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Meet Dr. Ava Mainieri."}],"markDefs":[],"style":"large"},{"_key":"334e1f0e67b9","_type":"block","children":[{"_key":"334e1f0e67b90","_type":"span","marks":[],"text":"Where did you grow up, what brought you to NYC, and what drew you to becoming a researcher?"}],"markDefs":[],"style":"h4"},{"_key":"4e3047c0218e","_type":"block","children":[{"_key":"ed95f761eeec","_type":"span","marks":[],"text":"My father is a theoretical physicist, so I grew up near the Los Alamos National Laboratory, home to the creation of the atomic bomb. We then moved to Copenhagen, Denmark where he worked at the Niels Bohr Institute, and finally we moved to Northern Virginia. My parents knew from an early age that I loved science, so they let me order a fruit fly kit from Carolina Biological. I learned how to make the flies sleepy using ether and separate the pigments in their eyes — what I did not learn was how to properly put the caps back on the fly bottles. My poor parents had to deal with a fruit fly infestation for an entire month! After graduating from Cornell University in 2012, I worked at Memorial Sloan Kettering under Dr. Jennifer Zallen for two years in her molecular biology lab. There, I co-authored two papers focused on how cancer cells move throughout the body. In August of 2014, I joined Dr. David Haig’s lab at Harvard University and just completed my PhD. My thesis focused on a phenomenon called genomic imprinting (a form of epigenetics) and its role in female reproductive health and pregnancy."}],"markDefs":[],"style":"normal"},{"_key":"8261e8735cac","_type":"editorialImageCarousel","items":[{"_key":"6b1ec4950778","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-b739a7ddad355b7573455bb395c97fd4618278e2-1644x1096-png","_type":"reference"}}},"text":[{"_key":"40491089a0d2","_type":"block","children":[{"_key":"40491089a0d20","_type":"span","marks":[],"text":"Neighbors putting out flowers we can plant. Starring my dog Zeta. Her favorite foods are lettuce, carrots, and bugs from the garden."}],"markDefs":[],"style":"normal"}]}],"layoutStyle":"inline","spacing":"pys"},{"_key":"89e5383c936f","_type":"block","children":[{"_key":"89e5383c936f0","_type":"span","marks":[],"text":"What do you find most challenging/confusing about navigating healthcare?"}],"markDefs":[],"style":"h4"},{"_key":"13ca81dd9c78","_type":"block","children":[{"_key":"8da5a7b6c647","_type":"span","marks":[],"text":"Throughout my Ph.D. I was surprised to find that, apart from reproductive health concerns, medicine does not pay a lot of attention to females specifically. Instead, there is a one-size-fits all approach to clinical research. Women are more likely to be diagnosed with an autoimmune disorder and are at least twice as likely to have chronic pain conditions. The immune system is also thought to be behind sex-specific responses to vaccines: females develop higher antibody responses and have more frequent reactions to vaccines. There was even a 2014 paper proposing developing male and female versions of flu vaccines. And despite an abundance of evidence showing that research conducted on males cannot be extrapolated to females (and that there are plentiful differences between them in everything from drug responses to risk factors for various diseases) many clinicians still don’t routinely analyze and report such differences. There are vast medical data gaps to be filled in, but the past 20 years have demonstrably shown that women are not just smaller men. So why aren’t we actively researching this? At Tia, I believe that we finally are!"}],"markDefs":[],"style":"normal"},{"_key":"80f64de332bb","_type":"block","children":[{"_key":"80f64de332bb0","_type":"span","marks":[],"text":"What is something you’ve learned about health and/or the healthcare system that you want to share with others?"}],"markDefs":[],"style":"h4"},{"_key":"e83d53984a3f","_type":"block","children":[{"_key":"844bea21b3db","_type":"span","marks":[],"text":"A common metaphor in medicine is that the body is a machine designed for certain functions and that when things go awry, they can be treated in the same way a mechanic might fix a car: tighten some screws, add some oil, and adjust the tire pressure. The human body, however, is a fascinating bundle of compromises shaped by natural selection. This leaves us vulnerable to diseases and disorder, but also makes us amazingly resilient. Our bodies can cope with migrations and major environmental challenges, adapting physically and emotionally! I am constantly in awe of the human body the more I learn about it."}],"markDefs":[],"style":"normal"},{"_key":"416adf597c57","_type":"editorialImageCarousel","items":[{"_key":"06a2d4111de0","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-4d15e17a34664f8e762e769b330f3424f8cbbe1d-1644x1096-png","_type":"reference"}}},"text":[{"_key":"57d6d1e09a26","_type":"block","children":[{"_key":"57d6d1e09a260","_type":"span","marks":[],"text":"Reading clues to find our Easter eggs hidden around the house."}],"markDefs":[],"style":"normal"}]}]},{"_key":"045005985c7d","_type":"block","children":[{"_key":"045005985c7d0","_type":"span","marks":[],"text":"What’s the most important thing you’ve learned about yourself over the last decade?"}],"markDefs":[],"style":"h4"},{"_key":"7054b1810176","_type":"block","children":[{"_key":"7054b18101760","_type":"span","marks":[],"text":"Don’t be afraid to ask that silly question because curiosity will always be rewarded with knowledge. Some of the questions I’ve been asked led me to do a project on esters (take an acid and an alcohol, shake it up, and the end project is something stinky) or set up a camera so I could watch a tiny fruit fly walk across a table. There is no better preparation for a scientific life."}],"markDefs":[],"style":"normal"},{"_key":"5e28a08317d4","_type":"editorialImageCarousel","items":[{"_key":"faf1c9fc699d","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-387e42f6117e31296785df06b5bb031f1f720b65-1644x1096-png","_type":"reference"}}},"text":[{"_key":"26741bf209d2","_type":"block","children":[{"_key":"26741bf209d20","_type":"span","marks":[],"text":"Dr. Ava with our Chief Medical Officer, Dr. Stephanie McClellan."}],"markDefs":[],"style":"normal"}]}],"layoutStyle":"inline","spacing":"pys"},{"_key":"561660c4382f","_type":"block","children":[{"_key":"1b9f482186360","_type":"span","marks":[],"text":"Why’d you decide to be a part of Tia?"}],"markDefs":[],"style":"h4"},{"_key":"34b740fece09","_type":"block","children":[{"_key":"59b6057c3efa","_type":"span","marks":[],"text":"Health care tech should be about identifying a problem and making a solution that helps real people! Tia opens up a new door at the intersection between technology and female health — the company is truly patient-centric."}],"markDefs":[],"style":"normal"},{"_key":"a8b2b2c45336","_type":"block","children":[{"_key":"a8b2b2c453360","_type":"span","marks":[],"text":"To empower women, you have to make it easy for her to take care of her body! The patient-doctor relationship is among the most sacred in the world because we surrender our modesty and trust our physicians with our most intimate needs and vulnerabilities. In return, Tia gives us science, expertise, respect, and compassion."}],"markDefs":[],"style":"normal"},{"_key":"17e1b25428b5","_type":"block","children":[{"_key":"17e1b25428b50","_type":"span","marks":[],"text":"Carolyn and Felicity’s goals reverberated with me and I wanted to be a part of their movement from day one. Even before Tia had a clinic I helped write “Tia Talks” where we broke down how stress can affect your sex drive and why the clitoris is a magical organ. They have always wanted to give women agency into their health care and I too believe that women should be given access to the information, community, and care they need to make confident decisions about their health and wellness."}],"markDefs":[],"style":"normal"},{"_key":"1a701d3002f0","_type":"editorialImageCarousel","items":[{"_key":"6289d5509888","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-144a4240494778178d33ea024285283ef2e7d63c-1644x1096-png","_type":"reference"}}},"text":[{"_key":"9cf5fd9f843f","_type":"block","children":[{"_key":"9cf5fd9f843f0","_type":"span","marks":[],"text":"Obsessed with Ravensburger’s puzzles. Each puzzle piece shape is drawn by hand! It takes 4 weeks to build the cookie cutter used to cut out the pieces!"}],"markDefs":[],"style":"normal"}]}],"layoutStyle":"inline","spacing":"pys"},{"_key":"7b8cdb8a2c9f","_type":"block","children":[{"_key":"7b8cdb8a2c9f0","_type":"span","marks":[],"text":"As a scientist, how do you approach female health differently than a doctor?"}],"markDefs":[],"style":"h4"},{"_key":"75d5998124e4","_type":"block","children":[{"_key":"1d0bc9911301","_type":"span","marks":[],"text":"My PhD is in evolutionary biology and epigenetics, so I use these two processes to study how some of the health problems we face today arose. This approach will not solve all of our entrenched and deep-rooted health challenges, but it does offer a new, more holistic way of viewing individual and population health from both research and practice standpoints. I want to offer a broader and more inclusive approach to medicine and health, asking new questions about both the immediate and developmental causes and explanations of poor health. I view human health and development through a lens that assumes that humans are highly diverse with a biology that unfolds in a context rather than in predictable unvarying ways. Scientists recognize that for almost any human trait, there is a broad range within which wellness, growth, and development can thrive."}],"markDefs":[],"style":"normal"},{"_key":"ce2fd49a1082","_type":"block","children":[{"_key":"ce2fd49a10820","_type":"span","marks":[],"text":"Do you have a health goal you are working towards?"}],"markDefs":[],"style":"h4"},{"_key":"43ea4ba390a2","_type":"block","children":[{"_key":"7c8861a86193","_type":"span","marks":[],"text":"With a foundation in evolutionary and computational biology, my goal is to draw a dynamic hormonal portrait for every woman. Like each of us, it would be a multi-faceted and dynamic entity that ebbs and flows. Hormones are the building blocks of our cycles and transitions — like puberty, ovulation, periods, pregnancies, and menopause. Understanding our personalized hormonal milieu is a key to understanding our health! If we don’t know ourselves, how can we serve ourselves?"}],"markDefs":[],"style":"normal"},{"_key":"51e3d859504c","_type":"block","children":[{"_key":"51e3d859504c0","_type":"span","marks":[],"text":"What does being a “well-woman” mean to you?"}],"markDefs":[],"style":"h4"},{"_key":"a65998c892c0","_type":"block","children":[{"_key":"ef364827b5e8","_type":"span","marks":[],"text":"Arming myself with science-based advice!"}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-0f673c0e83010c0d324e761c095645749e44b35b-2500x800-png","_type":"reference"}},"modules":[{"_key":"eaff18a1d3ce","_type":"furtherReading","articles":[{"_key":"1948239a3212","_ref":"e43a486c-c7d1-4ea2-b9ac-37ccdc5d2d07","_type":"reference"},{"_key":"069028346bbd","_ref":"0b5f1314-12ed-4726-9c2a-9fbe557ca784","_type":"reference"}],"title":"More reads"}],"publishedAt":"2020-07-02T04:00:00.000Z","slug":{"_type":"slug","current":"ava-mainieri"},"status":"production","title":"Meet the Head of Research at Tia, Dr. Ava Mainieri","topics":[{"_key":"6c369975e01d","_ref":"52909ed4-6c00-4b08-bfee-cee50984c63b","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Q&A with Ava Mainieri, Head of Research at Tia.","metaTitle":"Meet the Head of Research at Tia, Ava Mainieri","openGraphDescription":"Q&A with Ava Mainieri, Head of Research at Tia.","openImage":{"_type":"image","asset":{"_ref":"image-d4c1bca00d34c657d739299abcc8e609e42e250f-1366x800-png","_type":"reference"}},"title":"Meet the Head of Research at Tia, Ava Mainieri","twitterDescription":"Q&A with Ava Mainieri, Head of Research at Tia.","twitterImage":{"_type":"image","asset":{"_ref":"image-d4c1bca00d34c657d739299abcc8e609e42e250f-1366x800-png","_type":"reference"}},"twitterTitle":"Meet the Head of Research at Tia, Ava Mainieri"}},"id":"e5befb73-d256-538c-9b00-e1d739bc1d09","parent":null,"children":[],"internal":{"type":"SanityEditorial","contentDigest":"64164751ec87e62ea7209de2504c7b9d","counter":2908,"owner":"gatsby-source-sanity"}},{"_id":"b100e362-4b40-48ce-9d93-b08acd64841c","_type":"editorial","_createdAt":"2020-08-09T18:55:08Z","_rev":"8ycwaKn5PLURgEeFHA7avf","_updatedAt":"2022-12-28T10:30:34Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"6ebe3848-7078-4bbf-890a-e4cee9852934","_type":"reference"},"authors":[{"_key":"d96ac70826e5","_ref":"620445e8-cfbd-40b4-9bd3-1742868efe78","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-bb9b1c6cced2543da1f76913f5e9a07329adba8d-1366x800-png","_type":"reference"}},"editorialText":[{"_key":"526b73da21d7","_type":"block","children":[{"_key":"526b73da21d70","_type":"span","marks":[],"text":"Did you know you have an extensive microscopic collection living on your skin, inside your body, and in your cells? The majority of them are bacteria, some are tiny fungi microbes, and others are viruses that can infect microorganisms and cells. Every day your body is attacked by billions of microscopic invaders. "}],"markDefs":[],"style":"large"},{"_key":"6e397782cfb9","_type":"block","children":[{"_key":"6e397782cfb90","_type":"span","marks":[],"text":"The immune system, composed of a network of cells, tissues, and their products, is on a constant lookout for pathogens (microorganisms, bacteria, or viruses that can cause disease) that are trying to infiltrate your body. As a result, your body is swimming with different kinds of immune cells — some bear the memory of past infections in preparation for future encounters, some vigorously destroy foreign microbes, and others act as a patrol."}],"markDefs":[],"style":"normal"},{"_key":"0e085434460d","_type":"sectionHeader","title":"The Immune System"},{"_key":"1363d2d8549a","_type":"block","children":[{"_key":"1363d2d8549a0","_type":"span","marks":[],"text":"The immune system can be divided into two main groups: the innate immune system and the adaptive immune system."}],"markDefs":[],"style":"normal"},{"_key":"fd0719c806ce","_type":"editorialImageCarousel","items":[{"_key":"0f7757b71a68","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-5d9131740d4df003b70090536bf5eb62d222269e-2103x792-png","_type":"reference"}}}}]},{"_key":"cb129f66abec","_type":"block","children":[{"_key":"cb129f66abec0","_type":"span","marks":[],"text":"If a foreign virus slips past the physical and chemical mechanisms (eg. the skin or mucus lining the inside the nose), it is met by the innate immune system. The innate immune system responds rapidly with inflammation and engages macrophages and neutrophils, white blood cells that devour, eat, and engulf foreign particles. They express receptors that can sense the presence of a foreign invader and sound a cytokine alarm to the rest of the body, like a loudspeaker announcing that an intruder has sneaked in. Innate immunity is activated in all kinds of injuries and illnesses, everything from a scrape on your leg to a splinter on your big toe."}],"markDefs":[],"style":"normal"},{"_key":"c82f399d546e","_type":"block","children":[{"_key":"c82f399d546e0","_type":"span","marks":[],"text":"Now and again, a microbe comes along that gets past the innate immune system. That is when the adaptive immune system, a true powerhouse, rallies to fight back. Only vertebrates (species with backbones like us) have adaptive immune systems, the third layer of defense that adapts to protect against foreign pathogens. Over 99% of organisms on Earth don’t have adaptive immune systems and get along fine with only natural barriers and the innate immune system for defense."}],"markDefs":[],"style":"normal"},{"_key":"072d5f18d7ad","_type":"block","children":[{"_key":"072d5f18d7ad0","_type":"span","marks":[],"text":"When you get a cold, flu, or the novel coronavirus, cells within your adaptive immune system rush out to identify the sickness. Your adaptive defenses come to the rescue by recruiting and activating a specialized team of while blood cells that are best equipped to fight the specific pathogen. For example, if you get infected with E. coli (the pesky bacteria that can cause food poisoning), white blood cells that recognize particular molecules on E. coli are activated. When the human immune system is given time to prepare, it can produce defenses that protect against foreign invaders."}],"markDefs":[],"style":"normal"},{"_key":"83ceab449cfd","_type":"sectionHeader","title":"On Antibodies"},{"_key":"471fcccb9790","_type":"block","children":[{"_key":"471fcccb97900","_type":"span","marks":[],"text":"The adaptive immune system is unique because it creates a special protein complex called an antibody (also referred to as immunoglobulin). Specialized white blood cells produce antibodies, which are uniquely designed to look for antigens, a specific structure found on a foreign virus or particle. Antibodies adhere to antigens, which then signal the immune system to destroy the foreign invader. Although antibodies are incredibly important to defend against pathogens, they do not kill anything! Their job is only to plant the kiss of death on the microbe — tagging it for destruction."}],"markDefs":[],"style":"normal"},{"_key":"649468365586","_type":"editorialImageCarousel","items":[{"_key":"3a996c978479","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-dd28afb65b53bd31e980f7680df9e1adbe09c0f0-2103x929-png","_type":"reference"}}}}]},{"_key":"6d4112673897","_type":"block","children":[{"_key":"6d41126738970","_type":"span","marks":[],"text":"White blood cells created in bone marrow can mature and become antibody factories. It can take antibodies a couple of weeks to develop after being exposed to a virus. IgG has reliably shown up on antibody tests 3- 14 days after a Covid-19 infection."}],"markDefs":[],"style":"normal"},{"_key":"0be06c721645","_type":"block","children":[{"_key":"0be06c7216450","_type":"span","marks":[],"text":"Antibodies stick around for differing amounts of time depending on the illness, creating an immunological memory. This means you are reinfected, the adaptive immune system can bounce into action quickly. Scientists believe SARS antibodies stay in the body for 2 years and MERS antibodies are maintained for almost 3 years. Because Covid-19 is a novel virus, we do not know for sure how long these antibodies last. However, experts generally agree that, based on experience with other viruses, the presence of antibodies does confer some level of protection. In a recent study, researchers infected volunteers with a seasonal coronavirus and around a year later, infected them with the same or similar virus. All of the participants either experienced full or partial protection."}],"markDefs":[],"style":"normal"},{"_key":"b3f9ab293109","_type":"sectionHeader","title":"Antibody Tests"},{"_key":"9bb084c727bf","_type":"block","children":[{"_key":"9bb084c727bf0","_type":"span","marks":[],"text":"Antibody tests also called serology tests, take a sample of your blood to test if your immune system has produced any antibodies in response to an infection. These tests can tell you if you were previously infected but they cannot detect active infections or recovery."}],"markDefs":[],"style":"normal"},{"_key":"273ff965f558","_type":"block","children":[{"_key":"273ff965f5580","_type":"span","marks":[],"text":"The is currently a lot of concern about the accuracy of Covid-19 antibody tests. Accuracy is based on sensitivity and specificity, this is tricky because the tests have to be sensitive enough to detect the presence of IgG-specific antibodies and specific enough to avoid accidentally produce a positive result. "}],"markDefs":[],"style":"normal"},{"_key":"276a2873923c","_type":"block","children":[{"_key":"276a2873923c0","_type":"span","marks":[],"text":"Tia is now offering in partnership with Quest the Abbott antibody test, which is 99.1% accurate. "}],"markDefs":[],"style":"large"},{"_key":"3404b4440ee6","_type":"block","children":[{"_key":"3404b4440ee60","_type":"span","marks":[],"text":"As such, we stand by the quality of the test but because no antibody test can tell you if you are immune we recommend continuing to wear a mask and practicing social distancing even if you have developed antibodies."}],"markDefs":[],"style":"normal"},{"_key":"99b38b438ae8","_type":"sectionHeader","title":"Why Test?"},{"_key":"61cedbd48961","_type":"block","children":[{"_key":"61cedbd489610","_type":"span","marks":[],"text":"Widespread antibody testing will help give epidemiologists a clearer understanding of the scope of this disease. A study from random testing around 3,000 people in New York City recently postulated that as many as one in five residents, or about 2.7 million people, might have contracted the disease without knowing. Antibody testing research may also help identify groups who are more susceptible to infection, and why. It is small steps and bits of information that help scientists build a robust understanding and system to address disease, not much different than the information an antibody holds to respond to infection and protect."}],"markDefs":[],"style":"normal"},{"_key":"f506dd83cb65","_type":"cta","backgroundColor":"bcraspberry","text":[{"_key":"f131d27ba34e","_type":"block","children":[{"_key":"f131d27ba34e0","_type":"span","marks":[],"text":"Ready to get tested?"}],"markDefs":[],"style":"h2"},{"_key":"f37eecd52017","_type":"buttonBlock","items":[{"_key":"3589cb5a9453","_type":"singleButton","linkCta":"Book now","linkType":"button","url":"https://asktia.com/member/appointment/schedule"}]},{"_key":"a360a0733f50","_type":"block","children":[{"_key":"a360a0733f500","_type":"span","marks":[],"text":"Not a member? "},{"_key":"a360a0733f501","_type":"span","marks":["6ed656f98a97"],"text":"Join now."},{"_key":"a360a0733f502","_type":"span","marks":[],"text":""}],"markDefs":[{"_key":"6ed656f98a97","_type":"internalLink","linkType":"text","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}],"style":"normal"}]}],"image":{"_type":"image","asset":{"_ref":"image-2a6dd1727b92419197b5dc8273a24500b4cdf5a4-1400x472-png","_type":"reference"}},"modules":[{"_key":"90878c1c84a8","_type":"furtherReading","articles":[{"_key":"e7a52e7f28ad","_ref":"0b5f1314-12ed-4726-9c2a-9fbe557ca784","_type":"reference"},{"_key":"18f1a4b95890","_ref":"1ca555ff-e20e-4ea1-9a0c-7ee4e82ff646","_type":"reference"},{"_key":"79a84295e683","_ref":"8ab0fcfb-9277-4379-acdf-dfd7c91afb91","_type":"reference"}],"title":"More reads"}],"publishedAt":"2020-05-08T04:00:00.000Z","slug":{"_type":"slug","current":"what-s-the-deal-with-antibodies"},"status":"production","subTitle":"The macro and micro point of view.","title":"How do Covid-19 antibodies work?","topics":[{"_key":"606d4ac5dd9c","_ref":"f7cd4d35-238d-4aef-85e3-748808982d9b","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"People talk about testing positive for COVID-19 antibodies—but what does that mean? 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Building a social contract with Tia."}],"markDefs":[],"style":"large"},{"_key":"6fe479be2c38","_type":"block","children":[{"_key":"6fe479be2c380","_type":"span","marks":[],"text":"Being social — togetherness — is what keeps us ticking, transforms the bitter moments in life to sweet ones, and, quite literally, gives us *pleasure*. Research shows that social ties reduce mortality risks among adults with documented medical conditions. Additionally, supportive interactions with others benefit the immune system and help to reduce allostatic load (the cumulative wear and tear on your body from stress — especially chronic stress)."}],"markDefs":[],"style":"normal"},{"_key":"a4fbd5add1dc","_type":"block","children":[{"_key":"a4fbd5add1dc0","_type":"span","marks":[],"text":"So, how in the world are we supposed to do this in the landscape of the coronavirus outbreak?"}],"markDefs":[],"style":"h4"},{"_key":"13405ba8c166","_type":"block","children":[{"_key":"13405ba8c1660","_type":"span","marks":[],"text":"If you’re confused about what to do right now, you’re not alone. It feels like there are different recommendations coming from everywhere and making sense of it, is no easy task. Ultimately, the choices in how *you* navigate through this bizarre time are up to you. These choices are likely dependent on a number of factors such as local context, work obligations, personal health, signature-stress type, etc. We’re here to offer a little more context to help you make more informed choices with confidence."}],"markDefs":[],"style":"normal"},{"_key":"bf40a011b81c","_type":"block","children":[{"_key":"bf40a011b81c0","_type":"span","marks":[],"text":"First things first, what is a social contract? It is an implicit agreement among the members of a society to cooperate for the social benefits of many, rather than few. Cooperation in this agreement may include sacrificing individual freedoms (not going on that hinge date, canceling wine club, or swapping your favorite yoga class for a run outside instead). Here we’ll break down how we’re thinking about the choices we’re making from an individual, local, and global perspective:\n\n"}],"markDefs":[],"style":"normal"},{"_key":"67637d4945af","_type":"editorialImageCarousel","items":[{"_key":"48f9ed2e95f9","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-31cfec25082371da7aba4ca3c4426b97d309fb99-2103x195-png","_type":"reference"}}}}]},{"_key":"bde8d32c1f03","_type":"block","children":[{"_key":"bde8d32c1f030","_type":"span","marks":[],"text":"At Tia, we’ve shared recommendations on how to prepare for coronavirus:"}],"markDefs":[],"style":"normal"},{"_key":"d1f26547da7e","_type":"block","children":[{"_key":"d1f26547da7e0","_type":"span","marks":[],"text":""},{"_key":"d1f26547da7e1","_type":"span","marks":["5aeea2ff1c74"],"text":"Washing hands"},{"_key":"d1f26547da7e2","_type":"span","marks":[],"text":" (obvi!)"