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Building Sustainable Healthcare | Edward Booty | TEDxSingapore


[Music]

[Music] when our taxis started refusing to take

when our taxis started refusing to take

when our taxis started refusing to take us to our first pilot site I knew we

us to our first pilot site I knew we

us to our first pilot site I knew we were doing something very new I was in

were doing something very new I was in

were doing something very new I was in the heart of a ten million person mega

the heart of a ten million person mega

the heart of a ten million person mega city just ten minutes walk from major

city just ten minutes walk from major

city just ten minutes walk from major tourist attractions embarking on our

tourist attractions embarking on our

tourist attractions embarking on our first implementation project as you

first implementation project as you

first implementation project as you enter one of the main slum districts of

enter one of the main slum districts of

enter one of the main slum districts of Manila the roads get tighter visibly so

Manila the roads get tighter visibly so

Manila the roads get tighter visibly so much more deprived phone signal just

much more deprived phone signal just

much more deprived phone signal just cuts to nothing zero just nothing at all

cuts to nothing zero just nothing at all

cuts to nothing zero just nothing at all we worked with 300 vulnerable young

we worked with 300 vulnerable young

we worked with 300 vulnerable young mothers that day and I came to a

mothers that day and I came to a

mothers that day and I came to a startling realization not about their

startling realization not about their

startling realization not about their health care but that I was at the center

health care but that I was at the center

health care but that I was at the center of a community being truly left behind

of a community being truly left behind

of a community being truly left behind that was right in the house of one that

that was right in the house of one that

that was right in the house of one that was rapidly advancing now I never

was rapidly advancing now I never

was rapidly advancing now I never planned to be an entrepreneur and it

planned to be an entrepreneur and it

planned to be an entrepreneur and it just wasn’t my thing right I wanted to

just wasn’t my thing right I wanted to

just wasn’t my thing right I wanted to earn more money and buy a nice house in

earn more money and buy a nice house in

earn more money and buy a nice house in the UK but in 2016 just 18 months ago I

the UK but in 2016 just 18 months ago I

the UK but in 2016 just 18 months ago I set up her health care organization to

set up her health care organization to

set up her health care organization to try and help the poorest people on this

try and help the poorest people on this

try and help the poorest people on this planet access basic health care services

planet access basic health care services

planet access basic health care services now working in emerging markets health

now working in emerging markets health

now working in emerging markets health care is really hard I’ve been drugged

care is really hard I’ve been drugged

care is really hard I’ve been drugged mugged and abducted in the past 12

mugged and abducted in the past 12

mugged and abducted in the past 12 months but what keeps me up at night and

months but what keeps me up at night and

months but what keeps me up at night and now keeps my team up at night isn’t that

