Can the Innovator Class Save Healthcare?

TEDMED brought a relentless optimism about healthcare reform to a city of tired ideas. More is needed, however, to make a difference in Washington, DC.



WASHINGTON, DC - Perched on the banks of the Potomac River, the TEDMED gathering weighed in last week on what it considered the greatest challenges facing healthcare.

A meeting closely associated with the high tech-optimism of Silicon Valley and other outposts of America's innovator class, TEDMED came east this year from it's previous home in San Diego. The idea was to bring the gathering's ethos and its troupe of entrepreneurs, thinkers, futurists, doers, and artists to our nation's political capital.

It's unclear whether Washington was listening during the three and half-day day assembly, since much of the establishment here was away on Easter-Passover break. But National Institutes of Health Director Francis Collins gave a talk. And so did Commissioner of the Food & Drug Administration Margaret Hamburg, along with a few other Washington types, even if they mostly didn't stay and mix in the usual TED fashion.

Still, the 1700 attendees did engage in an activity that Washington understands - an election.

The delegates - many of whom paid $5,000 to be there - voted for one of 50 "Great Challenges" facing healthcare that they believed was most worthy of attention. They were joined by thousands of non-attendees following the meeting for free on simulcasts and on the organization's website.

Sponsored by the nonprofit Robert Wood Johnson Foundation and the TEDMED organization, the challenges included The Obesity Crisis, Eliminating Medical Errors, End-of-Life Care, Impact of Poverty on Health, and Medical Information Overload.

Click here for the full slate of candidates.

The list included some perennial Washington obsessions such as Addressing Health Care Costs, but did not include other DC favorites such as the solvency of Medicare and Medicaid and the future of Obamacare.

The soft-pedaling of politically touchy issues was in line with the wishes of the new curator of TEDMED, Jay Walker, who decided that the meeting would avoid contentious content during its first outing in DC. An inventor and the founder most famously of Priceline, Walker's company, Walker Digital, acquired TEDMED last year.

Not everyone in the TEDMED community agreed, given that this is a political town and issues can be discussed without taking sides. Personally, I believe that a TED meets Washington airing of issues could be exciting. Walker, however, wanted to stay with the tradition of TED, which stands for Technology Entertainment & Design - but not politics.

Each of the 50 challenges at TEDMED were represented by an "advocate" - entrepreneurs, physicians, hospital executives, patient representatives, and others. At the last minute, probably late at night, a challenge #51 was added to the list - Sleep Deprivation - hardly a shock at a meeting of over-achievers.

Some of the advocates campaigned hard for their challenge, donning buttons and t-shirts and passing out cards and flyers.

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David Ewing Duncan is a journalist in San Francisco. He is also a television, radio, and film producer, and he has written eight books. His most recent e-book is entitled When I’m 164: The Science of Radical Life Extension, and What Happens If It Succeeds. More

Duncan's previous books include Experimental Man: What one man's body reveals about his future, your health, and our toxic world. He is a correspondent for and the Chief Correspondent of public radio's Biotech Nation, broadcast on NPR Talk. He has been a commentator on NPR's Morning Edition, and a contributing editor for Wired, Discover and Conde Nast Portfolio. David has written for The New York Times, Fortune, National Geographic, Harper's, The Atlantic, and many other publications. He is a former special correspondent and producer for ABC Nightline, and correspondent for NOVA's ScienceNOW! He has won numerous awards including the Magazine Story of the Year from the American Association for the Advancement of Science. His articles have twice been cited in nominations for National Magazine Awards, and his work has appeared twice in The Best American Science and Nature Writing. He is the founding director of the Center of Life Science Policy at UC Berkeley, and a founder of the BioAgenda Institute. His website is

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