Rethinking Aviation Safety: Lessons from the Boeing 737 Max 9 Door Incident

The aviation world encountered a significant challenge on January 5, 2024, with an alarming incident involving an Alaska Airlines Boeing 737 Max 9. Shortly after takeoff, a cabin door panel on the aircraft unexpectedly detached mid-flight, resulting in a gaping hole in the fuselage and necessitating an emergency landing at Portland International Airport. This occurrence not only sparked immediate safety concerns but also raised serious questions about the broader aspects of Environmental, Health, and Safety (EHS) in the aviation sector. Dissecting the incident in detail to understand its implications on EHS and examining Boeing's response are crucial for mitigating such events in the future.

Details of the Incident

On a seemingly routine flight, Alaska Airlines Flight 1282, operating a Boeing 737 Max 9, faced an unprecedented crisis that stunned the aviation industry and passengers alike. Approximately 10 minutes after departing from Portland International Airport, passengers and crew were thrown into a state of panic as a cabin door panel abruptly separated from the aircraft at an altitude of 16,000 feet. This detachment caused a significant hole in the fuselage, leading to the cabin's rapid depressurization.

The pilots, faced with this critical situation, demonstrated commendable skill and presence of mind by initiating an emergency landing back at Portland International Airport. The incident, fortunately, did not result in any severe injuries, although it left passengers profoundly shaken. Images circulating on social media revealed emergency oxygen masks deployed and passengers huddled in their seats, encapsulating the distressing moments aboard the flight.

While initial investigations have not conclusively determined the cause, the severity of the incident was immediately evident. The Federal Aviation Administration (FAA) and the National Transportation Safety Board (NTSB) swiftly launched an inquiry to unravel the mystery behind the panel's detachment. Additionally, Alaska Airlines and United Airlines, the primary operators of the Boeing 737 Max 9 in the United States, began inspections of their fleets in response to this incident.

Investigations and Immediate Responses

The alarming incident with the Alaska Airlines Boeing 737 Max 9 swiftly drew the attention of aviation authorities, leading to immediate and thorough investigations. The National Transportation Safety Board (NTSB) and the Federal Aviation Administration (FAA) spearheaded these inquiries, delving into the possible causes of the cabin door panel detachment. Given the Boeing 737 Max's troubled past, these investigations were not just routine but also carried a significant weight of public expectation and scrutiny.

Boeing, the aircraft manufacturer, was quick to respond to the crisis. Understanding the severity of the situation and its potential impact on the brand's reputation and customer trust, Boeing pledged to undertake a comprehensive examination of its quality control processes. Stan Deal, CEO of Boeing’s commercial airplanes division, expressed the company's commitment to safety in an email to employees and announced additional inspections for the 737 Max planes, emphasizing the need for an external review of Boeing's quality management system.

The immediate aftermath of the incident also saw decisive action from airlines. The FAA issued a directive for the grounding of all Boeing 737 Max 9 jetliners equipped with the specific door plugs in question. This directive affected 171 aircraft globally, causing significant operational disruptions for airlines like Alaska and United, which were forced to cancel numerous flights. United Airlines, in particular, reported finding instances of loose parts on the door plugs of other Boeing 737 Max 9 jets, further underscoring the urgency of the situation.

These developments showcased the collaborative effort between aviation authorities, the manufacturer, and airlines to prioritize passenger safety. The quick response and proactive steps were crucial in mitigating immediate risks and restoring public confidence in air travel. However, the incident also highlighted the ongoing challenges facing Boeing, particularly in regaining trust after the previous safety issues with the 737 Max series.

EHS Implications

The Boeing 737 Max 9 door incident is a stark reminder of the intricate connection between Environmental, Health, and Safety (EHS) practices and aviation safety. EHS, a discipline focused on maintaining and improving the safety, health, and welfare of people engaged in work or employment, plays a crucial role in the aviation industry. This incident brings to the forefront several EHS concerns that are critical for the airline industry.

Firstly, the health and safety aspect of EHS is directly impacted in such incidents. Passenger and crew safety is paramount, and any compromise due to equipment failure or procedural lapses can have dire consequences. The mental and physical wellbeing of those aboard the flight, who endured a traumatic experience, underscores the importance of rigorous safety standards and procedures. This incident potentially points to a need for more robust safety inspections and maintenance routines, to prevent similar occurrences in the future.

