How Ethics and Morals Bring Clarity to a Chaotic World

The terms “ethics” and “morals” are often used interchangeably, but there are important differences between the two. Ethics require a group consensus of some form, whether formal or informal, whereas morals is for the individual to decide. Of course, one impacts the other, with a sort of chicken-and-egg effect, and both have an enormous impact on how we approach difficult subjects and navigate complex problems. TEDMED 2018 Speakers Adam Waytz, Rabiaa El Garani, Sherry Johnson, and Suchitra Krishnan-Sarin are each tackling moral and ethical dilemmas and sharing their wisdom from the Stage this November. Whether through research or lived experience, these Speakers will share stories of exploring, grappling with, and resolving health-related moral and ethical dilemmas on both individual and societal levels.

Adam Waytz, a psychologist and associate professor at Northwestern University’s Kellogg School of Management, is interested in uncovering what motivates a whistle-blower, or a person who decides to come forward to report someone else’s unethical behavior. Adam and his colleagues have conducted research to discover the psychological determinants of whistle-blowing in order to shed light on the factors that either encourage or discourage a potential whistle-blower to come forward. Their findings revealed that there are two basic moral values at odds when someone decides whether or not they will speak out about an offense: fairness and loyalty. People who prioritize fairness over loyalty tend to show a greater willingness to be a whistleblower, while those who prioritize loyalty show more hesitation to speak out. Through his work, Adam is lending new insight into how the guiding principles of ethics and morals can vary so much from person to person and contribute to drastically different decisions.

There are some issues around which morality and ethics are seemingly clear-cut. For instance, Sexual and Gender Based Violence (SGBV) is widely recognized as a serious crime and human rights violation. Unfortunately, SGBV is still a common occurrence in far too many places in the world. As an international investigator of SGBV and a member of the Justice Rapid Response-UN Women SGBV Justice Experts Roster, Rabiaa El Garani has traveled to places that are experiencing deep moral and ethical conflict surrounding SGBV—including Syria, Iraq, Lebanon, and the Central African Republic. In the JRR-UN Women documentary Evidence of Hope, a survivor who shared her traumatic experiences with Rabiaa underscored the importance of Rabiaa’s SGBV investigative work, saying “After I met [her] I realized that there are some people in the world that care about us.” Rabiaa’s work is bringing justice to survivors of SGBV, voicing their stories, and laying the groundwork for a new code of ethics in parts of the world where SGBV is often ignored or even accepted. 

While SGBV is considered a crime in every state across America, many people would be surprised to learn that child marriage is not. Sherry Johnson is a survivor of child marriage who was forced to marry her rapist at age 11, and by age 27, she was a mother of 9. Today, Sherry advocates for the fair treatment of children and fights for the abolishment of child marriage in the United States. After spending the past several years lobbying the Florida legislature on the issue of child marriage, Sherry recently achieved a major victory with the signing of SB 140 into law, which restricts marriage in the state to those who are at least 17 years old. However, the fight is far from over—almost all states still have some legal variation for children to marry.  

Another ethical debate that concerns America’s young people surrounds the practice of vaping, which is the inhaling and exhaling of aerosol (also referred to as vapor) through an e-cigarette or similar device. Vaping and e-cigarettes were initially considered to be a less harmful alternative to smoking tobacco cigarettes, however recent studies have shown their effects to be much more deleterious than originally thought. Furthermore, with advertising that appears to target youth, candy-like flavors like mango and fruit medley, and devices that pack an alarmingly high nicotine content, the vaping industry has become the subject of extensive ethical scrutiny in recent years. Suchitra Krishnan-Sarin is a biobehavioral scientist and a professor of psychiatry at the Yale University School of Medicine whose research focuses on the bio-behavioral understanding of vaping and substance use behaviors in young people. By digging deeper into teen vaping behavior, Suchitra is uncovering important information that can be used by policymakers as they look to regulate the e-cigarette industry in an effort to help keep children away from the highly addictive and harmful habit.

From health and wellbeing to human rights and policy, we look to ethics and morals to help bring clarity to our often chaotic world. Although the lines between right and wrong may seem clear to many, such as in the cases of child marriage, SGBV, and teen vaping, the fact is, these are not universal truths. Furthermore, given the individualized psychology behind how we establish our morals, we may never be able to see eye to eye on some things. We’re excited to continue exploring the complexities of ethics, morality, science, and behavior from the Stage this year and to gain a deeper understanding of these concepts from TEDMED 2018 Speakers Adam, Rabiaa, Sherry, and Suchitra. We hope to see you there!

