Joanna Fong-Isariyawongse, University of Pittsburgh

Investigations into the 1986 Space Shuttle Challenger disaster revealed that key decision-makers worked on little sleep, raising concerns that fatigue impaired their judgment. Similarly, in 1989, the Exxon Valdez oil spill resulted in a massive environmental catastrophe. The official investigation revealed the third mate, in charge of steering the ship, was running on too little sleep, among other problems.

While these specific disasters were not caused by daylight saving time, they are conclusively linked to fatigue, based on postaccident investigations and reports. They underscore the well-documented dangers of sleep deprivation and fatigue-related errors. Yet a vast body of research shows that every year, the shift to daylight saving time needlessly exacerbates these risks, disrupting millions of Americans’ sleep and increasing the likelihood of accidents, health issues and fatal errors.

Imagine a world where one simple decision – keeping our clocks aligned with the natural cycle of the Sun – could save lives, prevent accidents and improve mental well-being. It’s not just about an hour of lost sleep; it’s about how small disruptions ripple through our health, our workplaces and even our children’s futures.

I’m a neurologist who specializes in sleep health. I’ve seen firsthand the negative impacts of poor sleep; it has enormous personal and economic consequences.

Yet despite overwhelming research supporting better sleep policies – such as delaying school start times to align with adolescent biology and the adoption of permanent standard time – these issues remain largely overlooked in public policy discussions.

Sleep deprivation comes with real costs

Chronic sleep deprivation does more than leave people tired. It costs an estimated US$411 billion annually in lost productivity and health care costs. Poor sleep leads to workplace mistakes, car accidents and long-term health issues that strain businesses, families and the economy as a whole.

Fortunately, there’s a fix. Smarter sleep policies – such as permanent standard time and later school start times – can boost efficiency, improve health and save lives.

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Up before dawn

Teenagers are the most sleep-deprived age group in the U.S. Multiple studies and surveys show that anywhere from 71% to 84% of high school students report getting insufficient sleep.

This is largely due to early school start times, which force teens to wake up before their biological clocks are ready. If you have a teenager, you probably see it every day: The teen struggling to wake up before sunrise, rushing out the door without breakfast, then waiting in the dark for the school bus.

More than 80% of public middle and high schools in the U.S. start before 8:30 a.m., with 42% starting before 8 a.m. and 10% before 7:30 a.m. As a result, some districts have bus pickups as early as 5 a.m.

Teenagers are going through a natural shift in their circadian rhythms by about two hours. This shift, driven by hormones and biology, makes it hard for them to fall asleep before around 11 p.m. The bodies of teens aren’t wired for these schedules, yet schools and society have designed a system that forces them to function at their worst.

Declining scores, drowsy driving and depression

Sleep-deprived teens have lower grades and test scores, more car crashes caused by drowsy driving, more alcohol and drug use and higher rates of depression, anxiety suicide and aggressive behavior, including carrying weapons.

Along with the health benefits, studies have found that moving school start times to 8:30 am or later could add $8.6 billion to the economy within two years, partly by increased graduation rates.

While concerns about increased transportation costs exist, such as the need for additional buses or drivers due to staggered school start times, some districts have found that optimizing bus routes can offset expenses, making the change cost-neutral or even cost-saving. For instance, a study in Boston found that reorganizing bus schedules using advanced algorithms reduced the number of buses needed and improved efficiency, which allowed high school students to start later and better align with their natural sleep cycles. This change not only supported adolescent sleep health but also saved the district $5 million annually. https://www.youtube.com/embed/OR6il9otpqM?wmode=transparent&start=0 Studies show that daylight saving time does not reduce energy use.

More heart attacks, car wrecks and suicide

Every March, most Americans shift their clocks forward for daylight saving time. Studies show this change disrupts sleep and leads to measurable adverse outcomes, including a significant increase in heart attacks. These effects linger for days after the shift, as sleep-deprived workers struggle to adjust.

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The mental health impact is also severe. Suicide rates increase in the weeks following the switch, particularly for those already vulnerable to depression.

Unlike daylight saving time, standard time follows the body’s natural circadian rhythm, which is primarily regulated by exposure to sunlight. Our internal clocks are most stable when morning light exposure occurs early in the day, signaling the body to wake up and regulate key biological functions such as hormone production, alertness and metabolism. In contrast, daylight saving time artificially extends evening light, delaying the body’s release of melatonin and making it harder to fall asleep at a biologically appropriate time.

Studies have found that adopting permanent standard time could prevent up to 5,000 suicides annually by reducing seasonal depression, decrease errors, injuries and absenteeism in the workplace and make roads safer, potentially preventing 1,300 traffic deaths each year.

Times are changing

The U.S. tried permanent daylight saving time in 1974. It was so unpopular that Congress repealed it within nine months.