Secondly, the environmental aspect of EHS is also noteworthy. Aircraft design and maintenance not only have implications for passenger safety but also for the environment. Inefficient or unsafe aircraft can lead to increased emissions or, in worst-case scenarios, environmental disasters in the event of a crash. Therefore, ensuring that aircraft are safe and well-maintained is also a step towards environmental stewardship.

This incident also highlights the importance of EHS in organizational culture and decision-making. A company’s culture around safety and its commitment to EHS principles can significantly influence its operational practices and, consequently, its overall safety record. Boeing’s response to this incident, including the review of its quality control processes, is a positive step towards reinforcing a safety-centric culture. However, the recurrence of safety issues with the 737 Max series raises questions about the effectiveness of these measures and the need for a more holistic approach to EHS.

Boeing's Safety Record and Industry Impact

The recent door incident involving the Boeing 737 Max 9 has once again brought Boeing's safety record into the spotlight, raising concerns over its impact on the aviation industry. Boeing, a leading aircraft manufacturer, has faced several challenges regarding the safety of its 737 Max series, which have had significant repercussions.

Historically, the 737 Max series, particularly the Max 8 model, has been at the center of scrutiny following two fatal crashes in 2018 and 2019. These tragedies led to the worldwide grounding of the 737 Max fleet and exposed issues related to Boeing's design and safety assessment processes. Investigations into these crashes highlighted a concerning trend in Boeing's approach to safety, revealing pressures to expedite production and certification processes, which may have compromised safety standards.

The 737 Max 9 door incident is another blow to Boeing's reputation, coming at a time when the company was starting to regain its footing in the industry. The grounding of the Max 9 planes, although

a precautionary measure, has caused disruptions for airlines and shaken the confidence of passengers. It also poses a significant financial impact on Boeing, as it navigates through the costs associated with investigations, potential design revisions, and the reputational damage.

For the aviation industry, incidents like these have broader implications. They lead to heightened regulatory scrutiny, changes in safety protocols, and potential shifts in airline purchasing decisions. The confidence of passengers in air travel, particularly in aircraft models with a history of safety issues, can be significantly affected. This scenario necessitates a renewed focus on safety and reliability, not just from Boeing but across the entire aviation sector.

Looking Forward

The incident involving the Boeing 737 Max 9 door highlights pivotal challenges within the aviation industry, particularly in safety and reliability. It underscores the critical importance of unwavering adherence to Environmental, Health, and Safety (EHS) standards and illuminates the path for continuous improvement in aviation safety measures.

As the industry moves forward, it is vital to absorb the lessons from such incidents. Achieving the highest safety levels in air travel demands a multi-faceted approach that includes meticulous design and manufacturing processes, thorough maintenance and inspection routines, and a culture that consistently prioritizes safety.

Boeing's initiative to review and enhance its quality control systems is a positive step, highlighting the need for ongoing vigilance in the industry. For regulators and aviation authorities, events like these reinforce the necessity of robust oversight and stringent regulatory frameworks to ensure adherence to the highest safety standards and to prevent similar incidents.

This event, therefore, represents an opportunity for the aviation industry to recommit to safety. It is a moment to reassess and bolster EHS practices, refine safety protocols, and cultivate a culture where safe air travel is a fundamental value. Embracing these challenges and striving for continuous improvement will fortify the aviation industry's position as one of the safest modes of transportation globally.

The Evolution of EHS in 2023: Embracing Technology for a Safer, More Sustainable Future

In today's rapidly evolving world, Environmental, Health, and Safety (EHS) remains a pivotal area for organizations globally. The year 2023 stands out as a milestone in the EHS landscape, marked by the seamless fusion of innovative technologies into EHS practices. This blog post offers a comprehensive look at how these technological strides, ranging from advanced software to sophisticated wearable devices, are transforming the EHS sector. We will unearth insights from industry experts, discuss significant technological impacts, and outline the emerging trends that are defining the direction of EHS in 2023 and beyond.

The Rise of Technology in EHS

2023 has been a landmark year for the integration of cutting-edge technology in the field of Environmental, Health, and Safety (EHS). This technological revolution is fundamentally changing how EHS professionals approach their work, offering new tools and methods to enhance safety and sustainability practices.

One of the most notable advancements is the application of Artificial Intelligence (AI). AI technologies are being utilized for predictive modeling, risk management, and compliance, providing EHS professionals with powerful tools to anticipate and mitigate potential hazards before they occur. This predictive capability of AI, coupled with its ability to analyze large data sets, has proven invaluable in improving workplace safety and environmental sustainability.

