tragedy of easy problems
-
Upload
timothy-davidson -
Category
Documents
-
view
54 -
download
0
description
Transcript of tragedy of easy problems
![Page 1: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/1.jpg)
tragedy of easy problems
![Page 2: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/2.jpg)
easy problems
![Page 3: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/3.jpg)
easy problems
![Page 4: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/4.jpg)
easy problems have solutions:
![Page 5: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/5.jpg)
easy problems have solutions:
economically feasibletechnically effectivelogistically scalable
![Page 6: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/6.jpg)
easy problems are everywhere:
cataract blindnessdiarrheal diseasechildhood vaccinationand more…
![Page 7: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/7.jpg)
cataract blindness
![Page 8: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/8.jpg)
cataract blindness
Nearly 40 million people in the world are blind.
Cataracts are the world’s leading cause of blindness, affecting almost 20 million people.
The backlog is growing.
![Page 9: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/9.jpg)
cataract blindness
Nearly 40 million people in the world are blind.
Cataracts are the world’s leading cause of blindness, affecting almost 20 million people.
The backlog is growing.
![Page 10: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/10.jpg)
cataract blindness
Nearly 40 million people in the world are blind.
Cataracts are the world’s leading cause of blindness, affecting almost 20 million people.
The backlog is growing.
![Page 11: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/11.jpg)
cataract blindness
Nearly 40 million people in the world are blind.
Cataracts are the world’s leading cause of blindness, affecting almost 20 million people.
The backlog is growing.
![Page 12: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/12.jpg)
cataract blindness
Nearly 40 million people in the world are blind.
Cataracts are the world’s leading cause of blindness, affecting almost 20 million people.
The backlog is growing.
There is a fast, cheap, and highly successful surgery.
![Page 13: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/13.jpg)
But what are cataracts?
A cataract is an opacification of the eye’s lens that causes blindness.
It is treated by the removal of the lens and replacement withan intraocular lens (IOL).
![Page 14: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/14.jpg)
An innovative model
High throughput: Thousands of free surgeries performedHigh quality:Small Incision Cataract Surgery with IOLLow price:Cost per surgery is $15-$20Sustainable:Paying patients subsidize costs for free patients
![Page 15: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/15.jpg)
A little history
This model was pioneered by Govindappa Venkataswamy at the Aravind Eye Hospital
Emerged from the eye camps run by South Indian ophthalmologists
Sought to bring to eye care what McDonald’s brought to hamburgers: Scale, efficiency
QuickTime™ and a decompressor
are needed to see this picture.
![Page 16: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/16.jpg)
Other easy problems
A promising legacy: Smallpox, Rinderpest
The next big things: Polio, guinea worm
Seizing opportunities: Diarrheal disease
Innovating to easy: Malaria
QuickTime™ and a decompressor
are needed to see this picture.
QuickTime™ and a decompressor
are needed to see this picture.
![Page 17: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/17.jpg)
Other easy problems
A promising legacy: Smallpox, Rinderpest
The next big things: Polio, guinea worm
Seizing opportunities: Diarrheal disease
Innovating to easy: Malaria
QuickTime™ and a decompressor
are needed to see this picture.
QuickTime™ and a decompressor
are needed to see this picture.
![Page 18: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/18.jpg)
Other easy problems
A promising legacy: Smallpox, Rinderpest
The next big things: Polio, guinea worm
Seizing opportunities: Diarrheal disease
Innovating to easy: Malaria
QuickTime™ and a decompressor
are needed to see this picture.
QuickTime™ and a decompressor
are needed to see this picture.
![Page 19: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/19.jpg)
Other easy problems
A promising legacy: Smallpox, Rinderpest
The next big things: Polio, guinea worm
Seizing opportunities: Diarrheal disease
Innovating to easy: Malaria
QuickTime™ and a decompressor
are needed to see this picture.
QuickTime™ and a decompressor
are needed to see this picture.
![Page 20: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/20.jpg)
Why do we fail to address easy problems?
The perception problem
The mission problem
![Page 21: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/21.jpg)
Doing what works: The incentive triangle
community’s desires worker’s desires
opportunity
•
•
•
![Page 22: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/22.jpg)
What happens when we fail?
My own venture, CatarACT International, failed.
What did we learn?
![Page 23: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/23.jpg)
How do we succeed well and fail well?
We have to get the most out of every stage.
![Page 24: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/24.jpg)
How do we succeed well and fail well?
We have to get the most out of every stage.
We can with a process- oriented approach to identify new ideas and bringthem to scale.
![Page 25: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/25.jpg)
How do we succeed well and fail well?
We have to get the most out of every stage.
A development research to action group.
![Page 26: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/26.jpg)
How do we succeed well and fail well?
We have to get the most out of every stage.
Think broadly.Realize specifically.Yield sustainably.
![Page 27: tragedy of easy problems](https://reader035.fdocuments.us/reader035/viewer/2022062408/5681371d550346895d9ea9ee/html5/thumbnails/27.jpg)
Acknowledgements
•Dr. V. Panneerselvam & Dr. Michael Gyasi•The whole CatarACT team, especially Yuna Rapoport,Nick Naroditski, Amar Vira, Ashwin Anandani, YameiLiu, Chris Yim, Gokul Kumar, Hema Ramkumar, TanayDudhela, and Neha Malhotra.•Shivan Sivakumar•Leila Wilmers (TRYcycle)
Personal funding:•Northwestern University Medical Scientist Training Program•Fulbright Scholarship•St John’s College, Cambridge, Benefactors Scholarship
CatarACT funding:•Northwestern University and private donors