reproductive Technology, or SART.\u003c/p>\n\u003cp>\"I do not think that this should be highly promoted for the older-age woman,\" Doody says. \"I'm not saying one should refuse or deny services if a 40- or 42-year-old woman wanted to have her eggs frozen. But I think it would warrant a substantial counseling session with that patient.\"\u003c/p>\n\u003cp>SART collects data on egg freezing in the U.S. And Doody says in 2013, about 4,000 women froze their eggs, up from about 2,500 the year before. And he predicts the number this year will be much higher.\u003c/p>\n\u003cp>But so far very few women who've frozen their eggs since the experimental label was lifted in 2012 have gone back to try to use them. SART found that of the 353 egg-thaw cycles in 2012, only 83 resulted in live births. In 2013, there were 414 thaw cycles and 99 live births. \"Live birth\" is not babies born — it means delivery of one or more infants, so it can include twins.\u003c/p>\n\u003cp>Overall, the success rate of live births from frozen eggs has remained consistently pretty low, at about 20 to 24 percent since 2009. And, Doody adds, \"Even if the success rates were significantly higher, there's never going to be a guarantee for an individual patient that the eggs she would bank would ultimately result in a baby for her.\"\u003c/p>\n\u003cp>Medical anthropologist \u003ca href=\"http://marciainhorn.com/\">Marcia Inhorn\u003c/a> at Yale University is conducting a study of the women who have frozen their eggs.\u003c/p>\n\u003cp>\"The vast majority say, 'Well, it's given me peace of mind, I feel a sense of relief, it's taken the pressure off of me to rush into a relationship with someone who isn't right,' \" she says.\u003c/p>\n\u003cp>Inhorn has interviewed about 100 women so far for her study.\u003c/p>\n\u003cp>\"Most of these women are amazing professional women, I have to say,\" says Inhorn. \"But the major reason over and over is not being able to find the right person to embark on a partnership and parenthood with.\"\u003c/p>\n\u003cp>Finding the right person is likely to be just as big a challenge for women in the future, Inhorn says. Which is why she believes this technology will become normalized, like in vitro fertilization.\u003c/p>\n\u003cp>And maybe it's already happening if people like Mindy Kaling are talking about it. The actress, producer and writer hit on this in an \u003ca href=\"http://www.hulu.com/watch/865280\">episode\u003c/a> of her Hulu show \u003cem>The Mindy Project\u003c/em>. Her character, a fertility doctor, goes to a college campus to peddle her newest service for women.\u003c/p>\n\u003cp>Here's what she tells them:\u003c/p>\n\u003cblockquote>\u003cp>\"When I was your age, I thought that I was going to be married by the time I was 25. But it took a lot longer than that. And unfortunately your body does not care if you are dating the wrong guy. ... Your body and your eggs just keep getting older, which is why freezing them is a pretty smart idea, 'cause it gives you a little bit more time.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But it will be years before there's enough data showing us whether egg freezing actually helps most of the women doing it fulfill their dreams of motherhood.\u003c/p>\n\u003cdiv class=\"fullattribution\">\u003cem>Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=More+Women+Are+Freezing+Their+Eggs%2C+But+Will+They+Ever+Use+Them%3F&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/em>\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/72422/more-women-are-freezing-their-eggs-but-will-they-ever-use-them","authors":["byline_futureofyou_72422"],"categories":["futureofyou_1062"],"tags":["futureofyou_270","futureofyou_80"],"featImg":"futureofyou_72423","label":"futureofyou"},"futureofyou_55240":{"type":"posts","id":"futureofyou_55240","meta":{"index":"posts_1591205157","site":"futureofyou","id":"55240","score":null,"sort":[1445443790000]},"guestAuthors":[],"slug":"its-back-23andme-relaunches-its-consumer-gene-test","title":"It's Back, 23andMe Relaunches Its Consumer Gene Test","publishDate":1445443790,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>The genetic testing service \u003ca href=\"https://www.23andme.com\">23andMe\u003c/a> has relaunched a controversial test that, using just a few drops of spit, can tell you if you're a carrier for dozens of diseases.\u003c/p>\n\u003cp>It's not as extensive as its previous service, which could screen for hundreds of health risks, but the new modified test is approved by federal regulators, clearing a major hurdle that had placed the company's future in doubt.