Black tech founders work to improve health care for people of color : Shots

(from left) Kevin Dedner founded Hurdle, a mental health startup that pairs patients with therapists. Ashlee Wisdom’s company, Health in Her Hue, connects women of color with culturally sensitive medical providers. Nathan Pelzer’s Clinify Health analyzes data to help doctors identify at-risk patients in underserved areas. Erica Plybeah’s firm, MedHaul, arranges transport to medical appointments.

Kevin Dedner; Kolin Mendez Photography; Aaron Gang Photography; Starboard & Port Creative


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Kevin Dedner; Kolin Mendez Photography; Aaron Gang Photography; Starboard & Port Creative


(from left) Kevin Dedner founded Hurdle, a mental health startup that pairs patients with therapists. Ashlee Wisdom’s company, Health in Her Hue, connects women of color with culturally sensitive medical providers. Nathan Pelzer’s Clinify Health analyzes data to help doctors identify at-risk patients in underserved areas. Erica Plybeah’s firm, MedHaul, arranges transport to medical appointments.

Kevin Dedner; Kolin Mendez Photography; Aaron Gang Photography; Starboard & Port Creative

When Ashlee Wisdom launched an early version of her health and wellness website, more than 34,000 users — most of them Black — visited the platform in the first two weeks.

“It wasn’t the most fully functioning platform,” recalls Wisdom, 31. “It was not sexy.”

But the launch was successful. Now, more than a year later, Wisdom’s company, Health in Her Hue, connects Black women and other women of color to culturally sensitive doctors, doulas, nurses and therapists nationally.

As more patients seek culturally competent care — the acknowledgment of a patient’s heritage, beliefs and values during treatment — a new wave of Black tech founders like Wisdom want to help. In the same way Uber Eats and Grubhub revolutionized food delivery, Black tech health startups across the United States want to change how people exercise, how they eat and also how they communicate with doctors.

Inspired by their own experiences, plus those of their parents and grandparents, Black entrepreneurs are launching startups that aim to close the cultural gap in health care with technology — and create profitable businesses at the same time.

Seeing problems and solutions others miss

“One of the most exciting growth opportunities across health innovation is to back underrepresented founders building health companies focusing on underserved markets,” says Unity Stoakes, president and co-founder of StartUp Health, a company headquartered in San Francisco that has invested in a number of health companies led by people of color. He says those leaders have “an essential and powerful understanding of how to solve some of the biggest challenges in health care.”

Platforms created by Black founders for Black people and communities of color continue to blossom because those entrepreneurs often see problems and solutions others might miss. Without diverse voices, entire categories and products simply would not exist in critical areas like health care, experts in business say.

“We’re really speaking to a need,” says Kevin Dedner, 45, founder of the mental health startup Hurdle. “Mission alone is not enough. You have to solve a problem.”

Dedner’s company, headquartered in Washington, D.C., pairs patients with therapists who “honor culture instead of ignoring it,” he says. He started the company three years ago, but more people turned to Hurdle after the killing of George Floyd.

In Memphis, Tenn., Erica Plybeah, 33, is focused on providing transportation. Her company, MedHaul, works with providers and patients to secure low-cost rides to get people to and from their medical appointments. Caregivers, patients or providers fill out a form on MedHaul’s website, then Plybeah’s team helps them schedule a ride.

While MedHaul is for everyone, Plybeah knows people of color, anyone with a low income and residents of rural areas are more likely to face transportation hurdles. She founded the company in 2017 after years of watching her mother take care of her grandmother, who’d had to have both legs amputated because of complications from Type 2 diabetes. They lived in the Mississippi Delta, where transportation options were scarce.

“For years, my family struggled with our transportation because my mom was her primary transporter,” Plybeah says. “Trying to schedule all of her doctor’s appointments around her work schedule was just a nightmare.”

Plybeah’s company recently received funding from Citi, the banking giant.

“I’m more than proud of her,” says Plybeah’s mother, Annie Steele. “Every step amazes me. What she is doing is going to help people for many years to come.”

