Our Digital World is No Place for the Elderly

My family is discovering – firsthand – just how the world could care less about the elderly.

My stepfather just passed away. He was just a few months shy of his 91st birthday. For the past 10 years, my sister has been looking after the official side of Dad’s life – things like his income tax, pension, healthcare and other related needs. All these things have rushed online as local service counters and real, live humans whose job it was to assist their customers have virtually disappeared. The inner workings of these programs lie on the other side of either a website or a call centre. Neither of these things are designed for the elderly. They are barely functional for any of us, including those much younger than my stepdad.

For the past decade, as Dad has aged, it has become increasingly apparent that our world is not designed for the superannuated. In the last few years, his loss of hearing made it impossible for him to understand someone talking at a normal volume in the same room, let alone someone on a telephone call. This led to him being unable to follow the gist of most conversations. My sister, who has the patience of Job, acted as translator and guide for Dad but was constantly flummoxed by bureaucratic rules and privacy regulations that left no wiggle room for the elderly. A typical phone interaction (usually after waiting over an hour on hold) would go something like this:

My sister: “Hi, I’d like to ask about my father’s income tax return for 2025.”

Phone Agent: “I’m sorry, we can only give information to the person who files the return.”

“He’s here with me. I have his permission.”

“I’m sorry, I have to speak to him.”

“He can’t hear you. That’s why I’m calling.”

“I need to hear it from him. Can you hand him the phone?”

“He won’t hear you, but sure, knock yourself out.”

(Dad puts the phone to his ear, having no idea what’s going on. You can hear the person talking but Dad just looks at us blankly. My sister takes the phone back.)

“Your dad was unable to answer the security question I asked him to verify his identity.”

“As I said – repeatedly – Dad can’t hear. Can you ask me the question and I’ll ask him?”

“I need to hear the answer from him.”

“Is there an office we can go to and talk to someone in person?”

“No, all our support functions have moved online. You can use our website. Does your dad have an online account?”

“My dad has never touched a computer in his life. How would he have an online account?”

You get the gist. These scenarios always played out along the same lines but were typically spaced out so my sister had time to regain her incredible patience before the next episode. But when a person passes, suddenly all these things must be dealt with right away. Her days have been filled with circuitous phone calls trying to tie up Dad’s loose ends, stymied at every turn by the fact that while the system didn’t support him when he was alive, it’s doubly difficult now that he’s gone. Much as I’d like to help, I live in a different province and don’t have the legal authority to deal with these issues.

My Dad was caught on the far side of the grey digital divide. For the past few decades, technology has enabled companies and government services to offload the effort required to deliver their services or products from themselves to us, their customers. We now pump our own gas, do our own banking, configure our own phone plans, administer our own insurance policies and monitor our own pensions and income tax accounts. Programs and companies have gleefully eliminated physical locations and laid off customer support people to cut costs by transferring those functions to us. The only contact we have is either through a woefully designed website (I can tell you the Canadian Revenue Agency’s website is a usability nightmare) or a call center where one-hour waits are considered the norm.

Most of us, given no alternative, grudgingly jump through the hoops required to do what we have to do, which is what these agencies and companies used to do for us as part of their job. We struggle through archaic interfaces, learn new platforms every few years, constantly have to reset passwords and scramble through our various devices and authentication apps to sneak past the impenetrable security hurdles of two step verification. J.R.R. Tolkien made gaining access to Mordor look easy in comparison.

I understand that online fraud and identity theft is a real concern, but at some point, typically north of the age of 70, it gets harder for us to keep up. As our brains age, they tend to rely more on remembered strategies and routines because learning something new gets harder and harder. The world used to reward this accumulation of knowledge with age. Now it just kicks it to the curb like last week’s trash.

There are exceptions, of course. The elderly who are familiar with computers and technology can push the grey digital divide back substantially. But this was not my dad. In his life, he was a farmer, a sawmill worker and a chimney sweep. None of those things – especially in a time several decades past – required learning how to use a computer. The world literally passed Dad by. Just how far he was left behind has become acutely apparent to us in the last few weeks.

Through this all, we keep asking ourselves one very frightening question – If it was this hard for Dad, what is it like for those elderly who don’t have a person like my sister to help them?

What happens to them?

Serendipity And Our Media Menu

Vintage radio, open book, steaming cup of tea with teapot and cookies on wooden table

We live an optimized life. But as is often the case with optimization, these helpers focus on efficiency, not necessarily effectiveness. 

There is a difference. Efficiency used time as the yardstick of success. The goal of the efficiency expert is to get more done in less time. To do this, they identify friction and eliminate it. Anything that looks like a sticking point is hunted down and eradicated.

