For this week’s mini-Project, we asked for pictures of office pets, and holy smokes, you all delivered. We got pictures from a host of freelancers, our local NPR station, and friends at Etsy, RentJuice, and Big Spaceship.
Included in this slideshow are roughly 20 office pet photos. We couldn’t include them all (fingers about to fall off—we got lots of submissions), so we tried to choose images that were clearly from an office. We also privileged pictures of dogs (and other animals, but they’re mostly dogs) that were especially cute, or amusing, or, in the case of Phyllis, just perfectly ridiculous. But they’re all very good dogs. Yes they are!
The urban monkeys in New Delhi are so bold they’ll steal the lunch right off your plate. If you’ve spent time in New York, you’ve probably seen squirrels try to do the same. Sydney’s white ibises got the nickname “bin chickens” for stealing trash and sandwiches.
This brazen behavior isn’t normal for most species in the countryside, yet it shows up in urban wildlife, and not just in these cities.
Studies show that animals living in urban environments around the world exhibit common sets of behaviors. At the same time, these urban animals are losing traits they would need in the wild. This process of urban animals’ behavior becoming more similar is known as “behavioral homogenization,” and it accompanies the loss of species diversity with urbanization.
Squirrels in New York’s Central Park have no qualms about rifling through your belongings and stealing your food. Keystone/Getty Images
Cities, despite their local differences, share many of the same features worldwide: They are warmer than the surrounding countryside, noisy, polluted by light and, most importantly, dominated by people.
Cities drive evolution as well. Humans and the changes we’ve brought to cities have led to the survival of bolder animals, and those bolder animals pass on their traits to future generations. In genetics, scientists refer to this as the environment “selecting” for those traits.
It’s not just sandwich-stealing that is more common among city wildlife; urban birds also sound more alike.
Why? Cities are loud and filled with traffic noise, so those who can effectively communicate in that environment are more likely to survive and pass on those traits.
Animals may behave similarly in cities because they learn from each other how to exploit novel human food sources. For instance, the cockatoos in Sydney have learned to open trash bins. In Toronto, the raccoons are in a race to outwit humans as urban wildlife managers try to design animal-proof trash bins.
The buildings and bridges in cities become home to bats, birds, and other urban dwellers, at the cost of learning to use more natural nesting sites. Roads and culverts modify how and where animals move.
While rural animals may forage at a variety of places and eat a variety of foods, urban animals may concentrate on garbage bins or rubbish dumps where they know they can find food, but they end up eating a potentially unhealthy diet.
Consequences of similar behaviors
The loss of behavioral diversity is happening everywhere that humans increase their footprint on nature. This is worrisome on several levels.
At the population level, behavioral variation may reflect genetic variation. Genetic variation gives species the ability to respond to future environmental change. For example, for animals that have evolved to breed at a specific time of the year, urban heat islands can select for earlier breeding.
Reducing genetic variation leaves populations less able to respond to future changes. In that sense, having genetic variation resembles a diversified investment portfolio: Spreading risk across a variety of stocks and bonds lowers the risk that a single shock will wipe out everything.
Moreover, as animals become tamer, new conflicts between animals and humans may emerge. For instance, there may be more car crashes, animal bites, property damage and zoonotic disease transmission. Such conflicts cost money and may harm both the animals and humans.
Losing behavioral diversity is also troubling for conservation.
When a species loses behavioral diversity, it loses resilience against future environmental change in the wild, making reintroducing urban animals to the wild harder.
Losing behavioral diversity also risks erasing socially learned, population-specific behaviors, such as local migration routes, foraging techniques, tool-use traditions or vocal dialects.
For example, Australia’s regent honeyeater populations have been shrinking and are critically endangered. The isolation of having fewer of their own species around has disrupted normal song-learning behavior, making it harder for male birds to sing attractive songs that help them find mates and breed successfully.
Ultimately, behavioral homogenization is making wildlife in cities such as Los Angeles, Lima, Lagos and Lahore behave in similar ways despite living in different environments and having different evolutionary histories.
