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Patient Ads: Off by Default

We built the infrastructure for patient-targeted ads — and we turned it off. Here is exactly what it would take to turn it on, and what the current status is.

Current Status

Trigger has not fired. Patient ads are OFF.

  • Condition 1 — ElderberryMD profitable: Not met (current status: not profitable)
  • Condition 2 — Physician enables for their panel: Not applicable (no physicians have enabled this)
  • Condition 3 — Patient opts in: Not applicable (no patients have opted in)

Status as of 2026-05-29. This page is updated when status changes.

What We Built and Why We Turned It Off

We designed a system that could, under strict conditions, send patients relevant health information. We call it EPIC-12. Then we set its default state to OFF.

The infrastructure exists

ElderberryMD has built the technical rails for patient-targeted outreach. This was a deliberate product choice — if we ever activate it, we wanted it to be controlled, physician-directed, and patient-consented from the start.

The switch is off

The system is OFF by default. It will not send patient ads, targeted messages, or sponsored content to any patient unless all three conditions below are met simultaneously. Right now, none of them are.

The Three Conditions

All three must be true at the same time before patient ads can activate. Meeting one or two is not enough.

1

ElderberryMD is profitable

We do not run patient ads to survive. This feature only makes sense if we are financially stable enough that ads are genuinely optional — not a revenue necessity.

Current status: Not profitable. Condition not met.

2

The physician explicitly enables it

The treating physician must actively turn this on for their patient panel. It is not on by default for any physician. Physicians control whether their patients are ever in scope.

Current status: No physicians have enabled this.

3

The patient explicitly opts in

Even if their physician has enabled it, each patient must separately and affirmatively opt in. There is no pre-checked box. There is no assumed consent.

Current status: No patients have opted in.

What We Never Do — Regardless of Conditions

Some things are not configurable. These are hard rules, not defaults.

No PHI to advertisers

We do not share protected health information (PHI) with any advertiser or marketing platform, ever. Patient health data does not leave our systems to serve ads.

No third-party ad pixels on patient data

We do not place third-party advertising pixels (Facebook, Google Ads, etc.) on any page or workflow where patient health information is present.

No selling of health information

We do not sell, license, or trade patient health information to any party for any purpose — advertising, research, or otherwise. This is not negotiable.

No targeting based on diagnosis

If patient ads ever activate under the three conditions above, they are physician-directed and patient-consented — not inferred from clinical data or diagnostic codes.

Why We Are Telling You This

Most companies build advertising systems quietly and let patients discover them in a privacy policy buried in small print. We chose a different approach: tell you what we built, tell you the conditions, and tell you the current state.

If that ever changes — if all three conditions are met and the system activates — we will update this page before it goes live, not after. You will know before it affects you.

We facilitate care coordination and navigation. We do not diagnose, prescribe, or make clinical decisions. If you are experiencing a medical emergency, call 911.

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