Ten lessons for a post-pandemic world

 

In 2020, the same year as the COVID-19 pandemic, Fareed Zakaria, a well-known CNN journalist and Washington Post columnist, published the book Ten Lessons for a Post-pandemic World. Nothing replaces reading it. Therefore, these lines are only intended to encourage you to do so and enter its pages.

The “bat” effect

In this introduction it is commented that the traditional dangers that we contemplated were related to military attacks and invasions, planning symmetrical responses, which consisted in the construction of a military power.

This is not a book about the pandemic, but about its consequences. The answer has to start from the realization that the world is interconnected, that most countries were not prepared for the pandemic.

Post-pandemic life will be different for many countries, companies, and individuals. Even if economics and politics return to “normal,” human beings will not do the same.

Lesson 1: Buckle Up

The pandemic hit a world whose essential structure was the years after the Cold War, an unstable world, with many tensions.

The forecast of the next pandemic has to start from a balance between security and dynamism.

Lesson 2. What matters is not the size of the government, but the quality

The bottom line is that, given the anti-government tradition of the United States, at this point this country needs to learn from the rest of the world. And the answer is not more government, but better government.

Lesson 3. Markets are not enough

In this sense, the Danish model is mentioned, with a functioning market, but with high rates of taxation and redistribution.

Lesson 4. The people must listen to the experts, and the experts must listen to the people

The reality is that science never gives a single simple answer, especially with new phenomena like the coronavirus. Science is, above all, a method of inquiry. Science is the process of learning and discovery.

In many places, scientists are not listened to, but conclusions are reached for reasons of affiliation (to political parties, due to the city / rural environment, etc.).

To navigate this and other pandemics, the people must listen to the experts and the experts must also listen to the people.

Lesson 5. Life is digital

After the 1920s, people turned to farms, factories and offices because there was no other alternative. To work, you had to be at work. This is not true any more.

COVID-19 came to an already interconnected world.

One of the professions that has changed the most is precisely medicine. Patients no longer need to make long trips to doctors’ offices.

In medicine, people were spending – and are spending – more on treatments than on prevention.

The technology that will change medicine the most is artificial intelligence.

This raises new problems: the scarcity of work – and the consequent need to give our lives a purpose – and the control of artificial intelligence.

Lesson 6. Aristotle was right: we are social animals

Despite the facilities to communicate digitally, cities still make sense.

The post-pandemic city will be born. The new metropolitan model is proposed in Paris, when we speak of the “city of the quarter hour”, in which everything (shops, work, parks, schools, cafes, gyms, doctors’ offices, etc.) is at a maximum of fifteen minutes.

Remote work is a great tool, but an imperfect substitute for human contact.

Lesson 7. Inequality will get worse

The decline in global inequality had occurred, in large part, due to the sustained economic progress of China, India and other developing countries.

With COVID-19 this progress stopped. The pandemic may erode the equity gains of the past 25 years.

Lesson 8. Globalization is not dead

The current anti-globalization movement considers that we are too connected, our lives and economies depend on so many factors, that we have lost control of our own destiny.

If we want to raise the standard of living of populations, we have to find ways to buy and sell with the rest of humanity.

Lesson 9. The world becomes bipolar

When we speak of bipolar, we refer to the United States – which continues to be a great power – and China – which economic growth is turning into the same-.

Tensions between these two great powers are inevitable.

Lesson 10. Sometimes the great realists are the idealists

The restoration of an American order is no longer possible.

The future is multilateral. This approach offers the possibility of solving common problems.

Conclusion: Nothing is written

The changes brought about by the pandemic – online teaching and telemedicine, among others – may be the beginning of a great change or momentary blips.

Countries can change.

Global international collaboration requires some elements of collective decision-making.

 

 

 

 

 

 

 

 

 

 

 

The Business of Healthcare Innovation (2020)

 

 

The Business of Healthcare Innovation, edited by Lawton Robert Burns, is already a classic. The first edition was published in 2005, the second in 2012 and this one now, completely renewed, is from 2020.

 

The book analyzes in detail with a global perspective the development of four important health industries:

  • The pharmaceutical sector
  • The biotech sector
  • The medical technology sector (medical devices)
  • The information technology sector

 

With great success it groups these industries under the characteristic that unites them: innovation. Not only that, he places them in the health sector value chain and describes how innovation usually comes from these industries and is transmitted to the other components of the health sector value chain, basically providers and insurers. While money travels the reverse direction, from insurers and providers to these industries, according to the following scheme:

 

The book begins with an introductory Chapter 1, which places these four industries under the common denominator of innovation.

Chapter 2 provides an update on large pharmaceutical companies, that of small molecules, in contrast to large molecules in the biotech sector. It examines the different components of its value chain: DISCOVER, DEVELOP, MANUFACTURE, SELL and analyzes how efficient these firms are in each of the components of their value chain.

Chapter 3 analyzes the therapeutic side of the biotechnology sector. Only a few of these companies work and are the size of Big pharma. However, the smaller start-ups are today the main source of R&D productivity in the health sector.

Chapter 4 explores biotech startups, funded by venture capital. This chapter explores in detail the steps in venture capital financing. It takes a closer look at the life sciences ecosystem in the Cambridge (MA) area and its main ingredients for success.

Chapter 5 is dedicated to the medical technologies sector. As in the pharma-biotech sector, this industry has been growing very quickly and with high margins. Many of the success factors are explored, such as access to financial and intellectual capital and innovative new products.

Chapter 6 deals with start-ups in the medical technology sector, also financed by venture capital.

Finally, Chapter 7 introduces us to the health information technology sector. Like the other sectors, this one has enormous potential to transform the way services are delivered and their efficiency.

This edition concentrates more than previous ones on the aspects of start-ups in biotechnology and medical technologies. It is for this reason that some chapters of previous editions have been omitted, which means that they have not become out of date.

Both this edition and the previous ones are highly recommended reading, if you want to understand minimally how innovation is incorporated in the health sector.

Which Country Has The World’s Best Health Care?

 

 

 

The famous physician, health economist and bioethicist, Ezekiel J. Emanuel, has recently published a book (Public Affairs, New York, 2020) that tries to answer the famous question of what is the best healthcare system in the world. Obviously, after a long exploration, the answer is that there is no system that can be classified as the best in the world, but rather that they all have their strengths and weaknesses.

But the exploration is not without interest, since he analyzes with some detail, the systems of 11 countries: the United States, Canada, the United Kingdom, Norway, France, Germany, the Netherlands, Switzerland, Australia, Taiwan and China. Very much in the Anglo-Saxon tradition, Spain does not exist and, what is even more surprising, none of the Latin American and Caribbean countries.

The book analyzes the 7 challenges that healthcare systems usually face:

  1. Cost pressure
  2. The price of medicines
  3. Inefficiency in the provision of services
  4. Coordination of patients with chronic diseases
  5. Mismatch between the organization of provision services and the needs of chronic patients
  6. Provision of mental care
  7. Long-term care

The book has very interesting graphs that analyze: a) the different types of coverage in each country; b) financing and origin of funds; c) the system of payment to hospitals and doctors; d) organization of provision (including hospital care, outpatient care, mental care, long-term care and prevention); e) pharmaceutical coverage and price control; and, finally, f) human resources.

The challenges of each country are analyzed objectively.