From six doctors to 1,000 health providers in three years

Health in Her Hue launched in 2018 with just six doctors on the roster. Two years later, users can download the app at no cost and then scroll through roughly 1,000 providers.

“People are constantly talking about Black women’s poor health outcomes, and that’s where the conversation stops,” says Wisdom, who lives in New York City. “I didn’t see anyone building anything to empower us.”

As her business continues to grow, Wisdom draws inspiration from friends such as Nathan Pelzer, 37, another Black tech founder, who has launched a company in Chicago. Clinify Health works with community health centers and independent clinics in underserved communities. The company analyzes medical and social data to help doctors identify their most at-risk patients and those they haven’t seen in awhile. By focusing on getting those patients preventive care, the medical providers can help them improve their health and avoid trips to the emergency room.

“You can think of Clinify Health as a company that supports triage outside of the emergency room,” Pelzer says.

Pelzer says he started the company by printing out online slideshows he’d made and throwing them in the trunk of his car. “I was driving around the South Side of Chicago, knocking on doors, saying, ‘Hey, this is my idea,'” he says.

Her experience as a patient offered fresh perspective

Wisdom got her app idea from being so stressed while working a job during grad school that she broke out in hives.

“It was really bad,” Wisdom recalls. “My hand would just swell up and I couldn’t figure out what it was.”

The breakouts also baffled her allergist, a white woman, who told Wisdom to take two Allegra every day to manage the discomfort. “I remember thinking if she was a Black woman, I might have shared a bit more about what was going on in my life,” Wisdom says.

The moment inspired her to build an online community. Her idea started off small. She found health content in academic journals, searched for eye-catching photos that would complement the text and then posted the information on Instagram.

Things took off from there. This fall, Health in Her Hue launched “care squads” for users who want to discuss their health with doctors or with other women interested in the same topics.

“The last thing you want to do when you go into the doctor’s office is feel like you have to put on an armor and feel like you have to fight the person or, like, you know, be at odds with the person who’s supposed to be helping you on your health journey,” Wisdom says. “And that’s oftentimes the position that Black people, and largely also Black women, are having to deal with as they’re navigating health care. And it just should not be the case.”

“We’re each other’s therapists”

As Black tech founders, Wisdom, Dedner, Pelzer and Plybeah look for ways to support one another by trading advice, chatting about funding and looking for ways to come together. Pelzer and Wisdom met a few years ago as participants in a competition sponsored by Johnson & Johnson. They reconnected at a different event for Black founders of technology companies and decided to help each other.

“We’re each other’s therapists,” Pelzer says. “It can get lonely out here as a Black founder.”

In the future, Plybeah wants to offer transportation services and additional assistance to people caring for aging family members. She also hopes to expand the service to include dropping off customers for grocery and pharmacy runs, workouts at gyms and other basic errands.

Pelzer wants Clinify Health to make tracking health care more fun — possibly with incentives to keep users engaged. He is developing plans and wants to tap into the same competitive energy that fitness companies do.

Wisdom wants to support physicians who seek to improve their relationships with patients of color. The company plans to build a library of resources that professionals could use as a guide.

“We’re not the first people to try to solve these problems,” Dedner says. Yet he and the other three feel the pressure to succeed for more than just themselves and those who came before them.

“I feel like if I fail,that’s potentially going to shut the door for other Black women who are trying to build in this space,” Wisdom says. “But I try not to think about that too much.”

Kaiser Health News is a national newsroom and editorially independent program of the Kaiser Family Foundation. KHN is not affiliated with Kaiser Permanente.

People are talking about Web3. Is it the Internet of the future or just a buzzword? : NPR

Web3, short for web 3.0, is a vision of the future of the Internet in which people operate on decentralized, quasi-anonymous platforms, rather than depend on tech giants like Google, Facebook and Twitter.

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Web3, short for web 3.0, is a vision of the future of the Internet in which people operate on decentralized, quasi-anonymous platforms, rather than depend on tech giants like Google, Facebook and Twitter.

Ani_Ka/Getty Images

There’s a buzzword that tech, crypto and venture-capital types have become infatuated with lately. Conversations are now peppered with it, and you’re not serious about the future until you add it to your Twitter bio: Web3.

