Healthcare Sector
HEALTHCARE SECTOR: GLOBAL
st 21 ANNUAL EDELMAN TRUST General Online Population Informed Public BAROMETER 1,150 500respondents in U.S. and China; Methodology 100respondents in Nigeria; respondents per country 200in all other countries Ages Represents 17% of total global population 18+ Must meet 4 criteria: Online survey in 28 countries* All slides show general ‣ Age 25-64 33,000+ respondents online population data ‣ College-educated 2021 Edelman Trust Barometer fieldwork unless otherwise noted ‣ In top 25% of household income conducted from October 19 to November 18, 2020 per age group in each country ‣ Report significant engagement in public policy and business news *The 2021 Trust Barometer 27-market global averages (for the general population, mass population and informed Mass Population public) do not include Nigeria 27-market global data margin of error: General population +/-0.6% All population not including (N=31,050); informed public +/-1.3% (N=6,000); mass population +/- informed public 0.6% (N=25,050+); half-sample global general online population +/- 0.8% (N=15,525). Represents 83% of total global Country-specific data margin of error: General population +/- 2.9% population (N=1,150); informed public +/- 6.9% (N=min 200, varies by country), except for China and U.S. +/- 4.4% (N=500) and Nigeria +/- 9.8% (N=100); mass population +/-3.0% to 3.6% (N=min 736, varies by U.S. Post-Election Supplement country), except for Nigeria +/- 2.9% (N=1,125). U.S. Post-Election Supplement margin of error: +/- 2.5% (N=1,500). 1,500 U.S. respondents, fielded December 14 to 18, 2020 U.S. Post-Election Supplement ethnicity-specific data margin of error: Non-Hispanic White+/- 3.3% (N=894); all others +/- 4.0 (N=607). 2
21 YEARS OF TRUST 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Rising Fall of the Earned Media U.S. Trust A “Person Like Business More Young People Trust in Performance Business Must Influence of Celebrity CEO More Credible Companies in Shifts from Me” Emerges Trusted Than Have More Business and Partner With NGOs Than Europe Suffer “Authorities” as Credible Government Trust in Plummets Transparency Government to Advertising Trust Discount to Peers Spokesperson and Media Business Essential to Regain Trust Trust 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 Fall of Crisis of Business Trust is Growing Trust in The Battle Trust Trust: Declaring Government Leadership to Lead Essential to Inequality Crisis for Truth at Work Competence Information the Debate Innovation of Trust and Ethics Bankruptcy for Change 3
SPRING TRUST BUBBLE BURSTS; BIGGEST LOSS FOR GOVERNMENT - 0 + Distrust Neutral Trust Change, wave to wave Trust Index, 11 countries included in the 2020 Trust Barometer Spring Update (1-49) (50-59) (60-100) Global 11 Government +/- Jan 2020 to +/- May 2020 to May 2020 Jan 2021 S. Korea -17 +16 -17 UK -15 +/- May 2020 +24 -15 to Jan 2021 China -13 61 Government -8 +5 -13 -8 Mexico -12 Media -6 +12 -12 -5 -6 Canada -11 +6 NGOs -6 +20 -11 -6 India +6 -8 56 Business -3 -8 -3 U.S. -6 55 +9 -6 Government was the most Germany -5 trusted institution in May, +19 -5 then lost its lead 6 months later Japan -5 -1 -1 Saudi Arabia -1 +5 -1 Jan 2020 May 2020 Jan 2021 France +2 +13 2 2021 Edelman Trust Barometer. The Trust Index is the average percent trust in NGOs, business, government and media.TRU_INS. Below is a list of institutions. For each one, please indicate how much you trust that institution to do what is right. 9-point scale; top 4 box, trust. General population, 11-mkt avg. 4