The implementation of EHS software has also seen a surge. These software solutions are crucial in helping businesses manage complex safety programs, particularly for small and medium-sized enterprises that might lack the resources for extensive EHS management. Moreover, EHS software facilitates efficient ESG reporting, a growing necessity for organizations across the globe. With these tools, businesses can more easily track and report on their environmental and safety impacts, an essential aspect in today's increasingly regulated corporate world.

Wearable technology is another area where significant strides have been made. From smartwatches to advanced sensors, wearables are empowering workers with real-time data about their work environment, enhancing their ability to stay safe and productive. These devices are not only useful in monitoring health parameters but also in providing immediate feedback on safety practices, a crucial factor in preventing accidents and ensuring worker wellbeing.

In sum, the rise of technology in EHS is a testament to the ongoing evolution of this critical field. By embracing these technological advancements, EHS professionals are better equipped to face the challenges of the modern workplace, ensuring safety and sustainability are at the forefront of their operations.

Expert Insights on Technological Influence

The transformation of EHS through technology is not just theoretical but is being actively shaped by the insights and experiences of industry leaders. Dr. John Howard, the director of the National Institute for Occupational Health and Safety, highlights the impact of diverse technologies such as algorithmic management tools, robotic devices, and wearable sensor technologies. He emphasizes that these advancements challenge EHS professionals to learn new skills for assessing and controlling emerging risks.

Amanda Engstrom, EHS Program Manager at Advance Auto Parts, points out the dual benefits of emerging technologies in EHS. Firstly, she notes the ease of assessment and testing, particularly in ergonomics, facilitated by wearable devices that can track movement and provide immediate feedback. Secondly, Engstrom underscores the improvement in training strategies through augmented reality and gamification, which enhance engagement and knowledge retention.

Zach Pucillo, EHS Compliance Manager at KPA, identifies several key trends to watch. These include the growing importance of EHS software for small and medium-sized businesses, the increasing necessity of ESG reporting, the integration of mobile technologies in the workforce, and the future potential of AI in hazard alerts and ergonomic improvements.

Helen Harris, Health & Safety Center of Excellence Leader at WestRock, adds a nuanced perspective. She acknowledges that while technology can simplify certain aspects of EHS work, it also adds complexity, particularly in data gathering and analysis. Harris emphasizes the need for EHS professionals to develop skills in data analysis to prioritize improvement efforts effectively.

These expert opinions collectively paint a picture of an EHS landscape in transition, marked by the adoption of new technologies and the evolving role of EHS professionals.

Legislative Impact and Compliance

The landscape of EHS in 2023 is also being reshaped by legislative developments. Globally and in the U.S., new regulations are setting precedents that profoundly affect EHS practices. In the United States, for instance, California’s recent environmental disclosure laws demand stringent compliance and reporting standards. Similarly, the European Union's Corporate Sustainability Reporting Directive (CSRD) broadens sustainability reporting requirements, significantly impacting companies operating in the EU. These regulations highlight the growing emphasis on transparency and accountability in environmental and safety matters.

Understanding and adapting to these legislative changes is crucial for EHS professionals. They must swiftly align their practices with these new standards to remain compliant. Moreover, these regulations are not just about adherence; they present an opportunity for organizations to improve their EHS practices, leveraging legislative requirements as a catalyst for positive change. Staying ahead in this changing regulatory environment is key to maintaining operational excellence and upholding organizational reputation.

Emerging Trends in EHS for 2023

The EHS landscape in 2023 is marked by transformative trends. A key development is the EHS function’s growing role in driving Environmental, Social, and Governance (ESG) initiatives, reflecting a deeper integration of EHS and sustainability goals.

EHS software is increasingly being used to manage ESG responsibilities, helping professionals efficiently handle complex data management and reporting tasks. Additionally, operationalizing ESG is gaining focus, moving from strategic visions to actionable plans involving all levels of employees.

Furthermore, EHS programs are adopting a holistic approach to worker wellness, encompassing both mental health and physical well-being. This shift recognizes the comprehensive nature of workplace health.

Diversity, equity, and inclusion (DE&I) initiatives are also becoming integral to safety programs, ensuring practices cater to diverse workforce needs.

With stricter ESG regulations emerging, companies are ramping up investments in data management tools to meet compliance demands.

These trends underscore a period of significant evolution in EHS, where technology, regulatory changes, and sustainability intersect.

