Alright so there’s this attraction at Disney World, a little something you might have heard of called The Hall of Presidents. It’s like Great Moments With Mr. Lincoln at Disneyland only biggerer
look at all these fucks
Anyway the presidents say some shit and over the years it’s been a tradition to add in a new animatronic for the current president of the United States. For example you have your NAFTA-signing adulterer president Bill Clinton
Kinda creepy looking. Anyway then you have your war-criminal-playing-the-fool president George W Bush who people used to boo during the show
Even the other presidents are like ‘this fucker’
And then finally you have your Token Black Guy in the bunch, your dying-on-the-inside-and-disappointing president Barack Obama
The slave-owning presidents just kinda avert their eyes during this part if my memory is right
on the subject of presidents
we have a big, important election coming up this November that will ultimately decide the fate of many controversial yet vital issues, and so you need to think carefully when you vote, this shit ain’t no joke
but if you’re still torn on who you want to lead America, just remember that the next president will also live at Disney World, and not just for eight years, but for foreveroruntil society collapses anyway
do you see where I’m going with this
WE CANNOT LET THIS BIGOTTED CRUSTY ORANGE FUCKER LIVE IN THE HAPPIEST PLACE ON EARTH AS A FUCKING ROBOT TO HAUNT HISTORY DO YOU UNDERSTAND ME
it is not education if it is developing student anxiety, heightening student depression, and endangering the health of a student. we must rename what this institution is: a white supremacist capitalist imperialist standardized testing regime.
Everyone’s eyes are on the healthcare industry. Many are placing bets on future technology that will revolutionize this space. Ranging from biometric factors such as therapeutics, data, and diagnostics; to individual circumstances such as mental wellbeing, daily diet, and activity; to socio-economic conditions such as online resources, education and community, future technology is beginning to address the entire ecosystem.
Through this revolution, it’s important not just to look at what’s happening but where it is coming from and what kind of investments are being made. Looking at a broad spectrum ranging from developed economies to emerging markets, it’s particularly interesting to see how two contrasting countries for instance, such as the US and India approach healthcare innovation.
Investing in healthcare
Without a doubt, America has been the leader in terms of healthcare spend. The US spends about $8,713 (17.7% of GDP) per person on healthcare annually, which is much higher than Norway coming in second by spending about $5,670.
Illustration: Spending the most on healthcare doesn’t reflect life expectancy
By contrast, India spends less than $1000 per person. The contrast here between America and India is intentional.
A large chunk of tech-fuelled innovation is coming out of the United States. The way America innovates is disruptive and the way India innovates is frugal; these two together can make powerful complements. For example, in America, technology is revolutionizing surgical procedure with the likes of da Vinci surgical robots, where doctors are able to perform minimally invasive and extremely precise surgeries with the help of robotic systems. However, each of these machines can easily cost over $2 million with further maintenance costs. In India, an example of frugal innovation comes from Narayana Health, a hospital that is famous for its ‘production line’ heart surgery. Built on the principle of disassociating health with wealth, they perform around 150 surgeries a day with the highest standard of care. The cost of a bypass surgery comes close to $1500 compared to $144,000 in the US. Another best in class example is Aravind Eye Care System in Madurai, which brings the same level of care as the US – but for the fraction of the cost.
America and India share an interesting relationship when it comes to healthcare aside from the outsourcing relationship the two shared successfully for many years. America contributes to advancing the industry, and India contributes to making products and services more accessible.
For example in the pharmaceutical industry, around 40 years ago, a number of Indian generics manufacturers were set up. A country with an abundance of chemists and engineers discovered new ways of manufacturing drugs at a significantly lower cost. A large source of revenue for India was using reverse engineering on US patents to create the same products via different processes.
India is currently the word’s third largest manufacturer of pharmaceuticals by volume. This has been extremely valuable for the B2B side of the pharma ecosystem in the US. These drugs have also made a drastic impact in other parts of the world, like Africa where 80% of the drugs used to treat HIV/AIDS are generic drugs made in India.
Effectively the US is bearing the cost of innovation for the whole world. There are some companies charging US patients and the healthcare system enormous amounts of money especially for pharmaceuticals. For example, Gilead charges $84000 per year for treating Hepatitis C with a drug called Solvaldi (Sofusbovir). But thanks to Gilead granting royalty free licences for their patents for use in third world countries, this drug is now available at very low costs so that it’s more widely accessible and affordable.