BUSINESS BECOMES ONLY TRUSTED INSTITUTION Percent trust - 0 + Distrust Neutral Trust Change, 2020 to 2021 Business NGOs Government Media Business more trusted than government in 18 of 27 countries 61 57 53 56 +2 51 pts TRUST INDEX Change, 2020 to 2021 +2 -1 +3 +2 l 2021 Edelman Trust Barometer. The Trust Index is the average percent trust in NGOs, business, government and media.TRU_INS. Below is a list of institutions. For each one, please indicate how much you trust that institution to do what is right. 9-point scale; top 4 box, trust. General population, 27-mkt avg. 5
TRUST IS LOCAL: MY EMPLOYER A MAINSTAY OF TRUST - 0 + Percent trust in my employer Distrust Neutral Trust Change, 2020 to 2021 Global 27 Trust in my employer stable or rising in 18 of 27 countries 92 89 86 85 83 83 82 79 79 79 78 77 76 76 76 76 75 74 73 72 72 71 70 70 69 66 76% 60 58 76 My employer My employer more trusted than institutions Business 61 0 -1 +2 +1 +7 +2 0 -1 +5 0 +3 +4 +1 +1 +4 0 -3 -12 0 0 -2 -6 +4 n/a -1 +3 -4 -1 NGOs 57 l l ll ll l ll Government 53 Media 51 2021 Edelman Trust Barometer. TRU_INS. [Your employer] Below is a list of institutions. For each one, please indicate how much you trust that institution to do what is right. 9-point scale; top 4 box, trust. General population, 27-mkt avg. Question asked among those who are employed (Q43/1). *Nigeria not included in the global average 6
2021 2021 Trust gap TRUST INEQUALITY Informed public Mass population SPREADS FURTHER 68 Global 27 52 Global 27 16 Record trust inequality 86 India 68 China 14 Trust Index 86 Saudi Arabia 68 Indonesia 15 83 Indonesia 67 India 19 82 China 67 Saudi Arabia 19 79 The Netherlands 66 Singapore 10 79 UAE 65 UAE 14 78 Malaysia 63 Malaysia 15 Distrust Neutral Trust 77 Australia 62 The Netherlands 17 (1-49) (50-59) (60-100) 76 Singapore 58 Kenya 7 DOUBLE-DIGIT TRUST 75 Thailand 56 Mexico 10 INEQUALITY IN RECORD 66 Italy 56 Thailand 19 NUMBER OF COUNTRIES 66 Mexico 55 Australia 22 Nr. of countries with 65 France 55 Canada 9 double-digit trust inequality Mass population 16 points less trusting 65 Kenya 52 Germany 10 65 S. Africa 51 Italy 15 Global 22 21 64 Canada 49 Nigeria* 3 63 Ireland 48 Ireland 15 62 Brazil 47 Brazil 15 62 Germany 46 Colombia 13 7 62 U.S. 45 France 20 59 Colombia 44 Argentina 12 59 S. Korea 44 S. Africa 21 59 UK 44 Spain 13 2012 2021 57 Spain 44 U.S. 18 2021 Edelman Trust Barometer. The Trust Index is the average 56 Argentina 43 S. Korea 16 percent trust in NGOs, business, government and media. TRU_INS. 52 Japan 43 UK 16 Below is a list of institutions. For each one, please indicate how 52 Nigeria* 39 Japan 13 much you trust that institution to do what is right. 9-point scale; top 4 41 Russia 28 Russia 13 box, trust. Informed public and mass population, 27-mkt avg. *Nigeria not included in the global average 7
TRUST IN HEALTHCARE UNDER STRESS
SPRING TRUST BUBBLE BURSTS FOR HEALTHCARE SECTOR - 0 + Distrust Neutral Trust Change, wave to wave Trust in healthcare, 11 countries included in the (1-49) (50-59) (60-100) 2020 Trust Barometer Spring Update Global 11, trust in healthcare Countries +/- Jan 2020 to +/- May 2020 to May 2020 Jan 2021 Mexico +6 -20 -17 76 China +8 -17 -15 Canada +14 -15 +8 -13 -11 S. Korea +2 -11 -12 68 UK +9 -10 65 -11 U.S. +18 -8 -10 Japan -5 -9 -6 Germany +14 -8 -5 Saudi Arabia +9 -1 -6 France +6 -5 -1 Jan 2020 May 2020 Jan 2021 India +5 -4 2 2021 Edelman Trust Barometer. TRU_IND. [HEALTHCARE] Please indicate how much you trust businesses in each of the following industries to do what is right. 9-point scale; top 4 box, trust. Industries shown to half of the sample. General population, 11-mkt avg. 9
