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Chris Hadfield
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Imagine This: A Health Care System Organized Around the Patient!

Question: How can we reduce health care costs?

 

 

Regina Herzlinger: Health care is a hugely inefficient industry.

McKinsey analyzed the American health care system versus health care systems in other countries, and it came up with the figure that there is about half trillion dollars of, I would put it, waste, in the US health care system.

The biggest source of waste is the way we treat people with chronic diseases like diabetes, AIDS, heart disease, cancer, people who have chronic disabilities like bad backs. We treat them in a very fragmented way. We have no one organization that is responsible for everything that the person with diabetes has, everything that the person with AIDS needs. These people have tremendously complicated needs. Their diseases are multifactorial and they manifest themselves in many different ways.

What we need is a health care system that's organized around the needs of the patient for total care for their diseases, total care for their disabilities. What we have is a health care system that's organized by inputs, doctors, hospitals, nursing homes.

Each one of these inputs, each one of these providers what did they want? Well, they're human. They want to make sure that they maximize their share of their pie. Maximizing their share of the pie is not the same as doing what's best for that patient.

 

Recorded on: May 27, 2009.

 

The Harvard professor Regina Herzlinger objects to putting doctors and hospitals before patients.

The “new normal” paradox: What COVID-19 has revealed about higher education

Higher education faces challenges that are unlike any other industry. What path will ASU, and universities like ASU, take in a post-COVID world?

Photo: Luis Robayo/AFP via Getty Images
Sponsored by Charles Koch Foundation
  • Everywhere you turn, the idea that coronavirus has brought on a "new normal" is present and true. But for higher education, COVID-19 exposes a long list of pernicious old problems more than it presents new problems.
  • It was widely known, yet ignored, that digital instruction must be embraced. When combined with traditional, in-person teaching, it can enhance student learning outcomes at scale.
  • COVID-19 has forced institutions to understand that far too many higher education outcomes are determined by a student's family income, and in the context of COVID-19 this means that lower-income students, first-generation students and students of color will be disproportionately afflicted.
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R.P. Eddy wrote about a coming pandemic in 2017. Why didn't we listen?

In his book with Richard Clarke, "Warnings," Eddy made clear this was inevitable.

Photo by Buda Mendes/Getty Images
Coronavirus
  • In their 2017 book, "Warnings," R.P. Eddy and Richard Clarke warned about a coming pandemic.
  • "You never get credit for correctly predicting an outbreak," says science journalist Laurie Garrett in the book.
  • In this interview with Big Think, R.P. Eddy explains why people don't listen to warnings—and how to try to get them to listen.
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Creativity: The science behind the madness

Human brains evolved for creativity. We just have to learn how to access it.

Videos
  • An all-star cast of Big Thinkers—actors Rainn Wilson and Ethan Hawke; composer Anthony Brandt; neuroscientists David Eagleman, Wendy Suzuki, and Beau Lotto; and psychologist Scott Barry Kaufman—share how they define creativity and explain how our brains uniquely evolved for the phenomenon.
  • According to Eagleman, during evolution there was an increase in space between our brain's input and output that allows information more time to percolate. We also grew a larger prefrontal cortex which "allows us to simulate what ifs, to separate ourselves from our location in space and time and think about possibilities."
  • Scott Barry Kaufman details 3 brain networks involved in creative thinking, and Wendy Suzuki busts the famous left-brain, right-brain myth.

What if Middle-earth was in Pakistan?

Iranian Tolkien scholar finds intriguing parallels between subcontinental geography and famous map of Middle-earth.

Image: Mohammad Reza Kamali, reproduced with kind permission
Strange Maps
  • J.R.R. Tolkien hinted that his stories are set in a really ancient version of Europe.
  • But a fantasy realm can be inspired by a variety of places; and perhaps so is Tolkien's world.
  • These intriguing similarities with Asian topography show that it may be time to 'decolonise' Middle-earth.
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New study explores how to navigate 'desire discrepancies' in long term relationships

With the most common form of female sexual dysfunction impacting 1 in 10 women, this important study dives into how to keep a relationship going despite having different needs and wants in the bedroom.

NDAB Creativity / Shutterstock
Sex & Relationships
  • A new study highlights the difficulties faced by women who struggle with decreased sexual desire, and explains how to navigate desire discrepancies in long-term relationships.
  • Hypoactive sexual desire disorder is one of the most common forms of female sexual dysfunction, impacting an estimated 1 in 10 women.
  • Finding other ways to promote intimacy in your relationship is one of the keys to ensuring happiness on both sides.

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