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Fists, not football: There is no concussion protocol for domestic violence survivors

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It’s fall in America, and that means football. With football comes questions and concerns about concussions in athletes. How long does it take to fully recover from a concussion? What happens if an athlete returns to play too soon after a concussion? How many concussions are too many?

But it’s not just sports where concussions occur. The most common cause of concussion in NCAA athletes is a car accident. The most common cause of a concussion overall is a fall. And a hidden demographic of people experience brain injuries at an alarming rate: domestic violence survivors.

Every minute, 32 people in the United States experience violence at the hands of an intimate partner. Roughly half of American women and 40% of American men will experience domestic violence at least once in their lives. Most incidents go unreported. One study found that just one in five victims sought medical help immediately after suffering a head injury. Nearly all these injuries involve a blow to the neck or head. 

Current research indicates that more than 75% of domestic violence survivors suffer one or more traumatic brain injuries. In my experience, the most common response to the question, “How many concussions have you suffered,” is “Too many to count.” 

On any given Sunday, you will see up to 30 medical professionals standing on the sidelines of a professional football game. At a high school game, you are likely to see paramedics within eyesight of the players on the field. There are no medical providers who stand outside the home of domestic violence survivors waiting for an injury to occur. There is no concussion protocol for those who are abused.

In addition to repeated impacts to the head, domestic violence survivors often suffer strangulation, being choked, resulting in decreased oxygen to the brain, loss of bladder and bowel function, seizures, and sometimes death.

The long-term consequences of repeated concussion and strangulation include sleep disturbancedizzinesspersonality changes, and memory problems. The most common complaint of a domestic violence survivor who suffers one or more concussions is headaches. One silver lining is that these symptoms are treatable.

Thanks to widespread education and awareness campaigns, athletes have benefited from a sea change in how brain injuries are recognized and treated. We need to bring that same standard of care to survivors of domestic violence by establishing a concussion protocol tailored to their needs.

We must ensure domestic violence survivors receive concussion screenings when they reach the doctor’s office or emergency department — regardless of whether they exhibit clear signs of a traumatic brain injury. New technologies can make brain injury screening simple and accurate. 

Diagnostic tests, like Abbott’s Alinity i TBI test, can help providers evaluate people for traumatic brain injuries with a small blood sample, by measuring two blood biomarkers in the brain. We recently implemented this testing capability at the WVU Rockefeller Neuroscience Institute. We’re one of the first to adopt the brain injury test, where results come back in just 18 minutes. That quick turnaround is especially useful in situations where a provider may have limited time with a survivor who is hesitant to seek medical care. Finally, we must offer everything we provide to athletes: cognitive screening, concussion rehabilitation, and VIP treatment.

At the WVU Rockefeller Neuroscience Institute in Morgantown, we design a comprehensive, tailored treatment plan for each patient, which may also include psychiatry, physical rehabilitation, and speech and vision therapy. Personalized approaches like this one help resolve subtle, lingering problems and prepare patients to protect their brain health after they check out of the hospital. Survivors of domestic violence are our VIPs.

Society has rightly taken steps to ensure athletes receive top-notch treatment whenever they experience a traumatic brain injury. Survivors of domestic violence are every bit as deserving of that level of attention and care.

The opinions expressed in Fortune.com commentary pieces are solely the views of their authors and do not necessarily reflect the opinions and beliefs of Fortune.



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Apple CEO Tim Cook out-earns the average American’s salary in just 7 hours—to put that into context, he could buy a new $439,000 home in 2 days

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While Americans are monitoring their grocery budgets and delaying major life purchases, their employers are being awarded record-breaking salaries. Some of the highest-paid CEOs can watch the annual wage of a U.S. worker hit their bank accounts over the span of just hours. Take Apple’s Tim Cook, for example, he outearns the average American in less than a day’s work.

Apple, now a $4.1 trillion technology behemoth, has come a long way since its public debut 45 years ago. Under Cook’s leadership, it has become the second most valuable company on the planet—and his compensation reflects it. 