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"5aeea2ff1c74","_type":"externalLink","url":"https://www.instagram.com/p/B9j8LnEpJZG/"}],"style":"normal"},{"_key":"9459b6fdf013","_type":"block","children":[{"_key":"9459b6fdf0130","_type":"span","marks":[],"text":"Setting-up your "},{"_key":"9459b6fdf0131","_type":"span","marks":["9c95530d7427"],"text":"medicine cabinet"},{"_key":"9459b6fdf0132","_type":"span","marks":[],"text":""}],"level":1,"listItem":"bullet","markDefs":[{"_key":"9c95530d7427","_type":"annotation","text":[{"_key":"c7d542418228","_type":"block","children":[{"_key":"c7d5424182281","_type":"span","marks":["0742c180e4e9"],"text":"Learn more"},{"_key":"c7d5424182282","_type":"span","marks":[],"text":" about what to include in your medicine cabinet in the Coronavirus climate."}],"markDefs":[{"_key":"0742c180e4e9","_type":"annotationLink","reference":{"_ref":"12f61670-b812-4d44-85bb-7865737b7a5a","_type":"reference"}}],"style":"normal"}]}],"style":"normal"},{"_key":"26c60024ce7e","_type":"block","children":[{"_key":"26c60024ce7e0","_type":"span","marks":[],"text":""},{"_key":"26c60024ce7e1","_type":"span","marks":["23eef6b7547c"],"text":"Proactively preparing"},{"_key":"26c60024ce7e2","_type":"span","marks":[],"text":" you and your household for a number of scenarios that may play out."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"23eef6b7547c","_type":"internalLink","linkType":"text","reference":{"_ref":"84a00f77-6ca4-4dc2-a225-9141889ad4cc","_type":"reference"}}],"style":"normal"},{"_key":"ba02046dd70f","_type":"block","children":[{"_key":"ba02046dd70f0","_type":"span","marks":[],"text":"We do not promote:"}],"markDefs":[],"style":"normal"},{"_key":"b069817c4463","_type":"block","children":[{"_key":"b069817c44630","_type":"span","marks":[],"text":"Stockpiling or hoarding supplies, especially masks which are critically needed for care providers working around the clock right now!"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"727c38242d14","_type":"editorialImageCarousel","items":[{"_key":"0df7908e1a4e","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-3f91d3e1ec95e750d40675f5202a87660383e3a6-2103x195-png","_type":"reference"}}}}]},{"_key":"0b1bee5ad9e8","_type":"block","children":[{"_key":"0b1bee5ad9e80","_type":"span","marks":[],"text":"While young and healthy people are currently considered lower-risk for personally suffering severe illness from coronavirus, it is vital they dramatically alter their daily lives in order to lower risk from a greater local standpoint."}],"markDefs":[],"style":"normal"},{"_key":"9d63dfcbbf5b","_type":"block","children":[{"_key":"9d63dfcbbf5b0","_type":"span","marks":[],"text":"German scientists, some of the first to look at clinical data on this outbreak have concluded two pieces of information that can help us understand the impact of lessening our movement:"}],"markDefs":[],"style":"normal"},{"_key":"84852cc5667c","_type":"block","children":[{"_key":"84852cc5667c0","_type":"span","marks":["strong"],"text":"1. Individuals are most infectious early in the disease."}],"markDefs":[],"style":"normal"},{"_key":"c39adb0ae204","_type":"block","children":[{"_key":"c39adb0ae2040","_type":"span","marks":["strong"],"text":"2. Viral load (how much of the virus is present in an individual) does not necessarily correlate with the isolation of the virus. In layperson terms, you can be carrying and transmitting the virus *and* be completely symptom-free."}],"markDefs":[],"style":"normal"},{"_key":"5a2a54eadbbd","_type":"block","children":[{"_key":"5a2a54eadbbd0","_type":"span","marks":[],"text":"With restricted accessibility and availability to testing right now, one of the greatest measures we can take from a public health imperative is to engage in social distancing. This is because viruses spread easily in dense places (think: a packed subway car, a political rally, or a concert). Social distancing is a spectrum of measures that can be taken to increase the physical space between people in an effort to slow the spread of this virus."}],"markDefs":[],"style":"normal"},{"_key":"2369b328967b","_type":"editorialImageCarousel","items":[{"_key":"12d53cf0cf81","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-b21456f58736739245c4fea78dab025596ab4117-2103x842-png","_type":"reference"}}}}],"spacing":"pys"},{"_key":"1bdc6235dede","_type":"block","children":[{"_key":"1bdc6235dede0","_type":"span","marks":[],"text":"But what about local businesses? What about people who are financially unable to purchase adequate provisions or work from home? What about considerations for public school closings and the children who only receive meals at school?"}],"markDefs":[],"style":"normal"},{"_key":"6e4202ee7324","_type":"block","children":[{"_key":"6e4202ee73240","_type":"span","marks":[],"text":"There aren’t easy answers. But if you have extra resources we encourage you to donate, check-in with loved ones, and members of your community who may be in need."}],"markDefs":[],"style":"normal"},{"_key":"1680cb8b6a27","_type":"editorialImageCarousel","items":[{"_key":"840cbbc22193","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-815484b03ac66c237e154152daa81d310ebce817-2103x195-png","_type":"reference"}}}}]},{"_key":"a96a78e38025","_type":"block","children":[{"_key":"a96a78e380250","_type":"span","marks":[],"text":"As of now, the Department of State is advising U.S. citizens to reconsider all travel abroad. Many areas throughout the world are experiencing coronavirus outbreaks and taking actions that limit mobility (including everything from quarantines to border restrictions)."}],"markDefs":[],"style":"normal"},{"_key":"1a75bfbc9f5e","_type":"editorialImageCarousel","items":[{"_key":"bfce6b14c254","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-0573a6638628b9ddd5fc8ff947443d67643c1cee-2103x1042-png","_type":"reference"}}}}]},{"_key":"752626dacb99","_type":"block","children":[{"_key":"752626dacb990","_type":"span","marks":[],"text":"Global travel is only one aspect of this perspective. Unfortunately, we are able to see examples of healthcare systems that are completely overburdened by this virus. Our actions on an individual and local level must be considered as an ethical imperative for not only our own communities but also at a global level. It is our responsibility to work to ensure that our healthcare system does not grow overburdened. It is through small everyday choices that we can make an impact on the health and safety for all."}],"markDefs":[],"style":"normal"},{"_key":"2df8b636802d","_type":"block","children":[{"_key":"2df8b636802d0","_type":"span","marks":[],"text":"At Tia, we recommend taking some time to build out a social contract that works *you*. 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The American College of Obstetricians and Gynecologists recommends getting the vaccine even if you are trying to conceive. Patients undergoing fertility treatments should get vaccinated too! "},{"_key":"d6bddae8f99c","_type":"span","marks":["a56416da6249"],"text":"There’s no evidence of increased risk of infertility, first or second-trimester loss, stillbirth, or congenital abnormalities from the Covid-19 vaccine."}],"markDefs":[{"_key":"a56416da6249","_type":"annotation","text":[{"_key":"8414b9846664","_type":"block","children":[{"_key":"3aa6c07fbcd9","_type":"span","marks":[],"text":"During recent Covid vaccine trials, some female participants got pregnant. They did not experience adverse events and had healthy pregnancies."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"63d71861ea8a","_type":"block","children":[{"_key":"bbfdc9b81566","_type":"span","marks":[],"text":"Pregnancy"}],"markDefs":[],"style":"h3"},{"_key":"1bf172a7bf8d","_type":"editorialImageCarousel","items":[{"_key":"051f25e6d9ed","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_id":"image-d9a6a4eb53a331a99f899260fd92e9c2a9a5e79e-1400x606-png","_type":"sanity.imageAsset","_createdAt":"2022-12-28T09:24:56Z","_rev":"uBZyzL1oEJWqYeY7qKwruG","_updatedAt":"2022-12-28T09:24:56Z","assetId":"d9a6a4eb53a331a99f899260fd92e9c2a9a5e79e","extension":"png","metadata":{"_type":"sanity.imageMetadata","blurHash":"M5LCuI-VNG^k%2=|WVofs:NG}[-VNGIoNG","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":2.31023102310231,"height":606,"width":1400},"hasAlpha":true,"isOpaque":true,"lqip":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABQAAAAJCAYAAAAywQxIAAAACXBIWXMAAAsTAAALEwEAmpwYAAABDUlEQVQokZWS626CQBCFeXAkIrDKRcBX0Nq0Wq94R/tqY85xx0Abm/THycDu7Ddndtb5Ho1EdSvLlpp7r3LqopDtYCCzXo9yfib8R4Ad0pTAtTGMBF6LQs7DoRyzTE5ZxthSmjJe8vzp/FqWsotjWUYR4z5JCHewCdjKGJn5Pm3PrZr/izDkIRTXM/MgkI9uVyoL3CXJA3iymxPXlbHrytTzqLdOh/r0fTpRIFzCDdZWxnC9sm0/HcKBQt49j5XhbhmGdICc2sLQOiDaZhXHhH0FwQOIBFRARa2KBBwASF3plHHPm36fQ4Dw3QLqxABW1Xn+C6SRdx5FvNvmUNjyq/f219tEIbjC0BDVBL7vl0T2nRjs+sMAAAAASUVORK5CYII=","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#482727","foreground":"#fff","population":2,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#270806","foreground":"#fff","population":0.56,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#bc948c","foreground":"#000","population":64.15,"title":"#fff"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#ceaaac","foreground":"#000","population":0.31,"title":"#fff"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#d4a2a3","foreground":"#000","population":0.07,"title":"#fff"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#bc948c","foreground":"#000","population":64.15,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#cc9794","foreground":"#000","population":0.03,"title":"#fff"}}},"mimeType":"image/png","originalFilename":"WhatWomenNeedCovidVax_Inline3.png","path":"images/8qqycr4y/production/d9a6a4eb53a331a99f899260fd92e9c2a9a5e79e-1400x606.png","sha1hash":"d9a6a4eb53a331a99f899260fd92e9c2a9a5e79e","size":50078,"uploadId":"5VJXQj01Ki3KZUHW4Crx8GTiPUXrSmWn","url":"https://cdn.sanity.io/images/8qqycr4y/production/d9a6a4eb53a331a99f899260fd92e9c2a9a5e79e-1400x606.png","id":"image-d9a6a4eb53a331a99f899260fd92e9c2a9a5e79e-1400x606-png","parent":null,"children":["d10e8d35-39b5-5c28-a2eb-faa9888aea78"],"internal":{"type":"SanityImageAsset","contentDigest":"85929305d1ee3641daddf6f946c16aa2","counter":9044,"owner":"gatsby-source-sanity"}}}}}]},{"_key":"7bbcbf061b52","_type":"block","children":[{"_key":"2640007e5eb3","_type":"span","marks":[],"text":"It is high-risk for a mom & baby to contract Covid but we know that vaccine safety data is strong. Getting vaccines while pregnant is normal, recommended & safe. Pregnant women regularly get seasonal flu, hepatitis B, whooping cough, and T dap vaccines. The safest choice for mom and baby is to get vaccinated!"}],"markDefs":[],"style":"normal"},{"_key":"bda268418b85","_type":"block","children":[{"_key":"0285b9bf1edb","_type":"span","marks":[],"text":"Risk benefit analysis"}],"markDefs":[],"style":"h4"},{"_key":"c46d4fe419c5","_type":"block","children":[{"_key":"f96273893d59","_type":"span","marks":[],"text":"The CDC estimates that pregnant women who contract Covid-19 are at a 3x higher risk of requiring admission to an ICU or requiring a ventilator and at a 70% higher risk of death than their non pregnant peers.\n\nWith 30 years of clinical data on mRNA treatment & vaccines, the Tia Care Team believes that the benefit of the vaccine outweighs any theoretical risks."}],"markDefs":[],"style":"normal"},{"_key":"a5603247cc15","_type":"block","children":[{"_key":"2d4e4a1bea99","_type":"span","marks":[],"text":"Breastfeeding"}],"markDefs":[],"style":"h3"},{"_key":"6a42f4f80796","_type":"block","children":[{"_key":"8abde9abd1f1","_type":"span","marks":[],"text":"ACOG states that lactating people should be offered the vaccine with no theoretical risks. The Academy of Breastfeeding Medicine encourages moms to continue breastfeeding post-vaccination. There are even benefits: vaccinated lactaters pass protective antibodies through milk to their babies."}],"markDefs":[],"style":"normal"},{"_key":"05955e8baa79","_type":"block","children":[{"_key":"304bda288070","_type":"span","marks":[],"text":"In summary..."}],"markDefs":[],"style":"h3"},{"_key":"06b399d79134","_type":"block","children":[{"_key":"1197ae21fd33","_type":"span","marks":[],"text":"Vaccines are safe & often more effective in women."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f4fa98192447","_type":"block","children":[{"_key":"28bc689ce9f0","_type":"span","marks":[],"text":"If you are pregnant, trying to conceive, or breastfeeding, the Tia Care Team recommends the Covid vaccine. The benefits outweigh the risks."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4d721def598b","_type":"block","children":[{"_key":"d3ebdbe6d95f","_type":"span","marks":[],"text":"No two patients are the same. We recommend a 1:1 discussion with your Tia provider to discuss the safety of the Covid vaccine for you & your needs."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"19cce2419caf","_type":"block","children":[{"_key":"cb849742b176","_type":"span","marks":["strong"],"text":"THE DOSE is your science-backed guide to Covid-19 vaccines, from Tia. In service of science-backed public health, share THE DOSE with a friend!"}],"markDefs":[],"style":"normal"},{"_key":"af571a51c6fa","_type":"block","children":[{"_key":"bc3a91f45708","_type":"span","marks":[],"text":"SOURCES"}],"markDefs":[],"style":"h5"},{"_key":"e78b4eb7c053","_type":"block","children":[{"_key":"595360f00710","_type":"span","marks":[],"text":"1. Flanagan, K. L., Fink, A. L., Plebanski, M., & Klein, S. L. (2017). Sex and Gender Differences in the Outcomes of Vaccination over the Life Course. Annual review of cell and developmental biology, 33, 577–599. https://doi.org/10.1146/annurev-cellbio-100616-060718\n\n2. Klein, S. L., Dhakal, S., Ursin, R. L., Deshpande, S., Sandberg, K., & Mauvais-Jarvis, F. (2020). Biological sex impacts COVID-19 outcomes. PLoS pathogens, 16(6), e1008570. https://doi.org/10.1371/journal.ppat.1008570\n\n3. Morbidity and Mortality Weekly Report (MMWR). (2021, January 15). Retrieved January 15, 2021, from https://www.cdc.gov/mmwr/index.html\n\n4. Scully, E. P., Haverfield, J., Ursin, R. L., Tannenbaum, C., & Klein, S. L. (2020). Considering how biological sex impacts immune responses and COVID-19 outcomes. Nature reviews. Immunology, 20(7), 442–447. https://doi.org/10.1038/s41577-020-0348-8\n\n5. Stevens, E. (n.d.). ABM Statement: Considerations for COVID-19 Vaccination in Lactation. Retrieved January 15, 2021, from 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She/her","slug":{"_type":"slug","current":"ava-mainieri"},"team":"brand","text":[{"_key":"b376507f3d6e","_type":"block","children":[{"_key":"b376507f3d6e0","_type":"span","marks":[],"text":"Dr. Ava Mainieri is a geneticist and evolutionary biologist with deep expertise in epigenetics and female reproductive health. 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We’re doing exactly that with regular drops of THE DOSE, your science-backed guide to all things Covid-19 vaccines."}],"markDefs":[],"style":"normal"},{"_key":"33720154e95a","_type":"block","children":[{"_key":"2be8cca6706b","_type":"span","marks":["em"],"text":"THE DOSE is brought to you by geneticist and evolutionary biologist, "},{"_key":"4f4af212a3d9","_type":"span","marks":["em","d1d7e2448576"],"text":"Dr. Ava Mainieri, Head of Research at Tia"},{"_key":"114954eac8c4","_type":"span","marks":["em"],"text":"."}],"markDefs":[{"_key":"d1d7e2448576","_type":"internalLink","linkType":"text","reference":{"_ref":"620445e8-cfbd-40b4-9bd3-1742868efe78","_type":"reference"}}],"style":"normal"},{"_key":"8937ef1d81ab","_type":"block","children":[{"_key":"dded23e65a35","_type":"span","marks":["strong"],"text":"So, why do I need 2 doses?"}],"markDefs":[],"style":"h3"},{"_key":"3a02045c3add","_type":"block","children":[{"_key":"5b03fca155ae","_type":"span","marks":[],"text":"Getting 2 doses of the vaccine gives your immune system more opportunities to figure out exactly how to fight future infection. This means..."}],"markDefs":[],"style":"normal"},{"_key":"99a63611080e","_type":"block","children":[{"_key":"e59f93be4e82","_type":"span","marks":[],"text":"more antibodies"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a7d10e88c9ef","_type":"block","children":[{"_key":"6a169d554afc","_type":"span","marks":[],"text":"a robust supply of memory cells"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a8c2367d0b3c","_type":"block","children":[{"_key":"e546a70d558b","_type":"span","marks":[],"text":"more antigens"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0297df2fe086","_type":"block","children":[{"_key":"45cbb780c43a","_type":"span","marks":[],"text":"...leading to a faster and more effective response in the future."}],"markDefs":[],"style":"normal"},{"_key":"9c634bf7cf75","_type":"block","children":[{"_key":"57777024636c","_type":"span","marks":["strong"],"text":"Can I just get one shot instead of 2?"}],"markDefs":[],"style":"h3"},{"_key":"035289a07ad0","_type":"block","children":[{"_key":"8ec8455386f2","_type":"span","marks":[],"text":"Nope! Pfizer’s data showed a dramatic divergence in efficacy:"}],"markDefs":[],"style":"normal"},{"_key":"8088cb1094e1","_type":"editorialImageCarousel","items":[{"_key":"af6092f6578c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-905623f30657f8d897d5704f44aab4f569234f2f-2103x1044-png","_type":"reference"}}},"text":[{"_key":"27386bf525f4","_type":"block","children":[{"_key":"01faee2d4812","_type":"span","marks":[],"text":"2 doses is pretty standard for vaccines!"}],"markDefs":[],"style":"normal"}]}]},{"_key":"546597925d22","_type":"block","children":[{"_key":"2a7b2f5ab2ea","_type":"span","marks":["strong"],"text":"What are the short-term side effects?"}],"markDefs":[],"style":"h3"},{"_key":"d825e2a9f300","_type":"block","children":[{"_key":"e5e0a2cae577","_type":"span","marks":[],"text":"A small percentage of patients who’ve received the vaccine have experienced..."}],"markDefs":[],"style":"normal"},{"_key":"01870ac34c6b","_type":"block","children":[{"_key":"f4998fa25bc1","_type":"span","marks":[],"text":"high fevers"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"59d785fa0065","_type":"annotation"}],"style":"normal"},{"_key":"21b74ae8df1e","_type":"block","children":[{"_key":"8ee2cffc3145","_type":"span","marks":[],"text":"arm swelling"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"543bcab7619b","_type":"block","children":[{"_key":"a63fe56145ee","_type":"span","marks":[],"text":"joint pain"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"67f401a6c2c7","_type":"block","children":[{"_key":"aac67e08bfd6","_type":"span","marks":[],"text":"fatigue"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4ba55b13ea4f","_type":"block","children":[{"_key":"e660b495e286","_type":"span","marks":[],"text":"These side-effects are normal. On a larger scale, when a whole country is vaccinated, millions of people will experience some, or all, of these symptoms.\n\nOther common reactions include:"}],"markDefs":[],"style":"normal"},{"_key":"185e3194cb2a","_type":"block","children":[{"_key":"e8af8a7c8ae8","_type":"span","marks":[],"text":"soreness, swelling, or redness at the injection site"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"471f203cce8d","_type":"block","children":[{"_key":"79b58340f391","_type":"span","marks":[],"text":"headache"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"62e446fbbafd","_type":"block","children":[{"_key":"f9b3825727e2","_type":"span","marks":[],"text":"nausea"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8549ee063a23","_type":"block","children":[{"_key":"51843b128021","_type":"span","marks":[],"text":"muscle stiffness & aches"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"199c8c1e3d0b","_type":"block","children":[{"_key":"438b81cbbf74","_type":"span","marks":[],"text":"These effects are just what happens when your body is responding to a foreign protein and building an immune response to the disease — this is a good thing!"}],"markDefs":[],"style":"normal"},{"_key":"cce93f5cb215","_type":"block","children":[{"_key":"c52d00b21d95","_type":"span","marks":[],"text":"What about allergic reactions?"}],"markDefs":[],"style":"h3"},{"_key":"7319357ed2b3","_type":"editorialImageCarousel","items":[{"_key":"af6092f6578c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-006cf58101140edd6ac4833294667e6a16b343ef-2103x1044-png","_type":"reference"}}}}]},{"_key":"1f4eb20b8d1b","_type":"block","children":[{"_key":"06d81ee8ba4b","_type":"span","marks":[],"text":"Should I get the vaccine if I’ve had Covid?"}],"markDefs":[],"style":"h3"},{"_key":"d2f083df6ad0","_type":"block","children":[{"_key":"e44ae95f7a24","_type":"span","marks":[],"text":"Yes! Early data strongly suggests that the mRNA vaccines will be more protective than protections from a previous infection."}],"markDefs":[],"style":"normal"},{"_key":"f26557263c13","_type":"editorialImageCarousel","items":[{"_key":"f9190eaa4163","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e5c47ceb5c39842e84dbbd5f7204832c470509c7-2103x766-png","_type":"reference"}}}}]},{"_key":"5df85e91bd69","_type":"block","children":[{"_key":"8fbd86e6158c","_type":"span","marks":[],"text":"What are the long-term side effects?"}],"markDefs":[],"style":"h3"},{"_key":"2e3e4699b8ba","_type":"block","children":[{"_key":"1c724e0da280","_type":"span","marks":[],"text":" There is limited information on long-term side effects yet but based on a long history of vaccines. It is unlikely that there will be long-term negative effects. \n\nClinical trials catch all but the rarest adverse events, which will be caught by postmarketing surveillance. These events are rare and do not represent and do not represent a good reason to avoid a vaccine, especially amidst a pandemic. \n\n"},{"_key":"3491e3bf4af1","_type":"span","marks":["strong"],"text":"THE DOSE is your science-backed guide to Covid-19 vaccines, from Tia. In service of science-backed public health, share THE DOSE with a friend!"}],"markDefs":[]}],"image":{"_type":"image","asset":{"_id":"image-37c73b4b107eae24210b2125d7a86bcce01b4bbc-2500x866-png","_type":"sanity.imageAsset","_createdAt":"2022-12-27T09:09:35Z","_rev":"uBZyzL1oEJWqYeY7qEqFo0","_updatedAt":"2022-12-27T09:09:35Z","assetId":"37c73b4b107eae24210b2125d7a86bcce01b4bbc","extension":"png","metadata":{"_type":"sanity.imageMetadata","blurHash":"D9R+gWJ7R+-Bs.}soLS2R+S2","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":2.886836027713626,"height":866,"width":2500},"hasAlpha":true,"isOpaque":true,"lqip":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABQAAAAHCAYAAAAIy204AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAnElEQVQokZWRywrCMBBF+8VCTF9xJUgf0ZD6ee60YqkVq5ja9ZWJ6KJgaxaHO4vhMMP1noVApwWMFqB5jH67+OYvPJJVGcd+xXDdhKPLU7KehEbHKBOG3XKGOvfx0DHMgM7pwkLgLH0cEoZTxq3UIt/ZyAB3FbkJm3WAYzq3l1J+KFOGKue4uQpbFVkpcRnQqtC+/bdwqlmXhkn4AjfWnq1s7XlfAAAAAElFTkSuQmCC","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#743f34","foreground":"#fff","population":0.02,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#881020","foreground":"#fff","population":0.01,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#f4947c","foreground":"#000","population":80.35,"title":"#fff"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#c4947c","foreground":"#000","population":0.01,"title":"#fff"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#f4947c","foreground":"#000","population":80.35,"title":"#fff"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#a9745d","foreground":"#fff","population":0.06,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#b43444","foreground":"#fff","population":0,"title":"#fff"}}},"mimeType":"image/png","originalFilename":"CovidQuestions_Header.png","path":"images/8qqycr4y/production/37c73b4b107eae24210b2125d7a86bcce01b4bbc-2500x866.png","sha1hash":"37c73b4b107eae24210b2125d7a86bcce01b4bbc","size":45485,"uploadId":"bi4uWzz2Y0JPI4vIswhH9YKFiDN16wJ9","url":"https://cdn.sanity.io/images/8qqycr4y/production/37c73b4b107eae24210b2125d7a86bcce01b4bbc-2500x866.png","id":"image-37c73b4b107eae24210b2125d7a86bcce01b4bbc-2500x866-png","parent":null,"children":["c68d5a55-4bbb-574f-9579-de0def8779cd"],"internal":{"type":"SanityImageAsset","contentDigest":"c85cedce3ac9080f92c02d000f009454","counter":4517,"owner":"gatsby-source-sanity"}}},"modules":[{"_key":"40a72c3d6f12","_type":"furtherReading","articles":[{"_id":"a8e579e5-f50e-4816-95bb-726b7b1fce9d","_type":"editorial","_createdAt":"2020-12-09T19:07:37Z","_rev":"Pf6WA3QqVnnbHhbAQg2ECI","_updatedAt":"2022-12-28T11:20:55Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"6ebe3848-7078-4bbf-890a-e4cee9852934","_type":"reference"},"authors":[{"_key":"27cef6bb18c6","_ref":"620445e8-cfbd-40b4-9bd3-1742868efe78","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-9fd4b0cde647a98b8d9220ff40f3699c66432237-1366x800-png","_type":"reference"}},"editorialText":[{"_key":"a7807bcc4359","_type":"block","children":[{"_key":"4bec5f594a54","_type":"span","marks":[],"text":"Today, December 10, 2020, the U.S. Food and Drug Administration will meet to discuss the request for emergency use authorization of the Covid-19 vaccine from Pfizer."}],"markDefs":[],"style":"large"},{"_key":"8d81079a7262","_type":"block","children":[{"_key":"9cc5d005efa2","_type":"span","marks":["em"],"text":"With so much information and misinformation about Covid-19 vaccines, we, at Tia, want to help our community understand to help you understand *wtf* is really going on. We’re doing exactly that with regular drops of THE DOSE, your science-backed guide to all things Covid-19 vaccines."}],"markDefs":[],"style":"normal"},{"_key":"0544329801d6","_type":"block","children":[{"_key":"f79ea6ea2da8","_type":"span","marks":["em"],"text":"THE DOSE is brought to you by geneticist and evolutionary biologist, "},{"_key":"a3a5e9ab8e9f","_type":"span","marks":["em","b93558f2ccad"],"text":"Dr. Ava Mainieri, Head of Research at Tia"},{"_key":"13f1e38c349b","_type":"span","marks":["em"],"text":", and infectious disease expert,  Dr. Kathleen Jordan, Senior VP of Medical Affairs at Tia."},{"_key":"88659fc10004","_type":"span","marks":[],"text":"\n"}],"markDefs":[{"_key":"b93558f2ccad","_type":"internalLink","linkType":"text","reference":{"_ref":"620445e8-cfbd-40b4-9bd3-1742868efe78","_type":"reference"}}],"style":"normal"},{"_key":"b694960827e0","_type":"block","children":[{"_key":"f6aedd64f474","_type":"span","marks":[],"text":"How does the Covid-19 vaccine work?"