Effectiveness is more focused on the end product. At the end of the process, how good were the results? Efficiency is focused on the means to an end. Effectiveness cares more about the end itself.

Our optimized world is a ruthless hunter of friction. We are obsessed with finding the shortest path, and by doing this, we have become myopically efficient. Technology is accelerating this, as the path to information is getting shorter and straighter than ever. AI takes us straight to exactly the information we were looking for and guides us through future prompts to take us by the hand down curated paths. It is undoubtedly more efficient. But are we losing sight of the things that might make us more effective?

As I have said before, I am a fan of friction in some things. I believe friction makes us more human. More imperfect? Undoubtedly. But also more curious, more contemplative and more appreciative of serendipity. Friction opens up the possibilities of discovery by taking us off the well-optimized route and sometimes letting us wander in the wilderness.

That’s one of the reasons I love public radio. In the U.S, that’s NPR. Here in Canada, our public broadcaster is the Canadian Broadcasting Corporation (CBC). Public radio is one of the few media choices left to us that still has one foot firmly planted in yesteryear. Listening to the CBC today is not all that different from listening to it in 1985.

Our media menu, like many things, has been optimized to the extreme. Algorithms determine what we hear, see and read based on what it predicts will capture our engagement, and thus provide the best returns for advertisers.

Public radio has resisted this trend, both through editorial policy and through the nature of the medium itself. It is at this confluence that I can find my media friction, leaving me the room to wander and get lost in new ideas by taking unexpected turns. Many of the topics that have made their way into my posts first germinated when I was listening to public radio.

So, let’s look at what makes public radio different, first by design, then by how we interact with this particular medium.

Public radio is editorially curated. Content is chosen by a human — or group of humans — trying to assemble topics based on what they think their audience might be interested in. This process is not that different from what happens at a newspaper like the New York Times or an online news platform like CNN. What does make public radio different is the breadth of its subject matter — covering every conceivable topic — and the make-up of the network itself, with multiple layers of contribution and editorial decision-making that go from international stories at the top to hyper-local stories at the individual station level.

But the biggest difference in public radio lies in how we consume this medium. Public radio is listened to in blocks. It is like we’re being served a set selection of media content rather than picking and choosing individual items from a tasting menu. A 10-minute segment on the disappearing cod population of the North Atlantic might be programmed directly adjacent to an exploration of how Brazilian Baila Funk music has roots going back to the Miami Bass artists of the 1980s. 

Public radio listeners typically don’t change the station because there is nothing else on the dial even remotely comparable. We usually just go along for the ride.

People who know that I am a public radio fan have suggested that I listen to podcasts because they’re “basically the same thing.” I have tried podcasts and always felt that something was missing, but couldn’t put my finger on what. It was only recently that I realized hat was missing: serendipity. I have never run into the unexpected in a podcast. With public radio, it happens all the time, usually at the top and bottom of the hour.

Want to Know the Future of Consumerism? Ask My Fridge.

Rusty discarded refrigerators and appliances scattered in a junkyard with overgrown vegetation and cloudy sky

I was recently shopping for a new fridge. All I wanted was a large metal box that does what fridges are supposed to do – keep things cold. That should be easy – right? The answer, as it turns out, is not so much. Refrigerators, and all large appliances, are now part of a huge consumer conspiracy. We are being hoodwinked, bamboozled, hornswoggled, swindled, duped and fleeced. We, my fellow large appliance shoppers, are sitting passively by while the proverbial wool is being pulled over our eyes.

And the most frustrating part? We asked for it.

Large appliances are now considered a disposable commodity. They have a shelf life. They ship with an expiry date – like a carton of milk. The difference is that the expiry date on a refrigerator isn’t stamped anywhere. No where on the packaging does it say “You might get 8 to 10 years out of this fridge – 12 if you’re lucky. Then it will start making sounds like an Irish banshee and decide to stop cooling on a whim, likely during the hottest of summer days.”

Fridges never used to be like that. They used to last through 2 or even 3 generations. They were built of the same stuff as army tanks and battle ships, designed to survive the worst a family could throw at it and keep doing what they were supposed to. They didn’t pair with our smart phone, compile a grocery list, dispense iced lattes or remind us when our water filter needed changing. They simply did what they were supposed to do: keep our food cold so we didn’t die of salmonella. 

Somewhere along the line, we have made a conscious choice to trade bulletproof durability for bells and whistles. That’s true not just for major appliances, but for pretty much any consumer category we can think of. Everything today is “smart” but also ephemeral. They are designed to dazzle us in the short-term but they will soon need to be replaced. And this is all by design.