Cook’s annual compensation grew to $74.6 million in 2024, an 18% increase from $63.2 million the year before. His eye-watering honeypot is comprised of $58.1 million in stock awards, $12 million in non-equity incentive plan pay, and $1.5 million in other compensation. 

And even though he’s one of the highest-paid chief executives in the world today, his current paycheck is a far cry from what he once earned. In 2022, Cook received nearly $100 million, largely due to stock awards, but his pay dropped the next year following backlash from Apple staffers and shareholders.

And when compared to the paycheck of everyday Americans, the difference is severe. With his $74.6 million package, it only takes around seven hours for Cook to outearn the typical U.S. worker—who takes home just $62,088 a year, according to 2025 first quarter wage data from the BLS. 

Within the 30 minutes it takes most people to commute to the office, Cook is already $4,256 richer—more than what most Americans have set aside as emergency savings

While it may take decades for Americans to save for a home, the Apple CEO can afford it after just one weekend. It only takes 2.15 days for Cook to pool up $439,000 in earnings, the median price of a U.S. home, according to a new CEO salary tool from Resume.io

Even buying his own company’s products—which are luxuries for most, priced in the thousands—barely registers as an expense. In just over 21 minutes, Cook has made enough to buy a $3,000 MacBook Pro; and in less than eight minutes, he can score an $1,100 iPhone Pro 17. 

America’s highest-paid CEOs—and how Cook compares

Cook is one of the highest paid CEOs in the U.S. but he’s not the only one making headlines for his extreme paycheck. 

Tesla leader and world’s richest person Elon Musk just secured a $1 trillion pay package following a heated back-and-forth with advisory firms imploring shareholders to reject the outlandish compensation. It was an unprecedented approval that spurred criticism on the growing wealth divide between the world’s have and have-nots

Musk is just one of many CEOs with a spotlight on their bank accounts. In 2024 the highest-paid CEO leading a large, billion-dollar public U.S. company was Rick Smith. The chief executive of $45.5 billion defense-tech company Axon took home $164.5 million, according to an analysis from executive compensation consulting firm Equilar. 

Smith’s followed by Jim Anderson, the CEO of Coherent, who raked in $101.5 million last year. Meanwhile, StarbucksBrian Niccolmade $95.8 million, GE Aerospace’s Larry Culp took home $87.4 million, and Ares Management’s Michael Arougheti followed in fifth with $85.4 million. On that list, Cook was the seventh highest-paid CEO, right below Microsoft leader Satya Nadella boasting $79.1 million.

There are, of course, other CEOs steering private companies (that don’t need to disclose their CEO’s salaries) who are bringing home eight-figure salaries too. And aside from direct compensation, it’s not uncommon for leaders to enjoy billion-dollar gains from their investments. 

In October, LVMH CEO Bernard Arnaultsaw his wealth skyrocket $19 billion overnight following the business’ breakout earnings report. And the month before, then-Oracle chief executive Safra Catz’s wealth jumped by over $400 million to $3.4 billion in just six hours thanks to the tech company’s breakout year, according toForbes.

America’s widening income inequality 

The U.S. is home to the most billionaires in the world, and the country’s changing wealth dynamics are not lost on those living paycheck-to-paycheck. The after-tax wages of Americans in the lowest-income group grew just 1.3% year-over-year this July, down from 1.6% in the month before, according to the Bank of America Institute. 

Meanwhile, higher-income wages swelled to 3.2% during the same period—the third consecutive monthly increase. This change marks the widest wealth divide between lower- and upper-income households in four years.

“In some sense, we had an improvement in lower-income wage growth since the pandemic, and now that’s gone into reverse,” David Tinsley, senior economist for the Bank of America Institute, told Fortune this August. “There was a narrowing of wealth inequality, and now it’s widening.”

Even the Americans making enough to be considered “rich” are delaying major life purchases. 