Russia tried it too, in 2011, but switched back three years later. The United Kingdom dropped permanent daylight saving time in 1971 after three years, and Portugal in 1996 after four. All of these countries found that the switch caused widespread public dissatisfaction, health concerns, more morning car accidents and disrupted work schedules. No country is currently on year-round daylight saving time.

These examples provide real-world evidence that permanent DST is undesirable due to public dissatisfaction, safety concerns and negative health effects – all three countries attempted it and ultimately reversed course. Since 2022, there has been renewed debate, largely driven by former U.S. Sen. Marco Rubio’s Sunshine Protection Act, which aims to make DST permanent.

However, the name is misleading because it doesn’t “protect” sunshine but rather eliminates critical morning light, which is essential for regulating circadian rhythms. Major health organizations, along with the National Safety Council, strongly oppose permanent DST due to its well-documented risks.

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There are signs that suggest the U.S. is finally waking up to these problems. Out of 13,000 school districts, 1,000 have independently adopted later school start times. California and Florida have enacted laws requiring high schools to start no earlier than 8:30 a.m. California’s mandate went into effect in 2022, and Florida’s is set to begin in 2026.

Permanent standard time and later school start times are not radical ideas. They’re practical, evidence-based solutions based on human biology. Implementing these changes nationally would require congressional action. However, current federal law already allows states to adopt permanent standard time, as Arizona and Hawaii have done, setting a precedent for the rest of the country.

Joanna Fong-Isariyawongse, Associate Professor of Neurology, University of Pittsburgh

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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In a world where innovation often shapes the future, few have left as profound a mark as Dr. Patricia Era Bath. Born on November 4, 1942, Dr. Bath transcended boundaries, redefining what it means to be a pioneer in medicine and a champion for the underserved. Her journey is not just a testament to her incredible intellect and skill as an ophthalmologist, but also to her unwavering commitment to humanitarianism and social justice.

A Visionary in Ophthalmology

Dr. Bath was not only a skilled surgeon; she was a revolutionary. As one of the early pioneers of laser cataract surgery, her work has changed the lives of countless individuals worldwide. The development of this innovative technique not only improved patient outcomes but also symbolized a turning point in ophthalmic surgery. With her groundbreaking achievements, Dr. Bath illustrated that the intersection of science and compassion could embody the essence of healthcare.

Her trailblazing career included being the first woman inducted as a member of the prestigious Jules Stein Eye Institute and the first woman to lead a post-graduate training program in ophthalmology. Moreover, her remarkable journey culminated in her becoming the first African-American woman on the staff at the UCLA Medical Center, where she pushed boundaries in a field historically dominated by men.

A Legacy of Firsts

Dr. Bath’s legacy is marked by her groundbreaking “firsts.” She was the first African-American person to complete residency in ophthalmology at New York University and the first African-American woman to serve as a surgeon at UCLA Medical Center. Even more impressive is her achievement of becoming the first African-American woman doctor to receive a patent for a medical invention, holding five patents in total.

Among her most notable contributions is the founding of the American Institute for the Prevention of Blindness in Washington, D.C., where she tirelessly worked to raise awareness and address disparities in access to eye care. Dr. Bath’s pioneering spirit extended beyond her profession; she propelled an entire generation toward a future where access to quality medical treatment is a right, not a privilege.

A Voice for the Voiceless

Dr. Bath’s humanitarian work extended to advocacy as she sought to illuminate the challenges faced by marginalized communities in achieving equitable healthcare. In 2009, she was honored to stand beside President Barack Obama, recognizing her contributions in ophthalmology and serving on his commission for digital accessibility to blind children. Her efforts highlighted the pressing need for inclusivity in healthcare, technology, and education—echoing her steadfast belief that everyone deserves access to the tools that enhance sight and learning.

In April 2019, just weeks before her passing, Dr. Bath shared her insights during a Senate hearing titled “Trailblazers and Lost Einsteins: Women Inventors and the Future of American Innovation.” Her testimony shed light on the gender disparities in STEM fields and the crucial need for recognition and support of female inventors. Even in her final days, she was a beacon of hope and progress.

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Remembering Dr. Patricia Bath

Dr. Patricia Era Bath passed away on May 30, 2019, due to cancer-related complications, leaving behind an inspiring legacy of resilience, empathy, and innovation. At age 76, she had changed the very fabric of medicine while reminding us of the vital importance of diversity in healthcare.

As we celebrate Dr. Bath’s life, let us remember her not only for her remarkable achievements but also for the path she has paved for future generations. Her legacy lives on, reminding us that the fight for equity in healthcare is far from over and that the spirit of innovation fuels our collective journey toward progress.

In honor of Dr. Bath, let us continue her mission to advance healthcare for all, celebrate diversity in all its forms, and strive to make the world a more equitable place—for sight, for education, and for justice. Rest in peace, Dr. Patricia Era Bath. Your vision changed the world, and you will forever be remembered as a true trailblazer.

Patricia Bath (Wikipedia) https://en.wikipedia.org/wiki/Patricia_Bath

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