Let me give you one example of this planned obsolescence. We bought a fridge about 10 years ago. It has a water dispenser built in that has one small plastic part that has been replaced twice in the time we’ve had the fridge. Last year, that part broke again, so I went to order the replacement. I found what looked to be the part I was looking for, but when it arrived, I found that the manufacture had changed the dimensions by about an eighth of an inch, so the part didn’t fit anymore. It still looked exactly the same but the water dispenser could no longer be repaired because the original part I needed has been discontinued. 

Tell me that wasn’t deliberate. I now have a two-thousand-dollar fridge that may have to be replaced because a change was made to a little piece of plastic that costs about 4 cents to make.  

I’d like to find someone to blame, but the blame rests with us. We have accepted this questionable bargain with open arms and our whole hearts. Yes – Samsung, LG and the rest of your consumer-conning cabal – give me that microwave that pairs with my phone so I can start defrosting a roast while I’m miles from home. Give me an oven I can start by yelling from my armchair, like a sous-chef named Siri. Give me a fridge with an interior AI cam that keeps a vigilant eye on the doings-on that happen when the door is closed and that little light goes out. 

Yes, I need all that! Even if it only lasts for a few years. If I need cold food, I’ll get it from the fridge I have in my garage that I inherited from my grandmother. The one she got as a wedding present. 

Home Movies: The Medium of Memories

Media is a word that is used a lot, especially in my past industry of advertising, but we may not stop to think about the origin of the word itself. Media is the plural of medium, and in our particular context, medium is defined as “the intervening substance through which impressions are conveyed to the senses.”

When defined this way, media are powerful stuff. Let me give you a personal example.

At a recent family gathering a few cousins were talking about old 8 mm home movies. Some of you know what I’m talking about. You might even have some yourself, stuck somewhere in your attic or basement. They came in yellow-orange boxes from Kodak and might have “Kodachrome II” on the front. In my case, I had some which I salvaged from my mom during her transfer to her care facility. Two of my cousins similarly took custody of their films from their respective mothers. I packed what I could of these in my suitcase and gingerly transported them home, after trying to explain what they were to a curious TSA official and why they couldn’t go through an X-Ray scanner.

When I got them home, I transferred them to digital. Then, starting December 1st, I have been sharing small snippets of the resulting videos with the rest of my family, one a day in a type of home movie Advent Calendar.

Most of these home movies were shot between the mid 1950’s and mid 1960’s; capturing picnics, weekends at the family cottage north of Toronto, weddings, birthdays, going away parties, Christmases and other assorted occasions. I’ll soon tell you what this sharing of one particular medium has meant to my family and I, but first I want to give you a little background on 8 mm home movies, because I think it helps to understand why they were such an important medium.

The 8 mm format was introduced by Kodak in 1932. It was actually a 16mm format that had to be flipped and run through the camera twice. In processing, the film would be split and spliced together to create a 50 ft reel, capturing about 3 to 4 minutes.

Kodak hoped to extend the ability to make movies to the home market, but between the Great Depression and World War II, the format didn’t gain real traction until the post-war consumerism boom. Then, thanks to smaller cameras that were easier to use and improved picture quality, 8 mm movie cameras became more common place and started showing up at family gatherings, weddings, honeymoons, vacations and other notable events.

It would have been in the mid 1950’s that my mother’s family bought their first cameras. My grandfather and grandmother, a few great uncles and my mom and dad all became amateur movie makers. Suddenly, many family events became multi-camera shoots.

It was the results of this movie making boom in my family that I recently started digging through, rounding up those little yellow boxes, delicately threading the fragile film into a digital scanning system and letting grainy and poorly lit moving pictures transport me back to a time I had only heard stories about before.

Let me tell you what that meant to my family and myself. I never met my maternal grandfather (or my paternal one either, but that’s another story for another time). He passed away two weeks after I was born. I also never knew my father. He tragically died when I was just one year old. These were two man I desperately wanted to know, but never had the chance. I only knew them through still photos and stories passed on from older family members.

But suddenly, there they were; moving, laughing and living. My grandfather teasing my grandmother mercilessly and then sitting back in his easy chair with a big smile on his face as he watched his family around him. My father at his and my mom’s wedding, holding a huge cigar in one hand while he picked confetti out of his hair with the other. “My God!,” I thought, “he stands just like me!”

This medium, long forgotten as it sat in dusty boxes, brought my grandfather and father back to life for me. It colored in the outline sketches I had of who they were. For my family, these movies reconnected us to our younger selves, brought loved ones back, introduced the younger members to their direct ancestors and – for myself and others – shed new light on figures in our past that had been shrouded in the shadows of time.

