Category: health

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Time to prevent

If we take a medical life course perspective, we shall become aware that for each event there shall be a time to prevent it. From a scientific and socio-economic point of view, this is the crucial time to prevent failure of an organ, duration of an illness, death or an otherwise disruptive event. Taking our lung or liver as examples we intuitively know that there is a long time spell during which we have a chance to work on prevention. The monitoring of the early onset of disease is (Ge et al. 2026), potentially, a very cost-saving way as well in addition to avoid humans suffering later on in multiple ways. From a theoretical point of view it will be interesting to “think intervention as prevention” already, rather than the predominant way of intervention “post-hoc”, which means after the onset of disease. This implies a rather complete overhaul of medical research just as much as social research to guide policy makers interested in the “survival” of our social security systems as we know them currently in Europe. (Image is illustration in book on fairy tales: Beckmann in exhibition at Kunstbibliothek Berlin, 2026)

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Medical Life Course

The analyses of the life course have taken individuals as their starting point and linked their life courses to broader societal developments like periods of educational expansion, job growths or periods of high unemployment. Medical life course research has further dis-aggregated the life course of a person into, for example, the life course of human organs.
There is already an established line of research which collects and analyses lung function trajectories. The research starts even before your first “autonomous” breath and typically ends at death, although transplants become feasible. It is helpful to think of those measures lung function trajectories as a life course of lung health, because the air we breathe is subject to many social and environmental impacts. Some we are in control of (active smoking, less so with passive smoking), some others like inner city smog or pesticides inhaled in areas of agricultural production. Work environments play an important role in the life course of the lung as well. Global warming, particularly increases in summer heat, pose additional challenges on the overall aggregate level to lung health trajectories.
Inhale, exhale, … then force your breath out quickly, … keep breathing normally. That’s about the instruction for the “Forced Vital Capacity test”, which is a standard measure of your FVC just repeated over the life course. (Image: The healing of Tobit 1630, follower of Caravaggio and The finding of Sebastian 1649, Georges de la Tour, Gemäldegalerie Berlin)

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Illness duration

The focus in medical analyses is primarily put on the diagnosis of illness. This is the best strategy, if the onset of an illness has a precise beginning and ending. In all processes, where either the beginning and/or the ending is less well-defined as precise point in time, the progression, as phase in or phase out of illness, is also of substantive interest. A duration analysis can inform about the potential presence of a co-morbidity in case, for example, an infection continues beyond the normally expected duration.
Financial pressures in the medical systems makes it necessary to release patients in a timely fashion. Therefore, has become more important to monitor patients even after release from hospital. Digital devices can support such a monitoring.
The study by Josi Levi and co-authors (2026) shows that smartphones or just the monitoring of the number of steps of patient offers a rather reliable indicator on the health status towards the end. The information that a patient has recovered to the normal level of activities as before the onset of the illness works quite well as indicator of recovery. A more precise measure of the duration of an illness is important for patients, care persons, the health system overall. The duration is one of the cost-intensive factors of any illness and it is surprising how little we know about the issue of time and duration in many health processes.

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Regulation and bureaucracy

Economists will celebrate 55 years of the theory of regulation pioneered by George Stigler, which was published in 1971 in 2026. The basic question asked at the time and today is: why do we have regulation? The pubic choice and political economy answer of Stigler (1971) and many scholars after him, is that the industry of a specific sector will acquire the regulation or the public interest in this regulation and, subsequently, the industry will design and operate it to its benefits. At least, this is in a nutshell my summary of the literature inspired by Sam Peltzman (2021, p.20). If we add to this the perspectives of theories of bureaucracy (Sharma, 2020), we become skeptic of an efficient implementation of regulations by governments or governmental agencies.
In the field of pharmaceutical applications, it is the “European Diabetes Forum” which calls for a regulation on reliable “glucose monitoring devices” with industry and user backing. Of course, this asks for bureaucratic control of the regulation, imports and markets of such devices later on. The one (regulation) is rarely coming without the other (bureaucracy). It is about time to acknowledge this for societies as a whole as well.