About 47% of six-figure earners are setting back their dream vacations and travel, 31% are stalling on home renovations, and 26% are delaying buying or leasing a new car, according to a 2025 report from Clarify Capital. 

Achieving the American Dream of owning a home with a white-picket fence is on pause for now, too; about 17% are delaying buying a house, and 6% are even delaying getting married.



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Ryan Serhant reveals his best networking advice: ‘Every room I go into, I use the two C’s’

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Ryan Serhant says he has a list of all the billionaires he’s met—all 101 of them. For the real-estate mogul whose brokerage, Serhant., is on track to close $6 billion in sales this year, building relationships with the ultra-wealthy is his “number one job.”

Serhant, 41, transformed himself from a struggling actor who only earned about $9,000 in his first year of real estate—in 2008, the week Lehman Brothers collapsed—into one of America’s most successful brokers. He’s closed more than $15 billion in real estate over his career, built a brokerage with more than 1,100 agents across 14 states, and parlayed his work into a Netflix series, Owning Manhattan. His estimated net worth is around $40 million. And at 41, he continues to set records: In the first 35 days of 2025 alone, his brokerage Serhant. surpassed $1 billion in closed and in-contract sales.

In a recent TikTok interview with The School of Hard Knocks, Serhant revealed the deceptively simple networking approach that has fueled his rise from struggling actor to one of the most successful real-estate brokers in the world: “Every room I go into, I use the two C’s.”

The formula? “You give someone a compliment, and you find something in common.”

Relationships > transactions

Serhant doesn’t stop at the initial conversation. Once he gets someone’s contact info, he says he follows up within 10 minutes. “I send them a quick note, a quick text. So, great meeting you seven-and-a-half minutes ago. Let’s do something great together,” he said.

Serhant says he keeps the message unread as a visual reminder, then continues to engage “until they buy or I die.” He says he tries to meet between five and 15 new people every day, and his contact list is actually “contact currency”—a network built on relationships, not just transactions.

Serhant said his $6 billion sales strategy revolves around approachability: “People hate being sold, but they love shopping with friends,” he said. “Your number one job as a salesperson is to create relationships. It’s not to sell product.”

This philosophy has driven some of his most significant deals. Earlier this year, Serhant said he sold properties in Palm Beach totaling $308 million over the phone, which he attributes entirely to “the trust in the relationship that I was able to create between a person who wanted to buy and a person who wanted to sell.”

“I don’t think I ever actually sell apartments or sell buildings,” Serhant added.

Advice for the next generation

Since launching Serhant. in September 2020, during the height of the COVID-19 pandemic, his firm has since become one of the fastest-growing real estate companies in the U.S. Serhant boasts a 99% agent retention rate at his brokerage.

When asked what message he would leave for younger people, Serhant shared wisdom gleaned from his billionaire clients: “Most people are in a race against time. Time is their greatest asset. The wealthiest people are in a race against moments,” he said.​ With this in mind, Serhant says he’d “rather regret the things I did than the things I never tried,” recommending others similarly “take the risk or lose the chance.”

You can watch Serhant’s full interview with The School of Hard Knocks below:

@theschoolofhardknocks $6 BILLION THIS YEAR 🤯 I interviewed real estate MOGUL @Ryan Serhant in New York City and I asked him how he got RICH! Since he’s met over 100 billionaires, I asked him for his best networking advice for anyone in business. I also asked him for his secret to sales since his company is going to do over $6 Billion in sales this year. Lastly, I asked him the best advice he’d give to the younger generation. #wealth#entrepreneur#financialfreedom♬ original sound – The School of Hard Knocks





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Gen Z is defiantly ‘giving up’ on ever owning a home

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The housing market only continues to look more bleak for younger generations—and it shows. The average age for a first-time homebuyer recently jumped to 40, signaling the housing market is starved for affordability.

And younger generations are so disappointed and frustrated by the state of the housing market they’re spending more of their earnings than they’re saving, working less, and making risky investments, according to a recently published paper by Northwestern University and University of Chicago researchers. 

