Why Digital Health Apps Won’t Save Us

A Digital Health App Won’t Help You Get Fitter, Live Longer, and Sleep Better

Touted as the ultimate fitness app, the Fitbit is a marriage of digital health with wearable technology. The device and app sold by the millions. Turns out that Fitbit‘s heart rate tracking is dangerously inaccurate.  Fitbit is meant to help you track sleep, measure activity throughout the day, give you notifications to workout, etc.

This is an emerging trend. I closely follow Rock Health, a venture fund dedicated to digital health. Each week, its newsletter mentions funding deals in the digital health space. Massive amounts of capital are allocated to companies where technology trumps common sense.

The premise behind these companies is that digital technologies will help us fix our health. However, I would like to argue that this is not the case. If Peter Thiel were to ask me his contrarian question, “What important truth do very few people agree with you on?“, I would say that the premise behind most digital health companies is misguided. Technology will not help us save ourselves (at least in this case).

Why?

I’ve spent the last 3 years reading hundreds of medical journals in my spare time, and trying to make sense of how we can live longer, healthier, and fuller lives. I’ve spoken with hundreds of doctors, nutritionists, public health officials, and professors in related fields. I started writing in this space late last year, and got a lot more involved in this field by leading the Outreach team at NutritionFacts.org this year.

What has come up repeatedly is the importance of education, and people carefully curating their social, emotional, and mental lives to support their growth. Health is a game of changing the mindset of people, and apps are not designed to change mindsets. They’re designed to be addictive. Tracking sleep is pretty useless unless we address what’s keeping us up at night.

When a technology tool helps us reconnect to that old-fashioned sense of curating our lives, then we can change. Otherwise, a Fitbit used to make you fit makes as much sense as a Californian touting their environmentalism by driving an electric car, but using a dryer for their clothes instead of drying it in the sun: a useful illusion.

We tend to use shopping as a means of relieving the anxiety in our lives. For many of us, shopping in a traditional mall has replaced shopping technology products. And if they’re “personal development” oriented, hey, it’s a good thing, right? Sadly not.

Life changes begin with a change in mind-set. There is no gadget or app that will accomplish this for you. There is hard work involved. It means quitting mindless consumption of media designed to keep you complacent. It means taking charge.

Markets and consumers live on the hype and bust cycle (yes, I know it’s called boom-and-bust cycle you Keynesians!). And while technology companies in this space can be highly valued, I do not agree with their worth. They may have the market caps, the sales, etc. But does it change a person’s life, even incrementally? Would the fittest Fitbit users have achieved their level of health even without the device and app? I would argue yes.

I would bet that an infinitesimally small number of companies in the digital health space actually create products that matter. Ginger.io and Omada Health comes to mind. Most on the other hand, are focused on allowing technology to trump common sense. Many will undoubtedly sell well and make their investors a tidy return, but by tapping into the public’s need to consume away their anxiety for health, giving them an illusion of better control.

What’s the alternative? The alternative is to change what we consume (for our bodies and our minds). The return on that investment will be astronomically higher.

This is somewhat ironic for me to write, as a person deeply interested in figuring out how digital health can change the world. In my recent grad school application, I wrote about this in depth. It seems like I’m criticizing an industry which I wish to impact.

Not so. I was mistaken a few years back when I wrote this post. I too fell into the trap of pursuing value from the market’s perspective compared to value in terms of how lives can be affected. Since 2013, my viewpoint has changed substantially. Ideas of space exploration, and rubbing shoulders with billionaires and celebrities had a glamour attached to it, but was far too superficial.

Instead, this decision to work in digital health is much different. I’m in it for the long haul: a lifetime. I see my work as tackling the harder problem of changing mindset, perception, and motivation by using technology. I dare say this work may be less profitable than marketing a “magic” app, but I will be satisfied with the value I create.

Ideas in 2015

I had originally decided to write this as a post with the best books I read in 2015, but ideas are a lot more general and books are not always the best place to get ideas. I hope these ideas serve you as well:

1. The Slight Edge by Jeff Olson

This book was a game-changer for me. Everywhere around us, the stories that rise to the top are stories of people who had massive success. We hear about stories of Zuckerberg, Gates, Warren Buffet, et al. We hear about companies such as Instagram and Uber which are creating or transforming entire industries. Seeing all this, I used to get down on myself. I would wonder why others were succeeding while I was not. Perhaps something was wrong with me. The ones who made it are just more special or more worthy than me to have made such quantum jumps.

Not so. The Slight Edge talks about the incredible power of changing the definition of success to taking any action towards a worthwhile ideal. The book also has the idea that success is easy if the practice of success happens over time.

Consider the idea of losing weight. You know that drinking soda will not help you in that area. However, if you’re with friends you realize that drinking that can of soda in that moment will not make you gain weight. But you also know that NOT drinking that can of soda will not help you lose weight. And that’s where we fail. It is easy to say no at that moment to that soda, but it also easy to say yes. Yet, compound decisions like that over a long enough period of time and we are not able to succeed with our weight goals.

You can apply this to all areas of your life: schooling, fitness, relationships, business, etc. In fact, I ended up listening to this book 3-4 times this year. I found it to be absolutely powerful and I highly recommend it. The book helps you really understand the idea of the slight edge and how it can be applied to all parts of your life. It really is the secret between success and failure in life.