VOLATILE YEAR CREATES RECORD HIGHS AND RECORD LOWS FOR TRUST IN HEALTHCARE - 0 + Percent trust in healthcare sector Distrust Neutral Trust Change, 2020 to 2021 All-time low in 6 countries All-time high in 12 countries 85 81 80 78 78 77 77 75 75 75 73 71 69 68 68 67 66 64 64 63 63 60 58 54 48 47 GLOBAL 27 40 36 -1 pts 66 +1+2+4 +2 +3 -5 -4 +9 -9 0 +1 +5 +3 -1 -1 n/a +5 +6 +8 +1 -14 +5 0 0 -9 -8 -14 -3 Change, 2020 to 2021 2021 Edelman Trust Barometer. TRU_IND. [HEALTHCARE] Please indicate how much you trust businesses in each of the following industries to do what is right. 9-point scale; top 4 box, trust. Industries shown to half of the sample. General population, 27-mkt avg. *Nigeria not included in the global average 10
TRUST DECLINES ACROSS HEALTHCARE SUBSECTORS Percent trust - 0 + Distrust Neutral Trust Change, 2020 to 2021 Hospitals Biotech Consumer Health Pharmaceutical Health Insurance Companies 71 69 65 61 60 57 60 57 58 57 -2 -4 -3 -3 -1 pts pts pts pts pt 2020 2021 2020 2021 2020 2021 2020 2021 2020 2021 2021 +/- yty 2021 +/- yty 2021 +/- yty 2021 +/- yty 2021 +/- yty Japan 59 -13 Japan 42 -21 Mexico 52 -21 Japan 49 -18 Australia 62 +17 Mexico 64 -13 China 72 -12 Japan 46 -14 China 74 -13 Japan 48 -17 China 74 -11 Thailand 73 -10 China 69 -12 France 53 -12 Kenya 52 -13 Argentina 56 -10 UAE 67 -9 Singapore 73 +9 Australia 64 +12 China 73 -11 Thailand 76 -10 Italy 61 -8 Spain 60 +8 Mexico 43 -10 US 47 +9 2021 Edelman Trust Barometer.TRU_SUB_HEA. Now thinking about specific sectors within the healthindustry, please indicate how much you trust businesses in each of the following sectors to do what is right. 9-point scale; top 4 box, trust. Question asked of one-fifth of the sample. General population, 27-mkt avg. *Nigeria is not included in the global average 11
PANDEMIC BURDENING MOST VULNERABLE Percent who agree Those with less education, less money and fewer resources are being unfairly burdenedwith most of the suffering, risk of illness and need to sacrifice due to the pandemic 78 72 70 70 69 68 66 65 65 65 65 64 63 63 61 59 58 58 58 58 57 57 55 55 54 54 54 Global 27 52 62% 2021 Edelman Trust Barometer.CV1_Q3. Please indicate your level of agreement with the statements below using a nine-point scale where one means “strongly disagree” and nine means “strongly agree”. 9-point scale; top 4 box, agree. Question asked of half of the sample. General population, 27-mkt avg. *Nigeria not included in the global average 12
IMPROVING HEALTHCARE TOPS Change in importance More Less LIST OF SOCIETAL since last year Net change Important Important PRIORITIES Improving our healthcare system +62 70 8 Change in importance since last year Addressing povertyin this country +53 62 9 (more important minus less important) Improving our education system +53 62 9 Addressing climate change +51 61 10 Improving healthcare ranks as #1 priority in 26 of 28 countries measured Finding ways to combat fake news +50 60 10 Protecting people’s individual freedoms +50 59 9 Closing the economic and social divide +48 58 10 2021 Edelman Trust Barometer.IMP_POL_PRIORITIES. For each of Addressing discrimination and racism +42 53 11 the following issues and challenges, please indicate whether our country addressing it has become more important to you, less important to you, or has stayed the same in importance, since last year. 5-point scale; top 2 box; more important; bottom 2 box, less important. General population, 27-mkt avg. Net change is the difference between more and less important. 13
