Surgeon General: Big Tech Has Role in Youth Mental Health Challenges

US Surgeon General Dr. Vivek H. Murthy speaks during a press briefing in the Brady Briefing Room of the White House in Washington, DC on July 15, 2021.
U.S. Surgeon General Dr. Vivek Murthy (Image credit: Saul Loeb/AFP via Getty Images)

The Surgeon General said that social media companies have a role to play in protecting the mental health of children since the misuse of its platforms appears to contribute to the problem.

That came in an advisory report about what Surgeon General Vivek H. Murthy said was an alarming increase in certain mental health challenges for young people and what can be done to stem that troubling tide.

"[T]oo often, young people are bombarded with messages through the media and popular culture that erode their sense of self-worth—telling them they are not good looking enough, popular enough, smart enough, or rich enough," Murthy said in his introduction to the report. "That comes as progress on legitimate, and distressing, issues like climate change, income inequality, racial injustice, the opioid epidemic, and gun violence feels too slow."

He signaled that Big Tech platforms, when not "deployed" safely and responsibly, can contribute to the mental health problem by "pitting us against each other, reinforcing negative behaviors like bullying and exclusion, and undermining the safe and supportive environments young people need and deserve."

He suggested that the pandemic has put even greater urgency on the need for action.
Under the heading of "What Social Media, Video Gaming, and Other Technology Companies Can Do," the report echoed many of the issues being discussed Wednesday (Dec. 8) in a Senate subcommittee hearing with Instagram CEO Adam Mosseri.

In social media's "digital public spaces," said the report, "there can be tension between what’s best for the technology company and what’s best for the individual user or for society. Business models are often built around maximizing user engagement as opposed to safeguarding users’ health and ensuring that users engage with one another in safe and healthy ways. This translates to technology companies focusing on maximizing time spent, not time well spent."

It cites researchers asserting that Big Tech can expose kids to "bullying, contribute to obesity and eating disorders, trade off with sleep, encourage children to negatively compare themselves to others, and lead to depression, anxiety, and self-harm."

And while it concedes there are benefits to online activity like connecting with friends, learning new things or accessing healthcare, it said there is also a "clear need" to better understand how technology impacts users most at risk.

The report provided advice for how tech companies can help, including a call to "step up and take responsibility for creating a safe digital environment for children and youth," and at the least "much more transparency" about their products, including allowing outside researchers to access data, something legislators from both parties have asked Meta (formerly Facebook) to do following whistleblower Frances Haugen's public release of some internal research.

Among the other recommendations: 1) provide user-friendly tools for healthy online interactions, 2) limit exposure to harmful online content, 3) allow users to opt out of harmful content, and 4) actively promote content that supports mental health and wellbeing as well as equitable access to that content. ■

John Eggerton

Contributing editor John Eggerton has been an editor and/or writer on media regulation, legislation and policy for over four decades, including covering the FCC, FTC, Congress, the major media trade associations, and the federal courts. In addition to Multichannel News and Broadcasting + Cable, his work has appeared in Radio World, TV Technology, TV Fax, This Week in Consumer Electronics, Variety and the Encyclopedia Britannica.