Thank you John Oliver for revealing just how corrupt the pharmaceutical industry is! If it weren’t for vaccines, we should shut ’em down and lock ’em all up.

Find Jill on Twitter @jillettinger

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What will the future hold? It’s hard to say, but here are ten entities, industries, or trends that will impact it in various ways. 

In the past several years, we have all felt out of control of our lives. We have been hit by economic hardship, rising cost of living, plummeting home values, stagnant salaries, and waves of layoffs. Even as things slowly rebound, there are still many factors that affect our lives that we might not be able to control, but we have found ways to communicate our opinions and, in some cases, make a change. Our society is tackling new and old problems, setting new trends and following a new path, and in many ways, this is a tipping point where the decisions we make now will have a ripple effect far into the future.

Who are the people making these major life decisions for us? You might be surprised.

1. Pharmaceutical Industry

Although prescription prices went up in 2011, Americans are veering away from both doctor visits and excessive prescription use. At the same time, new government healthcare regulations over prescriptions that some women do want to take stirred up debate and crossed boundaries into local government, religious and business realms.

2. Oil & Gas

After the BP spill and the continuing aftermath, no one could fail to see the impact the oil and gas industry has on our lives. Prices have continued to rise and all indications are that they will not go down again for any significant length of time. Car companies have even come to the realization that we need transportation improvements and new higher mileage, hybrid and electric vehicles are emerging onto the market. Unfortunately, they only account for a small percentage of the vehicles on the road but they are gaining in popularity. Alternative energy solutions have become the next big thing, but we are still teetering on the edge of a precipice where we are consuming more energy than these solutions can meet, so oil and gas are still necessary evils. For how long, no one knows. While they still dominate, consumers will not only bear the financial costs, but environmental, political, and health costs as well.

3. Banks

Even before our economy hit a wall in 2008, many mistrusted banks and lenders and feelings deteriorated even further as the situation worsened. The financial landscape is changing. People are becoming more aware of the benefits and pitfalls and are speaking up. When Bank of America saw fit to tack on an arbitrary fee, account holders noticed and protested. After a storm of bad press, Bank of America canceled that fee scheme, but now they are looking to impose more.

The recently passed JOBS Act will also affect small businesses financially in ways we can’t see yet. Now that the gates have opened for people to crowdfund small businesses, this could enable organizations who might not have been able to get traditional or angel funding. Small businesses currently account for 65 percent of new jobs. Perhaps it took a major fall in order to make a change.

4. Supreme Court

We don’t think of many Supreme Court decisions as affecting our day-to-day lives, but recently the Court has weighed in on some pertinent issues. The justices pushed back against physical GPS tracking of a suspect, but the argument exposed the bigger issue of individual privacy. Justice Sotomayor articulated the future concern of eroding personal privacy, pointing out that “physical intrusion is now unnecessary to many forms of surveillance,” which puts into question freedom of expression online, information sent in email and data stored in the cloud. The laws as written by our founding fathers cannot keep pace with the speed of our technological innovations and our society’s increasing dependence on virtual communication, so this issue is sure to come up again.

5. State Government

While the Supreme Court makes decisions felt across the nation, state governments have been flexing their power lately. States have passed a number of measures chipping away at Roe v. Wade and imposing limitations and requirements on abortion that vary state to state.

Arizona went further and crafted legislation that would allow employers to opt out of covering birth control as part of their benefits package. If women wanted reimbursement for prescription costs, it then proposed to compel them to justify to their employers that if they are using birth control, they were using it for reasons other than preventing pregnancy. Using birth control for its intended purpose could be grounds for dismissal.

The legislation (in that form) failed, but this trend of state interference in personal and medical privacy seems to be gaining momentum.

6. Work

The job landscape has been a tough one. The last few years have seen layoffs, stagnant salaries, and overworked employees who had to take on the tasks of vacated roles. New opportunities lean toward freelance or contract work and fewer permanent positions with benefits, while our nation is still known for its culture of overwork.