Many of these behaviors influence survival and reproduction, so understanding this form of diversity loss is important for successful wildlife conservation, as well as future urban planning.
As health care costs rise, patients aren’t just shouldering higher bills. They’re bearing more and more responsibility for getting information.
Americans are facing a health care affordability crunch on multiple fronts. In 2025, the Republican-controlled Congress approved a sweeping tax law that scaled back premium subsidies for Americans accessing care through the Affordable Care Act starting in 2026. As a result, millions on ACA plans now face much higher premiums, with many dropping out or expecting to drop out and risk going uninsured as premiums surge. By March 2026, about 1 in 10 people on ACA plans had dropped out, and that share is expected to rise.
Nearly half of U.S. adults now report difficulty affording health care. Together, these shifts are accelerating the “consumerization” of health care. Patients now have the ability to comparison shop, evaluate options and manage costs – but often without clear pricing. In this environment, knowing how to ask the right questions may be one of the most important tools patients have.
We are professors who study how perceptions of health care costs shape patients’ decisions about their care. Our research examines how factors such as price-transparency regulations influence patient choices. Across our work, we consistently hear from patients about rising costs and how conversations about price with their providers too often never happen.
Why speaking up about cost matters
When one of us took our child to the doctor for pink eye, the pediatrician quickly sent a prescription for antibiotic drops to the pharmacy. At the pickup, the pharmacist dropped the news that the drops would cost more than US$300. A follow-up phone call to the doctor’s office, however, yielded important information: A generic version of the same medication offered the same treatment and the same results, but at a fraction of the price.
That quick phone call saved her a lot of money. It also raised a broader question: Why don’t more people have these conversations about cost? In fact, one study shows that cost conversations occur in only about 30% of medical visits.
These discussions aren’t just for medications. They can be crucial when a recommended procedure has multiple alternatives; when out-of-pocket costs might affect whether you follow through on care; or when a sudden medical bill could create financial strain. Speaking up about price can help patients stay healthier and avoid the all-too-common trade-off between medical care and household expenses.
The study mentioned above also found that doctors and patients identified ways to reduce out-of-pocket costs – such as switching to a generic drug or adjusting the timing of care – in nearly half of those cases. Importantly, these conversations were typically brief and did not compromise the quality of care, the researchers found.
Patients actually prefer doctors who bring up costs, other research has found. Still, most patients remain hesitant. While a majority say they want to discuss cost, only a minority actually do, often waiting until a bill arrives – often when it’s too late to consider alternatives. That’s why it’s important that consumers feel empowered to ask the right questions. Here are three that can help make care more affordable.
One of the simplest ways to reduce drug costs is to ask whether a less expensive option is available. Brand-name medications can cost significantly more than generics, even when they are equally effective. One industry survey estimated that 90% of all prescriptions filled in 2024 were generic or biosimilar, but these accounted for only 12% of drug spending.
In many cases, physicians can substitute a generic drug or recommend a similar treatment that achieves the same outcome at a lower price. And when no direct generic exists, there may be therapeutic alternatives worth considering. For example, if a brand-name eye drop or inhaler isn’t available in generic form, doctors can often prescribe a different medication in the same class that works just as well but costs far less. Research on physician–patient cost conversations shows that switching to lower-cost, clinically similar alternatives within the same drug class is a common strategy for reducing out-of-pocket spending without compromising care.
Is there any financial assistance available?
Some hospitals and large health systems have specific programs aimed at making care more affordable for lower-income patients. In many states, government programs address this same goal. These programs often offer discounts on care, but they can be complex to navigate and require significant paperwork. Many health care offices have staff who are knowledgeable about these programs and can help patients determine eligibility and sometimes even assist with applications, although the Trump administration has cut funding.
Patients can often find these programs through hospital or health system websites, which typically include financial assistance or “charity care” pages outlining eligibility and how to apply. State Medicaid offices and insurance marketplaces are also key entry points for coverage and subsidy programs. Nonprofit organizations and patient advocacy groups may also offer or list assistance tailored to specific conditions or medications.