}],"markDefs":[],"style":"h3"},{"_key":"3bb000071222","_type":"block","children":[{"_key":"6773474a0a2b","_type":"span","marks":[],"text":"The first Covid-19 vaccines are mRNA vaccines which act as a set of instructions injected into our cells. "},{"_key":"eef22c3559ef","_type":"span","marks":["strong"],"text":"Our cell machinery uses the instructions to develop a protein that looks *very similar* to the spike protein on the surface of the Covid-19 virus. "},{"_key":"837c053eb24a","_type":"span","marks":[],"text":"Our immune response develops antibodies against that protein and the injected mRNA degrades rapidly."}],"markDefs":[],"style":"normal"},{"_key":"391f7d302a1d","_type":"block","children":[{"_key":"6fffccefab15","_type":"span","marks":[],"text":"Let’s start at the beginning (aka the infection)"}],"markDefs":[],"style":"h3"},{"_key":"dbd22bb28514","_type":"block","children":[{"_key":"49571f24a37f","_type":"span","marks":[],"text":"When germs (bacteria or viruses) invade the body, they attack and multiply. The immune system fights infections with white cells.It can take several days for the body to make and use all these germ-fighting tools (especially if this is the first encounter). "},{"_key":"0c78eb988588","_type":"span","marks":["strong"],"text":"After infection, the body keeps a few T-lymphocytes"},{"_key":"3590d21acac4","_type":"span","marks":[],"text":", memory cells, so, if it encounters the same germ again it can jump into action quickly!"}],"markDefs":[],"style":"normal"},{"_key":"585ae7244b5f","_type":"editorialImageCarousel","items":[{"_key":"70b835f93187","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-12fe9d9a2a3ca874adc7b5b0f4a63d8f97c013d3-2103x792-png","_type":"reference"}}}}]},{"_key":"51e341060aca","_type":"block","children":[{"_key":"a2f115175392","_type":"span","marks":[],"text":"So, what exactly is a vaccine?"}],"markDefs":[],"style":"h3"},{"_key":"a6502c85bae0","_type":"block","children":[{"_key":"c365a2655df3","_type":"span","marks":[],"text":"Most vaccines are substances that simulate an infection with a weakened or dead version of the germs that cause the disease they are protecting against,"},{"_key":"f8e094b7a702","_type":"span","marks":["strong"],"text":" without presenting the danger of infection. "},{"_key":"5737a080f0cf","_type":"span","marks":[],"text":"The immune system response causes the production of antibodies and T-lymphocytes "},{"_key":"3687df1e3fb4","_type":"span","marks":["strong"],"text":"which will protect against an actual infection."}],"markDefs":[],"style":"normal"},{"_key":"3e91d2f7c702","_type":"block","children":[{"_key":"7cd554d9bb30","_type":"span","marks":["strong"],"text":"And what’s an mRNA vaccine?"}],"markDefs":[],"style":"h3"},{"_key":"bb95651a367d","_type":"block","children":[{"_key":"2c06158c650e","_type":"span","marks":[],"text":"Messenger RNA or mRNA vaccines work like an instruction manual, introducing mRNA sequences to encode disease-specific Messenger RNA or mRNA vaccines work like an instruction manual, introducing mRNA sequences to encode disease-specific antigens* to trigger an immune response "},{"_key":"225989828ae5","_type":"span","marks":["e979702f51af"],"text":"antigens"},{"_key":"9935a6691674","_type":"span","marks":[],"text":" to trigger an immune response."}],"markDefs":[{"_key":"e979702f51af","_type":"annotation","text":[{"_key":"80fefeb7bc0f","_type":"block","children":[{"_key":"efeac069643f","_type":"span","marks":[],"text":"Antigens are foreign substances that induce immune responses to produce antibodies."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"8088cb1094e1","_type":"editorialImageCarousel","items":[{"_key":"af6092f6578c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-d7acca105a420b27e60634a3bc2cc803da883602-2103x929-png","_type":"reference"}}}}]},{"_key":"6b904ce2f061","_type":"block","children":[{"_key":"8fca1946a239","_type":"span","marks":[],"text":"Gossip-ectomy"}],"markDefs":[],"style":"h3"},{"_key":"d319a83b1da1","_type":"editorialImageCarousel","items":[{"_key":"122a9addc678","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-cffd3bb298e717b21405988fc0f7a382eb4ad5dc-2103x934-png","_type":"reference"}}}}]},{"_key":"719f8368f6cf","_type":"block","children":[{"_key":"6a3e823e6e5c","_type":"span","marks":["strong"],"text":"mRNA never enters the nucleus of the cell (where the DNA is). "},{"_key":"be1c28ea6490","_type":"span","marks":[],"text":"The cell breaks down and disposes of the mRNA after carrying out the instructions. It does not affect our genetic code."}],"markDefs":[],"style":"normal"},{"_key":"45077588069d","_type":"block","children":[{"_key":"b6baebc9bbaa","_type":"span","marks":[],"text":"While it’s true that there are currently no licensed mRNA vaccines in the U.S., "},{"_key":"293c9819f2bf","_type":"span","marks":["strong"],"text":"researchers have been working with them for decades. "},{"_key":"fa906b17d2a2","_type":"span","marks":[],"text":"mRNA vaccines have been s"},{"_key":"3382eca929bc","_type":"span","marks":["strong"],"text":"tudied for the flu, Zika, rabies, and cancer research."}],"markDefs":[],"style":"normal"},{"_key":"99b4708c1535","_type":"block","children":[{"_key":"dc6feeee498f","_type":"span","marks":[],"text":"These vaccines have been made in
record time due to collaboration, funding, and the help of research participants."},{"_key":"b58a8b1b22a5","_type":"span","marks":["strong"],"text":"No steps in the normal vaccine development have been skipped or compromised."}],"markDefs":[],"style":"normal"},{"_key":"d8fffa75b209","_type":"block","children":[{"_key":"0ac67196ad1d","_type":"span","marks":["em"],"text":""}],"markDefs":[],"style":"normal"},{"_key":"3f349d3d6188","_type":"block","children":[{"_key":"013e89f2beb2","_type":"span","marks":["strong"],"text":"THE DOSE is your science-backed guide to Covid-19 vaccines, from Tia"},{"_key":"69d4e441086f","_type":"span","marks":["strong"],"text":". 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Despite making up just over half of the U.S. population, women control 85% of purchasing decisions—including 80% of healthcare decisions—and clock in with a whopping $7 trillion in annual purchasing "},{"_key":"29b5e6b6c4ee","_type":"span","marks":["7f0a3dae6ff7"],"text":"power."},{"_key":"77b1d856d9d0","_type":"span","marks":[],"text":" As such, "},{"_key":"c02d5f3d1cdd","_type":"span","marks":["strong"],"text":"women are typically the de facto \"Chief Medical Officer\" for not just themselves, but their families and extended families"},{"_key":"24c81e1c2e7e","_type":"span","marks":[],"text":". Moreover, in every presidential election since 1984, women have turned out to vote at a higher rate than "},{"_key":"4d349e5bb4c6","_type":"span","marks":["c66a41164682"],"text":"men."},{"_key":"2b6cd360bba1","_type":"span","marks":[],"text":"​ "}],"markDefs":[{"_key":"7f0a3dae6ff7","_type":"footnote","text":[{"_key":"ca962f069dfb","_type":"block","children":[{"_key":"ad639d6743cf","_type":"span","marks":[],"text":"https://girlpowermarketing.com/womens-purchasing-power/#:~:text=It%20bears%20repeating%20that%20women,in%20consumer%20and%20business%20spending."}],"markDefs":[],"style":"normal"}]},{"_key":"c66a41164682","_type":"footnote","text":[{"_key":"3f443f338a08","_type":"block","children":[{"_key":"3e528e154ead","_type":"span","marks":[],"text":"https://www.pewresearch.org/fact-tank/2020/08/18/men-and-women-in-the-u-s-continue-to-differ-in-voter-turnout-rate-party-identification/"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"3ac6b1d920f4","_type":"editorialImageCarousel","items":[{"_key":"47866cfdbdaf","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-d8a1052981f6c2ac33a63d8d5b98d70312c913f5-2466x1641-png","_type":"reference"}}}}]},{"_key":"6e02fbd5fa6e","_type":"block","children":[{"_key":"2d2dee9e1f4d","_type":"span","marks":[],"text":"At the same time, women have been disproportionately impacted by the events of 2020, which is coloring their thinking about the impending election. Given the global pandemic, the resulting unstable economy, work-from-home and “Zoom school” pressures, and the concomitant public policy controversies over gender equity, women have experienced unprecedented stress. As a result, 1 in 4 women either have exited the workforce or are considering doing so to attend to their families at the expense of their careers. These economic and personal stressors amplify existing societal and health challenges that women face. For women of color and those in “essential worker” roles, the impact of this stress is even more "},{"_key":"efd0c0123791","_type":"span","marks":["85d4b23bdde0"],"text":"profound."},{"_key":"ae46b8890448","_type":"span","marks":[],"text":"​ "}],"markDefs":[{"_key":"85d4b23bdde0","_type":"footnote","text":[{"_key":"b52ac97b05b4","_type":"block","children":[{"_key":"d363fa1b485c","_type":"span","marks":[],"text":"http://womenintheworkplace.com"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"679f2c7ba745","_type":"editorialImageCarousel","items":[{"_key":"47866cfdbdaf","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-fd2a3684e848359d9ad5d83ac0287f16bc634cb7-2466x897-png","_type":"reference"}}}}]},{"_key":"44cfc51b778e","_type":"block","children":[{"_key":"583f11c733d1","_type":"span","marks":[],"text":"With the 2020 presidential election drawing near, it’s no surprise that healthcare is a top-of-mind issue for female voters planning to cast their ballots. For many, the fulcrum of the election rests on this topic. "},{"_key":"5f2c738d3f31","_type":"span","marks":["strong"],"text":"But what exactly do women think about the direction of healthcare in the United States?"}],"markDefs":[]},{"_key":"8a48e030da82","_type":"block","children":[{"_key":"41d50b611d0a0","_type":"span","marks":[],"text":"Given women’s hefty stake in the election’s outcome, understanding what women want and need from the healthcare system—and how they expect the future U.S. President to drive policies that deliver it—is key to understanding the type of mandate that female voters will or will not deliver. To shed light on these issues and better understand women’s healthcare priorities, "},{"_key":"b6aab6a955c7","_type":"span","marks":["strong"],"text":"Tia, Inc. partnered with Manatt Health, LLC"},{"_key":"941aa86b606f","_type":"span","marks":[],"text":" to commission a "},{"_key":"e0f0b374662a","_type":"span","marks":["strong"],"text":"survey of 900 women ages 22 to 45, "},{"_key":"7f1517f7036f","_type":"span","marks":[],"text":"representing all income levels, races, ethnicities, and geographic regions in the United States. We also considered respondents’ answers through the lens of their stated political beliefs, marital status, motherhood and insurance type, though these factors were not nationally representative. The online survey, which was co-designed and administered by "},{"_key":"4e10ff1619dd","_type":"span","marks":["53855a39c156"],"text":"Merrill Research"},{"_key":"d57a0dc3b755","_type":"span","marks":[],"text":", a leading market research firm, was conducted September 16-22, 2020. In this survey, respondents were asked how they would advise the next U.S President, regardless of who it is, on their healthcare priorities for the upcoming term. Notably, the top-level findings from the survey include:"}],"markDefs":[{"_key":"53855a39c156","_type":"externalLink","linkType":"text","url":"http://merrillresearch.com"}],"style":"normal"},{"_key":"df9b81b37726","_type":"editorialImageCarousel","items":[{"_key":"17da9fb42e8d","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-a1403bf51460d541fe10063aca47ba34ca543d45-2466x2037-png","_type":"reference"}}}}]},{"_key":"c475490dc94e","_type":"block","children":[{"_key":"d03eccad4718","_type":"span","marks":[],"text":"The balance of this report discusses the detailed results underlying these findings, highlights women’s view on key health policy priorities for the upcoming Administration and poses final considerations for readers."}],"markDefs":[],"style":"normal"},{"_key":"8d11841e1bab","_type":"sectionHeader","title":"Across All Groups, Women Agree More Than They Disagree"},{"_key":"fb605b225297","_type":"block","children":[{"_key":"bd913bd97352","_type":"span","marks":[],"text":"Despite the many demographic and philosophical differences among those surveyed, there was a "},{"_key":"fc5a32a11416","_type":"span","marks":["strong"],"text":"surprising level of accord in how women think about health"},{"_key":"23268f6ba55e","_type":"span","marks":[],"text":". The survey found that, for many policy issues, the single most important quality to inform opinions on healthcare was, in fact, being female. This was true across virtually every demographic category—including age, income, geography, race and ethnicity, and even political party in many cases. With some variation between categories, women surveyed expressed nearly universal sentiment on key issues such as safeguarding current protections for individuals with pre-existing conditions; ensuring coverage parity for mental health and substance use disorder care; requiring insurance coverage for pre- and post-natal care, and equal coverage for telehealth; supporting policies that expand access to affordable health insurance; and implementing new national policy to fight COVID-19."}],"markDefs":[],"style":"normal"},{"_key":"8d942ed20af5","_type":"block","children":[{"_key":"49dbb0679ce9","_type":"span","marks":[],"text":"Healthcare Insurance Issues"}],"markDefs":[],"style":"h3"},{"_key":"c04834efc066","_type":"block","children":[{"_key":"402bf69f5395","_type":"span","marks":[],"text":"While there are mixed feelings about the Affordable Care Act (ACA) when called out by name,"},{"_key":"707131ce472c","_type":"span","marks":["strong"],"text":" women in the study overwhelmingly support the underlying pillars that make up the ACA when those items are considered individually."},{"_key":"8c496a02afcd","_type":"span","marks":[],"text":" For instance, there is remarkably broad support for policies that (1) require insurance coverage for pre-existing medical conditions (88%); (2) increase access to affordable health coverage by providing subsidies that pay for health insurance (79%); and (3) result in the expansion of Medicaid to cover more people (71%). With respect to the latter, women across all income brackets and party lines care deeply about protecting insurance coverage for those with pre-existing conditions, with almost 9 in 10 women supporting the provision and over half ranking this as a top healthcare priority."}],"markDefs":[],"style":"normal"},{"_key":"9a5d80197275","_type":"editorialImageCarousel","items":[{"_key":"7c67ae0e6f29","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-b99c2243e8f582b4c947c0813e7caae73c095a73-2466x1563-png","_type":"reference"}}}}]},{"_key":"e1b000b7e828","_type":"block","children":[{"_key":"6b3beaeee400","_type":"span","marks":[],"text":"Beyond ensuring access to affordable health coverage, "},{"_key":"3388193ea2e9","_type":"span","marks":["strong"],"text":"there is broad support for policies that limit the out-of-pocket cost of healthcare"},{"_key":"f9aed021e473","_type":"span","marks":[],"text":", "},{"_key":"74a437bc24f5","_type":"span","marks":["strong","4840f045a72c"],"text":"including services provided virtually"},{"_key":"6ca56782c8c1","_type":"span","marks":[],"text":". Approximately 3 in 4 women in the study believe there should be policies that:"}],"markDefs":[{"_key":"4840f045a72c","_type":"annotation","text":[{"_key":"59826e21b9d8","_type":"block","children":[{"_key":"7aca8396fc76","_type":"span","marks":["strong"],"text":"Did you know? "},{"_key":"2c304a80d0ee","_type":"span","marks":[],"text":"Before Covid-19, most insurance plans did not cover the majority of telehealth or virtual care services."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"cd89523ee42d","_type":"block","children":[{"_key":"26f3a6a0aee5","_type":"span","marks":[],"text":"Manage drug prices by making laws that limit cost (84%);"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f32705cdcdbb","_type":"block","children":[{"_key":"b08582125a01","_type":"span","marks":[],"text":"Regulate the price of health insurance by limiting profits made by health insurers (82%);"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8a1ba8bb806c","_type":"block","children":[{"_key":"ab9d014102040","_type":"span","marks":[],"text":"Limit how much money people have to pay out-of-pocket for healthcare (78%); and"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"21127294b032","_type":"block","children":[{"_key":"ae0af1f09b250","_type":"span","marks":[],"text":"Require health insurance to cover key services, including:"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0c00a0c6ba20","_type":"block","children":[{"_key":"55fd4952a0310","_type":"span","marks":[],"text":"Pre- and post-natal care (83%);"}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9c46f12b5887","_type":"block","children":[{"_key":"366b7a1110110","_type":"span","marks":[],"text":"Mental health and substance use disorder care (80%);"}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5e817e4d10c8","_type":"block","children":[{"_key":"3d83fd78851d0","_type":"span","marks":[],"text":"Telemedicine, at the same level as in-person services (83%);"}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5d46ff75c60a","_type":"block","children":[{"_key":"3612624a85e0","_type":"span","marks":[],"text":"Gender-specific care (75%); and"}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"32c2765bd59c","_type":"block","children":[{"_key":"1d6536aeb8760","_type":"span","marks":[],"text":"Contraception and birth control (74%)."}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"884f57c02825","_type":"block","children":[{"_key":"4e5e26bc56fa","_type":"span","marks":[],"text":"Covid-19"}],"markDefs":[],"style":"h3"},{"_key":"c97f084822e9","_type":"block","children":[{"_key":"ea548dd04ed9","_type":"span","marks":[],"text":"Despite staggeringly different levels of COVID-19 contagion and impact among demographic groups, "},{"_key":"3b2a633e5312","_type":"span","marks":["strong"],"text":"70% of women agree that a new national strategy is required to fight COVID-19"},{"_key":"d84a8ae9861a","_type":"span","marks":[],"text":". Moreover, women in the study also show consensus regarding the policies and actions in such a strategy, like social distancing and mask-wearing, with the vast majority preferring a stricter approach. Specifically, the majority of women believe that:"}],"markDefs":[],"style":"normal"},{"_key":"e72e3c1ac1aa","_type":"block","children":[{"_key":"03bb4cfcd69b","_type":"span","marks":[],"text":"The federal government should pay wage subsidies to those who are out of work due to COVID-19 (78%);"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"995e75a0c3fe","_type":"block","children":[{"_key":"34dfb9da6dd00","_type":"span","marks":[],"text":"Healthcare workers should be given priority access to any approved COVID-19 vaccinations (78%);"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fa73af269997","_type":"block","children":[{"_key":"053e543bee990","_type":"span","marks":[],"text":"The federal government should pay for the testing and treatment of COVID-19 (77%) as well as the costs of contact tracing (76%);"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3b225d005395","_type":"block","children":[{"_key":"3acc48f15b670","_type":"span","marks":[],"text":"Social distancing should be required until a COVID-19 vaccine is readily available (75%);"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3c2110350269","_type":"block","children":[{"_key":"ce21bb1e53b50","_type":"span","marks":[],"text":"Mask-wearing policies should be required nationally and remain in place until the COVID-19 pandemic ends (68%); and"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3eeb65acacf5","_type":"block","children":[{"_key":"7a7546cc3f510","_type":"span","marks":[],"text":"The pharmaceutical industry should comply with a standard trial and testing process before deploying the vaccination publicly (68%)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7df46a36f5e4","_type":"editorialImageCarousel","items":[{"_key":"ab7efbc235cd","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-eeff07c18c8b0b6ef77e16cae22f5ccf987412c6-2466x897-png","_type":"reference"}}}}]},{"_key":"47609b2fe8be","_type":"sectionHeader","title":"Women View “Women’s Health” as More than Just Reproductive Medicine"},{"_key":"98e819cf785b","_type":"block","children":[{"_key":"c191814b6f30","_type":"span","marks":[],"text":"Historically, healthcare issues encompassed by the term “women’s health” have focused narrowly on so-called “bikini medicine” categories, such as gynecology and breast cancer. "},{"_key":"db1b8986e4ad","_type":"span","marks":["strong"],"text":"Rarely does public discourse or public policy in this field go beyond the physical and reproductive health categories, into which women’s health is all too commonly "},{"_key":"5453ca08c8d9","_type":"span","marks":["strong","ae111f1097c2"],"text":"reduced. "},{"_key":"7ba8b775b1bb","_type":"span","marks":[],"text":"But when women in the study were asked, “When it comes to your own health, what are your biggest personal health issues?” none of these issues top the list, even among women of child-bearing age, on whom this survey focused. While issues related to gynecology, maternal health, and/or other “bikini medicine” categories are clearly important to women, they are first and foremost focused on mental health, COVID-19, stress management, the cost of healthcare, and being overweight, among other issues unrelated to reproduction."}],"markDefs":[{"_key":"ae111f1097c2","_type":"footnote","text":[{"_key":"2e39ab44a5cb","_type":"block","children":[{"_key":"acd590f6d5fb","_type":"span","marks":[],"text":"https://www.commonwealthfund.org/publications/fund-reports/2020/jul/transforming-primary-health-care-women-part-1-framework"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"0c5f38f6e5a4","_type":"editorialImageCarousel","items":[{"_key":"587c18c12ef8","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e5f4abb8cc7573f805924059efd4c91e57232331-2466x1923-png","_type":"reference"}}}}]},{"_key":"98b78624a849","_type":"block","children":[{"_key":"b288b750aa48","_type":"span","marks":[],"text":"Furthermore, 1 in 5 women in the study cited mental health as the single most important health issue that needs to be addressed by the incoming President, even ahead of Covid-19 and the cost of healthcare."}],"markDefs":[],"style":"normal"},{"_key":"d2708d27bb9a","_type":"editorialImageCarousel","items":[{"_key":"ee6028f2edd6","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-0be457ca3eeb534a5a70bf1d3700dc0850ea4104-2466x969-png","_type":"reference"}}}}]},{"_key":"111322d73181","_type":"block","children":[{"_key":"66852a4a8d48","_type":"span","marks":[],"text":"While the order of importance attributed to these responses varies among the different subgroups surveyed, key issues remain the same across every single category of women in the study. Two subgroups where the ranking notably differed: women making less than $26,000 (whose top policy priorities are mental health, COVID-19, and being overweight, immediately followed by the cost of healthcare) and Black women (whose top policy priorities are COVID-19, mental health, and stress management, immediately followed by the cost of healthcare).\n\nDespite having other first-level priorities, women do care deeply about issues related to pregnancy, contraception, abortion, and fertility. "},{"_key":"6564568feb45","_type":"span","marks":["strong"],"text":"A majority of women surveyed believe that insurance should cover a wide range of reproductive health services"},{"_key":"ffe6becfe80c","_type":"span","marks":[],"text":", including pre- and post-natal care, contraception, fertility treatments, abortion, and other gender-specific care coverage. There are varying levels of support for coverage of certain services, however, based on political affiliation, race/ethnicity, and income level."}],"markDefs":[],"style":"normal"},{"_key":"bc8023bb3af1","_type":"block","children":[{"_key":"0a7d27770a13","_type":"span","marks":[],"text":"For instance, although 77% of the U.S. population supports the right to abortion protected by "},{"_key":"9308258bfdbc","_type":"span","marks":["em"],"text":"Roe v. "},{"_key":"68b4835f6572","_type":"span","marks":["em","2f79a197e461"],"text":"Wade"},{"_key":"4e947674601e","_type":"span","marks":[],"text":", among women included in this survey, 52% believe that insurance companies should be required to cover abortion services, with greater support amongst Democratic women. Support for coverage of contraceptives and abortion is highest among females with no children and women who identify as Democrats."}],"markDefs":[{"_key":"2f79a197e461","_type":"footnote","text":[{"_key":"3a0a2ecee36e","_type":"block","children":[{"_key":"3e2cac6ba3f5","_type":"span","marks":[],"text":"https://www.npr.org/2019/06/07/730183531/poll-majority-want-to-keep-abortion-legal-but-they-also-want-restrictions"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"0942dc7c2365","_type":"editorialImageCarousel","items":[{"_key":"77947792b770","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-27151446a3e4ad0b743560ccc70df87109887665-2466x1560-png","_type":"reference"}}}}]},{"_key":"df12a5633388","_type":"block","children":[{"_key":"39f2d8e79a6c","_type":"span","marks":[],"text":"Conversely, women across all demographics consistently support coverage for pre- and post-natal care as well as fertility treatments, with a higher level of support yet among single Black and Hispanic women for the latter."