However, mobile tools are giving rise to more work-at-home arrangements to cut down on commuting, eliminate the need for expensive, wasteful office space, and encourage more work/life balance. Will work weeks get shorter? Will more people without location-based jobs (doctors, teachers, etc.) work remotely? The current tide is toward leaner work infrastructure and roles, so expect remote work arrangements to continue to be popular, but as for Americans working fewer hours? It’s a future hope, but not likely to become a reality soon.

7. Utilities

The utility bill is a growing part of monthly budgets, factoring in landlines, smart phones, tablets, cable, internet, as well as basic heating/cooling and water. We use more energy and spend more money, while the big utility fish are gobbling up the smaller ones, so we have fewer choices. If that wasn’t troubling enough, Verizon recently decided to follow in Bank of America’s footsteps and have added an additional fee onto their customers bills. And again, people noticed and protested. Will the future improve people’s abilities to read and comprehend their cell phone bills? Probably not, but hopefully conservation and alternative energy solutions will lessen our utilities’ control over our energy, and impact on our budgets and our planet.

8. Food

Hundreds of emerging books and blogs examine the content of food on the supermarket shelves and have found much of it full of unsavory ingredients. Despite the higher prices, organic food is gaining popularity and gardening has become cool again. Consumers are more food savvy than ever before and are scrutinizing their fare. The demand for healthier food is a positive trend, but it may come at a price, putting it out of reach for many that are still recovering economically or live in a food desert. How consumers shape this industry now will set the tone for the future.

9. Water

It’s easy to forget that water is precious. For most of us, it comes out of the tap when we need it and goes down the drain when we don’t, but water shortage is fast becoming one of the biggest issues of this century. Businesses are realizing how much water impacts their daily manufacturing processes and their profits. Lack of water can shut down a factory for days, while floods can impact crops and cause materials shortages and price hikes.

The price of water varies by region and abundance, but even here in the U.S., wars over water are becoming more intense. In the future we may see prices rise or simply see availability fall. CDP Water Disclosure Project’s Chris Hedemann believes that people will only start to care about conserving water when a water crisis hits.

10. Consumption

As our economy slowly recovers, many facets have changed. Consumer consumption and excessive waste have fallen out of favor, and frugality has spawned a new, sharing economy, also called the access economy. Companies like Zipcar and Airbnb promote swapping and lending, while anti-waste crusader Annie Leonard is seeing her dream of community and sharing start to come true. We’re replacing shopping bags with reusable cloth totes and borrowing from our neighbors rather than buying an item we may only use once or twice a year. Our economy has been hit before during the Great Depression, inspiring a generation of savers. Perhaps this economic disaster will inspire future generations of savers, lenders and borrowers.

Images: Bethan, Frederic Poirot, Julie Falk, Gisela Giardino, Garry Wilmore, Wally Gobetz, Blake Patterson, Chuck Schneider, Evan Leeson, Wester, aamy.

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A new study has found that the American health care sector accounts for 8 percent of the country’s carbon dioxide emissions.

The study, conducted by University of Chicago researchers and published in the Journal of the American Medical Association, measured how much carbon dioxide and other greenhouse gases the health care industries (hospitals, scientific research, pharmaceuticals, etc) released. It is the first-of-its-kind calculation of health care’s carbon footprint.

Using the environmental input-output life cycle assessment (EIOLCA) model of environmental impact developed by the Green Design Institute at Carnegie-Mellon University, the researchers were able to determine exactly how much health care activities directly and indirectly affected the environment.

Not surprisingly, hospitals release the largest amount of carbon emissions, mainly due to their high energy needs for temperature control, ventilation and lighting in large and often aging and poorly structured hospital buildings. But interestingly, the second largest contributor of carbon emissions was the pharmaceutical industry, primarily because of associated manufacturing and transportation.

While the researchers realize that hospitals and pharmaceutical companies are more concerned with treating people than the environment, they hope that the results of this study will encourage them to look at ways of providing health care and researching and developing drugs in a more environmentally friendly way.