The Role of Gamification in EHS Training

Gamification is revolutionizing EHS training in 2023. By incorporating gaming designs into training scenarios, EHS professionals are making safety education more engaging and memorable. This approach includes digital safety games where players create avatars and complete challenges, as well as traditional games like cards and board games designed for hazard recognition and mitigation. Such interactive methods are proving effective in improving learning experiences and employee engagement in safety practices, showcasing a creative blend of entertainment and education in EHS training.

Global Warming Continues to Threaten Regional Livelihoods

With soaring surface temperatures and new record highs recorded every year for the past 50 years, global warming continues to be one of the biggest threats to various regions around the world. Arizona in particular just recorded the hottest summer in the state’s history, unfortunately coinciding with an increase in heat related deaths across the state. Continued effects from the result of ongoing warming trends in regional environments could pose additional challenges for individuals in the future. 

Record high temperatures can affect the body in a variety of different ways, and create unstable biological conditions that can lead to death. The high surface temperatures also pose threats to infrastructure, technology, and vital installations in urban metropolitan areas. Negative associated effects of heat exposure can be exacerbated when necessary resources are compromised in heat wave events. Officials are still tallying the number of deaths that resulted from the record temperatures in Arizona this year, and many scientists are looking to the future, concerned about new associated risks. 

Record High Summer Temperatures

This summer proved to be a record breaking year for surface temperatures across many regions in the United States, and specifically in Arizona. Record keeping for temperatures began in the state in 1895, and this year experienced three of the highest recorded months on record.

Daily average temperatures this summer holdfast at 97 degrees Fahrenheit which surpassed the three year previous record of 96.7 degrees Fahrenheit. Phoenix also set a record for a 31 day streak of temperatures at or exceeding 110 degrees Fahrenheit. Heat waves like that seen in Phoenix are beginning to happen more frequently as the climate in the region becomes dryer and overall global temperature averages continue to rise. Officials began recording associated deaths in 2005 to identify where policy changes could be applied to lessen the impacts of heat related casualties. They have added several categories to discern the deaths and provide a well rounded investigation into their route cause and resolution.

Heat Related Death Information

  • Sex

  • Age

  • Race

  • Ethnicity

  • Location 

  • Indoors vs Outdoors

  • Air Conditioner present?

    • Working or not working

  • Electricity present?

Collecting vital information like these statistics is vital for researchers when discerning associative risk factors in severe weather events like those of this summer. These electricity statistics are important because findings have influenced power companies to maintain vital electricity powering air conditioners running during heat waves, even if clients have not paid their bills. 

Many of the deaths recorded in previous years happened due to a lapse in power, leaving the affected individuals inside their homes without a working air conditioner. Having the means to cool off is vital during extended periods of record high temperatures, especially when outside averages exceed into the triple digits. 

Counting Heath Related Deaths

Counting and recorded heat related casualties can take an extended amount of time for officials because there are many factors involved in the investigations. There are investigations into the individual's past and present related health conditions, environmental hazards, toxicology reports, autopsies, weather forecasts, and resource assessments. Mariposa county investigates heat deaths including those caused by excessive temperatures, heat stroke, and heart attacks as the result of environmental stress. 

This year's records observed almost 75 percent of the total recorded deaths to have occurred outside exposed to the elements. Almost half of those deaths were homeless people who did not have access to air conditioning, water, or other vital resources. There are an estimated 10,000 people in Mariposa county without access to a home, so the numbers could be potentially much higher if severe conditions persisted even longer. 

Less than 100 of the recorded deaths so far happened indoors in Arizona. Most of these recorded deaths occurred in homes where the in unit air conditioners were turned off or disabled. 

Future of Heat Related Deaths

As global warming continues to impact the world, many regions are experiencing rapid environmental changes. While some regions are experiencing extended winters, rain, and moisture other regions like the southwestern United States have observed quite the opposite. Southern Arizona has just experienced its hottest recorded summer with an extended period of time exceeding triple digit temperatures. These conditions are not atypical for the desert region, however their extended durations and excessively high temperatures are a direct result of the effects of climate change. 

In the future regions like this will continue to see extended periods of extreme temperatures and the cities need to establish enough access to vital resources to prevent increases in heat related deaths. This summer already showed a dramatic increase compared to past years, and hopefully it will lead to improvements in policies controlling the distribution of access to life saving resources like air conditioning, water, and shelter. 

Onsite Treatment to Revolutionize Employee Health Management

Workplace injuries are a constant concern among a variety of industries in the nation. Rising costs and inflation associated with medical care can also negatively impact employers as they respond to injury claims. Businesses also lose money from days of leave taken by injured employees and many additional costs can quickly add up. 