It’s an umbrella term for disparate ideas all pointing in the direction of eliminating the big middlemen on the internet. In this new era, navigating the web no longer means logging onto the likes of Facebook, Google or Twitter.

Think of it this way: The nascent days of the Internet in the 1990s were Web 1.0. The web was seen as a way to democratize access to information, but there weren’t great ways of navigating it beyond going to your friend’s GeoCities page. It was pretty disorganized and overwhelming.

Then came Web 2.0 starting in the mid-2000s. Platforms like Google, Amazon, Facebook and Twitter emerged to bring order to the Internet by making it easy to connect and transact online. Critics say over time those companies amassed too much power.

Web3 is about grabbing some of the power back.

“There’s a small group of companies that own all this stuff, and then there’s us who use it, and despite the fact that we contribute to the success of these platforms, we don’t have anything to show for it,” said Mat Dryhurst, a Berlin-based artist and researcher who teaches classes at New York University on the future of the internet.

And so, the answer, according to Dryhurst and other Web3 fans, is an iteration of the internet where new social networks, search engines and marketplaces crop up that have no company overlords.

Instead, they are decentralized, built upon a system known as the blockchain, which already undergirds Bitcoin and other cryptocurrencies. Imagine it as a kind of bookkeeping where many computers at once host data that’s searchable by anyone. It’s operated by users collectively, rather than a corporation. People are given “tokens” for participating. The tokens can be used to vote on decisions, and even accrue real value.

In a Web3 world, people control their own data and bounce around from social media to email to shopping using a single personalized account, creating a public record on the blockchain of all of that activity.

“To the average person, it does sounds like voodoo,” said Olga Mack, entrepreneur and blockchain lecturer at University of California, Berkeley. “But when you press a button to switch on lights, do you understand how the electricity is made? You don’t have to know how electricity works to understand the benefits. Same is true of the blockchain.”

Right now, the idea of the entire Internet reinventing may sound like some far-away digital utopia. But Web3 is driving new conversations — and generating lots of new money, particularly from crypto investors.

‘At first baffling,’ but Web3 is growing more mainstream and tech companies are taking note

The Web3 movement has been helped along by the rise of NFTs, or non-fungible tokens, which are digital collectibles and other online files that can be bought and sold with cryptocurrency. Then there are the publicity stunts. Recently, a group of crypto enthusiasts banded together to attempt to purchase a copy of the U.S. Constitution with digital currency. They organized under the name ConstitutionDAO. (A DAO stands for a decentralized autonomous organization, the name for an online collective of crypto supporters who assemble together collectively in a group governed by blockchains and tokens. It’s very Web3.)

Dryhurst admits that trying to explain Web3 can be exasperating, since it’s a loosely-defined term that takes on a slightly different shape depending on who is defining it but, he said, that’s the case with all new frontiers of technology.

“Every new advent of the web is at first baffling,” he said.

To technologists and cryptographers, Web3 has remained a theoretical grand vision for years. But in recent months, the push for a blockchain-powered future has come to dominate tech conferences and social media chatter in certain circles. It’s even forced major tech companies to assemble teams dedicated to Web3.

And that’s brought a certain irony to the evolution of Web3: Enthusiasts hope Web3 will mean that sharing photos, communicating with friends and buying things online will no longer by synonymous with Big Tech companies but be done through a multitude of small competing services on the blockchain — where, for instance, every time you post a message, you earn a token for your contribution, giving you both ownership stake in the platform and one day a way to cash in.

In theory, this also means avoiding fees, rules and the strictures of tech companies. Nonetheless, major tech platforms are also jumping on the idea.

“It means that all the value that’s created can be shared amongst more people, rather than just the owners, investors and employees,” said Esther Crawford, a senior project manager at Twitter.

Crawford said Twitter is studying ways to incorporate Web3 concepts into the social network, like one day being able to log into the social network and tweet from an account associated with a cryptocurrency, not a Twitter account. She sees the future differently: not a crypto version of Twitter replacing Twitter. But rather Twitter introducing Web3 features on top of standard Twitter.