now keeps my team up at night isn’t that

now keeps my team up at night isn’t that communities with exceptionally high

communities with exceptionally high

communities with exceptionally high maternal mortality rates destabilizing

maternal mortality rates destabilizing

maternal mortality rates destabilizing young families and ruining lives

young families and ruining lives

young families and ruining lives tuberculosis still massively prevalent

tuberculosis still massively prevalent

tuberculosis still massively prevalent basic vaccines not available

basic vaccines not available

basic vaccines not available cases of leprosy people that just

cases of leprosy people that just

cases of leprosy people that just actively choose to die from cancer

actively choose to die from cancer

actively choose to die from cancer seeking no treatment at all because they

seeking no treatment at all because they

seeking no treatment at all because they don’t want to inflict that burden on

don’t want to inflict that burden on

don’t want to inflict that burden on their cash-strapped overworked family my

their cash-strapped overworked family my

their cash-strapped overworked family my first apartment in Manila was vacant

first apartment in Manila was vacant

first apartment in Manila was vacant purely because a mother got cancer

purely because a mother got cancer

purely because a mother got cancer through her three children had to drop

through her three children had to drop

through her three children had to drop out of university or college to pay for

out of university or college to pay for

out of university or college to pay for her treatment obviously impact in their

her treatment obviously impact in their

her treatment obviously impact in their future careers and coming from the UK

future careers and coming from the UK

future careers and coming from the UK when we look to the global perspective

when we look to the global perspective

when we look to the global perspective we are facing an unprecedented

we are facing an unprecedented

we are facing an unprecedented healthcare challenge the world’s

healthcare challenge the world’s

healthcare challenge the world’s population is getting bigger by 2030

population is getting bigger by 2030

population is getting bigger by 2030 eight point five billion people will

eight point five billion people will

eight point five billion people will live on this planet by 2050 nine point

live on this planet by 2050 nine point

live on this planet by 2050 nine point seven billion people with over 20% over

seven billion people with over 20% over

seven billion people with over 20% over 60 that’s a 20% in 20 year almost

60 that’s a 20% in 20 year almost

60 that’s a 20% in 20 year almost increase in population and when we

increase in population and when we

increase in population and when we compare that to 1950 where there was 2

compare that to 1950 where there was 2

compare that to 1950 where there was 2 billion people on the planet

billion people on the planet

billion people on the planet that’s a 500% increase over just a

that’s a 500% increase over just a

that’s a 500% increase over just a hundred years and the way in which we’re

hundred years and the way in which we’re

hundred years and the way in which we’re living our lives seventy percent of all

living our lives seventy percent of all

living our lives seventy percent of all deaths are now due to non communicable

deaths are now due to non communicable

deaths are now due to non communicable disease that is cancer cardiovascular

disease that is cancer cardiovascular

disease that is cancer cardiovascular disease diabetes and respiratory illness

disease diabetes and respiratory illness

disease diabetes and respiratory illness six out of ten deaths are now linked to

six out of ten deaths are now linked to

six out of ten deaths are now linked to pollution we are creating a man-made

pollution we are creating a man-made

pollution we are creating a man-made burden on ourselves and struggling to

burden on ourselves and struggling to

burden on ourselves and struggling to pick up the pieces but I’m not here to

pick up the pieces but I’m not here to

pick up the pieces but I’m not here to talk about this right it’s a very very

talk about this right it’s a very very

talk about this right it’s a very very well understood problem and we all hear

well understood problem and we all hear

well understood problem and we all hear it on the news everyday but I do believe

it on the news everyday but I do believe

it on the news everyday but I do believe that we have to be very very innovative

that we have to be very very innovative

that we have to be very very innovative to get the basics right both in

to get the basics right both in

to get the basics right both in developed countries healthcare systems

developed countries healthcare systems

developed countries healthcare systems and of course for people that have

and of course for people that have

and of course for people that have nothing now when I was in the UK I found

nothing now when I was in the UK I found

nothing now when I was in the UK I found myself

myself

myself hugely frustrated frustrated at a

hugely frustrated frustrated at a

hugely frustrated frustrated at a government that was so powerless to

government that was so powerless to

government that was so powerless to change unwavering consumer trends and

change unwavering consumer trends and

change unwavering consumer trends and lifestyle the frustrated of the sheer

lifestyle the frustrated of the sheer

lifestyle the frustrated of the sheer wastage that one of the best known best

wastage that one of the best known best

wastage that one of the best known best loved publicly funded healthcare systems

loved publicly funded healthcare systems