Because of this project, two things became clear to me. First of all, if you have also inherited old media filled with family memories, find the time to transfer them into a medium that allows them to be shared and preserved for the future in some type of transferable format. The act of archiving brings up images of bespectacled staff peering over dusty tomes and pulling forgotten boxes from the top shelf. But it is simply the act of imbuing the past with a type of permanence so it always remains accessible.

Secondly, recognize the importance of any type of medium that captures the moments of our lives. Rick Prelinger, an archivist in California, has compiled a collection of over 30,000 home movies. He published a list of 22 reasons why home movies are important. For me, number 21 resonated most deeply: “showing and reusing (these movies) today invests audiences with the feeling that their own lives are also worth recording.”

I’m sure my dad or granddad had no idea of their own impending mortality when they were captured on these movies. They weren’t planning on being memorialized. They didn’t realize the importance of the moment – or the medium.

But today, these movies are one of the all-too-rare things we have to remember who they were. For me, it was this medium that erased the time and distance between my senses, here at the end of 2025, and that day in June, 1957 – the day my parents got married.

Thank Heavens someone was there with a camera.

Why I Hate Marketing

I have had a love-hate relationship with marketing for a long time now. And – I have to admit – lately the pendulum has swung a lot more to the hate side.

This may sound odd coming from someone who was a marketer for the almost all of his professional life. From the time I graduated from college until I retired, I was marketing in one form or the other. That span was almost 40 years. And for that time, I always felt the art of marketing lived very much in an ethical grey zone. When someone asked me to define marketing, I usually said something like this, “marketing is convincing people to buy something they want but probably don’t need.” And sometimes, marketing has to manufacture that “want” out of thin air.

When I switched from traditional marketing to search marketing almost 30 years ago, I felt it aligned a little better with my ethics. At least, with search marketing, the market has already held up their hand and said they wanted something. They had already signaled their intent. All I had to do is create the connection between that intent and what my clients offered. It was all very rational – I wasn’t messing with anyone’s emotions.

But as the ways we can communicate with prospects digitally has exploded, including through the cesspool we call social media, I have seen marketing slip further and further into an ethical quagmire. Emotional manipulation, false claims and games of bait and switch are now the norm rather than the exception in marketing.

Let me give you one example that I’ve run into repeatedly. The way we book a flight has changed dramatically in the last 25 years. It used to be that airline bookings always happened through an agent. But with the creation of online travel agents, travel search tools and direct booking with the airlines, the information asymmetry that had traditionally protected airline profit margins evaporated. Average fare prices plummeted and the airline profits suffered as a result.

Here in Canada, the two major airlines eventually responded to this threat by following the lead of European lo-cost carriers and introduced an elaborate bait and switch scheme. They introduced “ultra-basic” fares (the actual labels may vary) by stripping everything possible in the way of customer comfort from the logistical reality of getting one human body from point A to Point B. There are no carry-on bag allowances, no seat selection, no point collection, no flexibility in booking and no hope of getting a refund or flight credit if your plans change. To add insult to injury, you’re also shuttled into the very last boarding group and squeezed into the most undesirable seats on the plane. The airlines have done everything possible to let you know you are hanging on to the very bottom rung of their customer appreciation ladder.

Now, you may say that this is just another case of “caveat emptor” – it’s the buyer’s responsibility to know what they’re purchasing and set their expectations accordingly. These fares do give passengers the ability to book a bare-bones flight at a much lower cost. It’s just the airlines responding to a market need. And I might agree – if it weren’t for how these fares are used by the airline’s marketers.

With flight tracking tools, you can track flight prices for future trips. These tools will send you an alert when fares change substantially in either direction. This kind of information puts a lot of power in the hands of the customer, but airlines like WestJet and Air Canada use their “Bare Bones” basic fares to game this system.

While it is possible on some tracking tools like Google Flights to set your preferences to exclude “basic” fares, most users stick to the default settings that would include these loss-leader offerings. They then get alerts with what seem to be great deals on flights as the airlines introduce a never-ending stream of seat sales. The airlines know that by reducing the fares on a select few seats for a few days just enough to trigger an alert, they will get a rush of potential flyers that have used a tracker waiting for the right time to book.

As soon as you come to the airline site to book, you see that while a few seats at the lowest basic fare are on sale, the prices on the economy seats that most of us book haven’t budged. In fact, it seems to me that they’ve gone up substantially. On one recent search, the next price level for an economy seat was three times as much as the advertised ultra-basic fare. If you do happen to stick with booking the ultra-basic fare, you are asked multiple times if you’re sure you don’t want to upgrade? With one recent booking, I was asked no fewer than five times if I wanted to pay more before the purchase was complete.

