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Issue 673
July 14
 
 
 
 
 
Public Opinion
48% of Americans think they should "deal with it"
Source: Duckbill

A new study from Duckbill, an online AI-enabled task handler, looks at how Americans avoid important self-care because of time scarcity. The survey was of 2,069 US adults taken in early May and it showed Americans are avoiding the doctor for themselves.

30% of Women Aged 45-54 Avoid Doctor's Appointments
 

When asked if they "avoid or procrastinate" making medical appointments, Gen X women were the top of the chart. 30% of women and 26% of men at this age delay or avoid health appointments. These are the prime "sandwich" years where childcare and eldercare can overlap.

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Image adapted for email from Duckbill source
 
Parents More Likely To Avoid Own Care
 

Splitting parents out from the overall numbers we see that they are more likely to delay their own care but at the population average for scheduling someone else's care.

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Image adapted for email from Duckbill source
 
"Deal With It" Culture Drives Avoidance
 

Independence and self-reliance are honorable traits but taken too far they can cause Americans to delay important tasks, such as healthcare. The top reason for delays (of all tasks, not just healthcare) is "deal with it."

duckbill-tasks-reasons-560-2
Image adapted for email from Duckbill source
 

Read the full story from Duckbill
 
 
 
 
Skills
Only 41% health workers want to benchmark AI skills
Source: ETS

A new report from ETS (a skills measurement company) has the optimistic title of "The ETS Human Progress Report." It is based on two studies, one of 1,010 US HR managers and another of 18,159 adults across 18 countries.

What makes it interesting is that this report looks at the state of AI skills across six industry types, including healthcare.

Healthcare Not Interested in Skills Benchmarking
 

Healthcare is with entertainment at the bottom of the list for skills benchmarking. You can keep your "notes" (don't hypothesize -Ed.).

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Chart created from data in ETS source (exaggerated scale)
 
AI Literacy At Bottom of Skills Measurement
 

When asked about informal skills measurement, healthcare puts AI at the bottom of the list. 

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Chart created from data in ETS source
 

This is probably because it is hard to measure rather than the industry thinking it is unimportant as other industries have low numbers here, too.

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Chart created from data in ETS source
 
Canada Has Highest Trust in Human Managers
 

This chart is a bit complicated. The largest number in blue is the percent of the population who trust AI coaching in their job. The total number (for Indonesia it's 87%) is the number trusting their manager coaching them. The black bar is the difference between AI and human managers. Positive numbers mean the humans are more trusted and negative mean that AI is more trusted. The chart is sorted by this number.

ets-trust-ai-560
Chart created from data in ETS source
 

So, Canada has trust in humans over AI, Indonesia has the highest overall trust, and Nigeria has the highest AI preference.


Read the full story from ETS
 
 
 
 
Email
95% deliverability for hospitals
Source: Validity

This report has an industry breakdown for email deliverability that includes hospitals and other healthcare services (likely dentists, pharmacies, etc.). Hospitals have a very high deliverability rate, but other services not so much.

validity-industries-560
Image adapted for email from Validity source
 

If you want to see more information, this report from March (you're late on this one -Ed.) has good background on email provider rules.


Read the full story from Validity
 
 
 
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Are Traditional Peer-to-Peer Speaker Programs Still Hitting the Mark?
     
     

Klick’s latest POV, “Deconstructing Speaker Programs: A Call to Rethink How Pharma Educates HCPs,” explores why today’s HCPs expect more than lectures and how pharma can deliver dynamic, personalized learning.

Discover strategies for evolving peer-to-peer education into impactful, omnichannel experiences that meet modern expectations and stay compliant. 

 
Read our perspective now
 
 
 
Email
70% of email metrics come from outside email tools
Source: Litmus

A new report from Litmus looks at marketers' email programs. The company surveyed 692 marketing professionals from five English-speaking countries at the start of the year. 

70% Say Platform Metrics Are Unreliable
 

Ok, so to be clear the respondents didn't say that, but they may as well have. The updates that email platforms have been making over the past few years are specifically designed to mangle your metrics. Marketers are responding to this by looking at numbers from non-email sources.

litmus-2025-topkpi-560
Image adapted for email from Litmus source
 

Ok, CTR is still reliant on email tools, but the landing data on the website isn't and marketers can escape inflated open rates as long as it is calculated by deliveries and not opens.