loved publicly funded healthcare systems had frustrated at political cries for

had frustrated at political cries for

had frustrated at political cries for more and more funding that was of course

more and more funding that was of course

more and more funding that was of course needed but ultimately left by this

needed but ultimately left by this

needed but ultimately left by this staggering level met with sorry this

staggering level met with sorry this

staggering level met with sorry this staggering level of wastage and

staggering level of wastage and

staggering level of wastage and ultimately frustrated at my fellow

ultimately frustrated at my fellow

ultimately frustrated at my fellow Britons

Britons

Britons what I saw was ungratefulness for a

what I saw was ungratefulness for a

what I saw was ungratefulness for a system that would constantly pick up the

system that would constantly pick up the

system that would constantly pick up the pieces when they made so little effort

pieces when they made so little effort

pieces when they made so little effort to look after themselves in so many

to look after themselves in so many

to look after themselves in so many cases and in 2015 I left for Singapore

cases and in 2015 I left for Singapore

cases and in 2015 I left for Singapore to try and help people that had nothing

to try and help people that had nothing

to try and help people that had nothing access basic health care services

access basic health care services

access basic health care services now the original concept was can you

now the original concept was can you

now the original concept was can you crowdsource a health care service with

crowdsource a health care service with

crowdsource a health care service with the multiple organizations each giving

the multiple organizations each giving

the multiple organizations each giving some clinical services technology

some clinical services technology

some clinical services technology medicines to our organization pulls

medicines to our organization pulls

medicines to our organization pulls together into a

together into a

together into a piece of hull but no you can’t it’s just

piece of hull but no you can’t it’s just

piece of hull but no you can’t it’s just too hard it was just an impossible

too hard it was just an impossible

too hard it was just an impossible problem and we tried this for a few

problem and we tried this for a few

problem and we tried this for a few months it didn’t work we did start

months it didn’t work we did start

months it didn’t work we did start speaking to people though and from this

speaking to people though and from this

speaking to people though and from this initial exercise we did get some really

initial exercise we did get some really

initial exercise we did get some really interested technology organizations and

interested technology organizations and

interested technology organizations and with them we set about designing a basic

with them we set about designing a basic

with them we set about designing a basic technology platform of healthcare

technology platform of healthcare

technology platform of healthcare profiling symptom checking information

profiling symptom checking information

profiling symptom checking information education a range of other basic support

education a range of other basic support

education a range of other basic support services and we look to get that funded

services and we look to get that funded

services and we look to get that funded we applied for grants again and got

we applied for grants again and got

we applied for grants again and got nowhere

nowhere

nowhere just not nothing no no funding came in

just not nothing no no funding came in

just not nothing no no funding came in and it was then that I sort of realized

and it was then that I sort of realized

and it was then that I sort of realized the model was broken anyway because if

the model was broken anyway because if

the model was broken anyway because if we did get the funding offsetting that

we did get the funding offsetting that

we did get the funding offsetting that sort of himbut investment against the

sort of himbut investment against the

sort of himbut investment against the poorest communities on the planet is

poorest communities on the planet is

poorest communities on the planet is going to be impossible so we decided

going to be impossible so we decided

going to be impossible so we decided that the organization should become a

that the organization should become a

that the organization should become a community we managed to get a range of

community we managed to get a range of

community we managed to get a range of academic organizations and companies

academic organizations and companies

academic organizations and companies here in Singapore to give us free time

here in Singapore to give us free time

here in Singapore to give us free time and we started building our platform

and we started building our platform

and we started building our platform from here I just kept speaking to people

from here I just kept speaking to people

from here I just kept speaking to people people better than me and smarter than

people better than me and smarter than

people better than me and smarter than me that knew something that I did and

me that knew something that I did and

me that knew something that I did and trying to build this community focus of

trying to build this community focus of

trying to build this community focus of the organization I managed to get in

the organization I managed to get in

the organization I managed to get in front of some influential global

front of some influential global

front of some influential global organizations and they said this is good

organizations and they said this is good

organizations and they said this is good and it you might get people to the point