This entire marketing approach feels uncomfortably close to gas lighting. Airline marketers have used every psychological trick in the book to lure you in and then convince you to spend much more than you originally intended. And this didn’t happen by accident. Those marketers sat down in a meeting (actually, probably several meetings) and deliberately plotted out – point by point – the best way to take advantage of their customers and squeeze more money from them. I know, because I’ve been in those meetings. And a lot of you reading this have been too.

 When I started marketing, the goal was to build a long-term mutually beneficial relationship with your customers. Today, much of what passes for marketing is more like preying on a vulnerable prospect in an emotionally abusive relationship.

And I don’t love that.

Saying Goodbye to our Icons

It’s been a tough couple of months for those of us who grew up in the 60s and 70s. Last month, we had to say goodbye to Robert Redford, and then, just over a week ago, we bid farewell to Diane Keaton.

It’s always sobering to lose those cultural touchstones of our youth. It brings us to forcibly reckon with our own mortality. Our brains play that maudlin math, “I remember them being young when I was young, so they can’t be that much older than me.”  We tend to conflate the age difference between us and those we watch when we’re young, so when they’re gone, we naturally wonder how much time we have left.

This makes it hard to lose any of the icons of our youth, but these two – for me – felt different: sadder, more personal. It was like I had lost people I knew.

I know there are many who swooned for Bobby Redford. But I know first-hand that an entire generation of male (and possibly female) adolescents had a crush on Diane Keaton’s Annie Hall. Her breakout role was one of those characters that carved a permanent place in our psyche. “Annie Hall-esque” became a descriptor we could all immediately understand – quirky, cute, with insecurities that were rendered as charming. We all wanted to be her port in a storm.

Diane Keaton and Robert Redford seemed like people we could know, given the chance. If circumstances ever caused our paths to cross, we felt we could have a real conversation with them. We could talk about meaningful things and perhaps connect on a personal level. There was depth below the celebrity and the heart of a real person beating there. We may have just known them through a screen – but they used those platforms to build a connection that felt real and human.

I wondered what it was about these two – in particular – that made the connection real. It was something that went beyond their talent, although their talent was undeniable. One only has to watch an example of Keaton’s master acting with Al Pacino in The Godfather: Part Two. After a visit with her estranged children, she is being pushed out the door before ex-husband Michael Corleone comes home, but he walks in while she’s still standing in the doorway. No words are said between the two for almost a minute. Everything is conveyed just by their expressions. It’s a scene that still rips my heart out.

It was also not about celebrity. In fact, Redford and Keaton both eschewed the life of a celebrity. Robert Redford found his life away from Hollywood in the ranch lands of Montana and Diane Keaton – well – in typical Keaton fashion, she just kind of ignored being a celebrity. In an interview with Vanity Fair in 1985, she said, ““I think I like to deny it (being famous). It suits me to deny it. It’s more comfortable for me to deny it, but I suppose that’s another one of my problems. Look, I don’t think it’s such a big deal. I don’t think I’m that big a thing.”

So, if it wasn’t their talent or their celebrity status, what was it about Keaton and Redford that forged such a strong bond with many of us? I think it may have been three things.

First, it was about consistency. They were judicious about what they shared with us but what they did choose to share was rock solid and reliable. Whatever was at the core of who they were – it shone through their performances. There was a foundation to each Redford and Keaton performance that was both essential and relatable. You couldn’t imagine anyone else playing these roles. 

The authenticity of their humanness was another factor. Robert Redford’s acting style was restrained and typically underplayed, but his charismatic good looks sometimes got in the way of the depth and vulnerability he tried to bring to his performances. He famously tried out for the title role in 1967’s The Graduate (which went to Dustin Hoffman) but was turned down by director Mike Nichols because he couldn’t see Redford as a believable “loser.” “Let’s put it this way,” Nichols reportedly said, “Have you ever struck out with a girl?” “What do you mean?” Redford replied.

Keaton was a little different. She embodied vulnerability in every role she played. She wasn’t perfect, and that was the point. We loved her imperfections. The characters Diane Keaton played were neither aspirational nor cautionary, they were revelatory. We connected with them, because we could see ourselves in them.

Finally, we knew there was depth to both Diane Keaton and Robert Redford. They believed passionately in things and weren’t afraid to speak out on behalf of those beliefs. I would have loved to have a conversation with either of them about serious things, because I feel I would have walked away with a perspective worth discovering.

It’s sadly ironic that for two icons who shared so much screen time with us, they never shared it with each other. They were tentatively scheduled to appear in a 2012 Holiday comedy but it never made it to the screen.