\u003c/p>\n\u003cp>In November of 2013, the startup was hit with \u003ca href=\"http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2013/ucm376296.htm\">a warning letter \u003c/a>from the Food and Drug Administration, ordering the company to stop selling and marketing its personal genome service, which tested for risks associated with diseases like breast cancer and Parkinson's Disease. While the company pondered how to prove the accuracy of its product to the FDA's satisfaction, 23andMe stripped down its genetic test to only deliver raw genetic data and ancestry information. The sales of its testing kits dropped.\u003c/p>\n\u003cp>\"We didn't understand the implications of that letter,\" said 23andMe's president Andy Page, in an interview earlier this week. \"We needed to hire a lot of people to get us back on track.\"\u003c/p>\n\u003cp>Since then, 23andMe has worked closely with regulators to bring its full test back to market. Earlier this year\u003cspan style=\"line-height: 1.5\">, the FDA approved its \u003c/span>\u003cspan style=\"line-height: 1.5\">carrier test\u003c/span>\u003cspan style=\"line-height: 1.5\"> for Bloom Syndrome, a rare disease associated with short stature and a higher cancer risk. At the time the FDA said it would not review other such carrier screening tests, clearing the way for the company to resume offering some health information.\u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_55241\" class=\"wp-caption alignright\" style=\"max-width: 370px\">\u003cimg class=\" wp-image-55241\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/qDZjMl9WskAOEMsDU6M2BTlV1t_13PWBQqqsyieIlNo-785x600.png\" alt=\"The new test offers colorful reports about your ancestry and family history.\" width=\"370\" height=\"283\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/qDZjMl9WskAOEMsDU6M2BTlV1t_13PWBQqqsyieIlNo-785x600.png 785w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/qDZjMl9WskAOEMsDU6M2BTlV1t_13PWBQqqsyieIlNo-400x306.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/qDZjMl9WskAOEMsDU6M2BTlV1t_13PWBQqqsyieIlNo-960x734.png 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/qDZjMl9WskAOEMsDU6M2BTlV1t_13PWBQqqsyieIlNo.png 1005w\" sizes=\"(max-width: 370px) 100vw, 370px\">\u003cfigcaption class=\"wp-caption-text\">The new test offers colorful reports about your ancestry and family history. \u003ccite>(23andMe)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Earlier this week, the company walked me through its redesigned product, which is available for $199. 23andMe bills this test as a major improvement on its previous efforts, despite that its roster of health tests is limited. It still doesn't include carrier tests for hereditary breast and ovarian cancer, as well as tests for drug responses and adverse drug reactions. Prior to the regulatory crackdown, 23andMe included these tests and more.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>That said, the new website is better-designed and easier to navigate. The team clearly spent a lot of time replacing scientific jargon with conversational language to avoid confusion. This may well be a response to the FDA's concerns that people will misinterpret their results and take drastic steps, such as an unnecessary test or procedure.\u003c/p>\n\u003cp>23andMe also includes plenty of fun facts that are perfect for dinner party conversation, like the underlying genetic reason that you might be annoyed by the sound of other people chewing. Ancestry is still a major focus for the new test: You can now share and compare your genetic variants with other family-members and access a detailed report on your ethnicity.\u003c/p>\n\u003cp>\u003cstrong>More Than Just a Test \u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_55242\" class=\"wp-caption alignright\" style=\"max-width: 437px\">\u003cimg class=\" wp-image-55242\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/jQZ8kGSufzMG_ZDy7F4jTHGgYJsxALgSdQGWdYM5NEw-800x491.png\" alt=\"23andMe informs you whether you have a variant that is associated with Cystic Fibrosis. \" width=\"437\" height=\"267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/jQZ8kGSufzMG_ZDy7F4jTHGgYJsxALgSdQGWdYM5NEw-800x491.png 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/jQZ8kGSufzMG_ZDy7F4jTHGgYJsxALgSdQGWdYM5NEw-400x245.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/jQZ8kGSufzMG_ZDy7F4jTHGgYJsxALgSdQGWdYM5NEw-960x589.png 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/jQZ8kGSufzMG_ZDy7F4jTHGgYJsxALgSdQGWdYM5NEw.png 1024w\" sizes=\"(max-width: 437px) 100vw, 437px\">\u003cfigcaption class=\"wp-caption-text\">23andMe informs you whether you have a variant that is associated with Cystic Fibrosis. \u003ccite>(23andMe )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Only time will tell whether the new product will prove as compelling as 23andMe's original test. For one thing it is more expensive: The previous price point was $99.