and it you might get people to the point

and it you might get people to the point of diagnosis but what’s the point

of diagnosis but what’s the point

of diagnosis but what’s the point because you’ll tell people they have a

because you’ll tell people they have a

because you’ll tell people they have a disease or a condition but they can’t

disease or a condition but they can’t

disease or a condition but they can’t access or afford the medicines or

access or afford the medicines or

access or afford the medicines or treatments that they might need which

treatments that they might need which

treatments that they might need which was of course hugely valid and as we all

was of course hugely valid and as we all

was of course hugely valid and as we all know pharmaceutical companies do have

know pharmaceutical companies do have

know pharmaceutical companies do have essential products so we evolved our

essential products so we evolved our

essential products so we evolved our thinking some more that we would use

thinking some more that we would use

thinking some more that we would use technology to deliver basic services

technology to deliver basic services

technology to deliver basic services where traditional services don’t reach

where traditional services don’t reach

where traditional services don’t reach will aggregate up the demand for

will aggregate up the demand for

will aggregate up the demand for medicines and we will buy in bulk in

medicines and we will buy in bulk in

medicines and we will buy in bulk in return for significant discounts

return for significant discounts

return for significant discounts allowing pharmaceutical companies in a

allowing pharmaceutical companies in a

allowing pharmaceutical companies in a range of other businesses to enable an

range of other businesses to enable an

range of other businesses to enable an emerging market strategy if you will but

emerging market strategy if you will but

emerging market strategy if you will but also enabling access to very affordable

also enabling access to very affordable

also enabling access to very affordable discounted products from here we just

discounted products from here we just

discounted products from here we just kept speaking to people and it was no

kept speaking to people and it was no

kept speaking to people and it was no harder than putting together a few pitch

harder than putting together a few pitch

harder than putting together a few pitch slides relentless

slides relentless

slides relentless cold-calling networking going on

cold-calling networking going on

cold-calling networking going on LinkedIn lying my way on to a few big

LinkedIn lying my way on to a few big

LinkedIn lying my way on to a few big conferences and a few just to get some

conferences and a few just to get some

conferences and a few just to get some big coverage and a few months later we

big coverage and a few months later we

big coverage and a few months later we did sign our first contract one of the

did sign our first contract one of the

did sign our first contract one of the world’s biggest pharmaceutical companies

world’s biggest pharmaceutical companies

world’s biggest pharmaceutical companies willing to discount their products for

willing to discount their products for

willing to discount their products for the poorest people on the planet we were

the poorest people on the planet we were

the poorest people on the planet we were going to launch in the Philippines and I

going to launch in the Philippines and I

going to launch in the Philippines and I set off for Manila from Singapore

set off for Manila from Singapore

set off for Manila from Singapore shortly after not knowing that I was

shortly after not knowing that I was

shortly after not knowing that I was going to get drugged and mugged on my

going to get drugged and mugged on my

going to get drugged and mugged on my fourth day I’m now really pleased to

fourth day I’m now really pleased to

fourth day I’m now really pleased to report that we’re delivering our service

report that we’re delivering our service

report that we’re delivering our service throughout the Philippines and growing

throughout the Philippines and growing

throughout the Philippines and growing rapidly it’s a really simple solution

rapidly it’s a really simple solution

rapidly it’s a really simple solution fundamentally we take our technology

fundamentally we take our technology

fundamentally we take our technology platform to profile a community and

platform to profile a community and

platform to profile a community and understand their needs we then train

understand their needs we then train

understand their needs we then train local community access managers who are

local community access managers who are

local community access managers who are people from the community that we give a

people from the community that we give a

people from the community that we give a tablet to to provide a local level of

tablet to to provide a local level of

tablet to to provide a local level of healthcare support and cover and also

healthcare support and cover and also

healthcare support and cover and also install community access points that are

install community access points that are

install community access points that are kiosks in schools and shops and churches