}],"markDefs":[],"style":"normal"},{"_key":"07348c71b307","_type":"editorialImageCarousel","items":[{"_key":"9bcda5259be3","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-f3058b6d6179aa4805116c0e9e41f290ea93f31e-2466x969-png","_type":"reference"}}}}]},{"_key":"5c81fdf52cb2","_type":"sectionHeader","title":"Women Want Healthcare Solutions That Address Social and Economic Factors Beyond What Happens at the Doctor’s Office"},{"_key":"2e90a088ebb3","_type":"block","children":[{"_key":"7381257c1bfc","_type":"span","marks":[],"text":"Women consider social and economic policies and supports to be deterministic of and essential to their health and well-being, at a level that significantly exceeds any other healthcare-related issues. In fact, "},{"_key":"553ca563ae3c","_type":"span","marks":["strong"],"text":"women overwhelmingly think about health as much more than traditionally defined “healthcare”"},{"_key":"0da2133a0587","_type":"span","marks":[],"text":" and believe that "},{"_key":"3c35df7ecfde","_type":"span","marks":["strong"],"text":"the most critical services in their lives address far more than medicine and biology"},{"_key":"a76b3d49d75e","_type":"span","marks":[],"text":", as evidenced by the most common responses to the survey question, “What is the single most contributing item to improving the health and well-being of women, not just during the pandemic, but generally?”"}],"markDefs":[],"style":"normal"},{"_key":"03ce948f95d8","_type":"editorialImageCarousel","items":[{"_key":"2b1ba7cc2a0a","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-ac2ff26cf4f57b6b440bdb925f148495f8af6441-3288x3680-png","_type":"reference"}}}}]},{"_key":"86e0e2181a09","_type":"block","children":[{"_key":"57b3357071fa","_type":"span","marks":[],"text":"Even women with no children ranked affordable childcare and payment for family caregiving among the top three contributors to women’s health, as did women across all income levels."}],"markDefs":[]},{"_key":"b5fcb33b1cf6","_type":"block","children":[{"_key":"d23c5a20317f0","_type":"span","marks":[],"text":"Following support for caregivers, women ranked “access to healthy, affordable food” as highly essential to their health and well-being. Intuitively, most people know how fundamental healthy food is to good health, but strategies to navigate access in the healthcare system are rarely addressed. Given that so many women cited “being overweight” as a top personal health concern, it is clear that women need assistance appropriately linking the impact of food on weight and health in their healthcare system experiences. Effective policy should recognize this challenge and mitigate its impacts through physician education, nutrition and food security screenings, referrals to and enrollment support for public nutrition services (e.g., the Supplemental Nutrition Assistance Program), and creative approaches to insurance coverage."}],"markDefs":[],"style":"normal"},{"_key":"9e029076107e","_type":"block","children":[{"_key":"220d040bf4580","_type":"span","marks":[],"text":"Still, there are noticeable differences in what were named as the most contributory factors to health when breaking down the results by race and ethnicity, highlighting disparities among certain minority populations. Black, Hispanic, and Asian women more frequently cite income-related factors, such as a higher minimum wage, having employment, or "},{"_key":"a0aa2eec2f69","_type":"span","marks":["d584d693c329"],"text":"equal pay to men"},{"_key":"57516409600f","_type":"span","marks":[],"text":", as more contributory to their health than do white women. For instance, approximately 30% of Black women chose “higher minimum wage” as the most essential need to health and well-being, compared to just 18% of white women."}],"markDefs":[{"_key":"d584d693c329","_type":"annotation","text":[{"_key":"8d606f72a454","_type":"block","children":[{"_key":"e263257cd575","_type":"span","marks":["strong"],"text":"Did you know? "},{"_key":"e896ba9b5002","_type":"span","marks":[],"text":"On average, Black women in the U.S. are paid 38% less than white men and 21% less than white women."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"f96affcac3dc","_type":"editorialImageCarousel","items":[{"_key":"8b736b99b932","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-ef93ae64c0a254f291bbb14dc1e4fe9e2380c83a-2466x1878-png","_type":"reference"}}}}]},{"_key":"f1b8393c4692","_type":"sectionHeader","title":"Recommendations for Our Next President and Other Healthcare Policy Leaders"},{"_key":"3f01448d65f1","_type":"block","children":[{"_key":"7374ccc7839a","_type":"span","marks":[],"text":"Across the spectrum of healthcare issues, the results of this survey are clear: "},{"_key":"43b4a506cb8e","_type":"span","marks":["strong"],"text":"A majority of women do not believe the United States is on the right track — 73% say they believe our country is headed in “the wrong direction.”"},{"_key":"5e4bf1000069","_type":"span","marks":[],"text":" "}],"markDefs":[],"style":"normal"},{"_key":"ccd93ce49a3f","_type":"block","children":[{"_key":"758db0db0488","_type":"span","marks":[],"text":"The implications for policy are clear. It is essential for the next President to prioritize efforts to:"}],"markDefs":[],"style":"normal"},{"_key":"a3bdd49ee6a0","_type":"block","children":[{"_key":"1f41de105dfb0","_type":"span","marks":[],"text":"Ensure that people cannot be denied health insurance if they have "},{"_key":"1f41de105dfb1","_type":"span","marks":["strong"],"text":"pre-existing conditions"},{"_key":"1f41de105dfb2","_type":"span","marks":[],"text":" (88%), but also ensure that health insurance is broadly available, affordable, and inclusive of all of the issues considered to impact health."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"57ff4102c3e9","_type":"block","children":[{"_key":"80ae34e5ebce0","_type":"span","marks":[],"text":"Extend coverage for "},{"_key":"80ae34e5ebce1","_type":"span","marks":["strong"],"text":"telemedicine and virtual care"},{"_key":"80ae34e5ebce2","_type":"span","marks":[],"text":" so they are on parity with in-person services (83%), especially for hard-to-access services."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"91451ecd3423","_type":"block","children":[{"_key":"5bca25f24a9a0","_type":"span","marks":[],"text":"Require insurance companies, employers, and Medicaid to make "},{"_key":"5bca25f24a9a1","_type":"span","marks":["strong"],"text":"mental health and substance use disorder care more accessible and affordable"},{"_key":"5bca25f24a9a2","_type":"span","marks":[],"text":" through coverage parity (80%)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"652def4cb62e","_type":"block","children":[{"_key":"5b893ecdbf920","_type":"span","marks":[],"text":"Increase access to affordable health coverage by:"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a67c445a01b7","_type":"block","children":[{"_key":"9934262726470","_type":"span","marks":[],"text":"Subsidizing the cost of health insurance for those who cannot afford it (79%); and"}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b04b22075730","_type":"block","children":[{"_key":"fee8ffebddec0","_type":"span","marks":[],"text":"Requiring that state Medicaid plans extend coverage to more people (71%)."}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"83d4dda22216","_type":"editorialImageCarousel","items":[{"_key":"dfb6405ab3b7","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-f989029a316f270d24c52760385227212b968e9e-2466x2043-png","_type":"reference"}}}}]},{"_key":"33c1c8c18e53","_type":"block","children":[{"_key":"3e3bcf059109","_type":"span","marks":[],"text":"Further, as policy makers consider the design and implementation of such policy priorities, they should ensure that such policies address broader societal inequities existing among and between women. To accomplish this, policy makers must:"}],"markDefs":[],"style":"normal"},{"_key":"47f53a93b640","_type":"block","children":[{"_key":"0414082e27e9","_type":"span","marks":[],"text":"Broaden policies to incorporate"},{"_key":"615e663a3d03","_type":"span","marks":["strong"],"text":" integrated solutions that enable whole person care"},{"_key":"1dc32c3204d7","_type":"span","marks":[],"text":" and specifically address unmet social needs—including caregiver support, adequate and equal wages, and education about and access to healthy foods. Women’s health begins with supportive social policies and structures, many of which are considered outside the lines of traditional healthcare. It is time to redraw the lines and evolve innovative ways of serving and paying for these needs."}],"markDefs":[],"style":"normal"},{"_key":"812bf5a3f876","_type":"block","children":[{"_key":"c8bba86bd796","_type":"span","marks":[],"text":"Design policies that enable "},{"_key":"6c3104695b85","_type":"span","marks":["strong"],"text":"women to get "},{"_key":"6e170c09f13c","_type":"span","marks":["strong","em"],"text":"all"},{"_key":"c8dd7edbf9f5","_type":"span","marks":["strong"],"text":" of their health needs addressed"},{"_key":"e8e1767cdcff","_type":"span","marks":[],"text":", whether related to reproductive health, overall physical health, or mental health. Women’s health is full mind and body health, and nothing less."}],"markDefs":[],"style":"normal"},{"_key":"9674db3b309c","_type":"block","children":[{"_key":"69077e65a206","_type":"span","marks":[],"text":"Actively identify and "},{"_key":"6ff43a6d3d1c","_type":"span","marks":["strong"],"text":"correct for health disparities among women"},{"_key":"85380ac9ca95","_type":"span","marks":[],"text":". Even where concordance exists at an aggregate level, racial and financial disparities further highlight and exacerbate health challenges for women of color and with lower incomes. These disparities have a multiplier effect for health risk and must receive greater attention."}],"markDefs":[],"style":"normal"},{"_key":"b40035530437","_type":"sectionHeader","title":"Final Considerations"},{"_key":"96bd8037b837","_type":"block","children":[{"_key":"133b04b120a7","_type":"span","marks":[],"text":"Beyond policy makers, there are clear messages here for others with broad impact on how women receive healthcare, such as insurance companies and health systems that, by and large, serve as gatekeepers to health services and determine what is considered “healthcare,” “medically necessary,” or “cost-effective.” These entities must broaden their definition of women’s health to be inclusive of the holistic definitions deemed essential by the vast majority of women in the country. This broader definition creates an opportunity for such entities to design and implement strategies that incorporate social needs like childcare or affordable nutrition into the healthcare system in a meaningful way—an effort that has gained widespread attention from payers, providers, and advocates alike in "},{"_key":"dd766b9d2da4","_type":"span","marks":["79ff6534319d"],"text":"recent"},{"_key":"870b95ae739e","_type":"span","marks":[],"text":" "},{"_key":"37dbaf1c675d","_type":"span","marks":["9e02ac08808b"],"text":"years"},{"_key":"9b431e656338","_type":"span","marks":[],"text":". "},{"_key":"2bf82284c245","_type":"span","marks":[],"text":"Moreover, this is a clarion call for fair and equal wage laws to finally have their moment."}],"markDefs":[{"_key":"9e02ac08808b","_type":"footnote","text":[{"_key":"943eef174873","_type":"block","children":[{"_key":"f64862bf32f8","_type":"span","marks":["f4862054a39c"],"text":"https://www.commonwealthfund.org/blog/2020/putting-price-social-services-north-carolinas-pilot-effort"},{"_key":"5b17ccebb763","_type":"span","marks":[],"text":"​ "}],"markDefs":[{"_key":"f4862054a39c","_type":"link","href":"https://www.commonwealthfund.org/blog/2020/putting-price-social-services-north-carolinas-pilot-effort"}],"style":"normal"}]},{"_key":"79ff6534319d","_type":"footnote","text":[{"_key":"1a6ccbacf37a","_type":"block","children":[{"_key":"390f8e851cf3","_type":"span","marks":["81c1862cd871"],"text":"https://healthpayerintelligence.com/news/cigna-humana-expand-ma-plans-to-cover-social-determinants-of-health"},{"_key":"3d85edad57d5","_type":"span","marks":[],"text":"​ "}],"markDefs":[{"_key":"81c1862cd871","_type":"link","href":"https://healthpayerintelligence.com/news/cigna-humana-expand-ma-plans-to-cover-social-determinants-of-health"}],"style":"normal"}]}]},{"_key":"fbd66990cb98","_type":"block","children":[{"_key":"200bef15f0cd0","_type":"span","marks":[],"text":"At a time of polarization within our nation, it is notable that, at least when it comes to health, there is far more agreement than disagreement among women in the age group 22-45, a group that comprises more than 50% of all women in the United "},{"_key":"0c4e51294d37","_type":"span","marks":["2080e0c5f106"],"text":"States."},{"_key":"ee94a9c61ec0","_type":"span","marks":[],"text":" Even the supposed divisions between Republican and Democratic women have far less of an effect than is publicly represented. Health for women is an opportunity to make investments in issues where there is common ground, which is an opportunity for the President and others to make a positive difference with a large voting constituency. Women may play the central role when it comes to making family healthcare decisions, but it is time for the male policy-making majority to walk a mile in women’s shoes and contribute to the betterment of the nation as a whole."}],"markDefs":[{"_key":"2080e0c5f106","_type":"footnote","text":[{"_key":"74214a7febd6","_type":"block","children":[{"_key":"3852e540535c","_type":"span","marks":[],"text":"https://www.statista.com/statistics/241488/population-of-the-us-by-sex-and-age/"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"25dc34fc6b8b","_type":"editorialImageCarousel","items":[{"_key":"f5302684a427","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e3944cbc29d356fe88a3e8c021ceecfabc8161c5-2466x1437-png","_type":"reference"}}}}]},{"_key":"69da486a7e18","_type":"sectionHeader","title":"Appendix"},{"_key":"a746d3de4f45","_type":"editorialImageCarousel","items":[{"_key":"f5302684a427","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-30683e3d8ac382d4ff303db7a5ff41384bfb8bc5-2466x4422-png","_type":"reference"}}}}]},{"_key":"80b8473ef2cb","_type":"block","children":[{"_key":"ead3ae3170aa","_type":"span","marks":[],"text":"About Tia "}],"markDefs":[],"style":"h4"},{"_key":"2f542a987dc0","_type":"block","children":[{"_key":"3fc5ee56dff2","_type":"span","marks":[],"text":"Founded in 2017 by Carolyn Witte and Felicity Yost, Tia is a full-service women’s healthcare platform architecting a new, female-centric model of care with a blend of in-person and virtual services. The company has built a personalized healthcare model by fusing OB/GYN, primary care, mental health, and evidenced-based wellness services into an integrative experience that’s convenient, collaborative, and focused on prevention. From the Tia health advisor app to the Tia Clinic, Tia makes women healthier, providers happier, and the business of care delivery stronger."}],"markDefs":[],"style":"normal"},{"_key":"1d757a94c51c","_type":"block","children":[{"_key":"1fa67487bfaa0","_type":"span","marks":[],"text":"About Manatt Health"}],"markDefs":[],"style":"h4"},{"_key":"248c49ff44c3","_type":"block","children":[{"_key":"c584192b610e0","_type":"span","marks":[],"text":"Manatt Health integrates legal and strategic business consulting expertise to better serve the complex needs of clients across the healthcare system. Combining legal excellence, first-hand experience in shaping public policy, sophisticated business insight, and deep analytic capabilities, we provide uniquely valuable professional services to the full range of health industry players. Our diverse team of more than 160 attorneys and consultants from Manatt, Phelps & Phillips, LLP, and its consulting subsidiary, Manatt Health Strategies, LLC, is passionate about helping our clients advance their business interests, fulfill their missions, and lead healthcare into the future. For more information, visit "},{"_key":"c28c4c67b865","_type":"span","marks":["753bf2191a6a"],"text":"www.manatt.com/health."},{"_key":"caf92a96defb","_type":"span","marks":[],"text":"​ "}],"markDefs":[{"_key":"753bf2191a6a","_type":"externalLink","linkType":"text","url":"http://manatthealth.com/"}],"style":"normal"},{"_key":"6cfec41e2361","_type":"block","children":[{"_key":"0dbd43c00f9a","_type":"span","marks":[],"text":"About the Authors"}],"markDefs":[],"style":"h4"},{"_key":"90828997688f","_type":"block","children":[{"_key":"af875a12628c0","_type":"span","marks":["6129e69a47b2","strong"],"text":"Carolyn Witte"},{"_key":"b66c308b8c22","_type":"span","marks":[],"text":", Co-Founder and CEO, Tia, Inc. "},{"_key":"317c9c53ba6b0","_type":"span","marks":[],"text":"\n"},{"_key":"766fc9e8a2f1","_type":"span","marks":["a647133eed8e","strong"],"text":"Felicity Yost"},{"_key":"69b970fd4d3a","_type":"span","marks":[],"text":", Co-Founder and Chief Product & Operating Officer, Tia, Inc. "},{"_key":"3cacff6572640","_type":"span","marks":[],"text":"\n"},{"_key":"23dd2df85496","_type":"span","marks":["ab481607a973","strong"],"text":"Lisa Suennen"},{"_key":"9e19499d4e3b","_type":"span","marks":[],"text":", Managing Director, Manatt Health and Lead Partner, Manatt Ventures."},{"_key":"7df243aa37800","_type":"span","marks":[],"text":"\n"},{"_key":"2c90d8bbe681","_type":"span","marks":["9e43a995dd3a","strong"],"text":"Morgan Craven"},{"_key":"71eb3f955ffe","_type":"span","marks":[],"text":", Consultant, Manatt Health, LLC.\n"}],"markDefs":[{"_key":"6129e69a47b2","_type":"internalLink","linkType":"text","reference":{"_ref":"1d86c6c4-44b5-4e0c-ad10-623f5aad6dde","_type":"reference"}},{"_key":"a647133eed8e","_type":"internalLink","linkType":"text","reference":{"_ref":"d605a4ae-a1d2-446f-a95f-6d1466e06a40","_type":"reference"}},{"_key":"ab481607a973","_type":"externalLink","linkType":"text","url":"https://www.manatt.com/lisa-suennen"},{"_key":"9e43a995dd3a","_type":"externalLink","linkType":"text","url":"https://www.manatt.com/morgan-craven"}],"style":"normal"},{"_key":"c30c4154d95c","_type":"block","children":[{"_key":"a2056647aa480","_type":"span","marks":["strong"],"text":"For More Information Contact:"}],"markDefs":[],"style":"h4"},{"_key":"27c03f49ef65","_type":"block","children":[{"_key":"d03634ddedc6","_type":"span","marks":[],"text":"Libbey Baumgarten, Senior Vice President, Jennifer Bett Communications, "},{"_key":"ed8123bc57db","_type":"span","marks":["a556d5a9e72a"],"text":"tia@jenniferbett.com"},{"_key":"4d96bdf3a4ef","_type":"span","marks":[],"text":"\nSamuel Eisele, Media Relations Manager, Manatt, "},{"_key":"8c9e6f3851a1","_type":"span","marks":["897f5047ba82"],"text":"seisele@manatt.com"},{"_key":"f28528d29b60","_type":"span","marks":[],"text":"​ "}],"markDefs":[{"_key":"a556d5a9e72a","_type":"externalLink","linkType":"text","url":"mailto:tia@jenniferbett.com"},{"_key":"897f5047ba82","_type":"externalLink","linkType":"text","url":"mailto:tia@jenniferbett.com"}],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-2dcb64e08070d5f21b6185ee4e152a8e59e76798-7500x2400-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0,"right":0,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":1,"width":1,"x":0.5,"y":0.5}},"modules":[{"_key":"b857e9e00dcb","_type":"shape","backgroundColor":"bcb","shapeColor":"bcw","shapeType":"shape-3"},{"_key":"1985921c012c","_type":"furtherReading","articles":[{"_key":"95bcf19a2ccc","_ref":"b98e5d57-09b7-4cdb-a1e8-653c6d866e66","_type":"reference"},{"_key":"781d3519d7fb","_ref":"d33edbe0-092c-440c-bc40-784b5f25bdf9","_type":"reference"},{"_key":"6722968259ee","_ref":"ffda7ffc-0408-47db-bb13-efec95220cce","_type":"reference"}],"title":"MORE READS"}],"publishedAt":"2020-10-20T04:00:00.000Z","slug":{"_type":"slug","current":"dear-future-president-what-women-want-for-healthcare-in-america"},"status":"production","title":"Dear Future President — What Women Want for Healthcare in America","topics":[{"_key":"4d2472e2f7c0","_ref":"e73216c3-62ac-4d28-a1a2-78bb60a208be","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"A report based on findings from nearly 1000 surveyed women. 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Building a social contract with Tia."}],"markDefs":[],"style":"large"},{"_key":"6fe479be2c38","_type":"block","children":[{"_key":"6fe479be2c380","_type":"span","marks":[],"text":"Being social — togetherness — is what keeps us ticking, transforms the bitter moments in life to sweet ones, and, quite literally, gives us *pleasure*. Research shows that social ties reduce mortality risks among adults with documented medical conditions. Additionally, supportive interactions with others benefit the immune system and help to reduce allostatic load (the cumulative wear and tear on your body from stress — especially chronic stress)."}],"markDefs":[],"style":"normal"},{"_key":"a4fbd5add1dc","_type":"block","children":[{"_key":"a4fbd5add1dc0","_type":"span","marks":[],"text":"So, how in the world are we supposed to do this in the landscape of the coronavirus outbreak?"}],"markDefs":[],"style":"h4"},{"_key":"13405ba8c166","_type":"block","children":[{"_key":"13405ba8c1660","_type":"span","marks":[],"text":"If you’re confused about what to do right now, you’re not alone. It feels like there are different recommendations coming from everywhere and making sense of it, is no easy task. Ultimately, the choices in how *you* navigate through this bizarre time are up to you. These choices are likely dependent on a number of factors such as local context, work obligations, personal health, signature-stress type, etc. We’re here to offer a little more context to help you make more informed choices with confidence."}],"markDefs":[],"style":"normal"},{"_key":"bf40a011b81c","_type":"block","children":[{"_key":"bf40a011b81c0","_type":"span","marks":[],"text":"First things first, what is a social contract? It is an implicit agreement among the members of a society to cooperate for the social benefits of many, rather than few. Cooperation in this agreement may include sacrificing individual freedoms (not going on that hinge date, canceling wine club, or swapping your favorite yoga class for a run outside instead). Here we’ll break down how we’re thinking about the choices we’re making from an individual, local, and global perspective:\n\n"}],"markDefs":[],"style":"normal"},{"_key":"67637d4945af","_type":"editorialImageCarousel","items":[{"_key":"48f9ed2e95f9","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-31cfec25082371da7aba4ca3c4426b97d309fb99-2103x195-png","_type":"reference"}}}}]},{"_key":"bde8d32c1f03","_type":"block","children":[{"_key":"bde8d32c1f030","_type":"span","marks":[],"text":"At Tia, we’ve shared recommendations on how to prepare for coronavirus:"}],"markDefs":[],"style":"normal"},{"_key":"d1f26547da7e","_type":"block","children":[{"_key":"d1f26547da7e0","_type":"span","marks":[],"text":""},{"_key":"d1f26547da7e1","_type":"span","marks":["5aeea2ff1c74"],"text":"Washing hands"},{"_key":"d1f26547da7e2","_type":"span","marks":[],"text":" (obvi!)"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"5aeea2ff1c74","_type":"externalLink","url":"https://www.instagram.com/p/B9j8LnEpJZG/"}],"style":"normal"},{"_key":"9459b6fdf013","_type":"block","children":[{"_key":"9459b6fdf0130","_type":"span","marks":[],"text":"Setting-up your "},{"_key":"9459b6fdf0131","_type":"span","marks":["9c95530d7427"],"text":"medicine cabinet"},{"_key":"9459b6fdf0132","_type":"span","marks":[],"text":""}],"level":1,"listItem":"bullet","markDefs":[{"_key":"9c95530d7427","_type":"annotation","text":[{"_key":"c7d542418228","_type":"block","children":[{"_key":"c7d5424182281","_type":"span","marks":["0742c180e4e9"],"text":"Learn more"},{"_key":"c7d5424182282","_type":"span","marks":[],"text":" about what to include in your medicine cabinet in the Coronavirus climate."}],"markDefs":[{"_key":"0742c180e4e9","_type":"annotationLink","reference":{"_ref":"12f61670-b812-4d44-85bb-7865737b7a5a","_type":"reference"}}],"style":"normal"}]}],"style":"normal"},{"_key":"26c60024ce7e","_type":"block","children":[{"_key":"26c60024ce7e0","_type":"span","marks":[],"text":""},{"_key":"26c60024ce7e1","_type":"span","marks":["23eef6b7547c"],"text":"Proactively preparing"},{"_key":"26c60024ce7e2","_type":"span","marks":[],"text":" you and your household for a number of scenarios that may play out."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"23eef6b7547c","_type":"internalLink","linkType":"text","reference":{"_ref":"84a00f77-6ca4-4dc2-a225-9141889ad4cc","_type":"reference"}}],"style":"normal"},{"_key":"ba02046dd70f","_type":"block","children":[{"_key":"ba02046dd70f0","_type":"span","marks":[],"text":"We do not promote:"}],"markDefs":[],"style":"normal"},{"_key":"b069817c4463","_type":"block","children":[{"_key":"b069817c44630","_type":"span","marks":[],"text":"Stockpiling or hoarding supplies, especially masks which are critically needed for care providers working around the clock right now!"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"727c38242d14","_type":"editorialImageCarousel","items":[{"_key":"0df7908e1a4e","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-3f91d3e1ec95e750d40675f5202a87660383e3a6-2103x195-png","_type":"reference"}}}}]},{"_key":"0b1bee5ad9e8","_type":"block","children":[{"_key":"0b1bee5ad9e80","_type":"span","marks":[],"text":"While young and healthy people are currently considered lower-risk for personally suffering severe illness from coronavirus, it is vital they dramatically alter their daily lives in order to lower risk from a greater local standpoint."}],"markDefs":[],"style":"normal"},{"_key":"9d63dfcbbf5b","_type":"block","children":[{"_key":"9d63dfcbbf5b0","_type":"span","marks":[],"text":"German scientists, some of the first to look at clinical data on this outbreak have concluded two pieces of information that can help us understand the impact of lessening our movement:"}],"markDefs":[],"style":"normal"},{"_key":"84852cc5667c","_type":"block","children":[{"_key":"84852cc5667c0","_type":"span","marks":["strong"],"text":"1. Individuals are most infectious early in the disease."}],"markDefs":[],"style":"normal"},{"_key":"c39adb0ae204","_type":"block","children":[{"_key":"c39adb0ae2040","_type":"span","marks":["strong"],"text":"2. Viral load (how much of the virus is present in an individual) does not necessarily correlate with the isolation of the virus. In layperson terms, you can be carrying and transmitting the virus *and* be completely symptom-free."