It May Not be Politically Correct, but There are Gender Differences

It shouldn't come as a surprise to us that men and women are physiologically different. Come on now, I know my readers are smart. All of you worked this out before I said anything. But, lots of people have been surprised by this article and the FDA recommendations in it.

The FDA, for the first time, is recommending a different drug dosage for women than for men, although they go on to say that perhaps the reduced dosage is appropriate for men as well.  What surprises me is not that this happened, but that it took so long to happen.

Let's consider why.

Before drugs go on the market in the US, the FDA requires that they go through extensive research and clinical trials. Those are done almost exclusively on men. Why? To quote an FDA official whose name I cannot remember, "Women are hormonally inconvenient." In other words, because women monthly have significant hormonal swings, it is much more difficult to filter out the noise in the data.

Unfortunately, this means that much of the data that we actually have collected on drug efficacy and drug interaction may be somewhat accurate for men, but it's probably less accurate for women. And, as long as I am being politically incorrect, I would hypothesize that the same efficacy and interaction deficiencies that result from gender specific studies also result from the fact that studies have generally not been filtered by data such as ethnicity and blood type.

I've not done the research, so I am just guessing. But, my guess would be that people of different ethnicities and people of different blood types (among other differences) handle different drugs differently. It just makes sense.

So, what's in the future?

I don't really know, but this is my blog, so I get to hazard a guess.

Today, one of the current trends is genome mapping. Without having any particular expertise in the field, I understand that each of us has our own individual genetic map (perhaps monozygotic twins (identical) have the same genetic map, I just don't know). Surely then, the ideal medical treatment of each of us for a specific condition is different than for anyone else and those differences are based on our genetic maps. The data to develop these new medical plans of action will be here soon. Are we going to let hormonal inconveniences get in the way of better treatment plans?

Future Shock Meets 1984

I remember reading both of the books. Everyone seems to have read or be familiar with George Orwell's "1984." Fewer recall Alvin Toffler's "Future Shock." While Toffler's was more about the psychological aspects of reacting to rapid change, I am using my blog-owner's license to use it hear.

So, this is a blog usually devoted to benefits and compensation. What does this have to do with these two books by these two authors?

I'm going to take you into a future world. Perhaps it will never occur, perhaps it will occur sooner than you think. As Orwell suggested, Big Brother knows more about you than you would care to believe. Today, Big Brother is not just the government or the Thought Police, it's Google, Amazon, your credit card company, your favorite place to buy groceries, Netflix, and the like.

There are two approaches that you can take. You can hate it. Many people do not like the intrusion. Many people do not like the lack of privacy. But, you know what? This is going to happen to you whether you like it or not. It is virtually impossible in today's world to avoid this intrusion and lack of privacy. So, the second approach is to embrace it.

When Future Shock meets 1984, your identity will live on a chip. As far as my vision can take me, that chip currently lives in your smartphone, but perhaps it will be somewhere else by the time we get there. Perhaps it won't be a chip at all, but that's not the point here.

By this time, Congress has gotten its act together (wow, that seems like it must be far, far in the future) and reformed or eliminated the Tax Code as we know it. This will be important because this new model will require much more flexibility and customization.

So, you start your new job and instead of negotiating your pay, you negotiate your total worth to your new employer, The Third Wave, Inc. (TTWI). [Those who get the reference are pretty literate, by the way.] On your first day with TTWI, you go into a meeting with Winston Smith, the head of all things people. At TTWI, Winston is not even a person, but a drone leading up the people function.

As you walk into the meeting room, your chip activates and based on all the data on your chip, Winston instantly produces a recommended benefits and compensation package for you. Winston knows that you have a mortgage to pay monthly, he knows how much your spouse earns, and he knows about your family. He also knows that you have a proclivity for collecting autographed original vinyl 45s of one-hit wonders and that you need additional cash to cover that.

You look at the flexible design that Winston has provided you, make one small change because Winston didn't know that you plan to accelerate your mortgage payments starting in two months, and you are on your way.

So, what do you think? Are you bothered? Did you like how smoothly the process went? Did you like not having to read hundreds of pages of legalese? Did you like getting recommendations that were customized to you?

It's coming -- maybe not in my lifetime, but it's coming.