kiosks in schools and shops and churches

kiosks in schools and shops and churches to help people sort to help them be

to help people sort to help them be

to help people sort to help them be empowered to provide a level of

empowered to provide a level of

empowered to provide a level of healthcare support most importantly

healthcare support most importantly

healthcare support most importantly though we’re not employing any doctors

though we’re not employing any doctors

though we’re not employing any doctors we just take the existing local public

we just take the existing local public

we just take the existing local public health care services train them and help

health care services train them and help

health care services train them and help them stretch their services further and

them stretch their services further and

them stretch their services further and farther into underserved communities and

farther into underserved communities and

farther into underserved communities and most importantly help them become a

most importantly help them become a

most importantly help them become a digital first low-cost Community Health

digital first low-cost Community Health

digital first low-cost Community Health model that so many developed health

model that so many developed health

model that so many developed health systems are struggling to work backwards

systems are struggling to work backwards

systems are struggling to work backwards to as we change the way we live our

to as we change the way we live our

to as we change the way we live our lives and of course through both of our

lives and of course through both of our

lives and of course through both of our services we look to make available

services we look to make available

services we look to make available access to products essential products

access to products essential products

access to products essential products bought in bulk through aggregation of

bought in bulk through aggregation of

bought in bulk through aggregation of demand to make them more affordable but

demand to make them more affordable but

demand to make them more affordable but as we’re in Singapore I can hear so many

as we’re in Singapore I can hear so many

as we’re in Singapore I can hear so many people saying what does this mean for a

people saying what does this mean for a

people saying what does this mean for a world-class world-ranked health care

world-class world-ranked health care

world-class world-ranked health care system and how do you apply this sort of

system and how do you apply this sort of

system and how do you apply this sort of basics knowledge to places like here and

basics knowledge to places like here and

basics knowledge to places like here and of course the UK our recent project is

of course the UK our recent project is

of course the UK our recent project is funded by one of the leading

funded by one of the leading

funded by one of the leading telecommunications networks here and a

telecommunications networks here and a

telecommunications networks here and a leading homecare charity and it’s

leading homecare charity and it’s

leading homecare charity and it’s looking to do exactly that we’re looking

looking to do exactly that we’re looking

looking to do exactly that we’re looking to take vulnerable low-income seniors in

to take vulnerable low-income seniors in

to take vulnerable low-income seniors in Singapore and help

Singapore and help

Singapore and help remain comfortable and loved and age

remain comfortable and loved and age

remain comfortable and loved and age with dignity and respect at home through

with dignity and respect at home through

with dignity and respect at home through simple well coordinated technology now

simple well coordinated technology now

simple well coordinated technology now the principles aren’t hard here we know

the principles aren’t hard here we know

the principles aren’t hard here we know that health care services are too

that health care services are too

that health care services are too expensive and often people like to be

expensive and often people like to be

expensive and often people like to be cared for in the community so we’re

cared for in the community so we’re

cared for in the community so we’re looking to build a new community of

looking to build a new community of

looking to build a new community of health care providers volunteers and a

health care providers volunteers and a

health care providers volunteers and a range of non-traditional healthcare

range of non-traditional healthcare

range of non-traditional healthcare organizations such as food stalls and so

organizations such as food stalls and so

organizations such as food stalls and so on and so forth to create a new low-cost

on and so forth to create a new low-cost

on and so forth to create a new low-cost integrated care plan there’s more

integrated care plan there’s more

integrated care plan there’s more friendly improves patient experience but

friendly improves patient experience but

friendly improves patient experience but also cuts the total cost of care now the