It’s also important to remember that for prescription medications, what you’re quoted isn’t always the final price. Many medications come with options to reduce costs, including manufacturer coupons, copay assistance programs and patient assistance programs. Doctors’ offices and pharmacists may also know practical ways to save money, such as using a different pharmacy, switching to mail order or adjusting how a prescription is written. Asking about these options can uncover savings that aren’t immediately obvious.
What will this cost me, and are there other options?
Health care pricing is often opaque, and costs can vary widely depending on where and how care is delivered. Asking up front about your expected out-of-pocket cost can help you avoid surprises later.
This question also opens the door to alternatives. For example, patients may be able to choose a lower-cost imaging center, opt for outpatient rather than hospital-based care, or delay nonurgent services until insurance coverage improves.
Speaking up is part of taking care of your health
Health care decisions shouldn’t feel like a choice between your well-being and your wallet. A brief, honest conversation about cost can lead to more affordable and more sustainable care.
Physicians can’t address financial concerns they don’t hear about, and most want to help their patients access care they can realistically follow through on. As costs continue to shift toward the patient’s burden, asking these questions isn’t just helpful – it’s essential.
The next time you’re handed a prescription or a referral, remember: One simple question about price could make all the difference.
We all know that moment when the alarm goes off in the morning and you start thinking about who you wouldn’t murder for another five minutes (another 10 minutes?!) of sleep. You hit the snooze button, and your eyes drift closed again, only to be thrown open as the alarm sounds one more time. While those extra few moments of sleep might feel wonderful at the time, they’re never as good as simply waking up and staying up and can even cause more harm than good.
“The name for the uncomfortable feeling on awakening is ‘sleep inertia,’” writes Dr. Keith Roach in The Detroit News. Sleep inertia is that feeling of zombie-like grogginess you get when you wake up again shortly after being up once before, like when you hit the snooze button or take a nap. According to Sleep Foundation, it can also include “disorientation, drowsiness, and cognitive impairment that immediately follows waking.” Though going back to sleep might feel nice for a short time, you’d actually be better off for the rest of the day by just getting out of bed, especially if you wake up naturally feeling well-rested, Roach continues.
While there’s not an explicit understanding of why sleep inertia happens, according to the Sleep Foundation, it could be related to a disturbance of NREM sleep, non-rapid eye movement sleep, which is “an essential part of the sleep cycle,” that’s important because it’s when the body takes time to repair itself. When you disrupt NREM sleep, then, you disrupt the body’s replenishing capabilities. This brings on that groggy feeling, because 10 minutes isn’t just 10 minutes; your body’s actually resetting itself for anywhere from 30 minutes to some four hours. What you end up doing, according to Dr. Sam Wagg of Fix Medical Group in San Diego, is trading 10 minutes for an even longer period of time to recover, and it just isn’t worth it. “Pressing snooze can make sleep inertia worse because of the repeated forced awakenings,” says psychiatrist Dr. Tracey Marks. “Our brains don’t like waking up and going back to sleep and waking up again in a short time period.”
Luckily, with modern advents, you don’t have to do this on your own. As Dr. Marks shares, there are several ways to make waking up easier. One of them is by choosing relaxing sounds to wake up to, and allowing them to slowly increase volume while the alarm goes off. Another is choosing a regular time to rise, weekends included. “This keeps your body clock in sync,” she says. You can also choose to wake up to natural light or invest in a sunrise alarm clock. Last but not least, Dr. Marks says, you actually have to get up and “move around so that your body can know it’s time to start the day.”
According to the Sleep Foundation, you can also limit caffeine, make sure the room is cool, and reduce the use of substances like cigarettes and alcohol. Another useful warrior against sleep inertia is bedding that enhances your sleeping experience. This can include “natural, breathable fibers like wool, down, cotton, linen and silk…[that] feel soft and comfortable for your body,” Apartment Therapyshares.
And while a cool, cozy bed nestled in soft light and music sounds like something you may never want to leave, it will actually help you get out of bed feeling that much more rested and ready to take on the day, leaving sleep inertia in the dust.
This article originally appeared last year. It has been updated.