SOCIETAL LEADERS NOT TRUSTED TO DO WHAT IS RIGHT Percent trust - 0 + Distrust Neutral Trust Change, 2020 to 2021 Trust in societal leaders declines further More likely to trust what is local 73 62 63 45 48 41 42 -2 -4 -5 -3 -7 n/a -7 l l l l l l Government leaders Religious leaders Journalists CEOs People in my local My employer Scientists community CEO 2021 Edelman Trust Barometer. TRU_PEP. Below is a list of groups of people. For each one, please indicate how much you trust that group of people to do what is right. 9-point scale; top 4 box, trust. Attributes shown to half of the sample; “My employer CEO” only shown to those that are an employee (Q43/1). General population, 27-mkt avg. 14
SOCIETAL LEADERS AND MEDIA SUSPECTED OF LIES AND MISINFORMATION Percent who worry Our government leaders Business leaders Journalists and reporters are purposely trying to are purposely trying to are purposely trying to mislead people by saying things mislead people by saying things mislead people by saying things they know are false they know are false they know are false or gross or gross exaggerations or gross exaggerations exaggerations 57% 56% 59% 2021 Edelman Trust Barometer.POP_EMO. Some people say they worry about many things while others say they have few concerns. We are interested in what you worry about. Specifically, how much do you worry about each of the following? 9-point scale; top 4 box, worry. Attributes shown to half of the sample. General population, 27-mkt avg. 15
BELIEVE SCIENTISTS MOTIVATED BY FINANCIAL, POLITICAL AGENDAS Percent who agree I believe that scientists The government exerts I believe that scientists design their research to pressure on its scientists to design their research to ensure that their results express support for its ensure that their results will support their, or their policies even if that means will support their own contradicting what the data and employer’s financial gain political agendas research actually say 54% 50% 48% 2021 Edelman Trust Barometer.SCI_TRUST. Please indicate how much you agree or disagree with the following statements.9-point scale; top 4 box, trust. Question asked of half the sample. General Population, 27-mkt avg. 16
PUBLIC HEALTH EXPERTS LOSE TRUST DURING PANDEMIC Percent trust Percent who agree Global 11 Global 27 Distrust Neutral Trust 46% -5 -5 pts pts 69 62 It has been difficult for them National health World Health to find reliable and trustworthy authorities Change, Organization Change, information about the virus and May 2020 to May 2020 to its effects Jan 2021 Jan 2021 2021 Edelman Trust Barometer. CV1_Q3. Please indicate your level of agreement with the statements below using a nine-point scale where one means “strongly disagree” and nine means “strongly agree”. 9-point scale; top 4 box, agree. Question asked of half of the sample. General population, 27-market avg. TRU_INS. Below is a list of institutions. For each one, please indicate how much you trust that institution to do what is right. 9-point scale; top 4 box, trust. Attributes shown to half of the sample. General population, 11-mkt avg. 17
RAGING INFODEMIC FURTHER THREATENS PUBLIC HEALTH
TRUST IN ALL INFORMATION SOURCES AT RECORD LOWS Percent trust in each source for general news and information Global 22 63 63 64 65 63 65 62 62 65 Trusted (60-100) 62 59 62 62 61 59 58 59 58 56 Change 2020-2021 49 53 Search engines* -6 46 48 46 45 45 44 42 45 41 Traditional media -8 42 44 44 43 41 41 42 40 40 35 Owned media -5 Social media -5 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2021 Edelman Trust Barometer. COM_MCL. When looking for general news and information, how much would you trust each type of source for general news and information? 9-point scale; top 4 box, trust. Question asked of half of the sample. General population, 22-mkt avg. *From 2012-2015, “Online Search Engines” were included as a media type. In 2016, this was changed to “Search Engines.” 19