also cuts the total cost of care now the

also cuts the total cost of care now the technology solution itself is is simple

technology solution itself is is simple

technology solution itself is is simple is stuff that we have already a web form

is stuff that we have already a web form

is stuff that we have already a web form to assess senior citizens needs income

to assess senior citizens needs income

to assess senior citizens needs income levels and so on and so forth a

levels and so on and so forth a

levels and so on and so forth a marketplace to have match them to

marketplace to have match them to

marketplace to have match them to services and a care plan where you can

services and a care plan where you can

services and a care plan where you can coordinate a simple calendar like way

coordinate a simple calendar like way

coordinate a simple calendar like way and a group chat to coordinate this new

and a group chat to coordinate this new

and a group chat to coordinate this new model of care and working across both of

model of care and working across both of

model of care and working across both of these projects people keep saying you

these projects people keep saying you

these projects people keep saying you know what’s the difference what have you

know what’s the difference what have you

know what’s the difference what have you learned from having one project in

learned from having one project in

learned from having one project in Singapore best healthcare system in the

Singapore best healthcare system in the

Singapore best healthcare system in the world most would say or many would say

world most would say or many would say

world most would say or many would say and working in places where there’s no

and working in places where there’s no

and working in places where there’s no healthcare at all and the biggest

healthcare at all and the biggest

healthcare at all and the biggest learning of it all has been that we are

learning of it all has been that we are

learning of it all has been that we are causing our health care systems on

causing our health care systems on

causing our health care systems on sustainability as I started this talk

sustainability as I started this talk

sustainability as I started this talk with we have to realize there are

with we have to realize there are

with we have to realize there are rapidly urban centric lifestyles are

rapidly urban centric lifestyles are

rapidly urban centric lifestyles are causing this massive disease burden that

causing this massive disease burden that

causing this massive disease burden that we’re faced with and causing our health

we’re faced with and causing our health

we’re faced with and causing our health systems and services to struggle this

systems and services to struggle this

systems and services to struggle this has become so apparent where in

has become so apparent where in

has become so apparent where in Singapore UK and the Philippines as a

Singapore UK and the Philippines as a

Singapore UK and the Philippines as a whole for example the average rate of

whole for example the average rate of

whole for example the average rate of diabetes is 10 percent when we go to

diabetes is 10 percent when we go to

diabetes is 10 percent when we go to very rural underserved communities it

very rural underserved communities it

very rural underserved communities it drops to naught point 5 percent so it

drops to naught point 5 percent so it

drops to naught point 5 percent so it really is apparent how as we shift

really is apparent how as we shift

really is apparent how as we shift towards this urban centric model of

towards this urban centric model of

towards this urban centric model of living we are causing many diseases

living we are causing many diseases

living we are causing many diseases through our lifestyle secondly it is

through our lifestyle secondly it is

through our lifestyle secondly it is that the second realization I guess is

that the second realization I guess is

that the second realization I guess is that we do need to support our

that we do need to support our

that we do need to support our institutions and they do need help and

institutions and they do need help and

institutions and they do need help and we do need to adapt our behavior in how

we do need to adapt our behavior in how

we do need to adapt our behavior in how we interact with them when I walked my

we interact with them when I walked my

we interact with them when I walked my father through this talk and talked him

father through this talk and talked him

father through this talk and talked him through what I wanted to say he asked me

through what I wanted to say he asked me

through what I wanted to say he asked me to tell a story and that is that my

to tell a story and that is that my

to tell a story and that is that my stepsister tragically passed away just

stepsister tragically passed away just

stepsister tragically passed away just two years ago through after a lengthy

two years ago through after a lengthy

two years ago through after a lengthy legal inquest it was proven to be

legal inquest it was proven to be

legal inquest it was proven to be completely the fault of the UK Health

completely the fault of the UK Health

completely the fault of the UK Health Service there were seven interruptions

Service there were seven interruptions

Service there were seven interruptions or eight interactions seven of them were

or eight interactions seven of them were

or eight interactions seven of them were completely false

completely false

completely false they just weren’t right incorrect

they just weren’t right incorrect

they just weren’t right incorrect clinical decisions the first point here

clinical decisions the first point here

clinical decisions the first point here is that on one on the night of one of

is that on one on the night of one of

is that on one on the night of one of her emergency admissions the doctor was

her emergency admissions the doctor was

her emergency admissions the doctor was clearly very distracted not doing any of

clearly very distracted not doing any of

clearly very distracted not doing any of the proper tests and missed so many

the proper tests and missed so many

the proper tests and missed so many things that he should have done the

things that he should have done the

things that he should have done the doctor now says that all he did say that

doctor now says that all he did say that

doctor now says that all he did say that it was because a very very drunk patient