I will miss having both Robert Redford and Diane Keaton in my world. They made it better.

Keep Those Cousins Close!

Demographic trends tend to play out on the timelines of multiple generations. Declining birth rates, increased life spans and widespread lifestyle changes can all have a dramatic impact on not only what our families look like, but also how we connect with them. And because families are the nucleus of our world, changes in families mean fundamental changes in us: who we are, what we believe and how we connect with our world.

I have previously written about one such trend – a surplus of grandparents. The ratio of grandparents to grandchildren has never been higher than it is right now, thanks to increased life expectancy and a declining birth rate. It’s closing in on 1:1, meaning for every child, there is one unique grandparent. As a grandparent, I have to believe this is a good thing.

But another demographic trend is playing out and this may not be as positive for our family structure. While the grandparent market is booming, our supply of cousins is dwindling. And – as I’ll explain shortly – cousins are a good thing for us to have.

But first, a little demographic math. In the U.S. in 1960, the average number of children per household was 3.62. This was a spike thanks to the post WWII Baby Boom, but it’s relevant because this generation and the one before were the ones that determined the current crop of cousins for people of my age.

My parents were born in the 1930s. If both of them had 3 siblings, as was the norm, that would give me 6 aunts or uncles, all having children during the Baby Boom. And each of them would have 3 to 4 kids. So that would potentially supply 24 first cousins for me.

Now, let’s skip ahead a generation. Since 1970, the average number of children per household in the U.S. has hovered between 1.5 and 2. If I had been born in 1995, that would mean I only had 2 aunts or uncles, one from my mother’s side and one from my father’s. And if they each had 2 children, that would drop my first cousin quota down to 4. That’s 20 less first cousins in just one generation!

But what does this lack of first cousins mean in real terms? Cousins play an interesting sociological and psychological role in our development. Thanks to evolution, we all have something called “kinship altruism.”  In the simplest of terms, we are hardwired to help those with which we share some DNA. Those evolved bonds are strongest with those with whom we share the most DNA. There is a hierarchy of kinship – topped by our parents and siblings.

But just one rung down the ladder are our first cousins. And those first cousins can play a critical role in how we get along with the world as we grow up. As journalist Faith Hill said, writing about this in The Atlantic, “Cousin connections can be lovely because they exist in that strange gray area between closeness and distance—because they don’t follow a strict playbook.”

As Hill said, cousins represent a unique middle ground. We have a lot in common with our cousins, but not too much. Our cousins can come from different upbringings, can span a wider range of ages than our siblings, can come from different socio-economic circumstances, can even live in different places. We may see them every day, or once every year or two. Yet, we are connected in an important way. Cousins play a critical role in helping us navigate relationships and learn to understand different perspectives. Having a lot of cousins is like having a big sandbox for our societal development.

If you overlay societal trends on this demographic trend towards fewer first cousins, the shift is even more noticeable. We are a lot more mobile now then our parents and grandparents were. Families used to generally live close to each other. Now they spread across the country. My wife, who is Italian, has almost 50 first cousins and almost all of them live in the same town. But that is rare. Most of us have a handful of cousins who we rarely see. We don’t have the advantage of growing up together. At a time when societal connection is more important than ever, I worry that this is one more instance of us losing the skills we need to get along with each other.

From my own experience, I have found that the relationship between my cousins is vital in negotiating the stewardship of our families as it’s handed off from our parent’s generation to our own. I personally have become closer to many cousins as – one by one – our parents are taken from us.  Through our cousins – we relive cherished memories and regain that common ground of shared experience and ancestry.

Paging Dr. Robot

When it comes to the benefits of A.I. one of the most intriguing opportunities is in healthcare. Microsoft’s recent announcement that, given a diagnostic challenge where their Microsoft AI Diagnostic Orchestrator (MAI-DxO) went head to head with 21 general-practice practitioners, the A.I. system correctly diagnosed 85% of 300 challenging cases gathered from the New England Journal of Medicine. The human doctors only managed to get 20% of the diagnoses correct.

This is of particular interest to me, because Canada has a health care problem. In a recent comparison of international health policies conducted by the Commonwealth Fund, Canada came in last amongst 9 countries, most of which also have universal health care, on most key measures of timely access.

This is a big problem, but it’s not an unsolvable one. This does not qualify as a “wicked” problem, which I’ve talked about before. Wicked problems have no clear solution. I believe our healthcare problems can be solved, and A.I. could play a huge role in the solution.

