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Do you spend 8 hours in front of a screen at work? Do you then spend your free time watching TV or poking around the internet when you get home? How much time are you spending cooking healthy meals to eat with friends and family? How much time are you doing physical activities that make you happy? A recent study in The Journal of the American College of Cardiology entitled, Screen-Based Entertainment Time, All-Cause Mortality, and Cardiovascular Events found that:

Recreational sitting, as reflected by television/screen viewing time, is related to raised mortality and CVD risk regardless of physical activity participation. Inflammatory and metabolic risk factors partly explain this relationship.

Essentially, we're starting to understand health in terms of how much time you spend being sedentary, not about how much physical activity you get. About six months ago, I purchased a standing desk. It took a few weeks to get used to standing all day, but now, for the rest of my life, I will never sit and work at a computer again. My time is now actively spent using my leg and core muscles rather than being almost 100% passive while sitting. I'm burning calories while working. However, there's only one problem. I'm not using my arms. Many years ago, Apple patented the concept of a touch screen iMac. From what I hear, the problem with this type of computer interface is that people simply become exhausted using their hands all day interacting with a touchscreen mounted in front of them. It makes sense. Try and hold your hands in front of your body for a few minutes and you'll understand. However, you would burn some significant calories. Imagine standing and waving your hands all day in front of a screen. You would surely get tired, and yes, that would be the point. You would be tired and work would be good for you. For the past 600,000 years, our bodies evolved to physically work and be tired. It's in our genes. But the problem just needs to be reframed. Working at a screen shouldn't be all about comfort. That's how we've always viewed working at computers-- just look at these beautiful and "healthy" chairs! Work should be reframed. It should be about optimizing your productivity, your health, and your life. To do this, we need to reframe how we should spend our time. We should do everything we can to minimize passive time and maximize active time. I'd love to see Apple Health release a screen to fit into a work environment that makes me work. It wouldn't be for everyone, but a significant portion of the population actually cares about their health.

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Jay Parkinson — Thu, 25 Nov 2010 23:56:10 +0000

I'm often asked about new and interesting healthcare innovations happening here in the US. Honestly, it's very hard for me to come up with any. Here are the few that I think are interesting from the traditional sickness focused medical world:

ZocDoc: It's like OpenTable but for doctor appointments. Use it. I do.
Freelancers Insurance Company: They are clients of The Future Well so I'm biased. But they've created an insurance company designed for a life-long engagement with the 30% of the workforce that's deemed independent workers.
Hello Health: I'm a bit biased about this one as well.
Practice Fusion
One Medical Group
Current Health
Care Practice

All of these companies listed above are reinventing the delivery of healthcare by focusing on the consumer experience and their satisfaction. Beyond that, I'm not a big believer that the traditional medical care space is truly innovating on much of anything. Try and come up with one difference in your experience as a patient between going to the doctor today vs. going to the doctor when you were a kid. I believe that only a very, very small group of people want to track everyday health data. I don't see a new blockbuster drug around the corner that will significantly improve lives. New devices and procedures are being invented but nothing that groundbreaking. Most importantly, the way we study medical improvements is broken and there aren't any signs that this is improving. However, I'm fascinated by this cultural movement we're seeing toward health and social consciousness that will do more for health than pills and scalpels. I think more and more people are paying attention to what they eat, how much activity they get, and what kinds of neighborhoods to live in that will make them happy. Think about what didn't exist 15 years ago in a significant way:

Whole Foods
Fooducate and their iPhone App
Michael Pollan
Jamie Oliver
Food Inc and Supersize Me
RunKeeper
Nike Plus
Rapha
The Truth Campaign
Self-publishing: blogs for people with diabetes and other chronic diseases
Open Source Prosthetics
Dr. Google's 24/7 availability
Madonna Gyms or Equinox that make exercise entertaining and cool
Facebook and text messaging for organizing your social life and enhancing the health of your real life relationships
Bike sharing programs like bcycle
Relatively healthy fast food like Panera Bread, Le Pain Quotidien, and Pret-a-Manger
The Prius
Livestrong
etc..

The point is, very few of these innovations that affect your everyday health and life are coming from traditional healthcare. It's too bogged down in profiting off sickness, government regulations, bureaucracy, pilot projects, and expensive mandates to produce anything significant. If I were investing in health I wouldn't invest in sickness care, I'd invest in consumer-obsessed companies that are doing something for consumers to eat better, be more active, or live a healthier life. The most significant innovation in the past two decades has been a cultural health consciousness that's just getting started and it's coming from regular consumer companies realizing there's opportunity in brands that enable a healthier, happier life.

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