it was because a very very drunk patient

it was because a very very drunk patient was completely distracting him being

was completely distracting him being

was completely distracting him being sick everywhere and so on and so forth

sick everywhere and so on and so forth

sick everywhere and so on and so forth and ultimately yeah the right tests

and ultimately yeah the right tests

and ultimately yeah the right tests weren’t done because he was paying his

weren’t done because he was paying his

weren’t done because he was paying his attention elsewhere after somebody was

attention elsewhere after somebody was

attention elsewhere after somebody was drunk butter real micro micro level this

drunk butter real micro micro level this

drunk butter real micro micro level this guy will never know what he might have

guy will never know what he might have

guy will never know what he might have caused and by adapting his behavior he

caused and by adapting his behavior he

caused and by adapting his behavior he might have stopped a 16-year old girl’s

might have stopped a 16-year old girl’s

might have stopped a 16-year old girl’s life support being switched off just two

life support being switched off just two

life support being switched off just two days later but at a macro level he

days later but at a macro level he

days later but at a macro level he really does represent so many people in

really does represent so many people in

really does represent so many people in modern society that knowingly hurt their

modern society that knowingly hurt their

modern society that knowingly hurt their bodies and expect society to pay the

bodies and expect society to pay the

bodies and expect society to pay the price and the last learning really has

price and the last learning really has

price and the last learning really has been that as much as we can completely

been that as much as we can completely

been that as much as we can completely dismantle our institutions and grow them

dismantle our institutions and grow them

dismantle our institutions and grow them for the future we are buy it by working

for the future we are buy it by working

for the future we are buy it by working together and looking to more basic

together and looking to more basic

together and looking to more basic systems we really can outline where the

systems we really can outline where the

systems we really can outline where the opportunities for sustainability and

opportunities for sustainability and

opportunities for sustainability and innovation lie at the moment we seem to

innovation lie at the moment we seem to

innovation lie at the moment we seem to be digitized digitizing and applying

be digitized digitizing and applying

be digitized digitizing and applying advanced technology to the processes of

advanced technology to the processes of

advanced technology to the processes of yesterday as I’ve said throughout though

yesterday as I’ve said throughout though

yesterday as I’ve said throughout though we are about communities communities

we are about communities communities

we are about communities communities build our technology we support

build our technology we support

build our technology we support communities and communities support

communities and communities support

communities and communities support themselves one of the fundamental

themselves one of the fundamental

themselves one of the fundamental principle

principle

principle that we’ve come across is that we have

that we’ve come across is that we have

that we’ve come across is that we have to share solutions not ideas in

to share solutions not ideas in

to share solutions not ideas in healthcare technology and healthcare

healthcare technology and healthcare

healthcare technology and healthcare processes we’ll never really be

processes we’ll never really be

processes we’ll never really be transferable across national boundaries

transferable across national boundaries

transferable across national boundaries for so many reasons

for so many reasons

for so many reasons laws governance and so on and so forth

laws governance and so on and so forth

laws governance and so on and so forth but by looking abstractly and sharing

but by looking abstractly and sharing

but by looking abstractly and sharing concepts we can outline where these

concepts we can outline where these

concepts we can outline where these opportunities lie secondly again we look

opportunities lie secondly again we look

opportunities lie secondly again we look to really rationally analyze

to really rationally analyze

to really rationally analyze collaboration that is students and

collaboration that is students and

collaboration that is students and interns give us so much free support we

interns give us so much free support we

interns give us so much free support we have 12 interns here in Singapore today

have 12 interns here in Singapore today

have 12 interns here in Singapore today but in return they get a great

but in return they get a great

but in return they get a great credential on their CV companies host

credential on their CV companies host

credential on their CV companies host our platforms for free software hosting

our platforms for free software hosting

our platforms for free software hosting in return they get a great CSR

in return they get a great CSR