The Occupational Health and Safety Administration (OSHA) has published data suggesting that there are 2.5 injuries for every 100 construction workers in the United States. Statistics for this past year of reported injuries totalled more than 21,000 nonfatal cases caused by falls, slips, and trips. OSHA also publishes extensive safety protocols and education materials each year targeting at limiting these kinds of workplace injuries. American businesses are required to implement many forms of safety education, facilitation, and treatment for their employees. While there are a variety of tools aimed at preventing workplace injuries, they are still likely to occur and additional measures are being developed to further reduce the response time to employee claims. 

Treating Injuries Onsite

Treating injuries onsite is a newer method of response for employee injuries. Onsite clinics are equipped with the facilities, tools, and staff to effectively treat injuries that occur in a work environment. Onsite clinics allow professionals to take the necessary steps to mitigate and identify risks that could lead to accidents that pose additional risks to the company. The thought is that by having these onsite clinics available to employees, there will be improvements in the environment of safety on the job and a reduced response time to effectively treat minor injuries before they become more serious. 

Onsite Clinic Duties

  • Rapid Evaluation of Injury

    • The main role of an onsite clinic will be to rapidly identify and evaluate an employee’s injury. The professional report will determine the extent of the injury, cause, any trends, and lead to a diagnosis of treatment. 

  • Knowledgeable Assessment of First Aid

    • Many workplace injuries can be remedied by simple first aid administered by medical professionals.

    • The official background and experienced staff employed by the onsite clinic will be able to translate their experience to the condition of the affected employee. 

  • Recommend Treatment

    • After identifying and evaluating the employee’s injury the medical staff will be able to address a diagnosis attached to treatment plans. 

    • Having medically trained professionals administer diagnosis and evaluation will prevent minor injuries from getting referred to more serious and expensive practitioners. The professionals will also be able to facilitate many in house treatments that will additionally cut costs for employers and insurance lenders. 

All the nuances of treating onsite injuries without the medical professionals associated with an official clinic can add many complications to effective diagnosis and treatment of an injured employee. These complications result in exponentially higher costs harbored by the company as injury claims and workman’s compensation can be a lingering process. Last year the average worker’s compensation claim cost more than $41,000 according to the National Safety Council. With claim costs averaging such high amounts, it is vital employers and businesses across the nations develop methods to save money and adequately support their employees.

Industry Specific Customizations

By establishing a personal onsite clinic at work sites, employers will be able to customize the kind of specific care and capabilities they provide. Construction sites will be able to attribute more resources devoted toward bodily mobility injuries most commonly faced in their industry. Another feature that could be added to clinics are the ability to effectively respond to specific chemical exposures at different locations, which offers a much higher level of care and efficiency to patients.By allowing specifications to personal onsite clinics, employers will be able to save on injury costs in the future by preventing them before they happen and promptly responding when they do. 

Other Customizations

  • Mobility injuries

  • Bone and soft tissue treatments

  • Respirator fit testing

  • Medical surveillance

  • Hazardous material exposure protocols

  • Drug and alcohol screening

Implementing Prevention Protocols

With the breadth of knowledge and experience that will be associated with establishing an onsite clinic, employees will be able to access vital resources to treat their mental and physical well beings. It is crucial for employers who want to cut costs to not only engage in treatment and evaluation of workplace injuries, but also to invest in prevention programs that can stop injuries from ever occurring. Onsite clinics can design these prevention programs by establishing the knowledge and necessary designs to implement wellness programs that maintain a healthy and productive employee environment. 

Prevention programs will not only work to improve employee education and awareness of potential workplace injuries, but will also provide vital tools they can use to instill responsibility with employees themselves. Providing vital safety tools to employees will help them recognize safety hazards, onsite injuries, and indicators for compromised mental and physical health. 

Musculoskeletal Pain the Primary Health Risk to American Workers

Several studies exploring workplace injuries, chronic conditions, and American health has identified musculoskeletal pain as the primary risk to employees. Musculoskeletal pain can be caused by a variety of different factors, but poses risks to almost every industry in blue collar America. Scientists, and employers are working diligently to identify the root causes of the chronic illness and help industries prevent further distress. 