EMPLOYER MEDIA MOST BELIEVABLE Percent who believe information from each source automatically, or after seeing it twice or less My employer National Media reports, Major Media reports, Advertising My social media Communications from… government named source corporations anonymous source 61 58 57 Nr. of times they need to see 52 48 the information repeated 46 before believing it: 39 Once or twice 49 45 47 If I see it here, I will 44 40 39 automatically assume it is true 33 12 13 10 8 8 7 6 I will never believe it is true 7 12 10 15 17 19 24 if this is the only place I see it 2021 Edelman Trust Barometer.HEAR_TIME1. When you see a new piece of information or a news story in each of the following information sources, how many times do you needto see it or hear it repeated in that same type of information source before you believe it is really true? Question asked of half of the sample. “Once or twice” is a sum of codes 2 and 3. General population, 27-mkt avg. “Employer communications” only shown to those that are an employee (Q43/1). 20
PRIORITIES SHIFT: MY INFORMATION Change in importance Net change More Less LITERACY NOW since the start of the year… Important Important MATTERS MORE Prioritizing my family and their needs +56 64 8 Change in importance since last year (more important minus less important) media and Increasing my +46 55 9 information literacy science literacy +43 52 9 Increasing my Being politically aware +39 51 12 Speaking out when I see the +36 47 11 need for changes and reforms 2021 Edelman Trust Barometer.IMP_VALUES. For each of the following, please indicate whether it has become more important to you, less important to you, or has stayed the same in importance, since last year. 5-point scale; top 2 box; more important; bottom 2 box, less important. Question asked of half of the sample. General population, 27-mkt avg. Net change is the difference between more and less important. 21
ONLY 1 IN 4 HAVE GOOD INFORMATION HYGIENE Percent in each segment 39 Information hygiene: 1. News engagement 35 57% of respondents share or forward news 2. Avoid information echo items that they find to be chambers interesting 3. Verify information Of those, only 29% have 26 good information hygiene 4. Do not amplify unvetted information Poor Moderate Good information hygiene information hygiene information hygiene 2021 Edelman Trust Barometer. Information Hygiene Scale. MED_SEG_OFT. How often do you engage in the following activities related to news and information?I ndicate your answer using the 7-point scale below. 7-point scale; top 5 box, several times a month or more. General population, 27-mkt avg. For full details on how the Information Hygiene Scale was built, please refer to the Technical Appendix. 22
POOR INFORMATION HYGIENE THREATENS PANDEMIC RECOVERY Percent who say they will take the COVID-19 vaccine within a year Those with good Those with poor 16 countrieswith double-digit gaps information hygiene information hygiene 88 80 78 77 78 70 69 72 72 70 72 73 65 62 63 63 65 67 67 59 59 56 57 59 56 61 57 52 55 50 48 46 49 42 Gap, willingness 11pts to vaccinate within a year 21 17 17 16 16 16 15 15 15 14 14 14 12 11 11 10 Global 27 2021 Edelman Trust Barometer.VACCINE1. If and when a COVID-19 vaccine becomes available will you take it? Code 1, yes as soon as possible; code 2, yes, within a year. Question asked of half of the sample. CV1_Q3. Please indicate your level of agreement with the statements below using a nine-point scale where one means “strongly disagree” and nine means “strongly agree”. 9-point scale; top 4 box, agree. Question asked of half of the sample. General population, 27-mkt avg, by hygiene level. For full details on how the Information Hygiene Scale was built, please refer to the Technical Appendix. 23