in return they get a great CSR credential corporate leaders coach us

credential corporate leaders coach us

credential corporate leaders coach us and give us support but in a in return

and give us support but in a in return

and give us support but in a in return they get a break from their day job and

they get a break from their day job and

they get a break from their day job and get to do something different and of

get to do something different and of

get to do something different and of course pharmaceutical companies and big

course pharmaceutical companies and big

course pharmaceutical companies and big businesses here discount their products

businesses here discount their products

businesses here discount their products but in turn access emerging markets in

but in turn access emerging markets in

but in turn access emerging markets in turn financing basic public services and

turn financing basic public services and

turn financing basic public services and really realigning how models can work

lastly there’s so many different people

lastly there’s so many different people that work with us and have supported our

that work with us and have supported our

that work with us and have supported our mission as we look to embark on this

mission as we look to embark on this

mission as we look to embark on this journey and they have all different

journey and they have all different

journey and they have all different perspectives and all different

perspectives and all different

perspectives and all different prerogatives but we are all united for a

prerogatives but we are all united for a

prerogatives but we are all united for a different social impact and that’s been

different social impact and that’s been

different social impact and that’s been something truly great that we’ve seen

something truly great that we’ve seen

something truly great that we’ve seen over the past year or so the biggest

over the past year or so the biggest

over the past year or so the biggest learning though is the in the 21st and

learning though is the in the 21st and

learning though is the in the 21st and indeed 22nd century in healthcare reform

indeed 22nd century in healthcare reform

indeed 22nd century in healthcare reform has to go so much beyond innovation

has to go so much beyond innovation

has to go so much beyond innovation medical breakthroughs advanced increases

medical breakthroughs advanced increases

medical breakthroughs advanced increases in funding because the way in which

in funding because the way in which

in funding because the way in which we’re growing just won’t sustain that we

we’re growing just won’t sustain that we

we’re growing just won’t sustain that we fundamentally have to rethink how our

fundamentally have to rethink how our

fundamentally have to rethink how our communities work in healthcare how we

communities work in healthcare how we

communities work in healthcare how we deliver solutions through communities

deliver solutions through communities

deliver solutions through communities and how communities support themselves

and how communities support themselves

and how communities support themselves and we can learn that from sharing

and we can learn that from sharing

and we can learn that from sharing internationally to get the very basics

internationally to get the very basics

internationally to get the very basics right and as I stand here of course I do

right and as I stand here of course I do

right and as I stand here of course I do ask everybody in this for him to think

ask everybody in this for him to think

ask everybody in this for him to think what they could do to support somebody

what they could do to support somebody

what they could do to support somebody more vulnerable in our society

more vulnerable in our society

more vulnerable in our society it doesn’t matter if they’re in the same

it doesn’t matter if they’re in the same

it doesn’t matter if they’re in the same countries and we have to not think

countries and we have to not think

countries and we have to not think within national boundaries anymore given

within national boundaries anymore given

within national boundaries anymore given the crisis that we face there’s enough

the crisis that we face there’s enough

the crisis that we face there’s enough technology goodwill knowledge in the

technology goodwill knowledge in the

technology goodwill knowledge in the world to solve so many problems that we

world to solve so many problems that we

world to solve so many problems that we have especially in communities where

have especially in communities where

have especially in communities where there’s nothing we just have to apply

there’s nothing we just have to apply

there’s nothing we just have to apply what we have and know very differently

what we have and know very differently

what we have and know very differently we have to rethink what our communities

we have to rethink what our communities

we have to rethink what our communities are and we have to rethink who we are

are and we have to rethink who we are

are and we have to rethink who we are within them and I am Edward booty human

within them and I am Edward booty human

within them and I am Edward booty human not British thank you

not British thank you

not British thank you [Applause]

”

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