health-policy

The Aspen Health Forum gath­ered an impres­sive group of around 250 peo­ple to dis­cuss the most press­ing issues in Health and Med­ical Sci­ence (check out the Pro­gram and the Speak­ers bios), on Octo­ber 3–6th. It was the first con­fer­ence, by the way, where I have heard a speak­er say: “I resus­ci­tat­ed a woman yesterday”.

Key high­lights and trends:

1- Glob­al health prob­lems require the atten­tion of the sci­en­tif­ic com­mu­ni­ty. Richard Klaus­ner encour­aged the sci­en­tif­ic com­mu­ni­ty to focus on Glob­al Prob­lems: mater­nal mor­tal­i­ty rates, HIV/ AIDS, nutri­tion, can­cer, clean water.  Bill Frist, for­mer Sen­ate Major­i­ty Leader, added to that list the increas­ing epi­dem­ic risks of glob­al zoot­ic dis­eases (trans­mit­ted between humans and ani­mals), sup­port­ed by 2 inter­est­ing data points: at any one moment, there are 500,000 peo­ple fly­ing world­wide; in a year, air­lines trans­port the equiv­a­lent of 2 bil­lion passengers.

2- “Let’s get real…Ideology kills”. Mary Robin­son, for­mer Pres­i­dent of Ire­land, on what it takes to stop HIV/ AIDS: “I am from Ire­land, a Catholic coun­try. And I am Catholic. But I can see how ide­ol­o­gy kills..we need more empa­thy with real­i­ty, and to work with local women in those coun­tries who need things like female con­doms.” She was implic­it­ly crit­i­ciz­ing the large bud­get devot­ed to unre­al­is­tic absti­nence pro­grams. This ses­sion includ­ed a fas­ci­nat­ing exchange where Bill Frist rose from the audi­ence to defend the role of US aid, explain­ing how 60% of retro­vi­ral drugs in African coun­tries have been fund­ed by the Amer­i­can tax­pay­er, high­light­ing Pres­i­dent Bush’s courage to make HIV/AIDS a top agen­da item in many devel­op­ing coun­tries, and crit­i­ciz­ing oth­er coun­tries for not doing enough. Which made Nobel Prize Lau­re­ate Peter Agre, also in the audi­ence, stand up and encour­age the US to real­ly step up to the plate and devote 1% of the GDP to aid, as a num­ber of Euro­pean coun­tries do, instead of 0.1%.

3- Where is the new “Sput­nik”?: Basic sci­ence is cru­cial for inno­va­tion and for eco­nom­ic growth, but it is often under­ap­pre­ci­at­ed. Sci­en­tists are not “nerds”, as some­times they are por­trayed in pop­u­lar cul­ture, but peo­ple with a deep curios­i­ty and dri­ve to solve a Big prob­lem. Many of the speak­ers had been inspired by the Sput­nik and the Apol­lo mis­sions to become sci­en­tists, at a time when the pro­fes­sion was con­sid­ered cool. Two Nobel Prize Lau­re­ates (Peter Agre, Michael Bish­op), talked about their lives and careers try­ing to demys­ti­fy what it takes to be a sci­en­tist and to win a Nobel Prize. Both are grate­ful to the tax­pay­ers dol­lars that fund­ed their research, and insist we must do a bet­ter job at explain­ing the sci­en­tif­ic process to soci­ety at large. Both are proud of hav­ing attend­ed small lib­er­al arts col­leges, and hav­ing evolved from there, fueled by their great curios­i­ty and unpre­dictable, serendip­i­tous paths, into launch­ing new sci­en­tif­ic and med­ical fields.  Bish­op list­ed a num­ber of times where he made deci­sions that were con­sid­ered “career sui­cide” by men­tors and col­leagues, and men­tioned “I was con­fused” around 15 times in 15 minutes…down to earth and inspiring.

4- We need a true Health Care Cul­ture: Mark Ganz sum­ma­rized it best by explain­ing how his health provider group improved care when they rede­fined them­selves from “we are 7,000 employ­ees” to “we are a 3 mil­lion strong com­mu­ni­ty”, mov­ing from [Read more…] about 10 High­lights from the 2007 Aspen Health Forum