BUILDING TRUST IN THE HEALTHCARE SECTOR
BUSINESS EXPECTED TO FILL VOID LEFT BY GOVERNMENT Percent who agree CEOs should step in CEOs should take the lead CEOs should hold when the government does not fix on change rather than waiting themselves accountable to societal problems for government to impose change the public and not just to the on them board of directors or stockholders 68% 66% 65% 2021 Edelman Trust Barometer. CEO_EXP. Below is a list of potential expectations that you might have for a company CEO. Thinking about CEOs in general, whether they are global CEOs or a CEO who oversees a particular country, how would you characterize each using the following three-point scale? 3-point scale, sumof codes 2 and 3. Question asked of half of the sample. CEO_AGR. Thinking about CEOs, how strongly do you agree or disagree with the following statement? 9-point scale; top 4 box, trust. Question asked of half of the sample. General population, 27-mkt avg. 25
CEOS MUST LEAD ON SOCIETAL ISSUES I expect CEOs to publicly speak out about one or more of these societal challenges Pandemic impact 59 Job automation 51 86% Societal issues 43 Local community issues 40 2021 Edelman Trust Barometer.CEO_SPEAK. Looking at the topics listed below, please select the ones you expect CEOs to currently be speaking out about publicly.Select all that apply. Question asked of half of the sample. General population, 27-mkt avg. CEO expectation to speak out is a net of attributes 1, 2, 5 and 7. 26
BUSINESS GAINS THE MOST TRUST BY BEING A GUARDIAN OF INFORMATION QUALITY Percent increased likelihood of trusting business associated with performing well on each action When these actions are performed well… Increased likelihood of trust Guarding information quality +5.8% Embracing sustainable practices +5.7% Robust COVID-19 health and safety response +4.8% Driving economic prosperity +4.7% Long-term thinking over short-term profits +4.6% 2021 Edelman Trust Barometer. Discrete choice analysis; results shown are marginal effects on likelihood to trust. PER_BUS. How well do you feel business is currently doing each of the following? 5-point scale; top 2 box, doing well. Question asked of half of the sample. TRU_INS. Below is a list of institutions. For each one, please indicate how much you trust that institution to do what is right. 9-point scale; top 4 box, trust. General population, 27-mkt avg. For a full explanation of how this data was calculated, please see the Technical Appendix. 27
TRANSPARENCY AND EDUCATION ESSENTIAL TO BUILDING TRUST IN VACCINE Percent who agree I will need to understand the science and development process used to create a COVID-19 vaccine before I will fully trust that it is safe 81 76 74 72 69 67 67 67 66 65 64 64 64 63 62 62 62 61 61 60 60 59 59 58 57 57 56 Global 27 55 64% 2020 Edelman Trust Barometer. SCI_TRUST. Please indicate how much you agree or disagree with the following statements. 9-point scale; top 4 box, agree. Question asked of half the sample. General population, 27-mkt avg. *Nigeria not included in the global average 28
URGENT NEED TO ADDRESS VACCINE HESITANCY AMONG HEALTHCARE WORKERS Percent who say they will take the COVID-19 vaccine within the next year, among sector employees All employees, global 27 69 71 72 74 63 65 65 66 67 68 68 61 61 62 65% 56 Willing to vaccinate… 40 47 39 41 34 Six months to one year 30 33 37 33 34 35 36 38 36 27 28 31 As soon as possible Only 1 in 3 ready to take the vaccine as soon as possible 2021 Edelman Trust Barometer.VACCINE1. If and when a COVID-19 vaccine becomes available will you take it? Code 1, yes as soon as possible; code 2, yes, within a year. Question asked of half of the sample. General population, 27-mkt avg., and among those employed in each sector (Q43/1 AND Q420). 29
