Fall 2025
A few decades ago, innovation in medicine used to mean a new pill, a new machine, or a new surgical technique. Today, it means a generative artificial intelligence (AI) chatbot that helps to prevent depression, a smartwatch that catches atrial fibrillation to save lives, or a genetic test so easy to use that it can be taken in the privacy of a patient’s home. What we call “medical innovation” has undergone radical changes, and with that comes new challenges: Policies, regulations, guidelines, and, even more importantly, our culture and understanding must change with it so that we can enjoy the benefits of the future of health care.
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Modern medicine can image a perforation in your intestine with millimeter precision. But getting someone to tell you it’s there? That takes hours. Sometimes until morning.
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It was the beginning of a long, difficult day in July 2012. I had left my home in Kenya before the sun rose that morning. My team and I had traveled for hours along dark, dusty roads until they gave out, and we rumbled across fields to reach the small village where we were setting up a temporary eye clinic.
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This year, more than 2 million Americans will hear the words "you have cancer." That's 5,500 people each day—about one every 15 seconds. And as upsetting as that phrase might be, even more distressing is the word that often comes next: chemotherapy.
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In 1854, hundreds of people in London’s Soho neighborhood were dying from cholera. At the time, no one knew what caused the disease, but a public health pioneer named John Snow suspected it was in the water. He painstakingly collected and mapped data from people who had become ill and discovered the source: a water pump on Broadwick Street. The city removed the pump’s handle, the outbreak dissipated, and epidemiology—the study of how diseases originate and spread—was born.
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