The Canadian Medical Association outlined both the problems facing our healthcare system and some potential solutions. The overarching narrative is one of a system stretched beyond its resources and patients unable to access care in a timely manner. Human resources are burnt out and demotivated. Our back-end health record systems are siloed and inconsistent. An aging population, health misinformation, political beliefs and climate change are creating more demand for health services just as the supply of those services are being depleted.

Here’s one personal example of the gaps in our own health records. I recently had to go to my family doctor for a physical that is required to maintain my commercial driver’s license. I was delegated to a student doctor, given that it was a very routine check-up. Because I was seeing the doctor anyway, I thought it a good time to ask for a regular blood panel test because it had been a while since I had had one. Being a male of a certain age, I also asked for a Prostate-Specific Antigen test (PSA) and was told that it isn’t recommended as a screening test in my province anymore.

I was taken aback. I had been diagnosed with prostate cancer a decade earlier and had been successfully treated for it. It was a PSA test that led to an early diagnosis. I mentioned this to the doctor, who was sitting behind a computer screen with my records in front of him. He looked back at the screen and said, “Oh, you had prostate cancer? I didn’t know that. Sure, I’ll add a PSA to the requisition.”

I wish I could say that’s an isolated incident, but it’s not. These gaps is our medical history records happen all the time here in my part of Canada. And they can all be solved. It’s the aggregation and analysis of data beyond the limits of humans to handle that A.I. excels at. Yet our healthcare system continues to overwork exhausted healthcare providers and keep our personal health data hostage in siloed data centers because of systemic resistance to technology. I know there are concerns, but surely these concerns can be addressed.

I write this from a Canadian perspective, but I know these problems – and others – exist in the U.S. as well.  If A.I. can do certain jobs four times better than a human, it’s time to accept that and build it into our healthcare system. The answer to Canada’s healthcare problems may not be easy, but they are doable: integrate our existing health records, open the door to incorporation of personal biometric data from new wearable devices, use A.I. to analyze all this, and use humans where they can do things A.I. and technology can’t.

We need to start opening our mind to new solutions, because when it comes to a broken healthcare system, it’s literally a matter of life and death.

Our Memories Are Our Compass

“You can’t really know where you’re going until you know where you’ve been”

Maya Angelou

Today is Canada Day – the Canadian version of the Fourth of July. In the past decade or so, it’s been a day fraught with some existential angst, as we try to reconcile our feelings of pride with our often-glaring imperfections as Canadians. In a country known for its readiness to apologize, this is perhaps the most Canadian of Canadian holidays – a day made for wondering if we should be saying “we’re sorry.”

 This year, it will be interesting to see how Canada celebrates. As I’ve mentioned before, what is happening south of the border has caused Canadians to have a renewed burst of patriotism and pride. We may not be united on much, but we universally know we don’t want to be the 51st state. No offence (heaven forbid) but we’re good as is, President Trump. Really.

A few days ago, I happened across a little video posted to celebrate Canada. It was a montage of “Heritage Minutes” –little vignettes of our Canadian past produced since 1990 by Historica Canada. This montage was set to a song by another Canadian icon, “It’s a Good Life if You don’t Weaken” by the Tragically Hip. The 4 minute and 29 second video checked all the boxes guaranteed to generate the warm fuzzies for Canadians: Anne of Green Gables (check), the invention of basketball and the telephone (check), the discovery of Insulin (check), the origins of Superman (check), the naming of Winnie the Pooh (check), our contributions in two World Wars (check and check). It was Canadiana distilled; more than maple syrup – which is more of an Eastern Canadian thing. More than poutine, which most Canadians had never heard of until 20 years ago. Maybe on a par with hockey.

But the montage also reminded me of some not so glorious Canadian moments. We were imperfect, in our abhorrent treatment of immigrants in the past – especially the Chinese and Japanese. And our ignoring – and worse – our attempts to irradicate the incredibly rich and diverse Indigenous history and culture because it was inconvenient to our dreams of nation building.

Canada’s history is distinct from that of the U.S.A. In the last half of 19th Century and the beginning of the 20th Century, when immigration started in earnest, we were very much a British Colony. Anyone who was not British was treated as either a necessary evil (providing the manual labor required to build a new country) or as a persona non grata. As for those that preceded us – the Indigenous population of Canada – the British saw them as an inconvenience and potential threat to either be tamed or systematically eradicated.

This – too – is part of Canada’s history. And we have to acknowledge that, because to do so gives us a compass to navigate both the present and future. That montage reminds us that immigration built this country. And Canada’s thousands of years of Indigenous past needs to be recognized so the entire history of our nation can be honestly reconciled. We need to fix our bearings to they read true before we move forward.

