Health and recovery

An extract from Chapter 6 of the book Transcending Politics:

6. Health and recovery

On the face of things, the field of healthcare poses a stern challenge to the technoprogressive vision that I am championing. In countries all around the world, costs of healthcare are rocketing. Chronic diseases such as diabetes, heart disease, and dementia are consuming huge resources. National budgets are facing crises under the resulting strains and stresses.

To give one example, Simon Stevens, the CEO of Britain’s NHS (National Health Service), has spoken out on several occasions about the growing financial burden of chronic diseases. Here are his comments in an NHS England news article entitled “Get serious about obesity or bankrupt the NHS”:

Obesity is the new smoking, and it represents a slow-motion car crash in terms of avoidable illness and rising health care costs. If as a nation we keep piling on the pounds around the waistline, we’ll be piling on the pounds in terms of future taxes needed just to keep the NHS afloat.

Speakers in support of a campaign by the British Pharmacological Society emphasised the risks of runaway expenditure on medicinal drugs:

The NHS drugs bill is spiralling out of control and will bankrupt the service unless urgent action is taken, experts say. It jumped more than £1 billion between 2014/15 and 2015/16, to nearly £17 billion. This means the cost of providing medicines is the second biggest NHS expenditure after staff salaries…

The problem is partly due to an aging population, which has more health problems and a wider range of medication to treat them. However, drug wastage is also to blame. Up to 40% of patients prescribed drugs long term do not take them, wasting the equivalent of £350 million a year…

Sir Munir Pirmohamed, the society vice president, said: “We cannot carry on like this. We urgently need to reduce drug wastage and optimise the drugs patients are on to ensure they get the right drugs, and the correct number of drugs, so that they are not being over-medicated.”

Simon Maxwell, chairman and professor of clinical pharmacology at Edinburgh University, added: “This will bankrupt the NHS and is not sustainable.”

In January 2018, stirred to action by a series of fraught experiences in their hospitals over the ongoing winter period, a group of highly experienced healthcare professionals wrote a public letter to Theresa May, the British Prime Minister:

We are writing to you as Consultants in Emergency Medicine, Fellows of the Royal College of Emergency Medicine and as Clinical Leads (Consultants in charge) of our Emergency Departments, representing 68 Acute Hospitals across England and Wales…

We feel compelled to speak out in support of our hardworking and dedicated nursing, medical and allied health professional colleagues and for the very serious concerns we have for the safety of our patients.

This current level of safety compromise is at times intolerable, despite the best efforts of staff…

Meanwhile, in the United States, debt arising from medical fees is the number one cause for people to become bankrupt.

Technology is not enough

In principle, technology ought to be reversing these expenditure trends. Innovative technology has the potential to automate aspects of medical treatment, to provide timely early warnings of ill health, and to deliver targeted new therapies that are more effective than previous treatments. However, rather than being a part of the solution, it seems, worryingly, that technology is part of the growing healthcare budget problem:

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Recent Posts

RAFT 2035 – a new initiative for a new decade

The need for a better politics is more pressing than ever.

Since its formation, Transpolitica has run a number of different projects aimed at building momentum behind a technoprogressive vision for a better politics. For a new decade, it’s time to take a different approach, to build on previous initiatives.

The planned new vehicle has the name “RAFT 2035”.

RAFT is an acronym:

  • Roadmap (‘R’) – not just a lofty aspiration, but specific steps and interim targets
  • towards Abundance (‘A’) for all – beyond a world of scarcity and conflict
  • enabling Flourishing (‘F’) as never before – with life containing not just possessions, but enriched experiences, creativity, and meaning
  • via Transcendence (‘T’) – since we won’t be able to make progress by staying as we are.

RAFT is also a metaphor. Here’s a copy of the explanation:

When turbulent waters are bearing down fast, it’s very helpful to have a sturdy raft at hand.

The fifteen years from 2020 to 2035 could be the most turbulent of human history. Revolutions are gathering pace in four overlapping fields of technology: nanotech, biotech, infotech, and cognotech, or NBIC for short. In combination, these NBIC revolutions offer enormous new possibilities – enormous opportunities and enormous risks:…

Rapid technological change tends to provoke a turbulent social reaction. Old certainties fade. New winners arrive on the scene, flaunting their power, and upturning previous networks of relationships. Within the general public, a sense of alienation and disruption mingles with a sense of profound possibility. Fear and hope jostle each other. Whilst some social metrics indicate major progress, others indicate major setbacks. The claim “You’ve never had it so good” coexists with the counterclaim “It’s going to be worse than ever”. To add to the bewilderment, there seems to be lots of evidence confirming both views.

The greater the pace of change, the more intense the dislocation. Due to the increased scale, speed, and global nature of the ongoing NBIC revolutions, the disruptions that followed in the wake of previous industrial revolutions – seismic though they were – are likely to be dwarfed in comparison to what lies ahead.

Turbulent times require a space for shelter and reflection, clear navigational vision despite the mists of uncertainty, and a powerful engine for us to pursue our own direction, rather than just being carried along by forces outside our control. In short, turbulent times require a powerful “raft” – a roadmap to a future in which the extraordinary powers latent in NBIC technologies are used to raise humanity to new levels of flourishing, rather than driving us over some dreadful precipice.

The words just quoted come from the opening page of a short book that is envisioned to be published in January 2020. The chapters of this book are reworked versions of the scripts used in the recent “Technoprogressive roadmap” series of videos.

Over the next couple of weeks, all the chapters of this proposed book will be made available for review and comment:

  • As pages on the Transpolitica website, starting here
  • As shared Google documents, starting here, where comments and suggestions are welcome.

RAFT Cover 21

All being well, RAFT 2035 will also become a conference, held sometime around the middle of 2020.

You may note that, in that way that RAFT 2035 is presented to the world,

  • The word “transhumanist” has moved into the background – since that word tends to provoke many hostile reactions
  • The word “technoprogressive” also takes a backseat – since, again, that word has negative connotations in at least some circles.

If you like the basic idea of what’s being proposed, here’s how you can help:

  • Read some of the content that is already available, and provide comments
    • If you notice something that seems mistaken, or difficult to understand
    • If you think there is a gap that should be addressed
    • If you think there’s a better way to express something.

Thanks in anticipation!

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