}],"markDefs":[],"style":"normal"},{"_key":"5a2a54eadbbd","_type":"block","children":[{"_key":"5a2a54eadbbd0","_type":"span","marks":[],"text":"With restricted accessibility and availability to testing right now, one of the greatest measures we can take from a public health imperative is to engage in social distancing. This is because viruses spread easily in dense places (think: a packed subway car, a political rally, or a concert). Social distancing is a spectrum of measures that can be taken to increase the physical space between people in an effort to slow the spread of this virus."}],"markDefs":[],"style":"normal"},{"_key":"2369b328967b","_type":"editorialImageCarousel","items":[{"_key":"12d53cf0cf81","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-b21456f58736739245c4fea78dab025596ab4117-2103x842-png","_type":"reference"}}}}],"spacing":"pys"},{"_key":"1bdc6235dede","_type":"block","children":[{"_key":"1bdc6235dede0","_type":"span","marks":[],"text":"But what about local businesses? What about people who are financially unable to purchase adequate provisions or work from home? What about considerations for public school closings and the children who only receive meals at school?"}],"markDefs":[],"style":"normal"},{"_key":"6e4202ee7324","_type":"block","children":[{"_key":"6e4202ee73240","_type":"span","marks":[],"text":"There aren’t easy answers. But if you have extra resources we encourage you to donate, check-in with loved ones, and members of your community who may be in need."}],"markDefs":[],"style":"normal"},{"_key":"1680cb8b6a27","_type":"editorialImageCarousel","items":[{"_key":"840cbbc22193","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-815484b03ac66c237e154152daa81d310ebce817-2103x195-png","_type":"reference"}}}}]},{"_key":"a96a78e38025","_type":"block","children":[{"_key":"a96a78e380250","_type":"span","marks":[],"text":"As of now, the Department of State is advising U.S. citizens to reconsider all travel abroad. Many areas throughout the world are experiencing coronavirus outbreaks and taking actions that limit mobility (including everything from quarantines to border restrictions)."}],"markDefs":[],"style":"normal"},{"_key":"1a75bfbc9f5e","_type":"editorialImageCarousel","items":[{"_key":"bfce6b14c254","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-0573a6638628b9ddd5fc8ff947443d67643c1cee-2103x1042-png","_type":"reference"}}}}]},{"_key":"752626dacb99","_type":"block","children":[{"_key":"752626dacb990","_type":"span","marks":[],"text":"Global travel is only one aspect of this perspective. Unfortunately, we are able to see examples of healthcare systems that are completely overburdened by this virus. Our actions on an individual and local level must be considered as an ethical imperative for not only our own communities but also at a global level. It is our responsibility to work to ensure that our healthcare system does not grow overburdened. It is through small everyday choices that we can make an impact on the health and safety for all."}],"markDefs":[],"style":"normal"},{"_key":"2df8b636802d","_type":"block","children":[{"_key":"2df8b636802d0","_type":"span","marks":[],"text":"At Tia, we recommend taking some time to build out a social contract that works *you*. 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As care providers, we are here to be your objective guide, counselor, and educator, but never your decision-maker.\n\nJust as in our core primary care and gynecology practice, we deploy a sex-specific, distinctly female approach to vaccines — assessing female-specific risk-factors, side effects, and translating the hard data to counter misinformation. Radical transparency and nothing but the facts will forever and always be our priority."}],"markDefs":[{"_key":"430cbb40cef1","_type":"annotation","text":[{"_key":"488368f78962","_type":"block","children":[{"_key":"ea15421d258e","_type":"span","marks":[],"text":"Want to learn more about the Covid Vaccine? 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Vaccine efforts are currently focused on healthcare workers and long-term care facility residents, but eligibility criteria (determined at the local level) is changing daily."}],"markDefs":[],"style":"normal"},{"_key":"2eb9405a99c4","_type":"editorialImageCarousel","items":[{"_key":"472f969f2d7e","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-0e9b8e3ac7fa407685c3d6c5193463dee31f383e-7200x1530-png","_type":"reference"}}}}]},{"_key":"e4508c52cfcc","_type":"block","children":[{"_key":"32844a1b7863","_type":"span","marks":[],"text":"The last 9-months have revealed the disproportionate impact of Covid-19 on communities of color — a stark reminder that while a virus can impact us all, it does not affect us all equally. To ensure access to vaccines for all people, especially for those most at risk, Tia will collaborate and prioritize distributing vaccines to BIPOC women and families with our local health system and non-profit partners."}],"markDefs":[],"style":"normal"},{"_key":"030ada04584a","_type":"editorialImageCarousel","items":[{"_key":"472f969f2d7e","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-74db741a54c1439363c2d106ffc5642148100551-7200x4302-png","_type":"reference"}}}}]},{"_key":"b673eb61f6bf","_type":"block","children":[{"_key":"345c28024c74","_type":"span","marks":["strong"],"text":"Stay tuned for more information on the Covid-19 vaccines and how Tia is here to support you through it."}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_id":"image-6015abc4a944b1372eda964681e4fcf60fde505c-2800x1600-png","_type":"sanity.imageAsset","_createdAt":"2022-09-15T10:11:25Z","_rev":"sHpRFPBbkHGijFCjqolTz9","_updatedAt":"2022-09-15T10:11:26Z","assetId":"6015abc4a944b1372eda964681e4fcf60fde505c","extension":"png","metadata":{"_type":"sanity.imageMetadata","blurHash":"M4SP97-oj[?GkC~pV@ozogt8tSWAaeV?o#","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":1.75,"height":1600,"width":2800},"hasAlpha":true,"isOpaque":true,"lqip":"data:image/png;base64,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","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#8f4509","foreground":"#fff","population":0,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#7b3c08","foreground":"#fff","population":0,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#e1d3c3","foreground":"#000","population":0.22,"title":"#000"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#e1d3c3","foreground":"#000","population":0.22,"title":"#000"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#fce6d4","foreground":"#000","population":0.03,"title":"#000"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#8f4509","foreground":"#fff","population":0,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#ee7410","foreground":"#fff","population":0,"title":"#fff"}}},"mimeType":"image/png","originalFilename":"line 11.png","path":"images/8qqycr4y/production/6015abc4a944b1372eda964681e4fcf60fde505c-2800x1600.png","sha1hash":"6015abc4a944b1372eda964681e4fcf60fde505c","size":5897931,"uploadId":"l1B4P0zMZYs8vSo5ulEAzdLCnp16oKAr","url":"https://cdn.sanity.io/images/8qqycr4y/production/6015abc4a944b1372eda964681e4fcf60fde505c-2800x1600.png","id":"image-6015abc4a944b1372eda964681e4fcf60fde505c-2800x1600-png","parent":null,"children":["c6c15b34-c3c3-5058-b9d2-351c97d5b27f"],"internal":{"type":"SanityImageAsset","contentDigest":"c9abda262209339fadd254ce4a461a9c","counter":5618,"owner":"gatsby-source-sanity"}}},"modules":[{"_key":"d621a42528e3","_type":"shape","backgroundColor":"tertiary-3","shapeColor":"tertiary-4","shapeType":"shape-2"},{"_key":"18c9c6212781","_type":"furtherReading","articles":[{"_id":"a8e579e5-f50e-4816-95bb-726b7b1fce9d","_type":"editorial","_createdAt":"2020-12-09T19:07:37Z","_rev":"Pf6WA3QqVnnbHhbAQg2ECI","_updatedAt":"2022-12-28T11:20:55Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"6ebe3848-7078-4bbf-890a-e4cee9852934","_type":"reference"},"authors":[{"_key":"27cef6bb18c6","_ref":"620445e8-cfbd-40b4-9bd3-1742868efe78","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-9fd4b0cde647a98b8d9220ff40f3699c66432237-1366x800-png","_type":"reference"}},"editorialText":[{"_key":"a7807bcc4359","_type":"block","children":[{"_key":"4bec5f594a54","_type":"span","marks":[],"text":"Today, December 10, 2020, the U.S. Food and Drug Administration will meet to discuss the request for emergency use authorization of the Covid-19 vaccine from Pfizer."}],"markDefs":[],"style":"large"},{"_key":"8d81079a7262","_type":"block","children":[{"_key":"9cc5d005efa2","_type":"span","marks":["em"],"text":"With so much information and misinformation about Covid-19 vaccines, we, at Tia, want to help our community understand to help you understand *wtf* is really going on. We’re doing exactly that with regular drops of THE DOSE, your science-backed guide to all things Covid-19 vaccines."}],"markDefs":[],"style":"normal"},{"_key":"0544329801d6","_type":"block","children":[{"_key":"f79ea6ea2da8","_type":"span","marks":["em"],"text":"THE DOSE is brought to you by geneticist and evolutionary biologist, "},{"_key":"a3a5e9ab8e9f","_type":"span","marks":["em","b93558f2ccad"],"text":"Dr. Ava Mainieri, Head of Research at Tia"},{"_key":"13f1e38c349b","_type":"span","marks":["em"],"text":", and infectious disease expert,  Dr. Kathleen Jordan, Senior VP of Medical Affairs at Tia."},{"_key":"88659fc10004","_type":"span","marks":[],"text":"\n"}],"markDefs":[{"_key":"b93558f2ccad","_type":"internalLink","linkType":"text","reference":{"_ref":"620445e8-cfbd-40b4-9bd3-1742868efe78","_type":"reference"}}],"style":"normal"},{"_key":"b694960827e0","_type":"block","children":[{"_key":"f6aedd64f474","_type":"span","marks":[],"text":"How does the Covid-19 vaccine work?"}],"markDefs":[],"style":"h3"},{"_key":"3bb000071222","_type":"block","children":[{"_key":"6773474a0a2b","_type":"span","marks":[],"text":"The first Covid-19 vaccines are mRNA vaccines which act as a set of instructions injected into our cells. "},{"_key":"eef22c3559ef","_type":"span","marks":["strong"],"text":"Our cell machinery uses the instructions to develop a protein that looks *very similar* to the spike protein on the surface of the Covid-19 virus. "},{"_key":"837c053eb24a","_type":"span","marks":[],"text":"Our immune response develops antibodies against that protein and the injected mRNA degrades rapidly."}],"markDefs":[],"style":"normal"},{"_key":"391f7d302a1d","_type":"block","children":[{"_key":"6fffccefab15","_type":"span","marks":[],"text":"Let’s start at the beginning (aka the infection)"}],"markDefs":[],"style":"h3"},{"_key":"dbd22bb28514","_type":"block","children":[{"_key":"49571f24a37f","_type":"span","marks":[],"text":"When germs (bacteria or viruses) invade the body, they attack and multiply. The immune system fights infections with white cells.It can take several days for the body to make and use all these germ-fighting tools (especially if this is the first encounter). "},{"_key":"0c78eb988588","_type":"span","marks":["strong"],"text":"After infection, the body keeps a few T-lymphocytes"},{"_key":"3590d21acac4","_type":"span","marks":[],"text":", memory cells, so, if it encounters the same germ again it can jump into action quickly!"}],"markDefs":[],"style":"normal"},{"_key":"585ae7244b5f","_type":"editorialImageCarousel","items":[{"_key":"70b835f93187","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-12fe9d9a2a3ca874adc7b5b0f4a63d8f97c013d3-2103x792-png","_type":"reference"}}}}]},{"_key":"51e341060aca","_type":"block","children":[{"_key":"a2f115175392","_type":"span","marks":[],"text":"So, what exactly is a vaccine?"}],"markDefs":[],"style":"h3"},{"_key":"a6502c85bae0","_type":"block","children":[{"_key":"c365a2655df3","_type":"span","marks":[],"text":"Most vaccines are substances that simulate an infection with a weakened or dead version of the germs that cause the disease they are protecting against,"},{"_key":"f8e094b7a702","_type":"span","marks":["strong"],"text":" without presenting the danger of infection. "},{"_key":"5737a080f0cf","_type":"span","marks":[],"text":"The immune system response causes the production of antibodies and T-lymphocytes "},{"_key":"3687df1e3fb4","_type":"span","marks":["strong"],"text":"which will protect against an actual infection."}],"markDefs":[],"style":"normal"},{"_key":"3e91d2f7c702","_type":"block","children":[{"_key":"7cd554d9bb30","_type":"span","marks":["strong"],"text":"And what’s an mRNA vaccine?"}],"markDefs":[],"style":"h3"},{"_key":"bb95651a367d","_type":"block","children":[{"_key":"2c06158c650e","_type":"span","marks":[],"text":"Messenger RNA or mRNA vaccines work like an instruction manual, introducing mRNA sequences to encode disease-specific Messenger RNA or mRNA vaccines work like an instruction manual, introducing mRNA sequences to encode disease-specific antigens* to trigger an immune response "},{"_key":"225989828ae5","_type":"span","marks":["e979702f51af"],"text":"antigens"},{"_key":"9935a6691674","_type":"span","marks":[],"text":" to trigger an immune response."}],"markDefs":[{"_key":"e979702f51af","_type":"annotation","text":[{"_key":"80fefeb7bc0f","_type":"block","children":[{"_key":"efeac069643f","_type":"span","marks":[],"text":"Antigens are foreign substances that induce immune responses to produce antibodies."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"8088cb1094e1","_type":"editorialImageCarousel","items":[{"_key":"af6092f6578c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-d7acca105a420b27e60634a3bc2cc803da883602-2103x929-png","_type":"reference"}}}}]},{"_key":"6b904ce2f061","_type":"block","children":[{"_key":"8fca1946a239","_type":"span","marks":[],"text":"Gossip-ectomy"}],"markDefs":[],"style":"h3"},{"_key":"d319a83b1da1","_type":"editorialImageCarousel","items":[{"_key":"122a9addc678","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-cffd3bb298e717b21405988fc0f7a382eb4ad5dc-2103x934-png","_type":"reference"}}}}]},{"_key":"719f8368f6cf","_type":"block","children":[{"_key":"6a3e823e6e5c","_type":"span","marks":["strong"],"text":"mRNA never enters the nucleus of the cell (where the DNA is). "},{"_key":"be1c28ea6490","_type":"span","marks":[],"text":"The cell breaks down and disposes of the mRNA after carrying out the instructions. It does not affect our genetic code."}],"markDefs":[],"style":"normal"},{"_key":"45077588069d","_type":"block","children":[{"_key":"b6baebc9bbaa","_type":"span","marks":[],"text":"While it’s true that there are currently no licensed mRNA vaccines in the U.S., "},{"_key":"293c9819f2bf","_type":"span","marks":["strong"],"text":"researchers have been working with them for decades. "},{"_key":"fa906b17d2a2","_type":"span","marks":[],"text":"mRNA vaccines have been s"},{"_key":"3382eca929bc","_type":"span","marks":["strong"],"text":"tudied for the flu, Zika, rabies, and cancer research."}],"markDefs":[],"style":"normal"},{"_key":"99b4708c1535","_type":"block","children":[{"_key":"dc6feeee498f","_type":"span","marks":[],"text":"These vaccines have been made in
record time due to collaboration, funding, and the help of research participants."},{"_key":"b58a8b1b22a5","_type":"span","marks":["strong"],"text":"No steps in the normal vaccine development have been skipped or compromised."}],"markDefs":[],"style":"normal"},{"_key":"d8fffa75b209","_type":"block","children":[{"_key":"0ac67196ad1d","_type":"span","marks":["em"],"text":""}],"markDefs":[],"style":"normal"},{"_key":"3f349d3d6188","_type":"block","children":[{"_key":"013e89f2beb2","_type":"span","marks":["strong"],"text":"THE DOSE is your science-backed guide to Covid-19 vaccines, from Tia"},{"_key":"69d4e441086f","_type":"span","marks":["strong"],"text":". 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We’re doing exactly that with regular drops of THE DOSE, your science-backed guide to all things Covid-19 vaccines."}],"markDefs":[],"style":"normal"},{"_key":"33720154e95a","_type":"block","children":[{"_key":"2be8cca6706b","_type":"span","marks":["em"],"text":"THE DOSE is brought to you by geneticist and evolutionary biologist, "},{"_key":"4f4af212a3d9","_type":"span","marks":["em","d1d7e2448576"],"text":"Dr. Ava Mainieri, Head of Research at Tia"},{"_key":"114954eac8c4","_type":"span","marks":["em"],"text":"."}],"markDefs":[{"_key":"d1d7e2448576","_type":"internalLink","linkType":"text","reference":{"_ref":"620445e8-cfbd-40b4-9bd3-1742868efe78","_type":"reference"}}],"style":"normal"},{"_key":"8937ef1d81ab","_type":"block","children":[{"_key":"dded23e65a35","_type":"span","marks":["strong"],"text":"So, why do I need 2 doses?"}],"markDefs":[],"style":"h3"},{"_key":"3a02045c3add","_type":"block","children":[{"_key":"5b03fca155ae","_type":"span","marks":[],"text":"Getting 2 doses of the vaccine gives your immune system more opportunities to figure out exactly how to fight future infection. This means..."}],"markDefs":[],"style":"normal"},{"_key":"99a63611080e","_type":"block","children":[{"_key":"e59f93be4e82","_type":"span","marks":[],"text":"more antibodies"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a7d10e88c9ef","_type":"block","children":[{"_key":"6a169d554afc","_type":"span","marks":[],"text":"a robust supply of memory cells"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a8c2367d0b3c","_type":"block","children":[{"_key":"e546a70d558b","_type":"span","marks":[],"text":"more antigens"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0297df2fe086","_type":"block","children":[{"_key":"45cbb780c43a","_type":"span","marks":[],"text":"...leading to a faster and more effective response in the future."}],"markDefs":[],"style":"normal"},{"_key":"9c634bf7cf75","_type":"block","children":[{"_key":"57777024636c","_type":"span","marks":["strong"],"text":"Can I just get one shot instead of 2?"}],"markDefs":[],"style":"h3"},{"_key":"035289a07ad0","_type":"block","children":[{"_key":"8ec8455386f2","_type":"span","marks":[],"text":"Nope! Pfizer’s data showed a dramatic divergence in efficacy:"}],"markDefs":[],"style":"normal"},{"_key":"8088cb1094e1","_type":"editorialImageCarousel","items":[{"_key":"af6092f6578c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-905623f30657f8d897d5704f44aab4f569234f2f-2103x1044-png","_type":"reference"}}},"text":[{"_key":"27386bf525f4","_type":"block","children":[{"_key":"01faee2d4812","_type":"span","marks":[],"text":"2 doses is pretty standard for vaccines!"}],"markDefs":[],"style":"normal"}]}]},{"_key":"546597925d22","_type":"block","children":[{"_key":"2a7b2f5ab2ea","_type":"span","marks":["strong"],"text":"What are the short-term side effects?"}],"markDefs":[],"style":"h3"},{"_key":"d825e2a9f300","_type":"block","children":[{"_key":"e5e0a2cae577","_type":"span","marks":[],"text":"A small percentage of patients who’ve received the vaccine have experienced..."}],"markDefs":[],"style":"normal"},{"_key":"01870ac34c6b","_type":"block","children":[{"_key":"f4998fa25bc1","_type":"span","marks":[],"text":"high fevers"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"59d785fa0065","_type":"annotation"}],"style":"normal"},{"_key":"21b74ae8df1e","_type":"block","children":[{"_key":"8ee2cffc3145","_type":"span","marks":[],"text":"arm swelling"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"543bcab7619b","_type":"block","children":[{"_key":"a63fe56145ee","_type":"span","marks":[],"text":"joint pain"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"67f401a6c2c7","_type":"block","children":[{"_key":"aac67e08bfd6","_type":"span","marks":[],"text":"fatigue"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4ba55b13ea4f","_type":"block","children":[{"_key":"e660b495e286","_type":"span","marks":[],"text":"These side-effects are normal. On a larger scale, when a whole country is vaccinated, millions of people will experience some, or all, of these symptoms.\n\nOther common reactions include:"}],"markDefs":[],"style":"normal"},{"_key":"185e3194cb2a","_type":"block","children":[{"_key":"e8af8a7c8ae8","_type":"span","marks":[],"text":"soreness, swelling, or redness at the injection site"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"471f203cce8d","_type":"block","children":[{"_key":"79b58340f391","_type":"span","marks":[],"text":"headache"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"62e446fbbafd","_type":"block","children":[{"_key":"f9b3825727e2","_type":"span","marks":[],"text":"nausea"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8549ee063a23","_type":"block","children":[{"_key":"51843b128021","_type":"span","marks":[],"text":"muscle stiffness & aches"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"199c8c1e3d0b","_type":"block","children":[{"_key":"438b81cbbf74","_type":"span","marks":[],"text":"These effects are just what happens when your body is responding to a foreign protein and building an immune response to the disease — this is a good thing!"}],"markDefs":[],"style":"normal"},{"_key":"cce93f5cb215","_type":"block","children":[{"_key":"c52d00b21d95","_type":"span","marks":[],"text":"What about allergic reactions?"}],"markDefs":[],"style":"h3"},{"_key":"7319357ed2b3","_type":"editorialImageCarousel","items":[{"_key":"af6092f6578c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-006cf58101140edd6ac4833294667e6a16b343ef-2103x1044-png","_type":"reference"}}}}]},{"_key":"1f4eb20b8d1b","_type":"block","children":[{"_key":"06d81ee8ba4b","_type":"span","marks":[],"text":"Should I get the vaccine if I’ve had Covid?"}],"markDefs":[],"style":"h3"},{"_key":"d2f083df6ad0","_type":"block","children":[{"_key":"e44ae95f7a24","_type":"span","marks":[],"text":"Yes! Early data strongly suggests that the mRNA vaccines will be more protective than protections from a previous infection."}],"markDefs":[],"style":"normal"},{"_key":"f26557263c13","_type":"editorialImageCarousel","items":[{"_key":"f9190eaa4163","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e5c47ceb5c39842e84dbbd5f7204832c470509c7-2103x766-png","_type":"reference"}}}}]},{"_key":"5df85e91bd69","_type":"block","children":[{"_key":"8fbd86e6158c","_type":"span","marks":[],"text":"What are the long-term side effects?"}],"markDefs":[],"style":"h3"},{"_key":"2e3e4699b8ba","_type":"block","children":[{"_key":"1c724e0da280","_type":"span","marks":[],"text":" There is limited information on long-term side effects yet but based on a long history of vaccines. It is unlikely that there will be long-term negative effects. \n\nClinical trials catch all but the rarest adverse events, which will be caught by postmarketing surveillance. These events are rare and do not represent and do not represent a good reason to avoid a vaccine, especially amidst a pandemic. \n\n"},{"_key":"3491e3bf4af1","_type":"span","marks":["strong"],"text":"THE DOSE is your science-backed guide to Covid-19 vaccines, from Tia. 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We’re doing exactly that with regular drops of THE DOSE, your science-backed guide to all things Covid-19 vaccines."}],"markDefs":[],"style":"normal"},{"_key":"0544329801d6","_type":"block","children":[{"_key":"f79ea6ea2da8","_type":"span","marks":["em"],"text":"THE DOSE is brought to you by geneticist and evolutionary biologist, "},{"_key":"a3a5e9ab8e9f","_type":"span","marks":["em","b93558f2ccad"],"text":"Dr. Ava Mainieri, Head of Research at Tia"},{"_key":"13f1e38c349b","_type":"span","marks":["em"],"text":", and infectious disease expert,  Dr. Kathleen Jordan, Senior VP of Medical Affairs at Tia."},{"_key":"88659fc10004","_type":"span","marks":[],"text":"\n"}],"markDefs":[{"_key":"b93558f2ccad","_type":"internalLink","linkType":"text","reference":{"_ref":"620445e8-cfbd-40b4-9bd3-1742868efe78","_type":"reference"}}],"style":"normal"},{"_key":"b694960827e0","_type":"block","children":[{"_key":"f6aedd64f474","_type":"span","marks":[],"text":"How does the Covid-19 vaccine work?"}],"markDefs":[],"style":"h3"},{"_key":"3bb000071222","_type":"block","children":[{"_key":"6773474a0a2b","_type":"span","marks":[],"text":"The first Covid-19 vaccines are mRNA vaccines which act as a set of instructions injected into our cells. "},{"_key":"eef22c3559ef","_type":"span","marks":["strong"],"text":"Our cell machinery uses the instructions to develop a protein that looks *very similar* to the spike protein on the surface of the Covid-19 virus. "},{"_key":"837c053eb24a","_type":"span","marks":[],"text":"Our immune response develops antibodies against that protein and the injected mRNA degrades rapidly."}],"markDefs":[],"style":"normal"},{"_key":"391f7d302a1d","_type":"block","children":[{"_key":"6fffccefab15","_type":"span","marks":[],"text":"Let’s start at the beginning (aka the infection)"}],"markDefs":[],"style":"h3"},{"_key":"dbd22bb28514","_type":"block","children":[{"_key":"49571f24a37f","_type":"span","marks":[],"text":"When germs (bacteria or viruses) invade the body, they attack and multiply. The immune system fights infections with white cells.It can take several days for the body to make and use all these germ-fighting tools (especially if this is the first encounter). "},{"_key":"0c78eb988588","_type":"span","marks":["strong"],"text":"After infection, the body keeps a few T-lymphocytes"},{"_key":"3590d21acac4","_type":"span","marks":[],"text":", memory cells, so, if it encounters the same germ again it can jump into action quickly!"}],"markDefs":[],"style":"normal"},{"_key":"585ae7244b5f","_type":"editorialImageCarousel","items":[{"_key":"70b835f93187","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-12fe9d9a2a3ca874adc7b5b0f4a63d8f97c013d3-2103x792-png","_type":"reference"}}}}]},{"_key":"51e341060aca","_type":"block","children":[{"_key":"a2f115175392","_type":"span","marks":[],"text":"So, what exactly is a vaccine?"}],"markDefs":[],"style":"h3"},{"_key":"a6502c85bae0","_type":"block","children":[{"_key":"c365a2655df3","_type":"span","marks":[],"text":"Most vaccines are substances that simulate an infection with a weakened or dead version of the germs that cause the disease they are protecting against,"},{"_key":"f8e094b7a702","_type":"span","marks":["strong"],"text":" without presenting the danger of infection. "},{"_key":"5737a080f0cf","_type":"span","marks":[],"text":"The immune system response causes the production of antibodies and T-lymphocytes "},{"_key":"3687df1e3fb4","_type":"span","marks":["strong"],"text":"which will protect against an actual infection."}],"markDefs":[],"style":"normal"},{"_key":"3e91d2f7c702","_type":"block","children":[{"_key":"7cd554d9bb30","_type":"span","marks":["strong"],"text":"And what’s an mRNA vaccine?"}],"markDefs":[],"style":"h3"},{"_key":"bb95651a367d","_type":"block","children":[{"_key":"2c06158c650e","_type":"span","marks":[],"text":"Messenger RNA or mRNA vaccines work like an instruction manual, introducing mRNA sequences to encode disease-specific Messenger RNA or mRNA vaccines work like an instruction manual, introducing mRNA sequences to encode disease-specific antigens* to trigger an immune response "},{"_key":"225989828ae5","_type":"span","marks":["e979702f51af"],"text":"antigens"},{"_key":"9935a6691674","_type":"span","marks":[],"text":" to trigger an immune response."}],"markDefs":[{"_key":"e979702f51af","_type":"annotation","text":[{"_key":"80fefeb7bc0f","_type":"block","children":[{"_key":"efeac069643f","_type":"span","marks":[],"text":"Antigens are foreign substances that induce immune responses to produce antibodies."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"8088cb1094e1","_type":"editorialImageCarousel","items":[{"_key":"af6092f6578c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-d7acca105a420b27e60634a3bc2cc803da883602-2103x929-png","_type":"reference"}}}}]},{"_key":"6b904ce2f061","_type":"block","children":[{"_key":"8fca1946a239","_type":"span","marks":[],"text":"Gossip-ectomy"}],"markDefs":[],"style":"h3"},{"_key":"d319a83b1da1","_type":"editorialImageCarousel","items":[{"_key":"122a9addc678","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-cffd3bb298e717b21405988fc0f7a382eb4ad5dc-2103x934-png","_type":"reference"}}}}]},{"_key":"719f8368f6cf","_type":"block","children":[{"_key":"6a3e823e6e5c","_type":"span","marks":["strong"],"text":"mRNA never enters the nucleus of the cell (where the DNA is). "},{"_key":"be1c28ea6490","_type":"span","marks":[],"text":"The cell breaks down and disposes of the mRNA after carrying out the instructions. It does not affect our genetic code."}],"markDefs":[],"style":"normal"},{"_key":"45077588069d","_type":"block","children":[{"_key":"b6baebc9bbaa","_type":"span","marks":[],"text":"While it’s true that there are currently no licensed mRNA vaccines in the U.S., "},{"_key":"293c9819f2bf","_type":"span","marks":["strong"],"text":"researchers have been working with them for decades. "},{"_key":"fa906b17d2a2","_type":"span","marks":[],"text":"mRNA vaccines have been s"},{"_key":"3382eca929bc","_type":"span","marks":["strong"],"text":"tudied for the flu, Zika, rabies, and cancer research."}],"markDefs":[],"style":"normal"},{"_key":"99b4708c1535","_type":"block","children":[{"_key":"dc6feeee498f","_type":"span","marks":[],"text":"These vaccines have been made in