CONSUMERS AND EMPLOYEES EXPECTED TO HAVE A SEAT AT THE TABLE Percent who agree 68% 62% of those who are 47%employed in Healthcare sector Consumers … Employees … I am more likely now than a year have the power to force ago to voice my objections to corporations to change management or engage in workplace protest 2021 Edelman Trust Barometer. TMA_SIE_SHV. Please indicate how much you agree or disagree with the following statements. 9-point scale; top 4 box, agree. Question asked of half of the sample. EMP_ENG. Thinking about your current employer, to what extent do you agree with the following statements? 9-point scale; top 4 box, agree. Question asked of those who are an employee (Q43/1). General population, 27-mkt avg. 30
EMERGING FROM INFORMATION BANKRUPTCY 1 2 3 4 Business: Embrace Lead with facts, Provide Don’t go it alone expanded mandate act with empathy trustworthy content Be a leader and speak out on Healthcare leaders must apply Be a concrete source of Healthcare companies must social issues – especially how straight talk to their scientific information, especially on partner with government, you plan to improve the milestones, as well as address vaccines, and help increase NGOs and each other to solve healthcare system and keep people’s fears with empathy. science literacy levels. societal problems, particularly people safe. the pandemic and inequities. 31
APPENDIX
TRUST IN HEALTHCARE AHEAD OF BUSINESS Percent trust in the healthcare sector Distrust Neutral Trust (1-49) (50-59) (60-100) Record gap 67 68 67 66 Healthcare 65 sector 64 7pts Trust gap, 14pts Business in 9pts healthcare 59 general vs. business 58 55 56 53 53 2016 2017 2018 2019 2020 2021 2021 Edelman Trust Barometer. TRU_IND. [HEALTHCARE] Please indicate how much you trust businesses in each of the following industries to do what is right. 9-point scale; top 4 box, trust. Industries shown to half of the sample. TRU_INS. [BUSINESS] Below is a list of institutions. For each one, please indicate how much you trust that institution to do what is right. 9-point scale; top 4 box, trust. General population, 22-mkt avg. 33
TRUST IN PHARMACEUTICAL COMPANIES DECREASES IN 15 OF 27 COUNTRIES - 0 + Distrust Neutral Trust Change, 2020 to 2021 Percent trust Trusted in 11 countries 80 79 78 74 73 70 69 64 64 62 62 59 58 56 55 52 50 50 48 48 47 47 47 45 44 42 GLOBAL 27 38 -1 31 pts 57 -3-1 -3 -12 -11 -7 +6 -8 -7 +17 n/a +4 +8 -1 -4 -13 +5 +3 -17 +1 +2 +7 +9 +3 +1 -6 -5 -3 Change, 2020 to 2021 2021 Edelman Trust Barometer.TRU_SUB_HEA.[PHARMACEUTICAL COMPANIES] Now thinking about specific sectors within the health industry, please indicate how much you trust businesses in each of the following sectors to do what is right. 9-point scale; top 4 box, trust. Question asked of one-fifth of the sample. General population, 27-mkt avg. *Nigeria is not included in the global average 34
TRUST IN BIOTECH/LIFE SCIENCES DECREASES IN 20 OF 27 COUNTRIES - 0 + Distrust Neutral Trust Change, 2020 to 2021 Percent trust Trusted in 15 countries 82 75 74 74 73 73 72 70 69 67 66 64 63 62 61 59 57 57 56 55 55 53 52 51 49 46 42 GLOBAL 27 36 -4 pts 61 -1-2 +3 -3 +3 -10 -12 -3 -3 -9 -1 +4 -7 -5 -8 0 +1 -7 n/a -8 0 -2 -3 -5 -3 -1 -21 +1 Change, 2020 to 2021 2021 Edelman Trust Barometer.TRU_SUB_HEA.[BIOTECH/LIFE SCIENCES] Now thinking about specific sectors within the health industry, please indicate how much you trust businesses in each of the following sectors to do what is right. 9-point scale; top 4 box, trust. Question asked of one-fifth of the sample. General population, 27-mkt avg. *Nigeria is not included in the global average 35