\u003c/p>\n\u003cp>People who take the test can opt in to clinical studies and research. Those who consent will receive the occasional survey question and an offer to join a clinical trial, according to Page. In the past few years, 23andMe has inked partnerships with a variety of pharmaceutical companies including Pfizer. According to 23andMe's privacy policy, these partners can only access your health data with your consent (with the \u003ca href=\"http://fusion.net/story/215204/law-enforcement-agencies-are-asking-ancestry-com-and-23andme-for-their-customers-dna/\">possible exception \u003c/a>of law enforcement.)\u003c/p>\n\u003cp>23andMe may have made a name for itself with its DNA test, but it is doing a lot of medical research behind the scenes. Given its vast store of patient data -- 1 million customers and counting -- the company is well poised to develop new medications. Page said 23andMe plans to spend some of the \u003ca href=\"http://www.bloomberg.com/news/articles/2015-10-14/23andme-funding-said-to-value-genetics-startup-at-1-1-billion\">$115 million i\u003c/a>t recently raised on two new labs: one for the therapeutics team to experiment with new drugs, and the other to develop more sophisticated gene-sequencing techniques.\u003c/p>\n\u003cp>Page declined to comment on whether 23andMe plans to offer more sophisticated DNA sequencing in the future. At present, it offers genotyping, which looks at genetic variants but not the exact sequence of a length of DNA. Sequencing technology has drastically come down in price in the past decade -- \u003ca href=\"http://www.nature.com/news/technology-the-1-000-genome-1.14901\">you can now sequence your whole genome for $1000\u003c/a> -- but it is still far more expensive than 23andMe's genotyping test.\u003c/p>\n\u003cp>\u003cstrong>The path forward for genetic testing? \u003c/strong>\u003c/p>\n\u003cp>23andMe is just one of a growing number of tests on the market that offer genealogical, health and wellness reports. But what's unique about its test is that the genetic test results are delivered directly to you, rather than through your doctor. \u003ca href=\"https://www.counsyl.com\">Counsyl,\u003c/a> another DNA testing service that is popular with would-be parents, requires a doctor's note.\u003c/p>\n\u003cfigure id=\"attachment_55243\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-55243\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/FeKg2hXUKZd8E-8GlffcsJ28v9yJz2_L8toiQsuvuZ0-800x521.png\" alt=\"You don't need a doctor's note to purchase 23andMe's genetic testing kit. \" width=\"800\" height=\"521\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/FeKg2hXUKZd8E-8GlffcsJ28v9yJz2_L8toiQsuvuZ0-800x521.png 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/FeKg2hXUKZd8E-8GlffcsJ28v9yJz2_L8toiQsuvuZ0-400x261.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/FeKg2hXUKZd8E-8GlffcsJ28v9yJz2_L8toiQsuvuZ0-960x625.png 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/FeKg2hXUKZd8E-8GlffcsJ28v9yJz2_L8toiQsuvuZ0.png 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">You don't need a doctor's note to purchase 23andMe's genetic testing kit. \u003ccite>(23andMe)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The FDA targeted 23andMe for its direct to consumer approach. But the company has not bowed to pressure from its critics. 23andMe's CEO Anne Wojciki \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/04/10/23andme-ceo-we-are-now-the-poster-child-for-patient-empowerment/\">told me recently\u003c/a> that she is committed to sharing health data directly with consumers, even if it means years of paperwork: \"I’ve said many times that consumers with no background in medicine can understand complicated ideas.\"\u003c/p>\n\u003cp>But some health experts harbor mixed feelings about whether this is the safest approach.\u003c/p>\n\u003cp>Bob Wachter, interim chair of the department of medicine at UCSF, said he was glad the FDA stepped in when it did. But he does believe that 23andMe's approach is the future, especially if they can find a way to work with regulators.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The pressure over time will be that more health information is available directly to the consumer\" he said. \"But this needs to be tapped periodically to make sure it doesn't get ahead of itself.