65% See ROI 10:1 to 50:1
 

Ok, granted this is a large range, but we're limited to the data Litmus gives us. In this chart we see these "middle ground" ROI ranges as 35% and 30%, respectively.

litmus-2025-roi-560
Image adapted for email from Litmus source
 

The net-net here is that ROI for email is good, and has been for years.

AI Being Used Across Email Process
 

Not everyone is using AI in their email marketing programs, but significant numbers are and they are starting with creative. 

litmus-2025-ai-560
Chart created from two different sources in Litmus report
 

Read the full story from Litmus
 
 
 
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Reviews
Healthcare drives the most phone calls from Google
Source: Birdeye

A new report from Birdeye is based on Google data on 150-thousand businesses (presumably global) split by industry. The Google data is centered around the Google Business Profile and related engagement tools such as lookup, contact, and reviews.

Not sure how extensive Google Business Profiles (GBPs) are now? They are full-featured with listings, sponsorship opportunities, maps, photos, contact elements, reviews, and more.

birdeye-google-gbp-560
Manhattan Google request for dental offices nearby
 
36% of Healthcare Engagements are Phone Calls
 

The biggest engagement type on business profiles for healthcare providers is the phone call. Directions are owned by retail stores and website visits by automotive dealerships.  

birdeye-google-engagement-560
Image adapted for email from Birdeye source
 
80% of Healthcare Reviews Are On Google
 

If patients are going to review a healthcare provider, 8 in 10 of them are going to do it on Google. This chart shows how Google is dominant in most industries with the lowest still nearly two-thirds.

birdeye-google-share-560
Image adapted for email from Birdeye source
 
Healthcare is #2 in Appointment Scheduling
 

Another feature available from Google is appointment scheduling. It looks like the financial industry is all over that feature, with healthcare a distant second. Other industries are not as appointment-focused it looks like.

birdeye-google-reserve-560
Image adapted for email from Birdeye source
 

All of this shows how digital-focused patients have become even if pharma brands can't really benefit from call or schedule buttons on Google.


Read the full story from Birdeye
 
 
 
 
Insurance & Cost
Healthcare gatekeepers are pulling back spending
Source: Harris Poll

The Harris Poll researchers call women the "canary in the coal mine" for US economic futures. A survey of 4,208 US adults by Harris Poll in May finds that women are cutting back more than men.

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Image adapted for email from Harris Poll source
 

70% of women say they are the primary "shopper" in the family and so make more shopping changes. Everything is being reduced, including household essentials.

harrispoll-econ-reduce-560
Image adapted for email from Harris Poll source
 

Relative measures can be biased by initial states. Someone driving 30 won't necessarily "slow down" when told by a sign to stay under the limit. However, men and women have a somewhat different perspective on the economy.

Women are significantly more concerned about overall economic uncertainty than men (83% vs. 73%).

 

It's hard to know if this will substantively change how the family "health gatekeeper" will spend on medical products but it's a signal about the current economic uncertainty.


Read the full story from Harris Poll
 
 
 
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Glass Box Transparency for Confident MLR Reviews
     
     

Compliance decisions shouldn’t be a “black box” mystery.

Guardrail™ uses “glass box” transparency to clearly explain every compliance flag with evidence-backed insights. No hidden logic, just clear decisions that accelerate approvals and boost your team’s confidence.

 
See Guardrail in Action
 
 
 
Policy
All industries face ad tax issues
Source: Campaign

It's not just pharma that is in the crosshairs of Congress when it comes to marketing tax write-offs. The plan being discussed is a 5- or 10-year amortization. While companies would eventually "catch up" if budgets remain unchanged, there is still cash flow and future value issues surroundings the delays.

These proposed changes would generate substantial revenue for the U.S. Treasury. In December 2024, the Congressional Budget Office released a report identifying various deficit-reduction strategies. One of those options — Option 67 — estimated that moving to a five-year amortization schedule could raise $83.2 billion, while moving to a 10-year schedule could raise $177.2 billion between 2025 and 2034. 

 

Read the full story from Campaign
 
 
 
 
GenAI / LLM Use
83% of European workers are positive on AI
Source: EY

EY surveyed 4,942 non-executives (workers and management) from 9 western European countries in March. They asked about attitudes toward AI use in the workplace.