In other words, younger generations are “giving up.” That’s according to Northwestern’s Seung Hyeong Lee and Chicago’s Younggeun Yoo, who also cited a 2024 Harris Poll survey about the state of real estate that showed 42% of Americans and 46% of Gen Z respondents agreed with this statement: “No matter how hard I work, I will never be able to afford a home I really love.”

While households typically adjust consumption to stay on track with long-term goals like buying a home, younger people are crossing a “threshold at which they begin to give up on [buying a home] entirely.”

The idea this generation is “giving up” is also echoed by an analysis by Gen Z’s favorite economist Kyla Scanlon, who argues younger people face a sense of “financial nihilism,” a phenomenon in which they question the American Dream amid stagnant wages, student loan debt, and corporate dominance. 

Gen Z has “watched the American Dream rot before their eyes, as higher education becomes a luxury good, a housing crisis exacerbates the cost of living, all backdropped by political stagnation and rapid (perhaps even too rapid) technological advancement,” she wrote, making the point this generation has lived through not one, or two, but three major economic downturns. 

Gen Z is saving less than they’re spending

The first phenomenon Lee and Yoo outline regarding Gen Z’s defiance toward buying a home is that they’re spending more money than they’re bringing in. 

“We find that when home prices rise to the point where renters can no longer afford to buy a house within the foreseeable future by saving their wages, renters give up on home purchases and instead use their savings to increase consumption,” they wrote. 

Several other studies this year have shown Gen Z is doomspending rather than saving, with one study showing nearly half don’t even have an emergency fund saved up. A Bankrate survey also showed as many as 27% of Gen Z carry more debt than they do savings.

“Many Gen Zers find themselves walking a financial tightrope, torn between covering immediate expenses or setting money aside for emergencies and paying for goods on credit instead,” previously told Fortune.

Some of that may be due to the fact Gen Z expects to inherit money and assets from the $124 Great Wealth Transfer, but a Northwestern Mutual survey shows very few can expect a windfall of cash upon a relative’s death.

Gen Z works differently

We’ve all heard Gen Z supposedly doesn’t work as hard as other generations, which may or may not be true—it’s somewhat impossible to measure. Lee and Yoo found in their research Gen Z has cut down on their effort at work because they don’t think it’s worth it if they can’t afford long-term financial goals. They cite answers to psychographic questions asking about the importance of “always giving my best effort” at work. Their research shows the share of renters reporting low work effort is nearly twice the rate observed among homeowners.

“This shift is consistent with a reallocation of time and effort by discouraged renters,” the researchers wrote. “As the perceived returns to labor (in terms of progressing toward homeownership) diminish, so does the value they place on maintaining high work effort.”

Scanlon has a different take on Gen Z’s work effort, though. 

She argues, “maybe it’s not that they don’t want to do anything anymore, but rather they don’t want to do anything in the way that it’s always been done anymore.” 

Gen Z is making risky investments

The third way Gen Z is acting out against their inability to buy a home, the researchers argue, is by taking on risky investments, like buying cryptocurrencies. Their research also shows when buying a home for a Gen Zer seems unaffordable, they also increase their leisure spending.

“Renters with a plausible path to homeownership may exhibit lower risk tolerance, as significant losses could derail their progress toward that goal,” they wrote. “In contrast, those who have already given up on homeownership may perceive they have less to lose, and therefore engage more willingly in risky financial behavior.”

Other 2025 research indicates Gen Z is far more likely to own crypto than have a retirement account, illustrating how they’re more willing to take on riskier investments. And finance experts are worried about the pattern, they told Fortune’s Emma Burleigh.

“It’s never a bad thing for people in any generation to take interest in their personal finances,” Mark Smrecek, financial well-being market leader at Willis Towers Watson (WTW), told Fortune’s Burleigh. “I think as long as they’re looking at risk and reward based on what their goals are, it’s generally fine. But I do get concerned when I see over-indexing toward risky assets.”



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