\"\u003c/p>\n\n","blocks":[],"excerpt":"23andMe has relaunched its service that can tell you if you're a carrier for dozens of diseases with just a few drops of spit. ","status":"publish","parent":0,"modified":1477273648,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":1036},"headData":{"title":"It's Back, 23andMe Relaunches Its Consumer Gene Test | KQED","description":"23andMe has relaunched its service that can tell you if you're a carrier for dozens of diseases with just a few drops of spit. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"It's Back, 23andMe Relaunches Its Consumer Gene Test","datePublished":"2015-10-21T16:09:50.000Z","dateModified":"2016-10-24T01:47:28.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"55240 http://ww2.kqed.org/futureofyou/?p=55240","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/10/21/its-back-23andme-relaunches-its-consumer-gene-test/","disqusTitle":"It's Back, 23andMe Relaunches Its Consumer Gene Test","path":"/futureofyou/55240/its-back-23andme-relaunches-its-consumer-gene-test","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The genetic testing service \u003ca href=\"https://www.23andme.com\">23andMe\u003c/a> has relaunched a controversial test that, using just a few drops of spit, can tell you if you're a carrier for dozens of diseases.\u003c/p>\n\u003cp>It's not as extensive as its previous service, which could screen for hundreds of health risks, but the new modified test is approved by federal regulators, clearing a major hurdle that had placed the company's future in doubt.\u003c/p>\n\u003cp>In November of 2013, the startup was hit with \u003ca href=\"http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2013/ucm376296.htm\">a warning letter \u003c/a>from the Food and Drug Administration, ordering the company to stop selling and marketing its personal genome service, which tested for risks associated with diseases like breast cancer and Parkinson's Disease. While the company pondered how to prove the accuracy of its product to the FDA's satisfaction, 23andMe stripped down its genetic test to only deliver raw genetic data and ancestry information. The sales of its testing kits dropped.\u003c/p>\n\u003cp>\"We didn't understand the implications of that letter,\" said 23andMe's president Andy Page, in an interview earlier this week. \"We needed to hire a lot of people to get us back on track.\"\u003c/p>\n\u003cp>Since then, 23andMe has worked closely with regulators to bring its full test back to market. Earlier this year\u003cspan style=\"line-height: 1.5\">, the FDA approved its \u003c/span>\u003cspan style=\"line-height: 1.5\">carrier test\u003c/span>\u003cspan style=\"line-height: 1.5\"> for Bloom Syndrome, a rare disease associated with short stature and a higher cancer risk. At the time the FDA said it would not review other such carrier screening tests, clearing the way for the company to resume offering some health information.\u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_55241\" class=\"wp-caption alignright\" style=\"max-width: 370px\">\u003cimg class=\" wp-image-55241\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/qDZjMl9WskAOEMsDU6M2BTlV1t_13PWBQqqsyieIlNo-785x600.png\" alt=\"The new test offers colorful reports about your ancestry and family history.\" width=\"370\" height=\"283\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/qDZjMl9WskAOEMsDU6M2BTlV1t_13PWBQqqsyieIlNo-785x600.png 785w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/qDZjMl9WskAOEMsDU6M2BTlV1t_13PWBQqqsyieIlNo-400x306.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/qDZjMl9WskAOEMsDU6M2BTlV1t_13PWBQqqsyieIlNo-960x734.png 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/qDZjMl9WskAOEMsDU6M2BTlV1t_13PWBQqqsyieIlNo.png 1005w\" sizes=\"(max-width: 370px) 100vw, 370px\">\u003cfigcaption class=\"wp-caption-text\">The new test offers colorful reports about your ancestry and family history. \u003ccite>(23andMe)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Earlier this week, the company walked me through its redesigned product, which is available for $199. 23andMe bills this test as a major improvement on its previous efforts, despite that its roster of health tests is limited. It still doesn't include carrier tests for hereditary breast and ovarian cancer, as well as tests for drug responses and adverse drug reactions. Prior to the regulatory crackdown, 23andMe included these tests and more.