Many multinationals are starting to design and develop products and services for emerging markets, then making them a bit more international upon introduction worldwide. This way, companies are able to benefit from both developed and developing economies. This reverse innovation is a great way to bring costs down and also seems to come as a result of the world’s current obsession with glocalisation. GE Healthcare has taken a leap and has demonstrated this adaptation can become a reality and an efficient model to carry out. Initially, GE Healthcare imported a high end CT imaging system but by manufacturing the machine (for the first time) in Bangalore, the price was cut down by 10%, reducing the waiting period as well as boosting sales. Continuous evolution can keep improving the product and bring costs down even further. The vision behind this was to make more systems in India for Indian customers.
Several consumer products have been largely successful in adopting this non-traditional approach to innovation. Coca-cola, Nestle, PepsiCo, Procter & Gamble are only few examples where this has been largely successful. Many other industries are starting to embrace this, however in the healthcare industry there is still a vast disparity from West to East.
Regulatory limitations aside, there are several opportunities for global companies to leverage innovation from emerging markets and advances from western markets to make healthcare more accessible worldwide. There has to be a way for the US to cut costs through emerging market partnerships and initiatives yet continue to champion technology fuelled innovation. By 2025, $1 of every $5 spent in the US will be on healthcare. But, an intervention with the mindset of frugal innovation could radically change this prediction.
Illustration by Oliver Thein.
Mallika Reddy is a Content Strategist at Wolff Olins London. Follow her @mallikareddyg
“The U.S. Treasury announced on April 20, 2016 that the front of the $20 bill will feature Harriet Tubman on the front, with Andrew Jackson and an image of the White House on the back. The new $5 and $10 bills will feature women and civil rights leaders on the back. The designs will be unveiled in 2020, but the circulation date has yet to be released.”
America’s currency is a statement about who we are as a nation. Our modern money honors our history and celebrates our values. Building on tremendous feedback from Americans across our country about the theme of democracy, the Treasury Department will create new design concepts for the $20, $10, and $5 dollar notes.
THE NEW $5 NOTE
“The reverse of the new $5 will highlight the historic events that occurred at the Lincoln Memorial and will include images of Marian Anderson, Eleanor Roosevelt and Martin Luther King Jr. The front of the new $5 will retain President Lincoln’s portrait.
The Story of the New $5 – Historic Events at the Lincoln Memorial
In the Gettysburg Address, President Abraham Lincoln called for a “new birth of freedom,” urging Americans to do their part to complete, the “unfinished work” ahead.
The Lincoln Memorial has long served as a place where people gathered to complete that unfinished work.
In 1939—at a time when concert halls were still segregated—world renowned Opera singer Marian Anderson helped advance civil rights when, with the support of First Lady Eleanor Roosevelt, she performed at the Lincoln Memorial in front of 75,000 people.
And in 1963, Martin Luther King, Jr. delivered his historic “I Have a Dream” speech at the same monument in front of hundreds of thousands.”
THE NEW $10 NOTE
“The reverse of the $10 will honor the heroes of the women’s suffrage movement and depict the March of 1913, a march for women’s suffrage from the U.S. Capitol to the steps of the Treasury Department.
The Story of the New $10 – Women’s Suffrage
Treasury’s relationship with the suffrage movement dates to the Women’s Suffrage Parade of 1913 when thousands marched down Pennsylvania Avenue from the U.S. Capitol to the Treasury Department in Washington, DC. On the steps of the Treasury Building, the marchers demanded an amendment to the Constitution enfranchising women.
The new $10 will honor the 1913 march and the leaders of the suffrage movement—Susan B. Anthony, Alice Paul, Sojourner Truth, Elizabeth Cady Stanton and Lucretia Mott—who were instrumental in the passage of the 19th Amendment.
The front of the $10 will continue to feature Alexander Hamilton, our nation’s first Treasury Secretary and the architect of our economic system.”
THE NEW $20 NOTE
“The front of the new $20 will feature the portrait of Harriet Tubman, whose life was dedicated to fighting for liberty. The reverse of the new $20 will display The White House and an image of President Andrew Jackson.
The Story of the New $20 – Harriet Tubman
Harriet Tubman was born into slavery. After she escaped, she became a conductor on the Underground Railroad, helping slaves escape to freedom.
During the Civil War, she was active in the Union cause, serving as a nurse, a cook, and a scout, gathering intelligence.
Looking back on her life, Harriet Tubman said, “I would fight for liberty so long as my strength lasted.” After the war, she supported the cause of women’s suffrage and was active in suffragist organizations. She died in 1913 and was buried with military honors.”