record time due to collaboration, funding, and the help of research participants."},{"_key":"b58a8b1b22a5","_type":"span","marks":["strong"],"text":"No steps in the normal vaccine development have been skipped or compromised."}],"markDefs":[],"style":"normal"},{"_key":"d8fffa75b209","_type":"block","children":[{"_key":"0ac67196ad1d","_type":"span","marks":["em"],"text":""}],"markDefs":[],"style":"normal"},{"_key":"3f349d3d6188","_type":"block","children":[{"_key":"013e89f2beb2","_type":"span","marks":["strong"],"text":"THE DOSE is your science-backed guide to Covid-19 vaccines, from Tia"},{"_key":"69d4e441086f","_type":"span","marks":["strong"],"text":". "},{"_key":"bbf3cc964a06","_type":"span","marks":["strong"],"text":"In service of science-backed public health, share THE DOSE with a friend!"},{"_key":"d10a81174621","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_id":"image-3501513d4432452115f47e581d623cfa2d2a0789-1400x472-png","_type":"sanity.imageAsset","_createdAt":"2022-12-28T10:58:04Z","_rev":"Pf6WA3QqVnnbHhbAQfyYkg","_updatedAt":"2022-12-28T10:58:04Z","assetId":"3501513d4432452115f47e581d623cfa2d2a0789","extension":"png","metadata":{"_type":"sanity.imageMetadata","blurHash":"D9O4R?%LMyxtt7~oafM|V[WB","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":2.9661016949152543,"height":472,"width":1400},"hasAlpha":true,"isOpaque":true,"lqip":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABQAAAAHCAYAAAAIy204AAAACXBIWXMAAAsTAAALEwEAmpwYAAABBUlEQVQokXWRW0+DQBCF9/+/G+OD+qC1sVEod6oENUWBci8s1qL+lWNmAEOsffiyM7OzZ+ZkhfxaoelchuL2+4HPMZ7y370c4hFRtCaC+BZBvED5bh40HGMUqz5sftd8ulwTmTTw9HoDP5ghl8bBVscgsUzqeA7neInmHPOG272DrNGR1hqqnYW6cxiaOKXu3KG+4jxtNHjrayztMyjmKbz1FUhLUFPeGki2S2wqQkVcqZwntYbNUKcaUe4sxn+bwfYu4PiXuNNPYD2es33eMG10RKWCqFAQl+ovlIf5PcKih3pIjJwEyYKhwXTSPW0uyDfb2Ts9bLm3R8OmjJbHNyTw96N+AKxD1AxjDyTDAAAAAElFTkSuQmCC","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#514338","foreground":"#fff","population":0.09,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#171b0d","foreground":"#fff","population":1.77,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#d4dcbc","foreground":"#000","population":78.55,"title":"#000"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#d4dcbc","foreground":"#000","population":78.55,"title":"#000"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#daecbe","foreground":"#000","population":0.03,"title":"#000"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#82886e","foreground":"#fff","population":1.39,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#92ac52","foreground":"#000","population":0,"title":"#fff"}}},"mimeType":"image/png","originalFilename":"Covid101_Header.png","path":"images/8qqycr4y/production/3501513d4432452115f47e581d623cfa2d2a0789-1400x472.png","sha1hash":"3501513d4432452115f47e581d623cfa2d2a0789","size":35701,"uploadId":"2x8SyBVbzuuAskITn49EihWYGM92RIbF","url":"https://cdn.sanity.io/images/8qqycr4y/production/3501513d4432452115f47e581d623cfa2d2a0789-1400x472.png","id":"image-3501513d4432452115f47e581d623cfa2d2a0789-1400x472-png","parent":null,"children":["8ff9833a-8d65-5186-a5c6-ac4b2451689d"],"internal":{"type":"SanityImageAsset","contentDigest":"fcc0903b55a57a890fd084810ae066ba","counter":4431,"owner":"gatsby-source-sanity"}}},"modules":[{"_key":"983ffe168be3","_type":"shape","backgroundColor":"bcb","shapeColor":"bcw","shapeType":"shape-2"},{"_key":"40a72c3d6f12","_type":"furtherReading","articles":[{"_id":"1a2dca65-57f7-4d56-aedd-1423781ff983","_type":"editorial","_createdAt":"2020-10-12T15:23:22Z","_rev":"pxkwrVs18AR5bs7dFkUPla","_updatedAt":"2024-04-26T19:03:37Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"e74a64ac-1f17-4468-9a49-4d751528b05e","_type":"reference"},"authors":[{"_key":"4925d228e48d","_ref":"1d86c6c4-44b5-4e0c-ad10-623f5aad6dde","_type":"reference"},{"_key":"0633b80d3c82","_ref":"d605a4ae-a1d2-446f-a95f-6d1466e06a40","_type":"reference"},{"_key":"0662d4f8363b","_ref":"a92a4c2f-bf9e-411d-a357-11f34ddde6be","_type":"reference"},{"_key":"c07c13b69a7d","_ref":"3af24375-d840-4b68-870b-1f7fad639095","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-2dcb64e08070d5f21b6185ee4e152a8e59e76798-7500x2400-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0.018750000000000044,"left":0.5259999999999999,"right":0,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":0.98125,"width":0.3819999999999999,"x":0.767,"y":0.490625}},"editorialText":[{"_key":"8ef5347a64dc","_type":"block","children":[{"_key":"ad290e83a7dc","_type":"span","marks":[],"text":"This report was created in partnership with Manatt Health, with additional support from Merrill Research."}],"markDefs":[],"style":"large"},{"_key":"ad57f2b1a818","_type":"sectionHeader","title":"Overview"},{"_key":"cdc34061fff0","_type":"block","children":[{"_key":"8d7e874bddac","_type":"span","marks":[],"text":"Women are economic and political powerhouses, with the ability to shape economies and sway elections. Despite making up just over half of the U.S. population, women control 85% of purchasing decisions—including 80% of healthcare decisions—and clock in with a whopping $7 trillion in annual purchasing "},{"_key":"29b5e6b6c4ee","_type":"span","marks":["7f0a3dae6ff7"],"text":"power."},{"_key":"77b1d856d9d0","_type":"span","marks":[],"text":" As such, "},{"_key":"c02d5f3d1cdd","_type":"span","marks":["strong"],"text":"women are typically the de facto \"Chief Medical Officer\" for not just themselves, but their families and extended families"},{"_key":"24c81e1c2e7e","_type":"span","marks":[],"text":". Moreover, in every presidential election since 1984, women have turned out to vote at a higher rate than "},{"_key":"4d349e5bb4c6","_type":"span","marks":["c66a41164682"],"text":"men."},{"_key":"2b6cd360bba1","_type":"span","marks":[],"text":"​ "}],"markDefs":[{"_key":"7f0a3dae6ff7","_type":"footnote","text":[{"_key":"ca962f069dfb","_type":"block","children":[{"_key":"ad639d6743cf","_type":"span","marks":[],"text":"https://girlpowermarketing.com/womens-purchasing-power/#:~:text=It%20bears%20repeating%20that%20women,in%20consumer%20and%20business%20spending."}],"markDefs":[],"style":"normal"}]},{"_key":"c66a41164682","_type":"footnote","text":[{"_key":"3f443f338a08","_type":"block","children":[{"_key":"3e528e154ead","_type":"span","marks":[],"text":"https://www.pewresearch.org/fact-tank/2020/08/18/men-and-women-in-the-u-s-continue-to-differ-in-voter-turnout-rate-party-identification/"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"3ac6b1d920f4","_type":"editorialImageCarousel","items":[{"_key":"47866cfdbdaf","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-d8a1052981f6c2ac33a63d8d5b98d70312c913f5-2466x1641-png","_type":"reference"}}}}]},{"_key":"6e02fbd5fa6e","_type":"block","children":[{"_key":"2d2dee9e1f4d","_type":"span","marks":[],"text":"At the same time, women have been disproportionately impacted by the events of 2020, which is coloring their thinking about the impending election. Given the global pandemic, the resulting unstable economy, work-from-home and “Zoom school” pressures, and the concomitant public policy controversies over gender equity, women have experienced unprecedented stress. As a result, 1 in 4 women either have exited the workforce or are considering doing so to attend to their families at the expense of their careers. These economic and personal stressors amplify existing societal and health challenges that women face. For women of color and those in “essential worker” roles, the impact of this stress is even more "},{"_key":"efd0c0123791","_type":"span","marks":["85d4b23bdde0"],"text":"profound."},{"_key":"ae46b8890448","_type":"span","marks":[],"text":"​ "}],"markDefs":[{"_key":"85d4b23bdde0","_type":"footnote","text":[{"_key":"b52ac97b05b4","_type":"block","children":[{"_key":"d363fa1b485c","_type":"span","marks":[],"text":"http://womenintheworkplace.com"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"679f2c7ba745","_type":"editorialImageCarousel","items":[{"_key":"47866cfdbdaf","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-fd2a3684e848359d9ad5d83ac0287f16bc634cb7-2466x897-png","_type":"reference"}}}}]},{"_key":"44cfc51b778e","_type":"block","children":[{"_key":"583f11c733d1","_type":"span","marks":[],"text":"With the 2020 presidential election drawing near, it’s no surprise that healthcare is a top-of-mind issue for female voters planning to cast their ballots. For many, the fulcrum of the election rests on this topic. "},{"_key":"5f2c738d3f31","_type":"span","marks":["strong"],"text":"But what exactly do women think about the direction of healthcare in the United States?"}],"markDefs":[]},{"_key":"8a48e030da82","_type":"block","children":[{"_key":"41d50b611d0a0","_type":"span","marks":[],"text":"Given women’s hefty stake in the election’s outcome, understanding what women want and need from the healthcare system—and how they expect the future U.S. President to drive policies that deliver it—is key to understanding the type of mandate that female voters will or will not deliver. To shed light on these issues and better understand women’s healthcare priorities, "},{"_key":"b6aab6a955c7","_type":"span","marks":["strong"],"text":"Tia, Inc. partnered with Manatt Health, LLC"},{"_key":"941aa86b606f","_type":"span","marks":[],"text":" to commission a "},{"_key":"e0f0b374662a","_type":"span","marks":["strong"],"text":"survey of 900 women ages 22 to 45, "},{"_key":"7f1517f7036f","_type":"span","marks":[],"text":"representing all income levels, races, ethnicities, and geographic regions in the United States. We also considered respondents’ answers through the lens of their stated political beliefs, marital status, motherhood and insurance type, though these factors were not nationally representative. The online survey, which was co-designed and administered by "},{"_key":"4e10ff1619dd","_type":"span","marks":["53855a39c156"],"text":"Merrill Research"},{"_key":"d57a0dc3b755","_type":"span","marks":[],"text":", a leading market research firm, was conducted September 16-22, 2020. In this survey, respondents were asked how they would advise the next U.S President, regardless of who it is, on their healthcare priorities for the upcoming term. Notably, the top-level findings from the survey include:"}],"markDefs":[{"_key":"53855a39c156","_type":"externalLink","linkType":"text","url":"http://merrillresearch.com"}],"style":"normal"},{"_key":"df9b81b37726","_type":"editorialImageCarousel","items":[{"_key":"17da9fb42e8d","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-a1403bf51460d541fe10063aca47ba34ca543d45-2466x2037-png","_type":"reference"}}}}]},{"_key":"c475490dc94e","_type":"block","children":[{"_key":"d03eccad4718","_type":"span","marks":[],"text":"The balance of this report discusses the detailed results underlying these findings, highlights women’s view on key health policy priorities for the upcoming Administration and poses final considerations for readers."}],"markDefs":[],"style":"normal"},{"_key":"8d11841e1bab","_type":"sectionHeader","title":"Across All Groups, Women Agree More Than They Disagree"},{"_key":"fb605b225297","_type":"block","children":[{"_key":"bd913bd97352","_type":"span","marks":[],"text":"Despite the many demographic and philosophical differences among those surveyed, there was a "},{"_key":"fc5a32a11416","_type":"span","marks":["strong"],"text":"surprising level of accord in how women think about health"},{"_key":"23268f6ba55e","_type":"span","marks":[],"text":". The survey found that, for many policy issues, the single most important quality to inform opinions on healthcare was, in fact, being female. This was true across virtually every demographic category—including age, income, geography, race and ethnicity, and even political party in many cases. With some variation between categories, women surveyed expressed nearly universal sentiment on key issues such as safeguarding current protections for individuals with pre-existing conditions; ensuring coverage parity for mental health and substance use disorder care; requiring insurance coverage for pre- and post-natal care, and equal coverage for telehealth; supporting policies that expand access to affordable health insurance; and implementing new national policy to fight COVID-19."}],"markDefs":[],"style":"normal"},{"_key":"8d942ed20af5","_type":"block","children":[{"_key":"49dbb0679ce9","_type":"span","marks":[],"text":"Healthcare Insurance Issues"}],"markDefs":[],"style":"h3"},{"_key":"c04834efc066","_type":"block","children":[{"_key":"402bf69f5395","_type":"span","marks":[],"text":"While there are mixed feelings about the Affordable Care Act (ACA) when called out by name,"},{"_key":"707131ce472c","_type":"span","marks":["strong"],"text":" women in the study overwhelmingly support the underlying pillars that make up the ACA when those items are considered individually."},{"_key":"8c496a02afcd","_type":"span","marks":[],"text":" For instance, there is remarkably broad support for policies that (1) require insurance coverage for pre-existing medical conditions (88%); (2) increase access to affordable health coverage by providing subsidies that pay for health insurance (79%); and (3) result in the expansion of Medicaid to cover more people (71%). With respect to the latter, women across all income brackets and party lines care deeply about protecting insurance coverage for those with pre-existing conditions, with almost 9 in 10 women supporting the provision and over half ranking this as a top healthcare priority."}],"markDefs":[],"style":"normal"},{"_key":"9a5d80197275","_type":"editorialImageCarousel","items":[{"_key":"7c67ae0e6f29","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-b99c2243e8f582b4c947c0813e7caae73c095a73-2466x1563-png","_type":"reference"}}}}]},{"_key":"e1b000b7e828","_type":"block","children":[{"_key":"6b3beaeee400","_type":"span","marks":[],"text":"Beyond ensuring access to affordable health coverage, "},{"_key":"3388193ea2e9","_type":"span","marks":["strong"],"text":"there is broad support for policies that limit the out-of-pocket cost of healthcare"},{"_key":"f9aed021e473","_type":"span","marks":[],"text":", "},{"_key":"74a437bc24f5","_type":"span","marks":["strong","4840f045a72c"],"text":"including services provided virtually"},{"_key":"6ca56782c8c1","_type":"span","marks":[],"text":". Approximately 3 in 4 women in the study believe there should be policies that:"}],"markDefs":[{"_key":"4840f045a72c","_type":"annotation","text":[{"_key":"59826e21b9d8","_type":"block","children":[{"_key":"7aca8396fc76","_type":"span","marks":["strong"],"text":"Did you know? "},{"_key":"2c304a80d0ee","_type":"span","marks":[],"text":"Before Covid-19, most insurance plans did not cover the majority of telehealth or virtual care services."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"cd89523ee42d","_type":"block","children":[{"_key":"26f3a6a0aee5","_type":"span","marks":[],"text":"Manage drug prices by making laws that limit cost (84%);"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f32705cdcdbb","_type":"block","children":[{"_key":"b08582125a01","_type":"span","marks":[],"text":"Regulate the price of health insurance by limiting profits made by health insurers (82%);"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8a1ba8bb806c","_type":"block","children":[{"_key":"ab9d014102040","_type":"span","marks":[],"text":"Limit how much money people have to pay out-of-pocket for healthcare (78%); and"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"21127294b032","_type":"block","children":[{"_key":"ae0af1f09b250","_type":"span","marks":[],"text":"Require health insurance to cover key services, including:"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0c00a0c6ba20","_type":"block","children":[{"_key":"55fd4952a0310","_type":"span","marks":[],"text":"Pre- and post-natal care (83%);"}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9c46f12b5887","_type":"block","children":[{"_key":"366b7a1110110","_type":"span","marks":[],"text":"Mental health and substance use disorder care (80%);"}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5e817e4d10c8","_type":"block","children":[{"_key":"3d83fd78851d0","_type":"span","marks":[],"text":"Telemedicine, at the same level as in-person services (83%);"}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5d46ff75c60a","_type":"block","children":[{"_key":"3612624a85e0","_type":"span","marks":[],"text":"Gender-specific care (75%); and"}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"32c2765bd59c","_type":"block","children":[{"_key":"1d6536aeb8760","_type":"span","marks":[],"text":"Contraception and birth control (74%)."}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"884f57c02825","_type":"block","children":[{"_key":"4e5e26bc56fa","_type":"span","marks":[],"text":"Covid-19"}],"markDefs":[],"style":"h3"},{"_key":"c97f084822e9","_type":"block","children":[{"_key":"ea548dd04ed9","_type":"span","marks":[],"text":"Despite staggeringly different levels of COVID-19 contagion and impact among demographic groups, "},{"_key":"3b2a633e5312","_type":"span","marks":["strong"],"text":"70% of women agree that a new national strategy is required to fight COVID-19"},{"_key":"d84a8ae9861a","_type":"span","marks":[],"text":". Moreover, women in the study also show consensus regarding the policies and actions in such a strategy, like social distancing and mask-wearing, with the vast majority preferring a stricter approach. Specifically, the majority of women believe that:"}],"markDefs":[],"style":"normal"},{"_key":"e72e3c1ac1aa","_type":"block","children":[{"_key":"03bb4cfcd69b","_type":"span","marks":[],"text":"The federal government should pay wage subsidies to those who are out of work due to COVID-19 (78%);"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"995e75a0c3fe","_type":"block","children":[{"_key":"34dfb9da6dd00","_type":"span","marks":[],"text":"Healthcare workers should be given priority access to any approved COVID-19 vaccinations (78%);"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fa73af269997","_type":"block","children":[{"_key":"053e543bee990","_type":"span","marks":[],"text":"The federal government should pay for the testing and treatment of COVID-19 (77%) as well as the costs of contact tracing (76%);"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3b225d005395","_type":"block","children":[{"_key":"3acc48f15b670","_type":"span","marks":[],"text":"Social distancing should be required until a COVID-19 vaccine is readily available (75%);"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3c2110350269","_type":"block","children":[{"_key":"ce21bb1e53b50","_type":"span","marks":[],"text":"Mask-wearing policies should be required nationally and remain in place until the COVID-19 pandemic ends (68%); and"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3eeb65acacf5","_type":"block","children":[{"_key":"7a7546cc3f510","_type":"span","marks":[],"text":"The pharmaceutical industry should comply with a standard trial and testing process before deploying the vaccination publicly (68%)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7df46a36f5e4","_type":"editorialImageCarousel","items":[{"_key":"ab7efbc235cd","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-eeff07c18c8b0b6ef77e16cae22f5ccf987412c6-2466x897-png","_type":"reference"}}}}]},{"_key":"47609b2fe8be","_type":"sectionHeader","title":"Women View “Women’s Health” as More than Just Reproductive Medicine"},{"_key":"98e819cf785b","_type":"block","children":[{"_key":"c191814b6f30","_type":"span","marks":[],"text":"Historically, healthcare issues encompassed by the term “women’s health” have focused narrowly on so-called “bikini medicine” categories, such as gynecology and breast cancer. "},{"_key":"db1b8986e4ad","_type":"span","marks":["strong"],"text":"Rarely does public discourse or public policy in this field go beyond the physical and reproductive health categories, into which women’s health is all too commonly "},{"_key":"5453ca08c8d9","_type":"span","marks":["strong","ae111f1097c2"],"text":"reduced. "},{"_key":"7ba8b775b1bb","_type":"span","marks":[],"text":"But when women in the study were asked, “When it comes to your own health, what are your biggest personal health issues?” none of these issues top the list, even among women of child-bearing age, on whom this survey focused. While issues related to gynecology, maternal health, and/or other “bikini medicine” categories are clearly important to women, they are first and foremost focused on mental health, COVID-19, stress management, the cost of healthcare, and being overweight, among other issues unrelated to reproduction."}],"markDefs":[{"_key":"ae111f1097c2","_type":"footnote","text":[{"_key":"2e39ab44a5cb","_type":"block","children":[{"_key":"acd590f6d5fb","_type":"span","marks":[],"text":"https://www.commonwealthfund.org/publications/fund-reports/2020/jul/transforming-primary-health-care-women-part-1-framework"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"0c5f38f6e5a4","_type":"editorialImageCarousel","items":[{"_key":"587c18c12ef8","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e5f4abb8cc7573f805924059efd4c91e57232331-2466x1923-png","_type":"reference"}}}}]},{"_key":"98b78624a849","_type":"block","children":[{"_key":"b288b750aa48","_type":"span","marks":[],"text":"Furthermore, 1 in 5 women in the study cited mental health as the single most important health issue that needs to be addressed by the incoming President, even ahead of Covid-19 and the cost of healthcare."}],"markDefs":[],"style":"normal"},{"_key":"d2708d27bb9a","_type":"editorialImageCarousel","items":[{"_key":"ee6028f2edd6","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-0be457ca3eeb534a5a70bf1d3700dc0850ea4104-2466x969-png","_type":"reference"}}}}]},{"_key":"111322d73181","_type":"block","children":[{"_key":"66852a4a8d48","_type":"span","marks":[],"text":"While the order of importance attributed to these responses varies among the different subgroups surveyed, key issues remain the same across every single category of women in the study. Two subgroups where the ranking notably differed: women making less than $26,000 (whose top policy priorities are mental health, COVID-19, and being overweight, immediately followed by the cost of healthcare) and Black women (whose top policy priorities are COVID-19, mental health, and stress management, immediately followed by the cost of healthcare).\n\nDespite having other first-level priorities, women do care deeply about issues related to pregnancy, contraception, abortion, and fertility. "},{"_key":"6564568feb45","_type":"span","marks":["strong"],"text":"A majority of women surveyed believe that insurance should cover a wide range of reproductive health services"},{"_key":"ffe6becfe80c","_type":"span","marks":[],"text":", including pre- and post-natal care, contraception, fertility treatments, abortion, and other gender-specific care coverage. There are varying levels of support for coverage of certain services, however, based on political affiliation, race/ethnicity, and income level."