TRUST IN CONSUMER HEALTH DECREASES IN 15 OF 27 COUNTRIES - 0 + Distrust Neutral Trust Change, 2020 to 2021 Percent trust Trusted in 11 countries 78 74 73 73 72 70 69 68 62 60 60 57 55 55 55 55 54 54 52 50 50 50 46 46 44 44 42 GLOBAL 27 30 -3 pts 57 -6+1 0 +9 -3 -8 -12 -3 -2 +4 +8 0 +5 0 -5 -1 0 +3 -21 -4 n/a -4 -6 -14 -1 +1 -5 +3 Change, 2020 to 2021 2021 Edelman Trust Barometer.TRU_SUB_HEA.[CONSUMER HEALTH] Now thinking about specific sectors within the health industry, please indicate how much you trust businesses in each of the following sectors to do what is right. 9-point scale; top 4 box, trust. Question asked of one-fifth of the sample. General population, 27-mkt avg. *Nigeria is not included in the global average 36
TRUST IN HOSPITALS DECREASES IN 17 OF 27 COUNTRIES - 0 + Distrust Neutral Trust Change, 2020 to 2021 Percent trust Trustedin 23countries 83 83 81 80 80 76 76 75 75 75 74 74 74 70 69 68 67 67 65 65 64 61 60 59 56 52 48 GLOBAL 27 37 -2 pts 69 +1+4 -3 +2 +5 +4 -10 -1 -3 -2 -3 -11 +3 +9 +6 -2 +2 +2 -4 -3 -13 -4 n/a -13 -10 -5 -3 -1 Change, 2020 to 2021 2021 Edelman Trust Barometer.TRU_SUB_HEA.[HOSPITALS] Now thinking about specific sectors within the health industry, please indicate how much you trust businesses in each of the following sectors to do what is right. 9-point scale; top 4 box, trust. Question asked of one-fifth of the sample. General population, 27-mkt avg. *Nigeria is not included in the global average 37
TRUST IN HEALTH INSURANCE DECREASES IN 17 OF 27 COUNTRIES - 0 + Distrust Neutral Trust Change, 2020 to 2021 Percent trust Trusted in 14 countries 83 76 75 74 74 73 68 68 66 65 64 64 61 61 58 53 51 49 48 45 44 43 43 40 GLOBAL 27 38 37 34 -3 26 pts 57 0+3+5-13 -4 0 -5 -10 +5 -4 +12 +4 -7 +9 -9 -12 +4 -18 -2 +4 -6 -10 -4 -2 -1 n/a -9 -3 Change, 2020 to 2021 2021 Edelman Trust Barometer.TRU_SUB_HEA.[HEALTH INSURANCE] Now thinking about specific sectors within the health industry, please indicate how much you trust businesses in each of the following sectors to do what is right. 9-point scale; top 4 box, trust. Question asked of one-fifth of the sample. General population, 27-mkt avg. *Nigeria is not included in the global average 38
HEALTH SUBSECTORS OVER TIME Percent trust in each subsector - 0 + Distrust Neutral Trust Change, 2015 to 2021 6yr. Subsector 2015 2016 2017 2018 2019 2020 2021 Trend Hospitals 65 69 72 74 73 71 70 +5 Biotech 60 62 64 64 64 65 61 +1 Health insurance 55 58 60 62 63 61 59 +4 Consumer health 55 58 58 59 60 59 57 +2 Pharmaceutical companies 55 55 56 56 57 56 56 +1 2021 Edelman Trust Barometer. TRU_SUB_HEA. Now thinking about specific sectors within the health industry, please indicate how much you trust businesses ineach of the following sectors to do what is right. 9-point scale; top 4 box, trust. Question asked of one-fifth of the sample. General population, 22-mkt avg. 39
HEALTHCARE TRUST INEQUALITY RETURNS TO RECORD HIGHS Percent trust in healthcare Trust (60-100) Neutral Global 24 (50-59) Distrust (1-49) 74 75 72 73 10pt gap Informed 69 69 10pt gap Public 7pt gap 65 65 64 63 62 61 Mass Population 2016 2017 2018 2019 2020 2021 2021 Edelman Trust Barometer. TRU_IND. [HEALTHCARE] Please indicate how much you trust businesses in each of the following industries to do what is right. 9-point scale; top 4 box, trust. Industries shown to half of the sample. Informed public and mass population, 24-mkt avg. 40