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That said, the new website is better-designed and easier to navigate. The team clearly spent a lot of time replacing scientific jargon with conversational language to avoid confusion. This may well be a response to the FDA's concerns that people will misinterpret their results and take drastic steps, such as an unnecessary test or procedure.\u003c/p>\n\u003cp>23andMe also includes plenty of fun facts that are perfect for dinner party conversation, like the underlying genetic reason that you might be annoyed by the sound of other people chewing. Ancestry is still a major focus for the new test: You can now share and compare your genetic variants with other family-members and access a detailed report on your ethnicity.\u003c/p>\n\u003cp>\u003cstrong>More Than Just a Test \u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_55242\" class=\"wp-caption alignright\" style=\"max-width: 437px\">\u003cimg class=\" wp-image-55242\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/jQZ8kGSufzMG_ZDy7F4jTHGgYJsxALgSdQGWdYM5NEw-800x491.png\" alt=\"23andMe informs you whether you have a variant that is associated with Cystic Fibrosis. \" width=\"437\" height=\"267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/jQZ8kGSufzMG_ZDy7F4jTHGgYJsxALgSdQGWdYM5NEw-800x491.png 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/jQZ8kGSufzMG_ZDy7F4jTHGgYJsxALgSdQGWdYM5NEw-400x245.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/jQZ8kGSufzMG_ZDy7F4jTHGgYJsxALgSdQGWdYM5NEw-960x589.png 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/jQZ8kGSufzMG_ZDy7F4jTHGgYJsxALgSdQGWdYM5NEw.png 1024w\" sizes=\"(max-width: 437px) 100vw, 437px\">\u003cfigcaption class=\"wp-caption-text\">23andMe informs you whether you have a variant that is associated with Cystic Fibrosis. \u003ccite>(23andMe )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Only time will tell whether the new product will prove as compelling as 23andMe's original test. For one thing it is more expensive: The previous price point was $99.\u003c/p>\n\u003cp>People who take the test can opt in to clinical studies and research. Those who consent will receive the occasional survey question and an offer to join a clinical trial, according to Page. In the past few years, 23andMe has inked partnerships with a variety of pharmaceutical companies including Pfizer. According to 23andMe's privacy policy, these partners can only access your health data with your consent (with the \u003ca href=\"http://fusion.net/story/215204/law-enforcement-agencies-are-asking-ancestry-com-and-23andme-for-their-customers-dna/\">possible exception \u003c/a>of law enforcement.)\u003c/p>\n\u003cp>23andMe may have made a name for itself with its DNA test, but it is doing a lot of medical research behind the scenes. Given its vast store of patient data -- 1 million customers and counting -- the company is well poised to develop new medications. Page said 23andMe plans to spend some of the \u003ca href=\"http://www.bloomberg.com/news/articles/2015-10-14/23andme-funding-said-to-value-genetics-startup-at-1-1-billion\">$115 million i\u003c/a>t recently raised on two new labs: one for the therapeutics team to experiment with new drugs, and the other to develop more sophisticated gene-sequencing techniques.\u003c/p>\n\u003cp>Page declined to comment on whether 23andMe plans to offer more sophisticated DNA sequencing in the future. At present, it offers genotyping, which looks at genetic variants but not the exact sequence of a length of DNA. Sequencing technology has drastically come down in price in the past decade -- \u003ca href=\"http://www.nature.com/news/technology-the-1-000-genome-1.14901\">you can now sequence your whole genome for $1000\u003c/a> -- but it is still far more expensive than 23andMe's genotyping test.\u003c/p>\n\u003cp>\u003cstrong>The path forward for genetic testing? \u003c/strong>\u003c/p>\n\u003cp>23andMe is just one of a growing number of tests on the market that offer genealogical, health and wellness reports. But what's unique about its test is that the genetic test results are delivered directly to you, rather than through your doctor. \u003ca href=\"https://www.counsyl.com\">Counsyl,\u003c/a> another DNA testing service that is popular with would-be parents, requires a doctor's note.\u003c/p>\n\u003cfigure id=\"attachment_55243\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-55243\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/FeKg2hXUKZd8E-8GlffcsJ28v9yJz2_L8toiQsuvuZ0-800x521.png\" alt=\"You don't need a doctor's note to purchase 23andMe's genetic testing kit. \" width=\"800\" height=\"521\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/FeKg2hXUKZd8E-8GlffcsJ28v9yJz2_L8toiQsuvuZ0-800x521.png 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/FeKg2hXUKZd8E-8GlffcsJ28v9yJz2_L8toiQsuvuZ0-400x261.