Image: tacitrequiem

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At first, it seems extremely eco-friendly, the biannual Compost Giveaway Events every fall and spring in San Francisco hosted by the city’s Public Utilities Commission (SFPUC).

Residents are offered free compost to produce soil for community and school gardens and local backyards. It’s the green and organic thing to do.

The problem is the mulch isn’t made of food scraps and manure but a combination of toxic sewage sludge from waste water treatment, green waste, yard waste and wood chips.

What’s in sewage sludge? Stuff that’s foul and harmful to people and other living things.

The True Food Network, which is leading a petition drive against the latest giveaway argues sewage sludge is shown by the Environmental Protection Agency (EPA) to contain heavy metals, pathogens, pharmaceuticals, PCB’s, flame retardants and endocrine disruptors. In addition, organic pollutants are present in sludge samples, such as polybrominated diphenal ethers (PMDEs), polycyclic aromatic hydrocarbons, DDT degradation products, chlordadanes, synthetic musk products, triclosan and tributytin.

“Residents may be led to believe that the city’s sludge compost is organic,” says the network. “The USDA’s National Organic Program’s (NOP) regulations, however, strictly forbid the use of sewage sludge as a fertilizer or soil amendment, no matter if it is composted or otherwise treated. This compost is by no means organic.”

The Center for Food Safety and the Resource Institute for Low Entropy Systems filed a petition with Gavin Newsom, San Francisco’s Mayor and Ed Harrington, General Manager of SFPUC, asking them to immediately and permanently suspend the sewage sludge compost giveaways for the fall. Residents are asked to join the letter writing campaign to protect the health of its gardeners.

Image: SfLatchkey

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Last year, it was widely reported that drinking water in many major metropolitan areas was contaminated with trace amounts of drugs. All types of drugs – everything from over-the-counter pain medications to antidepressants to prescription medication for high blood pressure and heart disease.

The drugs we ingest pass right through our bodies and are expelled in our urine. These drugs aren’t removed in the water treatment process and the water is released into our rivers and lakes, which serve as our water supply.

The chatter eventually died down with assurances that the amounts were so small they couldn’t possibly impact human health. But how do we know that for certain? The truth is, we don’t know enough about the effects of prolonged exposure and possible interactions between all the different drugs we ingest in our drinking water.

Drugs given to animals enter our water supply in the same way. Not only does this practice contaminate the water with steroids, hormones, and antibiotics, but because antibiotics are overused (given to healthy animals to prevent disease and increase growth) there is a high likelihood of deadly, drug-resistant infections that can be passed onto humans.

Of particular concern is a staph infection called MSRA which is killing more than 18,000 Americans a year and, as was recently reported, is showing up on hog farms.

Another recent story outlines how river fish in urban areas are contaminated with trace amounts of drugs, simply from living in the rivers through which our treated sewage flows. River fish in Chicago, Dallas, Phoenix, Philadelphia and Orlando were all tested and compared to fish from a river in New Mexico into which no treated sewage flows.

The fish were tested for 24 different pharmaceuticals and 12 chemicals found in personal care products. Trace concentrations of seven drugs were found in fish at all five of the urban river sites. None were found in the fish from New Mexico.

These issues are part and parcel of the same problem. The drugs we take, dump down the sink or toilet or give to animals end up in the water supply because there is no “away”. When we throw things away or flush our toilets, our stuff has to go somewhere.

Last month, Congress introduced a bill called the Preservation of Antibiotics for Medical Treatment Act. It aims to prohibit farmers from feeding antibiotics to healthy farm animals. This is great and long overdue, but it won’t entirely solve our drug problem.

We must also shift our thinking. Planners, policy makers, corporations and individuals all need to remember that we are connected to one another and all things are part of the web of nature. Everything we do has some effect downstream. We must all begin to think less linearly and more holistically about our actions.

In the meantime, you can start by finding out more about the antibiotics issue here.

Image: publik15

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