}],"markDefs":[],"style":"normal"},{"_key":"bc8023bb3af1","_type":"block","children":[{"_key":"0a7d27770a13","_type":"span","marks":[],"text":"For instance, although 77% of the U.S. population supports the right to abortion protected by "},{"_key":"9308258bfdbc","_type":"span","marks":["em"],"text":"Roe v. "},{"_key":"68b4835f6572","_type":"span","marks":["em","2f79a197e461"],"text":"Wade"},{"_key":"4e947674601e","_type":"span","marks":[],"text":", among women included in this survey, 52% believe that insurance companies should be required to cover abortion services, with greater support amongst Democratic women. Support for coverage of contraceptives and abortion is highest among females with no children and women who identify as Democrats."}],"markDefs":[{"_key":"2f79a197e461","_type":"footnote","text":[{"_key":"3a0a2ecee36e","_type":"block","children":[{"_key":"3e2cac6ba3f5","_type":"span","marks":[],"text":"https://www.npr.org/2019/06/07/730183531/poll-majority-want-to-keep-abortion-legal-but-they-also-want-restrictions"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"0942dc7c2365","_type":"editorialImageCarousel","items":[{"_key":"77947792b770","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-27151446a3e4ad0b743560ccc70df87109887665-2466x1560-png","_type":"reference"}}}}]},{"_key":"df12a5633388","_type":"block","children":[{"_key":"39f2d8e79a6c","_type":"span","marks":[],"text":"Conversely, women across all demographics consistently support coverage for pre- and post-natal care as well as fertility treatments, with a higher level of support yet among single Black and Hispanic women for the latter."}],"markDefs":[],"style":"normal"},{"_key":"07348c71b307","_type":"editorialImageCarousel","items":[{"_key":"9bcda5259be3","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-f3058b6d6179aa4805116c0e9e41f290ea93f31e-2466x969-png","_type":"reference"}}}}]},{"_key":"5c81fdf52cb2","_type":"sectionHeader","title":"Women Want Healthcare Solutions That Address Social and Economic Factors Beyond What Happens at the Doctor’s Office"},{"_key":"2e90a088ebb3","_type":"block","children":[{"_key":"7381257c1bfc","_type":"span","marks":[],"text":"Women consider social and economic policies and supports to be deterministic of and essential to their health and well-being, at a level that significantly exceeds any other healthcare-related issues. In fact, "},{"_key":"553ca563ae3c","_type":"span","marks":["strong"],"text":"women overwhelmingly think about health as much more than traditionally defined “healthcare”"},{"_key":"0da2133a0587","_type":"span","marks":[],"text":" and believe that "},{"_key":"3c35df7ecfde","_type":"span","marks":["strong"],"text":"the most critical services in their lives address far more than medicine and biology"},{"_key":"a76b3d49d75e","_type":"span","marks":[],"text":", as evidenced by the most common responses to the survey question, “What is the single most contributing item to improving the health and well-being of women, not just during the pandemic, but generally?”"}],"markDefs":[],"style":"normal"},{"_key":"03ce948f95d8","_type":"editorialImageCarousel","items":[{"_key":"2b1ba7cc2a0a","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-ac2ff26cf4f57b6b440bdb925f148495f8af6441-3288x3680-png","_type":"reference"}}}}]},{"_key":"86e0e2181a09","_type":"block","children":[{"_key":"57b3357071fa","_type":"span","marks":[],"text":"Even women with no children ranked affordable childcare and payment for family caregiving among the top three contributors to women’s health, as did women across all income levels."}],"markDefs":[]},{"_key":"b5fcb33b1cf6","_type":"block","children":[{"_key":"d23c5a20317f0","_type":"span","marks":[],"text":"Following support for caregivers, women ranked “access to healthy, affordable food” as highly essential to their health and well-being. Intuitively, most people know how fundamental healthy food is to good health, but strategies to navigate access in the healthcare system are rarely addressed. Given that so many women cited “being overweight” as a top personal health concern, it is clear that women need assistance appropriately linking the impact of food on weight and health in their healthcare system experiences. Effective policy should recognize this challenge and mitigate its impacts through physician education, nutrition and food security screenings, referrals to and enrollment support for public nutrition services (e.g., the Supplemental Nutrition Assistance Program), and creative approaches to insurance coverage."}],"markDefs":[],"style":"normal"},{"_key":"9e029076107e","_type":"block","children":[{"_key":"220d040bf4580","_type":"span","marks":[],"text":"Still, there are noticeable differences in what were named as the most contributory factors to health when breaking down the results by race and ethnicity, highlighting disparities among certain minority populations. Black, Hispanic, and Asian women more frequently cite income-related factors, such as a higher minimum wage, having employment, or "},{"_key":"a0aa2eec2f69","_type":"span","marks":["d584d693c329"],"text":"equal pay to men"},{"_key":"57516409600f","_type":"span","marks":[],"text":", as more contributory to their health than do white women. For instance, approximately 30% of Black women chose “higher minimum wage” as the most essential need to health and well-being, compared to just 18% of white women."}],"markDefs":[{"_key":"d584d693c329","_type":"annotation","text":[{"_key":"8d606f72a454","_type":"block","children":[{"_key":"e263257cd575","_type":"span","marks":["strong"],"text":"Did you know? "},{"_key":"e896ba9b5002","_type":"span","marks":[],"text":"On average, Black women in the U.S. are paid 38% less than white men and 21% less than white women."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"f96affcac3dc","_type":"editorialImageCarousel","items":[{"_key":"8b736b99b932","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-ef93ae64c0a254f291bbb14dc1e4fe9e2380c83a-2466x1878-png","_type":"reference"}}}}]},{"_key":"f1b8393c4692","_type":"sectionHeader","title":"Recommendations for Our Next President and Other Healthcare Policy Leaders"},{"_key":"3f01448d65f1","_type":"block","children":[{"_key":"7374ccc7839a","_type":"span","marks":[],"text":"Across the spectrum of healthcare issues, the results of this survey are clear: "},{"_key":"43b4a506cb8e","_type":"span","marks":["strong"],"text":"A majority of women do not believe the United States is on the right track — 73% say they believe our country is headed in “the wrong direction.”"},{"_key":"5e4bf1000069","_type":"span","marks":[],"text":" "}],"markDefs":[],"style":"normal"},{"_key":"ccd93ce49a3f","_type":"block","children":[{"_key":"758db0db0488","_type":"span","marks":[],"text":"The implications for policy are clear. It is essential for the next President to prioritize efforts to:"}],"markDefs":[],"style":"normal"},{"_key":"a3bdd49ee6a0","_type":"block","children":[{"_key":"1f41de105dfb0","_type":"span","marks":[],"text":"Ensure that people cannot be denied health insurance if they have "},{"_key":"1f41de105dfb1","_type":"span","marks":["strong"],"text":"pre-existing conditions"},{"_key":"1f41de105dfb2","_type":"span","marks":[],"text":" (88%), but also ensure that health insurance is broadly available, affordable, and inclusive of all of the issues considered to impact health."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"57ff4102c3e9","_type":"block","children":[{"_key":"80ae34e5ebce0","_type":"span","marks":[],"text":"Extend coverage for "},{"_key":"80ae34e5ebce1","_type":"span","marks":["strong"],"text":"telemedicine and virtual care"},{"_key":"80ae34e5ebce2","_type":"span","marks":[],"text":" so they are on parity with in-person services (83%), especially for hard-to-access services."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"91451ecd3423","_type":"block","children":[{"_key":"5bca25f24a9a0","_type":"span","marks":[],"text":"Require insurance companies, employers, and Medicaid to make "},{"_key":"5bca25f24a9a1","_type":"span","marks":["strong"],"text":"mental health and substance use disorder care more accessible and affordable"},{"_key":"5bca25f24a9a2","_type":"span","marks":[],"text":" through coverage parity (80%)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"652def4cb62e","_type":"block","children":[{"_key":"5b893ecdbf920","_type":"span","marks":[],"text":"Increase access to affordable health coverage by:"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a67c445a01b7","_type":"block","children":[{"_key":"9934262726470","_type":"span","marks":[],"text":"Subsidizing the cost of health insurance for those who cannot afford it (79%); and"}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b04b22075730","_type":"block","children":[{"_key":"fee8ffebddec0","_type":"span","marks":[],"text":"Requiring that state Medicaid plans extend coverage to more people (71%)."}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"83d4dda22216","_type":"editorialImageCarousel","items":[{"_key":"dfb6405ab3b7","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-f989029a316f270d24c52760385227212b968e9e-2466x2043-png","_type":"reference"}}}}]},{"_key":"33c1c8c18e53","_type":"block","children":[{"_key":"3e3bcf059109","_type":"span","marks":[],"text":"Further, as policy makers consider the design and implementation of such policy priorities, they should ensure that such policies address broader societal inequities existing among and between women. To accomplish this, policy makers must:"}],"markDefs":[],"style":"normal"},{"_key":"47f53a93b640","_type":"block","children":[{"_key":"0414082e27e9","_type":"span","marks":[],"text":"Broaden policies to incorporate"},{"_key":"615e663a3d03","_type":"span","marks":["strong"],"text":" integrated solutions that enable whole person care"},{"_key":"1dc32c3204d7","_type":"span","marks":[],"text":" and specifically address unmet social needs—including caregiver support, adequate and equal wages, and education about and access to healthy foods. Women’s health begins with supportive social policies and structures, many of which are considered outside the lines of traditional healthcare. It is time to redraw the lines and evolve innovative ways of serving and paying for these needs."}],"markDefs":[],"style":"normal"},{"_key":"812bf5a3f876","_type":"block","children":[{"_key":"c8bba86bd796","_type":"span","marks":[],"text":"Design policies that enable "},{"_key":"6c3104695b85","_type":"span","marks":["strong"],"text":"women to get "},{"_key":"6e170c09f13c","_type":"span","marks":["strong","em"],"text":"all"},{"_key":"c8dd7edbf9f5","_type":"span","marks":["strong"],"text":" of their health needs addressed"},{"_key":"e8e1767cdcff","_type":"span","marks":[],"text":", whether related to reproductive health, overall physical health, or mental health. Women’s health is full mind and body health, and nothing less."}],"markDefs":[],"style":"normal"},{"_key":"9674db3b309c","_type":"block","children":[{"_key":"69077e65a206","_type":"span","marks":[],"text":"Actively identify and "},{"_key":"6ff43a6d3d1c","_type":"span","marks":["strong"],"text":"correct for health disparities among women"},{"_key":"85380ac9ca95","_type":"span","marks":[],"text":". Even where concordance exists at an aggregate level, racial and financial disparities further highlight and exacerbate health challenges for women of color and with lower incomes. These disparities have a multiplier effect for health risk and must receive greater attention."}],"markDefs":[],"style":"normal"},{"_key":"b40035530437","_type":"sectionHeader","title":"Final Considerations"},{"_key":"96bd8037b837","_type":"block","children":[{"_key":"133b04b120a7","_type":"span","marks":[],"text":"Beyond policy makers, there are clear messages here for others with broad impact on how women receive healthcare, such as insurance companies and health systems that, by and large, serve as gatekeepers to health services and determine what is considered “healthcare,” “medically necessary,” or “cost-effective.” These entities must broaden their definition of women’s health to be inclusive of the holistic definitions deemed essential by the vast majority of women in the country. This broader definition creates an opportunity for such entities to design and implement strategies that incorporate social needs like childcare or affordable nutrition into the healthcare system in a meaningful way—an effort that has gained widespread attention from payers, providers, and advocates alike in "},{"_key":"dd766b9d2da4","_type":"span","marks":["79ff6534319d"],"text":"recent"},{"_key":"870b95ae739e","_type":"span","marks":[],"text":" "},{"_key":"37dbaf1c675d","_type":"span","marks":["9e02ac08808b"],"text":"years"},{"_key":"9b431e656338","_type":"span","marks":[],"text":". "},{"_key":"2bf82284c245","_type":"span","marks":[],"text":"Moreover, this is a clarion call for fair and equal wage laws to finally have their moment."}],"markDefs":[{"_key":"9e02ac08808b","_type":"footnote","text":[{"_key":"943eef174873","_type":"block","children":[{"_key":"f64862bf32f8","_type":"span","marks":["f4862054a39c"],"text":"https://www.commonwealthfund.org/blog/2020/putting-price-social-services-north-carolinas-pilot-effort"},{"_key":"5b17ccebb763","_type":"span","marks":[],"text":"​ "}],"markDefs":[{"_key":"f4862054a39c","_type":"link","href":"https://www.commonwealthfund.org/blog/2020/putting-price-social-services-north-carolinas-pilot-effort"}],"style":"normal"}]},{"_key":"79ff6534319d","_type":"footnote","text":[{"_key":"1a6ccbacf37a","_type":"block","children":[{"_key":"390f8e851cf3","_type":"span","marks":["81c1862cd871"],"text":"https://healthpayerintelligence.com/news/cigna-humana-expand-ma-plans-to-cover-social-determinants-of-health"},{"_key":"3d85edad57d5","_type":"span","marks":[],"text":"​ "}],"markDefs":[{"_key":"81c1862cd871","_type":"link","href":"https://healthpayerintelligence.com/news/cigna-humana-expand-ma-plans-to-cover-social-determinants-of-health"}],"style":"normal"}]}]},{"_key":"fbd66990cb98","_type":"block","children":[{"_key":"200bef15f0cd0","_type":"span","marks":[],"text":"At a time of polarization within our nation, it is notable that, at least when it comes to health, there is far more agreement than disagreement among women in the age group 22-45, a group that comprises more than 50% of all women in the United "},{"_key":"0c4e51294d37","_type":"span","marks":["2080e0c5f106"],"text":"States."},{"_key":"ee94a9c61ec0","_type":"span","marks":[],"text":" Even the supposed divisions between Republican and Democratic women have far less of an effect than is publicly represented. Health for women is an opportunity to make investments in issues where there is common ground, which is an opportunity for the President and others to make a positive difference with a large voting constituency. Women may play the central role when it comes to making family healthcare decisions, but it is time for the male policy-making majority to walk a mile in women’s shoes and contribute to the betterment of the nation as a whole."}],"markDefs":[{"_key":"2080e0c5f106","_type":"footnote","text":[{"_key":"74214a7febd6","_type":"block","children":[{"_key":"3852e540535c","_type":"span","marks":[],"text":"https://www.statista.com/statistics/241488/population-of-the-us-by-sex-and-age/"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"25dc34fc6b8b","_type":"editorialImageCarousel","items":[{"_key":"f5302684a427","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e3944cbc29d356fe88a3e8c021ceecfabc8161c5-2466x1437-png","_type":"reference"}}}}]},{"_key":"69da486a7e18","_type":"sectionHeader","title":"Appendix"},{"_key":"a746d3de4f45","_type":"editorialImageCarousel","items":[{"_key":"f5302684a427","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-30683e3d8ac382d4ff303db7a5ff41384bfb8bc5-2466x4422-png","_type":"reference"}}}}]},{"_key":"80b8473ef2cb","_type":"block","children":[{"_key":"ead3ae3170aa","_type":"span","marks":[],"text":"About Tia "}],"markDefs":[],"style":"h4"},{"_key":"2f542a987dc0","_type":"block","children":[{"_key":"3fc5ee56dff2","_type":"span","marks":[],"text":"Founded in 2017 by Carolyn Witte and Felicity Yost, Tia is a full-service women’s healthcare platform architecting a new, female-centric model of care with a blend of in-person and virtual services. The company has built a personalized healthcare model by fusing OB/GYN, primary care, mental health, and evidenced-based wellness services into an integrative experience that’s convenient, collaborative, and focused on prevention. From the Tia health advisor app to the Tia Clinic, Tia makes women healthier, providers happier, and the business of care delivery stronger."}],"markDefs":[],"style":"normal"},{"_key":"1d757a94c51c","_type":"block","children":[{"_key":"1fa67487bfaa0","_type":"span","marks":[],"text":"About Manatt Health"}],"markDefs":[],"style":"h4"},{"_key":"248c49ff44c3","_type":"block","children":[{"_key":"c584192b610e0","_type":"span","marks":[],"text":"Manatt Health integrates legal and strategic business consulting expertise to better serve the complex needs of clients across the healthcare system. Combining legal excellence, first-hand experience in shaping public policy, sophisticated business insight, and deep analytic capabilities, we provide uniquely valuable professional services to the full range of health industry players. Our diverse team of more than 160 attorneys and consultants from Manatt, Phelps & Phillips, LLP, and its consulting subsidiary, Manatt Health Strategies, LLC, is passionate about helping our clients advance their business interests, fulfill their missions, and lead healthcare into the future. For more information, visit "},{"_key":"c28c4c67b865","_type":"span","marks":["753bf2191a6a"],"text":"www.manatt.com/health."},{"_key":"caf92a96defb","_type":"span","marks":[],"text":"​ "}],"markDefs":[{"_key":"753bf2191a6a","_type":"externalLink","linkType":"text","url":"http://manatthealth.com/"}],"style":"normal"},{"_key":"6cfec41e2361","_type":"block","children":[{"_key":"0dbd43c00f9a","_type":"span","marks":[],"text":"About the Authors"}],"markDefs":[],"style":"h4"},{"_key":"90828997688f","_type":"block","children":[{"_key":"af875a12628c0","_type":"span","marks":["6129e69a47b2","strong"],"text":"Carolyn Witte"},{"_key":"b66c308b8c22","_type":"span","marks":[],"text":", Co-Founder and CEO, Tia, Inc. "},{"_key":"317c9c53ba6b0","_type":"span","marks":[],"text":"\n"},{"_key":"766fc9e8a2f1","_type":"span","marks":["a647133eed8e","strong"],"text":"Felicity Yost"},{"_key":"69b970fd4d3a","_type":"span","marks":[],"text":", Co-Founder and Chief Product & Operating Officer, Tia, Inc. "},{"_key":"3cacff6572640","_type":"span","marks":[],"text":"\n"},{"_key":"23dd2df85496","_type":"span","marks":["ab481607a973","strong"],"text":"Lisa Suennen"},{"_key":"9e19499d4e3b","_type":"span","marks":[],"text":", Managing Director, Manatt Health and Lead Partner, Manatt Ventures."},{"_key":"7df243aa37800","_type":"span","marks":[],"text":"\n"},{"_key":"2c90d8bbe681","_type":"span","marks":["9e43a995dd3a","strong"],"text":"Morgan Craven"},{"_key":"71eb3f955ffe","_type":"span","marks":[],"text":", Consultant, Manatt Health, LLC.\n"}],"markDefs":[{"_key":"6129e69a47b2","_type":"internalLink","linkType":"text","reference":{"_ref":"1d86c6c4-44b5-4e0c-ad10-623f5aad6dde","_type":"reference"}},{"_key":"a647133eed8e","_type":"internalLink","linkType":"text","reference":{"_ref":"d605a4ae-a1d2-446f-a95f-6d1466e06a40","_type":"reference"}},{"_key":"ab481607a973","_type":"externalLink","linkType":"text","url":"https://www.manatt.com/lisa-suennen"},{"_key":"9e43a995dd3a","_type":"externalLink","linkType":"text","url":"https://www.manatt.com/morgan-craven"}],"style":"normal"},{"_key":"c30c4154d95c","_type":"block","children":[{"_key":"a2056647aa480","_type":"span","marks":["strong"],"text":"For More Information Contact:"}],"markDefs":[],"style":"h4"},{"_key":"27c03f49ef65","_type":"block","children":[{"_key":"d03634ddedc6","_type":"span","marks":[],"text":"Libbey Baumgarten, Senior Vice President, Jennifer Bett Communications, "},{"_key":"ed8123bc57db","_type":"span","marks":["a556d5a9e72a"],"text":"tia@jenniferbett.com"},{"_key":"4d96bdf3a4ef","_type":"span","marks":[],"text":"\nSamuel Eisele, Media Relations Manager, Manatt, "},{"_key":"8c9e6f3851a1","_type":"span","marks":["897f5047ba82"],"text":"seisele@manatt.com"},{"_key":"f28528d29b60","_type":"span","marks":[],"text":"​ "}],"markDefs":[{"_key":"a556d5a9e72a","_type":"externalLink","linkType":"text","url":"mailto:tia@jenniferbett.com"},{"_key":"897f5047ba82","_type":"externalLink","linkType":"text","url":"mailto:tia@jenniferbett.com"}],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-2dcb64e08070d5f21b6185ee4e152a8e59e76798-7500x2400-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0,"right":0,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":1,"width":1,"x":0.5,"y":0.5}},"modules":[{"_key":"b857e9e00dcb","_type":"shape","backgroundColor":"bcb","shapeColor":"bcw","shapeType":"shape-3"},{"_key":"1985921c012c","_type":"furtherReading","articles":[{"_key":"95bcf19a2ccc","_ref":"b98e5d57-09b7-4cdb-a1e8-653c6d866e66","_type":"reference"},{"_key":"781d3519d7fb","_ref":"d33edbe0-092c-440c-bc40-784b5f25bdf9","_type":"reference"},{"_key":"6722968259ee","_ref":"ffda7ffc-0408-47db-bb13-efec95220cce","_type":"reference"}],"title":"MORE READS"}],"publishedAt":"2020-10-20T04:00:00.000Z","slug":{"_type":"slug","current":"dear-future-president-what-women-want-for-healthcare-in-america"},"status":"production","title":"Dear Future President — What Women Want for Healthcare in America","topics":[{"_key":"4d2472e2f7c0","_ref":"e73216c3-62ac-4d28-a1a2-78bb60a208be","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"A report based on findings from nearly 1000 surveyed women. 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Building a social contract with Tia."}],"markDefs":[],"style":"large"},{"_key":"6fe479be2c38","_type":"block","children":[{"_key":"6fe479be2c380","_type":"span","marks":[],"text":"Being social — togetherness — is what keeps us ticking, transforms the bitter moments in life to sweet ones, and, quite literally, gives us *pleasure*. Research shows that social ties reduce mortality risks among adults with documented medical conditions. Additionally, supportive interactions with others benefit the immune system and help to reduce allostatic load (the cumulative wear and tear on your body from stress — especially chronic stress)."}],"markDefs":[],"style":"normal"},{"_key":"a4fbd5add1dc","_type":"block","children":[{"_key":"a4fbd5add1dc0","_type":"span","marks":[],"text":"So, how in the world are we supposed to do this in the landscape of the coronavirus outbreak?"}],"markDefs":[],"style":"h4"},{"_key":"13405ba8c166","_type":"block","children":[{"_key":"13405ba8c1660","_type":"span","marks":[],"text":"If you’re confused about what to do right now, you’re not alone. It feels like there are different recommendations coming from everywhere and making sense of it, is no easy task. Ultimately, the choices in how *you* navigate through this bizarre time are up to you. These choices are likely dependent on a number of factors such as local context, work obligations, personal health, signature-stress type, etc. We’re here to offer a little more context to help you make more informed choices with confidence."}],"markDefs":[],"style":"normal"},{"_key":"bf40a011b81c","_type":"block","children":[{"_key":"bf40a011b81c0","_type":"span","marks":[],"text":"First things first, what is a social contract? It is an implicit agreement among the members of a society to cooperate for the social benefits of many, rather than few. Cooperation in this agreement may include sacrificing individual freedoms (not going on that hinge date, canceling wine club, or swapping your favorite yoga class for a run outside instead). Here we’ll break down how we’re thinking about the choices we’re making from an individual, local, and global perspective:\n\n"}],"markDefs":[],"style":"normal"},{"_key":"67637d4945af","_type":"editorialImageCarousel","items":[{"_key":"48f9ed2e95f9","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-31cfec25082371da7aba4ca3c4426b97d309fb99-2103x195-png","_type":"reference"}}}}]},{"_key":"bde8d32c1f03","_type":"block","children":[{"_key":"bde8d32c1f030","_type":"span","marks":[],"text":"At Tia, we’ve shared recommendations on how to prepare for coronavirus:"}],"markDefs":[],"style":"normal"},{"_key":"d1f26547da7e","_type":"block","children":[{"_key":"d1f26547da7e0","_type":"span","marks":[],"text":""},{"_key":"d1f26547da7e1","_type":"span","marks":["5aeea2ff1c74"],"text":"Washing hands"},{"_key":"d1f26547da7e2","_type":"span","marks":[],"text":" (obvi!)"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"5aeea2ff1c74","_type":"externalLink","url":"https://www.instagram.com/p/B9j8LnEpJZG/"}],"style":"normal"},{"_key":"9459b6fdf013","_type":"block","children":[{"_key":"9459b6fdf0130","_type":"span","marks":[],"text":"Setting-up your "},{"_key":"9459b6fdf0131","_type":"span","marks":["9c95530d7427"],"text":"medicine cabinet"},{"_key":"9459b6fdf0132","_type":"span","marks":[],"text":""}],"level":1,"listItem":"bullet","markDefs":[{"_key":"9c95530d7427","_type":"annotation","text":[{"_key":"c7d542418228","_type":"block","children":[{"_key":"c7d5424182281","_type":"span","marks":["0742c180e4e9"],"text":"Learn more"},{"_key":"c7d5424182282","_type":"span","marks":[],"text":" about what to include in your medicine cabinet in the Coronavirus climate."}],"markDefs":[{"_key":"0742c180e4e9","_type":"annotationLink","reference":{"_ref":"12f61670-b812-4d44-85bb-7865737b7a5a","_type":"reference"}}],"style":"normal"}]}],"style":"normal"},{"_key":"26c60024ce7e","_type":"block","children":[{"_key":"26c60024ce7e0","_type":"span","marks":[],"text":""},{"_key":"26c60024ce7e1","_type":"span","marks":["23eef6b7547c"],"text":"Proactively preparing"},{"_key":"26c60024ce7e2","_type":"span","marks":[],"text":" you and your household for a number of scenarios that may play out."