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Time and power

Who commands our time? Who commands your time? Both macro- and micro-level analyses of power relationships related to time need to be investigated. Time policies are most obvious when it comes to regulations of working time, permissions of business hours or so-called bank holidays. On the micro or individual level, it is often the question of who spends more time on work, care and repair. Hourly wage rates have been claimed by economists to guide or decide societal time spent on one or the other activity. An extension of this rationale with an overriding objective of happiness might considerably change the impact of power relationships on time. Longer time perspectives on health shall also shift the view of how power impacts the time spent on various activities. Time sovereignty is a precious value in its own right.
The power play between employers and employees keeps shifting the balance, albeit the overall trend over the last 100 years has been towards a reduction of working time and increased time sovereignty of employees as a form of democratization of working life. This constitutes one form to share the benefits of productivity gains over decades as well. (Image clock on Berlin City Council building on labor day 2025).

 

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Multiple clocks

There is nothing more confusing that multiple clocks that are ticking away without being synchronized, which means, they ought to show the same time. A medical and social science perspective on multiple clocks, however, builds on the fact the different social processes run with different speed, i.e. multiple clocks are ticking in parallel but one may be more advanced than the other. The study of longevity has recently acknowledged that each human organ is aging at its own speed and if the time to failure is close for the liver, the time until problems of your heart might still be far off. Overall longevity is determined by the time to failure of a major organ, despite the fact that multiple clocks of organs are running in parallel.
The can be observed for social processes where, for example, the timing of unemployment or retirement might be dependent on a parallel process of a household dissolution causing a peak in stress. Overall life satisfaction, therefore, depends largely on multiple clocks that might be running in a synchronized or not-synchronized manner. Hence, we all live with multiple clocks ticking inside us and around us. The illusion is, to believe that time is just a single, unique measure.

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Premium for silence

People are willing to pay a premium on housing prices for a more silent environment. In the study Enrico Moretti & Harrison Wheeler (2025) estimate that the construction of a silencing wall near a noisy traffic junction or road will increase prices for every decibel of noise reduction by about 3%. Distances closer to the noise shields get higher increases and this mechanism works even up to 400 meters away from the isolation. The investment in decibel noise reductions (not statistical noise) meets a willingness to pay a premium on housing prices. Investment in positive environmental effects (silence) have an obvious marketable premium value. This is most likely just the obverse effect that noise nearby housing is penalized and part of the social mechanism of gentrification. Housing prices and rental costs are known to be powerful drivers of gentrification as well.

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Metabolic harm

At the beginning of the 21st century the lack of physical activity for large parts of society has become a major risk of and cause of metabolic harm. We have become used to a sedentary lifestyle and the digital access to distractions and information have encouraged further immobility. Alex Broom et al. (2025) stress the importance to include social and governmental interventions into the many existing medical, pharmacological and technological interventions. The authors advocate a rather holistic approach to really make a difference. The obesity trends cause metabolic harm of an  unprecedented size. We have to rethink mobility patterns and other behavioral changes into our daily routines to bring back more stimulation to our metabolic system.

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Climate & Health

The priorities of reporting in newspapers and in media more broadly neglects the direct links between climate change, global warming and public health. The study by Weathers et al. (2025) has investigated this underreporting of scientific facts between 2012-1-1and 2023-12-31 with regard to China, India and the USA. As these are not only big countries, but also among the heaviest polluters. Public health is in the majority of cases addressed as a general public health issue, Extreme heat (51%) and extreme weather (44%) are mentioned most as single issues followed by poor air quality (35%) and food insecurity (25%). The human species suffers from a severe short sightedness when it comes to the public health issues that will intensify due to global warming. Directly following the destructions, worsening health due to heat and pollution, sometimes both even coinciding, will cause additional medium and long term detrimental effects. Although this is known today, there is still little concern about real policy change. The COP 1-30 has achieved little in this respect. It is questionable, whether this format outside of the regular UN institutions (for example within UNESCO) was and still is the right choice.

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Multilingual aging

Some myths, for example about the effects of multilingual competencies on brain health, continue to hunt people. The proponents of a monolingual world are widespread and have in some countries fatal historical heritage. The study by researchers  (Amoruso et al. 2025) use data from 86.000 persons in Europe  (SHARE Database, waves 1-9) from several countries. They show the better aging of brains for bilingual persons and even more so for persons practicing multilingual 2+ languages. The “domain-independent protective effect of multilingualism” for healthy brain aging is very robust and works after statistical accounting for other potentially intervening factors like socioeconomic or institutional factors. Some known stressors like migration, however, which operate often as psychosocial stressor, can have similar negative effects just as alcohol consumption and sleep disruption. Multilingualism and the correlate of multiculturalism keep a brain “on its toes” and contribute significantly to our healthy brains.