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/FeKg2hXUKZd8E-8GlffcsJ28v9yJz2_L8toiQsuvuZ0-960x625.png 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/FeKg2hXUKZd8E-8GlffcsJ28v9yJz2_L8toiQsuvuZ0.png 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">You don't need a doctor's note to purchase 23andMe's genetic testing kit. \u003ccite>(23andMe)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The FDA targeted 23andMe for its direct to consumer approach. But the company has not bowed to pressure from its critics. 23andMe's CEO Anne Wojciki \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/04/10/23andme-ceo-we-are-now-the-poster-child-for-patient-empowerment/\">told me recently\u003c/a> that she is committed to sharing health data directly with consumers, even if it means years of paperwork: \"I’ve said many times that consumers with no background in medicine can understand complicated ideas.\"\u003c/p>\n\u003cp>But some health experts harbor mixed feelings about whether this is the safest approach.\u003c/p>\n\u003cp>Bob Wachter, interim chair of the department of medicine at UCSF, said he was glad the FDA stepped in when it did. But he does believe that 23andMe's approach is the future, especially if they can find a way to work with regulators.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The pressure over time will be that more health information is available directly to the consumer\" he said. \"But this needs to be tapped periodically to make sure it doesn't get ahead of itself.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/55240/its-back-23andme-relaunches-its-consumer-gene-test","authors":["3252"],"categories":["futureofyou_1060","futureofyou_1064"],"tags":["futureofyou_15","futureofyou_270","futureofyou_80"],"featImg":"futureofyou_55245","label":"futureofyou"},"futureofyou_48814":{"type":"posts","id":"futureofyou_48814","meta":{"index":"posts_1591205157","site":"futureofyou","id":"48814","score":null,"sort":[1444067769000]},"guestAuthors":[],"slug":"whos-responsible-for-your-uber-drivers-health-coverage","title":"Who's Responsible for Your Uber Driver's Health Coverage?","publishDate":1444067769,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"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","blocks":[],"excerpt":"A startup called Stride Health is working with Uber, Taskrabbit and Postmates to help their workers find affordable health insurance. Is it enough?","status":"publish","parent":0,"modified":1444170047,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":52,"wordCount":2368},"headData":{"title":"Who's Responsible for Your Uber Driver's Health Coverage? | KQED","description":"A startup called Stride Health is working with Uber, Taskrabbit and Postmates to help their workers find affordable health insurance. Is it enough?","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Who's Responsible for Your Uber Driver's Health Coverage?","datePublished":"2015-10-05T17:56:09.000Z","dateModified":"2015-10-06T22:20:47.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"48814 http://ww2.kqed.org/futureofyou/?p=48814","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/10/05/whos-responsible-for-your-uber-drivers-health-coverage/","disqusTitle":"Who's Responsible for Your Uber Driver's Health Coverage?","path":"/futureofyou/48814/whos-responsible-for-your-uber-drivers-health-coverage","audioTrackLength":null,"parsedContent":[{"type":"contentString","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>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","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>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","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>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/48814/whos-responsible-for-your-uber-drivers-health-coverage","authors":["3252"],"categories":["futureofyou_452"],"tags":["futureofyou_419","futureofyou_270","futureofyou_80","futureofyou_605"],"featImg":"futureofyou_48818","label":"futureofyou"},"futureofyou_42356":{"type":"posts","id":"futureofyou_42356","meta":{"index":"posts_1591205157","site":"futureofyou","id":"42356","score":null,"sort":[1443040271000]},"guestAuthors":[],"slug":"uc-riverside-professor-slams-feds-stands-by-his-health-app","title":"UC Riverside Professor Slams Feds, Stands By His Health App","publishDate":1443040271,"format":"standard","headTitle":"Future of You | KQED Future of You | KQED Science","labelTerm":{"term":54,"site":"futureofyou"},"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","blocks":[],"excerpt":"A UC Riverside psychology professor calls the FTC action against him and his business partner 'dangerous.'","status":"publish","parent":0,"modified":1443116985,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":42,"wordCount":1478},"headData":{"title":"UC Riverside Professor Slams Feds, Stands By His Health App | KQED","description":"A UC Riverside psychology professor calls the FTC action against him and his business partner 'dangerous.'","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"UC Riverside Professor Slams Feds, Stands By His Health App","datePublished":"2015-09-23T20:31:11.000Z","dateModified":"2015-09-24T17:49:45.