Making a longer life worth living Lets try

Making a longer life worth living: Let’s try to eliminate unnecessary suffering, together Alejandro Jadad MD DPhil FRCPC FCAHS University Health Network and University of Toronto ajadad@ehealthinnovation. org or ajadad@gmail. com Facebook, Twitter and Skype: ajadad Linked. In: alexjadad Cell phone: +1 416 358 5631

We are putting more years into our lives…

Death by success?

We are living long enough to accumulate diseases

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We must put more life into our years… Wellbeing Individual Family Community Planet

We need a wellness system along our health care system Health care system Wellbeing Individual Family Community Planet (enabling a disease-free life) Wellness system (enabling an enjoyable life)

There is a lot of room to disrupt the health care system Wellbein g Health care system Health promotion Disease prevention Early detection Diagnosis Treatment Rehabilitatio n Bereavement

This is not meeting expectations

There is a lot of room to disrupt the health care system Wellbein g Health care system Health promotion Disease prevention Early detection Diagnosis Treatment Rehabilitatio n Bereavement

There is a wide open field for the pursuit of joy Sharing Questioning Wellbein g Wellness system Active pursuit of joy Exploring Learning Creating Disrupting Making a difference

Huge opportunities to eliminate unnecessary suffering Sharing Questioning Exploring Active pursuit of joy Learning Creating Disrupting Making a difference Wellbeing Wellness system Elimination of unnecessary suffering Relaxing Forgiving Relieving Offloading

We cannot continue neglecting symptom control Journal of Palliative Care 21(2): 80 -7, 2005

Mental isdisorders: an cause invisible • Depression now the leading of disability in the world crowd! • 30% of people worldwide affected by mental disorders • Biggest contributors to morbidity in the world (at least 28% of global burden of disability) • At least two thirds without treatment o 67% untreated in the United States o 74% in Europe o 90 to 99% in China

Caregivers: the largest invisible minority! • 20% of the population • Most are women, over 45 and employed • They absorb one third of the overall health costs • A few receive support from the system • 50% acknowledge emotional distress and physical problems • Who is liable? • How could our innovations support them?

There is a wide open field for a wellness system Wellbein g Wellness system Sharing Questioning Active pursuit of joy Exploring Learning Creating Disrupting Making a difference Elimination of unnecessar y suffering Coping with unavoidabl e suffering Relaxing Forgiving Relieving Offloading Accepting Tolerating Compensating Transcending

Drastic measures are emerging

The path to The Singularity must be fulfilling… “To cure sometimes, to alleviate often, to console always” Unknown origin [attributed to Hippocrates, Paré, Nightingale, Trudeau, and many others]

e. Health: lots of tools, but no viable business model

We lack good evaluation frameworks

The Maimonides Project Accelerating the transformation of the health and systems, together Ben Shahn (1898 -1969) in 1954

Radical ‘glocal’ innovation Plausible scenarios Living Laboratories Stakeholder input Feasible options Business models Risk mitigation plan

A global effort to reduce the impact of polypathology [www. opimec. org]

Radical ‘glocal’ innovation

Learning from living laboratories. . .

Radical ‘glocal’ innovation

Glocal encounters to align agendas and ideas

How could we support the US?

Could we build a Noosphere? "The day will come when, after harnessing space, the winds, the tides, gravitation, we shall harness the energies of love. Pierre Teilhard de Chardin (1881 -1955) And, on that day, for the second time in the history of the world, man will have discovered fire. "

Will we be able to harness the power of our minds and tools to promote optimal levels of joy for all,