Statistics suggest that every 1 in 2 American employees experience some form of chronic musculoskeletal complications, supported by surveys sampling more than 252 million citizens.The industries with the highest risk of complications include software businesses, utility management, retail, transportation, hospitality, construction, manufacturing, healthcare, education, and more. These industries require employees to be sitting or standing for long periods of time, and sometimes also require heavy lifting that can pose risk to their musculoskeletal stability. Leading experts relate the hard manual labor and sedentary position of the body over long periods of time as some of the main causes of this specific injury. 

What is the Musculoskeletal System

The musculoskeletal system includes the bones, muscles, ligaments, joints, connective tissues, cartilage, and tendons. This system gives our human bodies structure and supports movement of the limbs. The MSK system is vital to a person’s mobility and can change with them over time. The overall endocrine system is stimulated by exercise and interacted with via biochemical signaling passed through other organs in the body. 

5 Main Functions of the MSK System

  • Movement: The skeletal system pulls on bones causing movement at the joints. Facial skeletal muscles pull on soft tissues resulting in facial expressions. All the movement is caused by the respiratory system introducing oxygen into the blood supporting the systems, enabling the muscles to breathe.

  • Support: Muscles in the system support the internal organs, but are prone to weaknesses with age or injury. Prolonged weakness to the system's muscles can result in organ displacement.

  • Protection: Skeletal muscles protect vital organs and cushion exterior physical impacts taken by the body. 

  • Heat Generation: Heat is a waste product of body metabolism which is maintained by keeping an internal body temperature of 98.6 degrees Fahrenheit. Shivering is a major control of the MSK system to regulate the body temperature and generate heat when the internal body temperatures fall below optimal levels. 

  • Blood Circulation: Cardiac muscles pump the heart and control the body’s blood circulation to vital organs and other areas of the body. 

“Ergonomic injuries” are those that affect the MKS system. These injuries are the result of overuse, improper use, or exterior inflictions to the muscles, tendons, ligaments, or hard structures. Symptoms of MKS injuries include but are not limited to the inability to effectively use limbs or muscles to complete tasks, soreness, bruising, muscle tears, and bone fractures. These symptoms often accompany the hazards associated with sitting and working at a desk, impacting the employee over long periods. The study also analyzed the resulting economic expenditure associated with MSK-related injuries and discovered its national costs have more than doubled over the last decade. 

Associated Costs of Musculoskeletal Injuries

The cost to treat MSK is one of the third largest industries in the United States healthcare system, totaling more than $600 billion annually.Associated costs to treat MSK injuries include medical appointments, expert referrals, and leave from work. The injuries also have to be treated with various medications, physical therapy, and work limitations after being diagnosed. These costs fall predominantly on the employee who ends up having to take the excess leave from employment and source the kind of treatments that best fit their situation. Employers also take the brunt of any MSK injury costs by involving their insurances and liability officials. 

The Hinge study also acknowledged that the driving factor behind increasing costs is the undeniable connection between MSK and mental health treatments, as affected employees often use double the average worker’s sick days.  The average worker misses more than 8 days of work, while employees experiencing symptoms of MSK complications often miss upwards of 13 average days annually to deal with their treatment and mental health. The sheer absence of millions of workers for extended durations of time throughout the annual work year alone costs businesses and the greater US economy millions of dollars.

Impacts of New MSK Understanding 

The impacts of MSK are affecting many aspects of employee health and welfare in the United States, as medical costs and health inequities continue to increase. Access to MSK-associated healthcare, medicines, and affordable treatments have continued to drive up prices, far surpassing the economic costs shared by employers to treat other ailments like heart disease ($309 billion), cancer ($243 billion), and diabetes ($188 billion). It is no surprise that medical costs, insurance, and access to treatments have all become a much larger burden on the lower and middle working class of America.

The nuances of MSK and its lack of study have also prevented many employer insurance companies from effectively covering their employee’s risk of MSK exposure and rehabilitation. The lack of understanding has only recently resulted in studies highlighting the close relation to employee mental health welfare. Chronic pain can often intensify mental challenges resulting in increased anxiety and depression, worsening the MSK symptoms. Many health insurances fail to fill the gap in social and behavioral support needed to recuperate from mental health symptoms associated with the effects of chronic MSK in the workplace. 

Solutions recommended by the Hinge report and other health professionals suggest filling the gaps in coverage by addressing issues with physical recovery, behavioral support, and medical services. Remote care and support are ultimately important in treating the patient’s physical self-care and mental health. With digital accessibility at an all-time high, connecting patients to health professionals is easier than ever, and acquiring the kind of frequent care needed to recover from MSK complications entirely.