As a result of this, I ended up taking and following through on an online course by the University of Berkeley and edx: The Beauty and Joy of Computing.

While it may not have an immediate benefit in my life, I understand that getting more skills under my belt that interest me will undoubtedly pay off in the long run. [for more on that, read Scott Adams’ highly fun book How to Fail at Almost Everything and Still Win Big.] There were more areas that I applied the slight edge in, which I will get into below.

2. Giving > Getting

This idea was profound and was inspiring by a few books: The Go-Giver by Bob Burg, Become An Idea Machine by Claudia Altucher, and Choose Yourself by James Altucher, Charlie Hoehn (whom you should definitely follow), and the work I’ve done with BAPS Charities.

The goal of the list above isn’t to name drop, but to share the tremendous commonality of this idea to success and happiness that people have found again and again in all walks of life.

The idea is simple: the best way to have a fulfilling career, relationships, health, etc is to give first. James and Claudia Altucher propose the idea of giving out great ideas to people and companies. Coding, production, etc can all be outsourced, but good ideas cannot. The goal is to exercise the idea muscle (which is a muscle like any other part of your body) and give give and give the best away to people who can use it. This leads to conversations and conversations lead to opportunities to contribute. I have literally emailed founders at companies with ideas and gotten a positive reaction.

Textbooks for Change, Akira.MD, Ginger.io, and OpenCare  have been a few companies I’ve done this with in the last 2 months alone and have been blown away by how much I have learned about them, but also how appreciate they have been with my insights and ideas. In one instance, I have had a chance to become an adviser to the company.

Bob Burg and Charlie Hoehn mention that giving out ideas, but also connections, and opportunities will lead to more exciting career fulfillment. This is something that I plan to dive very deeply into in 2016. I find this method of forging a career to be a lot more rewarding than the apply via a cover letter and CV to jobs and move ahead. By giving with any expectation of getting anything back before any real tangible opportunity, we are much more likely to get a positive response back.

This technique above helped me make new friends as I’ve reached out to people I’ve admired and shared ideas that they may like.

3. Education != Schooling

 

John Taylor Gatto is a revelation. I first stumbled across his 5 hour interview titled The Ultimate History Lesson. As New York State’s teacher of the year, and New York City’s teacher of the year many times over, he had had enough and had to quit.

Gatto goes deep into the history of schooling and goes on to outline with startling clarity how modern schools are not designed to educate citizens, but rather designed to create a class of workers. These workers are conditioned over at least 12,000 hours of forced schooling to base their intellectual and emotional value and worth in external approval, have others set the agenda for their lives. The system is designed to enforce hierarchy and class structure so that most do not deviate from it.

He goes on to highlight alternative methods of education, which should develop the…

  1. Ability to define problems without a guide.
  2. Ability to ask questions that challenge common assumptions.
  3. Ability to work without guidance.
  4. Ability to work absolutely alone.
  5. Ability to persuade others that yours is the right course.
  6. Ability to debate issues and techniques in public.
  7. Ability to re-organize information into new patterns.
  8. Ability to discard irrelevant information.
  9. Ability to think dialectically.
  10. Ability to think inductively, deductively, and heuristically.

If you are short on time, at least carve out 1 hour to listen to his lecture titled “The Seven Lesson School Teacher: The Hidden Curriculum of Compulsory Schooling

If you are more interested, there are many interesting ways to follow-up. Gatto’s book titled Weapons of Mass Instruction come to mind. There is also a massive open-sourced learning community that untethers education from schooling and encourage people of all ages to take control of their education. These ideas make it very clear that fixing schools won’t do it. For a real revolution, we must learn to educate ourselves. We must learn to take control of our own lives and not wait for the power-that-be to grant us the golden ticket of our destiny.

I know this all sounds very conspiratorial, but after doing your own independent reading and listening to the story that’s laid out, you cannot help but get how true the story presented above is.

Understanding these ideas helped me understand many of the feelings of general helplessness, loneliness, and poor self-image I have often experienced (or keep experiencing at times). Understanding the role of schooling in my life has given me such a large portion of my power back. It has helped me be bolder in my thinking in actions, fear less, and find happiness and self-worth in my own self.

4. Move!

Spark! The Revolutionary New Science of Exercise and the Brain by John Ratey at the Harvard Medical School convinced me beyond a shred of doubt that daily exercise is a great lifetime practice not just for my body but also for my brain. As a nerd, it was the brain talk that convinced me to start exercising daily.

Aerobic exercise changes the brain completely and significantly impacts its ability to learn, manage stress, ward off and treat ADHD, depression, and addiction. The opening chapter alone is worth the price of admission as Dr. Ratey highlights the impact of exercise on a school population with an absolutely staggering impact.

I’ve been almost pretty disciplined since this summer to have kept a regular exercise habit going. Exercise has become a mainstay in my life and without it, I have a hard time thinking and functioning well. My body gets antsy after a while if I haven’t exercised. I highly recommend this book for those who do not take exercise seriously because it presents ideas on how the brain itself is impacted.

Credit goes to the incredible Special Ops trainer Mark Lauren for writing You Are Your Own Gym to help me devise a High-Intensity Interval Training program.

That was 2015 in a set of ideas. I’ve tried to present the most life-changing ideas above. I hope some of them were useful to you. Feel free to leave a comment below if you have any questions, comments, suggestions, or clarifications you would like and I would be happy to go into them.