“For a long time, Web3 has been very theoretical,” she said. “But now there is a surge of momentum to build.”

Will Web3 be the new norm?

Experts say, in the best case scenario for Web3 enthusiasts, the technology will operate alongside Web 2.0, not fully supplant it.

In other words, blockchain-based social networks, transactions and businesses can and will grow and thrive in the coming years. Yet knocking out Facebook, Twitter or Google completely is not likely on the horizon, according to technology scholars.

“I’m not in a position to say who will win,” Dryhurst said. “But Web2 companies will be folding Web3 ideas into their services to stay relevant.”

He thinks many people would want to be able to take their data and history of interactions online wherever they go on the Internet, rather than remain on singular web platforms–what some call the “walled gardens” of big tech companies.

“This is a fundamentally difference experience than what we’re used to today,” Dryhurst said.

But he admits that boundless freedom can lead to troubling outcomes for some.

“The Faustian bargain is that the same reasons that it’s exciting that there’s nothing impeding people to build whatever community they want, I can’t stop someone from building something that’s hellacious,” he said.

Decentralized social networks have proved appealing to white supremacists and other far-right groups, but Sam Williams, founder of Arweave, a blockchain-based project for storing data online, said he trusts most small communities to determine what speech is permitted online.

On balance, he said, collective voting on the rules of engagement will be better than what users experience on major social media platforms today.

“If we stay in the current paradigm, we will move further and further into a realm where a small handful of companies run by a small number of people run our experiences in cyberspace,” he said. “And in that world, the problems of Big Tech are exacerbated.”

Another issue, of course, is government oversight. Blockchain-based tokens are now in a regulatory netherworld, but that could soon change as the Biden administration begins the process of setting new rules for the industry.

How does Web3 fit with that other vision of the Internet’s future — the metaverse?

Facebook recently rebranded itself Meta, and said its priority would be to build the “metaverse,” a digital future where everyone is living and interacting and working together in virtual reality.

Among the company’s stated principles is “robust interoperability,” meaning that users could take their accounts or avatars from site to site or service to service seamlessly, rather than have to log in to accounts controlled by separate companies every time they visit new sites.

That’s also one of the ideals of Web3.

But true believers say there is no place for Facebook in a Web3 world, no matter how hard the social network tries to be part of the next generation of the Internet.

“Facebook will always be incentivized to enrich Facebook,” Williams said. “And that’s not how cyberspace should be governed.”

What’s the chance Web3 is just an over-hyped fantasy?

It doesn’t take long to find skeptics of Web3.

James Grimmelmann, a Cornell University professor who studies law and technology, has become vocal about his doubts.

“Web3 is vaporware,” said Grimmelmann, referring to a product that’s announced but never delivered.

“It’s a promised future internet that fixes all the things people don’t like about the current internet, even when it’s contradictory.”

He said if part of the impetus is to resist giving up personal data to Big Tech companies, then the blockchain is not the solution, since that will make even more data public.

“It doesn’t make any sense,” he said. “The vision says the problem with the internet is too many centralized intermediaries. Instead of having lots of different applications and sites, we’ll put it all on blockchains, which puts it all in one place.”

To Grimmelmann, Web3 represents technologists reaching for the idealistic ethos of the dawn of the internet — everyone can freely use the information superhighway! — that long ago was overtaken by tech companies.

The Internet’s evolution always has been a tug between fragmentation and centralization, he said. When it swings too far in one direction, a backlash tries to pull it in the opposite direction.

“Blockchains are interesting and solve some difficult problems in new ways,” he said. “They’re probably going to end up in the toolkit that the next internet is built out of, but that doesn’t mean the internet is going to be built around them.”

But many people who found wealth during the pandemic by investing in cryptocurrencies are looking around for something to plunge cash into beyond NFTs of “bored apes” who are members of a cartoon “yacht club.”

Right now, he said, Web3, albeit mostly theoretical, is the thing.

“There are a lot of people who have money to invest,” he said. “And they need some vision to throw money at.”