Canadians today need to decide what we aspire to be as a nation in the future. And to do that, we need to remember where we’ve been. Do we ignore the fact that we are a nation of immigrants and are so much the richer for it? Do we conveniently forget that there were people here thousands of years before the first European set foot on Canadian soil? We need to fully understand what made Canada what it is – both good and bad – an imperfect country that still happens to be a pretty great place to live.

In the song that the montage is set to, the Tragically Hip’s Gord Downie sings:

In the forest of whispering speakers
Let’s swear that we will
Get with the times
In a current health to stay

But maybe we can do better than just maintain the status quo. If we remember where we’ve been, maybe we can do better in the future than where we are now.

Happy Canada Day!

The Presidential Post-a-Palooza Problem

As of June 3rd of this year, President Donald Trump had posted 2262 times to Truth Social in the132 days since his inauguration. That’s 17 posts per day – or night.  According to a recent article in the Washington Post, the president’s social media use is far exceeding his posting in his first term: “His posting now overshadows even the most explosive Twitter days of his first presidency: He tweeted 14 times on his biggest-posting day in early 2017, the data show — a tenth of the 138 posts his Truth Social account sent on a single day this March.”

According to the White House, this is a good thing: “President Trump is the most transparent president in history and is meeting the American people where they are to directly communicate his policies, message, and important announcements,” said White House Assistant Press Secretary Taylor Rogers.

Transparent? I suppose – as in Saran Wrap transparency – only a few microns thick and unable to stand on its own. But the biggest problem with Trump’s brand of social media transparency is that it is a pinball type of presidentialism – continually launching projectiles just to see what they bump into.

Here’s how this scenario often plays out. Trump sends out many of his missives in the middle of the night. They are posted to Truth Social, the media platform he owns and which he is contractually obligated to post first on. In terms of comparison, X has almost 600 million users, Truth Social has about 1 percent of that – about 6 million. And that is hardly a diverse sampling. LA Times reporter Lorraine Ali dared to spend 24 hours on Truth Social last year, “so you don’t have to.” She found Truth Social to be like “a MAGA town hall in a ventless conference room, where an endless line of folks step up to the mic to share how the world is out to get them.”

Ali went on, “The Truth Social feed I experienced was a mix of swaggering gun talk, typo-filled Bible scripture, violent Biden bashing, nonsensical conspiracy theories and more misguided memes about Jan. 6 “hostages,” trans satanists and murderous migrants than anyone should be subjected to in one day. Or ever.”

This is the audience that is the first stop for Trump’s midnight social media musings. Truth Social is not the place for thoughtful policy statements or carefully crafted communication. Rather, it is a place that laps up posts like the beaut that Trump launched on Memorial Day, which started with: “Happy Memorial Day to all, including the scum that spent the last four years trying to destroy our country through warped radical left minds, who allowed 21,000,000 million people to illegally enter our country, many of them being criminals and the mentally insane.”

He then shortly followed that up by reposting this: “There is no #JoeBiden – executed in 2020. #Biden clones doubles & robotic engineered soulless mindless entities are what you see. >#Democrats don’t know the difference.”

From Truth Social, his posts rapidly move to more mainstream platforms. The Post article plotted the typical course of a Trump “Truth”:

“ ‘His messaging moves in real time from Truth to X, and it spreads just as far if not farther on X than it did when he was tweeting himself on the platform,’ said Darren Linvill, a professor and co-director of the Media Forensics Hub at Clemson University who studies social media.

What’s more, Truth Social’s almost exclusively congenial audience insulates the president from negative responses. ‘His current social media behavior suggests that with time he has been pulled even farther into his own echo chambers,’ Linvill said. ‘Truth Social gives him complete and constant positive feedback.’”

By the time dawn breaks over the White House, these missives have been echoing through the echo chambers of social media for at least a couple hours. Trump has received endorsement from the Truth Social crowd and the posts are out in the world, demanding to be dealt with. This is not even government by fiat. It’s as if you woke from a fever dream at 3 in the morning and decided that the two-headed dragon that was eating your Froot Loops needed to be taken out by an all-out military operation. And you were the President. And you could make it happen. And the Two-Headed Dragon was Iran – or Greenland – or Canada.

It is a quantum leap beyond insane that this is how government policy is currently being determined. Even more unbelievable is the fact that this has now been normalized by the same White House spokesperson Taylor Rogers, who said “President Trump was elected in a historic landslide victory and even won the popular vote — no further validation is needed.”

OMG – yes Taylor, further validation is needed. Desperately! These posts are determining the future of the world and everyone who lives in it. They should be given great thought. Or – at least – more thought than that generated by the mind-altering after-effects of Big Mac eaten at 1:30 in the morning