83% Say Experiences are Positive
 

That vast majority of respondents said their experiences with GenAI systems has been positive with a narrow range of 79-90%.

ey-ai-eu-experience-560
Image adapted for email from EY source
 
70% Say They Have a Positive Attitude Toward AI
 

The emotional response to AI is generally positive as well, though not as high as the actual experiences using the technology. Here, we see a difference emerge between managers (82%) and workers (63%). Age also plays a role.

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Image adapted for email from EY source
 
61% Say Their Jobs Will Be Affected
 

Workers are expecting AI to change how they work. 61% say that change is coming and 42% say it worries them.

ey-ai-eu-job-560
Image adapted for email from EY source
 

Read the full story from EY
 
 
 
 
Investing
AI health startups down in Q2 with average multiples
Source: CB Insights

The latest CB Insights venture funding market report sees big gains in defense and AI deals. Digital health is doing ok but mid-pack.

Multiples Are Average
 

Investors are looking at valuations of just over 11x of investment for digital health startups, likely reflecting the competition in the sector.

cbinsights-industry-multiples-560
Image adapted for email from CB Insights source
 
Deals Are Down (Slightly)
 

Q2 deal volumes are down slightly from last year but seem to show a soft landing from the 2021 bubble.

cbinsights-2025q2-deals-560
Image adapted for email from CB Insights source
 

Read the full story from CB Insights
 
 
 
 
Search
Meta properties to index posts on search engines
Source: Medium

Last week Meta started allowing search engines (mainly Google and Bing) to index public content from professional accounts. This new channel combines the intent of search with the content style of social.

Extending The Life of Social Posts
 

With search indexing and discovery, social posts may get a second life. We already recommend having important posts on the account or Page so that social searchers have something to find, and now that will be doubly important. Ensuring that all paid posts have an organic counterpart will be critical.

It is not clear where social posts will show up on Google, but likely they will be after the AI Overview where featured snippets often go.

stanventures-google-serp-560
Sample Search Engine Results Page (SERP) from Stan Ventures (link goes there)
 
How To Turn Off Indexing Until Layout Known
 

For anyone who does not want their content to appear in search engines, indexing can be turned off. This may be desired by some conservative MRL teams until we know how the content will show and what elements of the social posts will be displayed.


Read the full story from Medium
 
 
 
 
Media
Amazon "retail media" chewing on Google share
Source: Adweek

Last week was "Prime Day" from Amazon... which hasn't been a "day" since 2018 but which increased from two days to four this year. So, really, it's "Prime Week."

70% Growth Year-Over-Year
 

This increase grew estimated raw product sales (Amazon does not release those numbers) by 69.7% to $24.1 billion over the four days. But that's not double, so the per-day take was lower ($6.0 billion compared to $7.1).

So, why the extension? Well, when compared to estimated average sales per day the Prime days completely dominate (4.2x daily revenue in 2022, for example).

adweek-primeday-financial-560
Chart compiled from multiple sources including Adweek, USA Today, and Amazon Annual Report
 

So the multiple will be lower for the longer Prime day (we don't have full year sales estimates yet) but by extending the days they sell considerably more merchandise. 

Spending for Prime Day amounted to "more than two Black Fridays – which drove $10.8 billion in online spending during the 2024 holiday shopping season – and sets a new benchmark for the summer shopping season," Adobe said in a news release. (from USA Today)

 
Retail Media Growing Strong
 

All of this financial activity drives attention, and that drives ad sales opportunities. Amazon especially is growing at the expense of the search incumbents.

adweek-primeday-search-560
Image adapted for email from Adweek source
 

Read the full story from Adweek
 
 
 
 
Policy
51% of Americans say scientists need influence
Source: Pew Research

A new Pew Research report looks at how Americans feel about health policy in the country.

Who Should Have Health Policy Influence
 

51% feel that scientists should get more influence, and doctors are next on the list.

pewresearch-ushealth-influence-groups-560
Image adapted for email from Pew Research source
 

Those on the "too much" side? That's health insurance companies by a large margin.

90% Say Drug Safety Important
 

On the pharmaceutical side, 90% of Americans say that it's important for the government to test drugs for safety. The CDC is mid-pack but the FDA isn't on the list at all.

pewresearch-ushealth-govt-560
Image adapted for email from Pew Research source
 

Read the full story from Pew Research
 
 
 
 
Regulatory Roundup
Stories from and about the FDA
kw-bullet FDA Public Engagement Staff
  
 
 
 
 
 
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