What Do You See in the Future for Global Health?

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I don't want to oversell technology. I think at the end of the day, while technology is an enabler, technology is not the only answer. We are still trying to eradicate disease with vaccines that are 17th century inventions. We'll probably have newer vaccines, therapeutic vaccines, vaccines when somebody has something.

There will be other ways that we are looking at immunology and other areas. I think we need to come up with basic numbers that make a difference to large populations where we then can predict and prevent, based upon those numbers. I don't think we need to have 100 things that we need to know, and do. I think we need to have 10 simple ones that give us about 90-95% certainty.

Then still some very specialized science, and personalized medicine, working in some of the other areas. And we have to create a system that incentives that we don't have all the medicines that exists today. If we had known new medicines, we're going to be upset 30 years from now, and we need something new, so we've got to keep incentives for innovations as well.

So I'm hopeful, I think the technologies can be hopeful, but I don't think we need to be wired, and have chips on our ears, or wherever they're going to be, as it's the only way that we're going to "feel better". We need to have quality of life, we need to have happier, healthier lives, and we need to use technology to enable us, and I still like to help little CPs because it reminds us we have to make appropriate health decisions, and it's not appropriate to everyone to have a long life wired up with technology.

Some people want to a happier, healthier, quality life, where they don't have intrusions, or medicines, or whatrever it might be. And we have to respect those different ethical pieces, and at the same time globally, I think more, and more people might not have the same kind of access to, the tertiary care that we think would be the answer.

Innovation was termed by Richard Horton in the Lancet as frugal innovation is what we need. And not frugal in the negative American English which tends to be cheap. We need innovation that's efficient, and cost effective, and I think we can do that with large public health interventions, change in urban environments, working with ways that people can be happier as mental health also impacts their physical health, and really think of some new ways that we can make a difference, and use technology to help us, not be controlled by the technology.