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"42356 http://ww2.kqed.org/futureofyou/?p=42356","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/09/23/uc-riverside-professor-slams-feds-stands-by-his-health-app/","disqusTitle":"UC Riverside Professor Slams Feds, Stands By His Health App","path":"/futureofyou/42356/uc-riverside-professor-slams-feds-stands-by-his-health-app","audioTrackLength":null,"parsedContent":[{"type":"contentString","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>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","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>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"vimeo","attributes":{"named":{"w":"500","h":"313","label":"90324562"},"numeric":["90324562"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","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>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/42356/uc-riverside-professor-slams-feds-stands-by-his-health-app","authors":["80"],"programs":["futureofyou_54"],"categories":["futureofyou_452","futureofyou_73"],"tags":["futureofyou_596","futureofyou_469","futureofyou_453","futureofyou_270","futureofyou_80","futureofyou_547"],"featImg":"futureofyou_43259","label":"futureofyou_54"},"futureofyou_21516":{"type":"posts","id":"futureofyou_21516","meta":{"index":"posts_1591205157","site":"futureofyou","id":"21516","score":null,"sort":[1438793823000]},"guestAuthors":[],"slug":"frustrated-looking-for-a-doctor-these-websites-aim-to-help","title":"Frustrated Looking for a Doctor? These Websites Aim to Help","publishDate":1438793823,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"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","blocks":[],"excerpt":"Finding a high-quality doctor that you like and is covered by your insurance can be a challenge. At least two sites are offering data to help you make a choice.","status":"publish","parent":0,"modified":1477280100,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":28,"wordCount":915},"headData":{"title":"Frustrated Looking for a Doctor? These Websites Aim to Help | KQED","description":"Finding a high-quality doctor that you like and is covered by your insurance can be a challenge. At least two sites are offering data to help you make a choice.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Frustrated Looking for a Doctor? These Websites Aim to Help","datePublished":"2015-08-05T16:57:03.000Z","dateModified":"2016-10-24T03:35:00.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"21516 http://ww2.kqed.org/futureofyou/?p=21516","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/08/05/frustrated-looking-for-a-doctor-these-websites-aim-to-help/","disqusTitle":"Frustrated Looking for a Doctor? These Websites Aim to Help","nprByline":"Rebecca Plevin","path":"/futureofyou/21516/frustrated-looking-for-a-doctor-these-websites-aim-to-help","audioTrackLength":null,"parsedContent":[{"type":"contentString","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>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","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>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/21516/frustrated-looking-for-a-doctor-these-websites-aim-to-help","authors":["byline_futureofyou_21516"],"categories":["futureofyou_1060","futureofyou_452"],"tags":["futureofyou_259","futureofyou_270","futureofyou_80"],"featImg":"futureofyou_22071","label":"futureofyou"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. 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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":{"site":"news","source":"kqed","order":"2"},"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","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"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. 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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. 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