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"23eef6b7547c","_type":"internalLink","linkType":"text","reference":{"_ref":"84a00f77-6ca4-4dc2-a225-9141889ad4cc","_type":"reference"}}],"style":"normal"},{"_key":"ba02046dd70f","_type":"block","children":[{"_key":"ba02046dd70f0","_type":"span","marks":[],"text":"We do not promote:"}],"markDefs":[],"style":"normal"},{"_key":"b069817c4463","_type":"block","children":[{"_key":"b069817c44630","_type":"span","marks":[],"text":"Stockpiling or hoarding supplies, especially masks which are critically needed for care providers working around the clock right now!"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"727c38242d14","_type":"editorialImageCarousel","items":[{"_key":"0df7908e1a4e","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-3f91d3e1ec95e750d40675f5202a87660383e3a6-2103x195-png","_type":"reference"}}}}]},{"_key":"0b1bee5ad9e8","_type":"block","children":[{"_key":"0b1bee5ad9e80","_type":"span","marks":[],"text":"While young and healthy people are currently considered lower-risk for personally suffering severe illness from coronavirus, it is vital they dramatically alter their daily lives in order to lower risk from a greater local standpoint."}],"markDefs":[],"style":"normal"},{"_key":"9d63dfcbbf5b","_type":"block","children":[{"_key":"9d63dfcbbf5b0","_type":"span","marks":[],"text":"German scientists, some of the first to look at clinical data on this outbreak have concluded two pieces of information that can help us understand the impact of lessening our movement:"}],"markDefs":[],"style":"normal"},{"_key":"84852cc5667c","_type":"block","children":[{"_key":"84852cc5667c0","_type":"span","marks":["strong"],"text":"1. Individuals are most infectious early in the disease."}],"markDefs":[],"style":"normal"},{"_key":"c39adb0ae204","_type":"block","children":[{"_key":"c39adb0ae2040","_type":"span","marks":["strong"],"text":"2. Viral load (how much of the virus is present in an individual) does not necessarily correlate with the isolation of the virus. In layperson terms, you can be carrying and transmitting the virus *and* be completely symptom-free."}],"markDefs":[],"style":"normal"},{"_key":"5a2a54eadbbd","_type":"block","children":[{"_key":"5a2a54eadbbd0","_type":"span","marks":[],"text":"With restricted accessibility and availability to testing right now, one of the greatest measures we can take from a public health imperative is to engage in social distancing. This is because viruses spread easily in dense places (think: a packed subway car, a political rally, or a concert). Social distancing is a spectrum of measures that can be taken to increase the physical space between people in an effort to slow the spread of this virus."}],"markDefs":[],"style":"normal"},{"_key":"2369b328967b","_type":"editorialImageCarousel","items":[{"_key":"12d53cf0cf81","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-b21456f58736739245c4fea78dab025596ab4117-2103x842-png","_type":"reference"}}}}],"spacing":"pys"},{"_key":"1bdc6235dede","_type":"block","children":[{"_key":"1bdc6235dede0","_type":"span","marks":[],"text":"But what about local businesses? What about people who are financially unable to purchase adequate provisions or work from home? What about considerations for public school closings and the children who only receive meals at school?"}],"markDefs":[],"style":"normal"},{"_key":"6e4202ee7324","_type":"block","children":[{"_key":"6e4202ee73240","_type":"span","marks":[],"text":"There aren’t easy answers. But if you have extra resources we encourage you to donate, check-in with loved ones, and members of your community who may be in need."}],"markDefs":[],"style":"normal"},{"_key":"1680cb8b6a27","_type":"editorialImageCarousel","items":[{"_key":"840cbbc22193","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-815484b03ac66c237e154152daa81d310ebce817-2103x195-png","_type":"reference"}}}}]},{"_key":"a96a78e38025","_type":"block","children":[{"_key":"a96a78e380250","_type":"span","marks":[],"text":"As of now, the Department of State is advising U.S. citizens to reconsider all travel abroad. Many areas throughout the world are experiencing coronavirus outbreaks and taking actions that limit mobility (including everything from quarantines to border restrictions)."}],"markDefs":[],"style":"normal"},{"_key":"1a75bfbc9f5e","_type":"editorialImageCarousel","items":[{"_key":"bfce6b14c254","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-0573a6638628b9ddd5fc8ff947443d67643c1cee-2103x1042-png","_type":"reference"}}}}]},{"_key":"752626dacb99","_type":"block","children":[{"_key":"752626dacb990","_type":"span","marks":[],"text":"Global travel is only one aspect of this perspective. Unfortunately, we are able to see examples of healthcare systems that are completely overburdened by this virus. Our actions on an individual and local level must be considered as an ethical imperative for not only our own communities but also at a global level. It is our responsibility to work to ensure that our healthcare system does not grow overburdened. It is through small everyday choices that we can make an impact on the health and safety for all."}],"markDefs":[],"style":"normal"},{"_key":"2df8b636802d","_type":"block","children":[{"_key":"2df8b636802d0","_type":"span","marks":[],"text":"At Tia, we recommend taking some time to build out a social contract that works *you*. It might look something like this…"}],"markDefs":[],"style":"normal"},{"_key":"7bc8f6e8da95","_type":"editorialImageCarousel","items":[{"_key":"f884bea22897","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-02f3afc24fc49538a9624cc1a66146f2a98044e8-2103x656-png","_type":"reference"}}}}]},{"_key":"80a0a844609c","_type":"block","children":[{"_key":"80a0a844609c0","_type":"span","marks":[],"text":"Join us in making a social contract — for the betterment of you, your local community, and the world."}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-0004b32a5e04b31382fa81488f3bbfd23ce70783-2500x866-png","_type":"reference"}},"modules":[{"_key":"d780561a00b6","_type":"furtherReading","articles":[{"_key":"fbc8aa0e2d30","_ref":"12f61670-b812-4d44-85bb-7865737b7a5a","_type":"reference"},{"_key":"9e26632391b4","_ref":"84a00f77-6ca4-4dc2-a225-9141889ad4cc","_type":"reference"},{"_key":"168fbebe73c8","_ref":"b100e362-4b40-48ce-9d93-b08acd64841c","_type":"reference"}],"title":"More reads"}],"publishedAt":"2020-03-13T04:00:00.000Z","slug":{"_type":"slug","current":"coronavirus-building-a-social-contract"},"status":"production","title":"Building a Social Contract during Covid-19","topics":[{"_key":"4d73259c2837","_ref":"f7cd4d35-238d-4aef-85e3-748808982d9b","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Learn how to build a social contract in the coronavirus climate.","metaTitle":"Building a Social Contract during Covid-19","openGraphDescription":"Learn how to build a social contract in the coronavirus climate.","openImage":{"_type":"image","asset":{"_ref":"image-a7ac813ec7088ae60203cd6c4f7836f1b7e605a5-5000x1600-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0.679354094579008,"right":0,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":1,"width":0.32064590542099203,"x":0.839677047289504,"y":0.5}},"title":"Building a Social Contract during Covid-19","twitterDescription":"Learn how to build a social contract in the coronavirus climate.","twitterImage":{"_type":"image","asset":{"_ref":"image-a7ac813ec7088ae60203cd6c4f7836f1b7e605a5-5000x1600-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0.6585928489042683,"right":0,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":1,"width":0.3414071510957317,"x":0.8292964244521341,"y":0.5}},"twitterTitle":"Building a Social Contract during Covid-19"}},"id":"7580c2cb-cec3-5cfb-be1e-53d80db23a27","parent":null,"children":[],"internal":{"type":"SanityEditorial","contentDigest":"917cc0221d4bd987ae7ef489706c4457","counter":210,"owner":"gatsby-source-sanity"}},{"_id":"1ccf8879-455e-4444-9944-306ff31f6a9f","_type":"editorial","_createdAt":"2020-11-12T15:52:05Z","_rev":"ZFjygXYEyIZV9beq7HlEFk","_updatedAt":"2023-12-07T20:28:30Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"b1823da2-c799-4bf8-b93f-3a8c8e954890","_type":"reference"},"authors":[{"_key":"956c387106f2","_ref":"1d6ce256-595a-4357-89ae-bda37a32224e","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-7b375bc7635d5b37a3a46258915d8167946a49cf-2800x1600-png","_type":"reference"}},"editorialText":[{"_key":"f54cf010c887","_type":"block","children":[{"_key":"5bf59074f74e","_type":"span","marks":[],"text":"Today is a big day! Tia is now available in Los Angeles and coming to more cities in 2021. With virtual and in-person legs, Tia makes healthcare more convenient, collaborative and connected. And by making Tia available to women beyond New York City, we’re one step closer to making “the Tia Way,” the new standard of care for women everywhere."}],"markDefs":[],"style":"large"},{"_key":"f3f3831a8895","_type":"sectionHeader","title":"The perils of expansion: where, when, and how to scale!"},{"_key":"f11cfa5ce1d6","_type":"block","children":[{"_key":"28790e1ba893","_type":"span","marks":[],"text":"We started Tia with a grand vision to architect a fundamentally new and distinctly female model of care for the modern healthcare system. When we say “new model of care,” we mean reimagining everything (I mean everything) end-to-end — from the types of providers that work in a women’s health clinic, to the look, feel, and function of a doctor’s office, to the technology we use to connect patients and providers, to the questions we ask on our health record, to the gowns, the socks — and yes, even the temperature! Throughout Tia’s history, no detail has been too small in the making of the very first modern medical home for women"},{"_key":"196d30f084ee","_type":"span","marks":["strong"],"text":"."}],"markDefs":[],"style":"normal"},{"_key":"ba7fd8b31b75","_type":"editorialImageCarousel","items":[{"_key":"69c6d1af72c6","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-ad1d29de0ac80222745a024f8f1c1403f299fa33-1379x730-png","_type":"reference"}}}},{"_key":"5a7c93a963d1","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-4957c7bcd41804da574cef048b5a9c8adf9e24f2-1379x730-png","_type":"reference"}}}},{"_key":"a73673670c86","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-0d1e747bf75444e37ef7140f139fcda4e6fe8014-1379x730-png","_type":"reference"}}}}]},{"_key":"80b816e305c3","_type":"block","children":[{"_key":"d8056c2317990","_type":"span","marks":[],"text":"We were well on our way to bringing the Tia Way to more women when Covid-19 hit. First and foremost, we oriented our attention to the crisis in New York City. We temporarily closed our physical doors and went 100% virtual, serving as the first line of response for Covid mayhem to keep women out of NYC’s inundated ERs. And, we rolled out additional support including mental healthcare and "},{"_key":"4bc4851dbb7b","_type":"span","marks":["b76b64872bf1"],"text":"guides"},{"_key":"3f366a8cfcfe","_type":"span","marks":[],"text":" to navigating insurance coverage amidst changes to employment. The first three months of Covid were a stark reminder that Tia’s role as a healthcare provider was not limited to the traditional practice of medicine alone."}],"markDefs":[{"_key":"b76b64872bf1","_type":"internalLink","linkType":"text","reference":{"_ref":"825e42cf-8486-4b66-b605-2ac8f8778797","_type":"reference"}}],"style":"normal"},{"_key":"2fd46a27a66d","_type":"sectionHeader","title":"Despite the stressors inherent to the crisis, there were moments of light."},{"_key":"acbc714f37ab","_type":"block","children":[{"_key":"4190bf1e2162","_type":"span","marks":[],"text":"We learned that women wanted — and trusted — Tia to be their therapist and saw mental health as integral to, not separate from, their physical healthcare."}],"markDefs":[],"style":"normal"},{"_key":"aee6da5311f4","_type":"editorialImageCarousel","items":[{"_key":"69c6d1af72c6","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e36d09edf7af6d322f3cb0fe0d5e2a34cf71e0d8-1379x544-png","_type":"reference"}}}}]},{"_key":"9b36c45cce9d","_type":"block","children":[{"_key":"aa07a801b6060","_type":"span","marks":[],"text":"We learned that virtual care does not have to be a lesser-than version of in-person care."}],"markDefs":[],"style":"normal"},{"_key":"c6c8dd2ed09a","_type":"editorialImageCarousel","items":[{"_key":"69c6d1af72c6","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-7fdc6ab6c049b4d9bb6cad8bcd49e287ae00aa2e-1379x544-png","_type":"reference"}}}}]},{"_key":"9a548174b23c","_type":"block","children":[{"_key":"fbcf4fc138e5","_type":"span","marks":[],"text":"We learned that Tia’s role as an information provider — a translational bridge between science and the layperson — was foundational at a time of rampant misinformation and confusion."}],"markDefs":[],"style":"normal"},{"_key":"10470d2fa9e5","_type":"editorialImageCarousel","items":[{"_key":"69c6d1af72c6","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-2f1ad37644bdaa4275d93fc4ef00531747887510-1379x544-png","_type":"reference"}}}}]},{"_key":"9d8554084b60","_type":"block","children":[{"_key":"07a1a4ed8c55","_type":"span","marks":[],"text":"Nine months into the most harrowing global pandemic of our lifetimes, Tia has never been stronger. We’ve made some hard decisions on what to do, and more importantly, what not to do — all while staying true to our north star — positioning us for thoughtful, intentional scale."}],"markDefs":[],"style":"normal"},{"_key":"67870a8d4c5e","_type":"sectionHeader","title":"So, why LA? What Angelenos can expect from Tia."},{"_key":"dc64a26cd429","_type":"block","children":[{"_key":"21e7908eb4b2","_type":"span","marks":[],"text":"We know that women around the country want Tia. And we have big plans to bring Tia Care to you! Choosing where to expand first was a tough call — so is scaling thoughtfully and at the appropriate velocity. With the launch of Tia in Los Angeles and more cities soon, we commit to being "},{"_key":"9e7c465d0da1","_type":"span","marks":["em"],"text":"forever the same, and always new "},{"_key":"97218db1236b","_type":"span","marks":[],"text":"— while never losing sight of those details that make the Tia Way one-of-a-kind. That means:\n"}],"markDefs":[],"style":"normal"},{"_key":"c388d256aa43","_type":"block","children":[{"_key":"3e3240552802","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"eb70f062695a","_type":"block","children":[{"_key":"438dbe349e3c","_type":"span","marks":[],"text":"1. Virtual-first, not virtual-only"}],"markDefs":[],"style":"h2"},{"_key":"f5c50204b271","_type":"block","children":[{"_key":"da3377e570dd","_type":"span","marks":[],"text":"We’ve been wowed by the ways in which the events of 2020 have enabled us to deliver more care on the Internet than ever before — all while improving, not compromising, quality. While we do not attempt to do Pap tests over Zoom (we promise!), we have cracked how to make healthcare"},{"_key":"777c1e18bb391","_type":"span","marks":["em"],"text":" even more"},{"_key":"777c1e18bb392","_type":"span","marks":[],"text":" convenient, accessible, and personalized than before by delivering care virtually "},{"_key":"777c1e18bb393","_type":"span","marks":["em"],"text":"and in-person"},{"_key":"777c1e18bb394","_type":"span","marks":[],"text":" when you need it."}],"markDefs":[],"style":"normal"},{"_key":"ed92b896c015","_type":"block","children":[{"_key":"6a1381a10fdf0","_type":"span","marks":[],"text":"Yes, we can prescribe birth control or treat a UTI virtually; but we can also diagnose or manage chronic conditions virtually, such as PCOS, endometriosis, or migraines. And most important to us, we can deliver more preventive health virtually than we ever could have imagined — and continue your care journey in person for physical exams, bloodwork, and ultrasounds when needed."}],"markDefs":[],"style":"normal"},{"_key":"465377a9f3c7","_type":"block","children":[{"_key":"efebc1d7664b","_type":"span","marks":["strong"],"text":"What this means for women in LA: You can get virtual Tia care today, and in-person Tia Care in early 2021!"}],"markDefs":[],"style":"large"},{"_key":"4a4e4fc244a5","_type":"block","children":[{"_key":"f8745ed1cfad0","_type":"span","marks":[],"text":"Become a Tia member and get virtual primary care, mental health, and gynecology, starting today. And in early 2021, continue your care journey with Tia in person — for pelvic exams, ultrasounds, acupuncture, the works — at our first LA location in Silver Lake. And if you need in-person care in the meantime, we’ll connect you with a Tia-vetted provider near you."}],"markDefs":[],"style":"normal"},{"_key":"83226a31654d","_type":"cta","text":[{"_key":"16c4e82cec86","_type":"block","children":[{"_key":"6118ee38fe09","_type":"span","marks":[],"text":"Finally, get virtual & in-person women's health that connect!"}],"markDefs":[],"style":"h4"},{"_key":"5153ed8d2705","_type":"buttonBlock","items":[{"_key":"0afa7be2618f","_type":"singleButton","linkCta":"Join Tia ","linkType":"join","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}]}]},{"_key":"82fdf8389345","_type":"block","children":[{"_key":"f165b68827b8","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"f574f18b2068","_type":"block","children":[{"_key":"510b519b15ac","_type":"span","marks":[],"text":"2. Integrative, whole women’s health"}],"markDefs":[],"style":"h2"},{"_key":"57f9db648eed","_type":"block","children":[{"_key":"fdb19f2183f1","_type":"span","marks":[],"text":"The events of 2020 have shined a spotlight on the importance of whole women’s health that is inclusive of physical, mental, and emotional well-being. In NYC, we saw a 400% increase in mental health related messages on our platform with the onset of Covid — a testament to the lack of and critical need for women’s mental healthcare. And we know women — and especially women in Los Angeles — love wellness and don’t see it as “separate” from healthcare. In fact, more than "},{"_key":"87e8f635b528","_type":"span","marks":["f9438a5b06ae"],"text":"60% of women in Los Angeles"},{"_key":"95e2ea7b3bb4","_type":"span","marks":[],"text":" use complementary and alternative medicine. The problem is, the majority of these wellness-oriented practitioners come at a steep out-of-pocket price and more often than not, do not connect with, or even conflict with a woman's core primary care — leaving patients frustrated and confused on what advice to take."}],"markDefs":[{"_key":"f9438a5b06ae","_type":"externalLink","linkType":"text","url":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5359242/"}],"style":"normal"},{"_key":"66510138884c","_type":"block","children":[{"_key":"9eb278b5fbd70","_type":"span","marks":[],"text":"At Tia, we practice both "},{"_key":"e876e848d8db1","_type":"span","marks":["em"],"text":"integrated"},{"_key":"e876e848d8db2","_type":"span","marks":[],"text":" and "},{"_key":"e876e848d8db3","_type":"span","marks":["em"],"text":"integrative"},{"_key":"e876e848d8db4","_type":"span","marks":[],"text":" medicine. When we say "},{"_key":"e876e848d8db5","_type":"span","marks":["em"],"text":"integrated"},{"_key":"e876e848d8db6","_type":"span","marks":[],"text":", we mean fusing mental health, primary care, gynecology, and acupuncture into a singular medical home model. When we say "},{"_key":"7367daf75c841","_type":"span","marks":["em"],"text":"integrative"},{"_key":"7367daf75c842","_type":"span","marks":[],"text":", we mean looking beyond symptoms to seek a root cause diagnosis and treatment that considers lifestyle, nutrition, sleep, stress, hormones, and more — no matter what type of provider you see at Tia."}],"markDefs":[],"style":"normal"},{"_key":"b21424315a06","_type":"block","children":[{"_key":"df4aea21bcf2","_type":"span","marks":["strong"],"text":"What this means for women in LA: You can get healthcare and wellness all-in-one (that works with your insurance!)"}],"markDefs":[],"style":"large"},{"_key":"a9fc830e1239","_type":"block","children":[{"_key":"dd0f26015d040","_type":"span","marks":[],"text":"Become a Tia member and get whole women’s healthcare across all specialties and modalities. This means you don’t need to reconcile healthcare and wellness or pay expensive cash prices for an integrative point of view. You can get healthcare that treats the whole you — and works with insurance."}],"markDefs":[],"style":"normal"},{"_key":"949904b940e9","_type":"block","children":[{"_key":"92f8448bbe6e","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"3d567d4181f9","_type":"block","children":[{"_key":"6ae590d2f3a4","_type":"span","marks":[],"text":"3. Affordable and accessible"}],"markDefs":[],"style":"h2"},{"_key":"136b34f326d6","_type":"block","children":[{"_key":"89755f61184b","_type":"span","marks":[],"text":"At a time of unprecedented crisis, making high-quality healthcare affordable and accessible has never been more important. Los Angeles is on the brink of one of the worst OB/GYN shortages in the country — "},{"_key":"be3f15ccbe71","_type":"span","marks":["02ff78476dda"],"text":"ranking #2 in the U.S."},{"_key":"ec92b1f76784","_type":"span","marks":[],"text":" behind only Las Vegas. And primary care is close behind; the "},{"_key":"9287dc9cc745","_type":"span","marks":["1c2c9b96e9eb"],"text":"average wait time"},{"_key":"a49e9729f644","_type":"span","marks":[],"text":" to see a Primary Care Provider in Los Angeles is 42 days."}],"markDefs":[{"_key":"1c2c9b96e9eb","_type":"externalLink","linkType":"text","url":"https://www.merritthawkins.com/uploadedFiles/MerrittHawkins/Content/Pdf/mha2017waittimesurveyPDF.pdf"},{"_key":"02ff78476dda","_type":"externalLink","linkType":"text","url":"https://www.doximity.com/press_releases/new_study_reveals_growing_threat_of_obgyn_shortages"}],"style":"normal"},{"_key":"9447b58320a5","_type":"block","children":[{"_key":"67b28a8bccc10","_type":"span","marks":[],"text":"At Tia, affordability and accessibility are table stakes. That means accepting as many insurance plans as we can to reduce your cost of care, which is not the norm for integrative care providers. And, ensuring you can get healthcare on "},{"_key":"67b28a8bccc11","_type":"span","marks":["em"],"text":"your schedule"},{"_key":"67b28a8bccc12","_type":"span","marks":[],"text":" — same day, early AM, and evenings."}],"markDefs":[],"style":"normal"},{"_key":"9cdde793ab75","_type":"block","children":[{"_key":"c360ab05f9d3","_type":"span","marks":["strong"],"text":"What this means for women in LA:  Put your insurance to work for care at Tia!"}],"markDefs":[],"style":"large"},{"_key":"d8ca3865dac3","_type":"block","children":[{"_key":"e3cf0b62d2a6","_type":"span","marks":[],"text":"Once a member, you can use your insurance for primary care and gynecology services (and when we open our in-person location, acupuncture too!). As of today, we accept some plans from Aetna, Cigna, United, Anthem BCBS, Blue Shield of California, and are working to take more insurance plans soon. "}],"markDefs":[],"style":"normal"},{"_key":"c74082cd6335","_type":"block","children":[{"_key":"1275606001f5","_type":"span","marks":[],"text":"4. High-quality providers with the distinctly Tia sparkle"}],"markDefs":[],"style":"h2"},{"_key":"ff046b822117","_type":"block","children":[{"_key":"b6dbf2a1bcf90","_type":"span","marks":[],"text":"While we’re all about technology improving healthcare, we’ve recognized since day one that technology alone cannot fix healthcare. Good healthcare is about people — specifically, top-notch providers and care teams that yes, practice great medicine, but also make you feel seen, heard, and cared for in outsized ways."}],"markDefs":[],"style":"normal"},{"_key":"a6512c4278eb","_type":"block","children":[{"_key":"ca50a2e537de0","_type":"span","marks":[],"text":"To achieve this, we’ve invested heavily in building our own Care Team from scratch. This is intentional and means slower scale — a tradeoff we’re okay with, in service of quality. In practical terms, that means that everyone you interact with on the Tia platform from your Care Coordinator to an OB/GYN is employed, vetted, and trained by Tia. Unlike most virtual care offerings, we are not a network or a portal to random doctors via Zoom."}],"markDefs":[],"style":"normal"},{"_key":"787889939ba3","_type":"block","children":[{"_key":"e159e6279535","_type":"span","marks":["strong"],"text":"What this means for women in LA: Get high-quality care from Tia-vetted providers you trust."}],"markDefs":[],"style":"large"},{"_key":"68962a967d26","_type":"block","children":[{"_key":"580f4f09c616","_type":"span","marks":[],"text":"As a Tia member, you get more than a doctor; you get a highly-vetted integrative Care Team who works together — not against each other! — to manage your whole health virtually and in person. You can be confident in the quality, the information sharing (no need to repeat yourself!), and “baton passes” that make your healthcare, whether digital or physical, smooth and seamless."}],"markDefs":[],"style":"normal"},{"_key":"cd1cfef75144","_type":"cta","text":[{"_key":"16c4e82cec86","_type":"block","children":[{"_key":"d6d864580df1","_type":"span","marks":[],"text":"We believe in collaborative, relationship-based care."}],"markDefs":[],"style":"h4"},{"_key":"47af4cd1aa30","_type":"buttonBlock","items":[{"_key":"0afa7be2618f","_type":"singleButton","linkCta":"Meet the LA Care Team","linkType":"button","reference":{"_ref":"e377a479-e152-4105-bfd8-cd8af403f8d8","_type":"reference"}}]}]},{"_key":"a6dc6f2e3be5","_type":"sectionHeader","title":"What’s next?!"},{"_key":"c14faeaa62cf","_type":"block","children":[{"_key":"06ff20d73f2d","_type":"span","marks":[],"text":"In typical Tia style, we will continue to look to you, our community, to inform where we go next, and how to improve our products and services. You, the women "},{"_key":"b2a581956aac","_type":"span","marks":["1c163a5181b7"],"text":"who cast their votes"},{"_key":"fa5d5b629d93","_type":"span","marks":[],"text":" for Tia Clinics near them, track their cycle, health & wellness in our app, read & share our educational content, and send us their wants, needs & dreams are critical co-creators in shaping the future of women’s health. Our ask: continue to build and share along with us! 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