The Creative Potential of Data

When you think of the word “data,” what’s the first thing that comes to mind? Maybe statistics, graphs, or evidence? How about creativity? Probably not. In fact, many people think of creativity and data as polar opposites. However, what if that wasn’t necessarily the case? Just think about it: analyzing data requires imagination, finding hidden patterns, and translating information into relatable and digestible stories. Today’s Speaker Spotlight focuses on three TEDMED 2018 Speakers who are approaching data creatively and translating their findings to yield new insights in their areas of expertise. Whether it’s hacking the human genome, revealing how data informs behavior, or creating art from MRIs, these Speakers are telling fascinating stories through data in unique and exciting ways.

Data privacy is a hot topic today, but discussions of the issue are rarely focused on the importance of protecting our genetic data. However, genealogy expert Yaniv Erlich and his team made a shocking discovery when they found a privacy loophole that enabled the re-identification of allegedly anonymous male research participants using just internet searches and their Y chromosome. Dubbed the “Genome Hacker” by Nature, Yaniv’s work has pushed the science community to think about genealogy privacy from different angles and to find new ways to utilize our genetic data to inspire positive scientific progress. Yaniv is also responsible for assembling the world’s largest crowdsourced family tree, which includes information from 13 million people, as well as developing the website DNA.land, which has gathered the genotypes of over 100,000 individual donors. With this complex layering of data, Yaniv is paving a path toward establishing a digitized genetic connection between every human alive.

Yaniv Erlich- Whitehead Institute from PMWC Intl on Vimeo.

In today’s digital world, health data isn’t being used exclusively by doctors and scientists. There are apps, devices, and home tests that enable the anyone to collect, monitor, and track their personal health data. David Asch, a behavioral economist at the University of Pennsylvania, warns that we should not look to these “quantified self” datasets as primary drivers of health behavior change, but instead we should view them as promising facilitators. In a 2015 JAMA piece, Asch and his co-authors noted that while wearable health tracking devices “are increasing in popularity, little evidence suggests that they are bridging that gap” between simply “recording and reporting information about behaviors such as physical activity or sleep patterns” and actually “educat[ing] and motivat[ing] individuals toward better habits and better health.” By diving deeper into the realities of quantified self data outcomes, David is working to move past the hype and to communicate what is most effective in inspiring positive health changes.

Of course, gaining insight into our health often requires more intensive measures than self-tracking, and many people undergo diagnostic tests such as CT scans or MRIs to see what’s going on inside of their body. While many people find getting one of these tests to be an unsettling experience, artist Marilène Oliver finds beauty and opportunity in diagnostic scans. Inspired by Hans Moravec’s idea that the Digital Age could one day enable us to download our consciousness, Marilène took the concept one step further and asked, “what about our bodies?” Finding that this question couldn’t be answered solely in virtual sculptures or fully physical structures, Marilène now creates work that strives to bring digitized bodies to life. Marilène’s art not only spotlights new and explosive ways to interpret our medical data, but it also helps us to more deeply explore questions surrounding our health, wellbeing, and physical body.

Marilene Oliver. Portfolio of Selected Work 2003-2013 from Marilene Oliver on Vimeo.

Data collection and interpretation has become a dynamic and creative process. With the power of a search engine, a smartwatch, or a PET scan, we are now able to glean insights into health and medicine that were previously unimaginable. For Yaniv, David, and Marilène, data has been the fuel that helped them to establish important new connections and to reconsider how they think about health. By unleashing the creativity and possibility inherent in data, these three speakers are inspiring us to look at information in new ways and to answer the question: how will you think about data?

Policy @ Home: How are you going to change America’s health for the better?

Often when we think about public policy, we think about lawmakers. After all, they are the ones who can make the change. However, we have found time and time again that changing public health policy is not limited to those serving in government offices. For researchers, medical practitioners, and community members, what it takes to be a change maker is finding your answer to the question, “How are you going to change America’s health for the better?” Each of our Speaker’s in this week’s Speaker Spotlight have found unique answers to how they are impacting change in America and helping to build a healthier future. Whether it’s from the Senate Chambers or a research lab, each of these Speakers will share their vision for how public policy can create a healthier United States.

As the 20th Surgeon General of the United States, Vice Admiral Jerome Adams is faced with a monumental task: improving the health of the American people. Specifically, Dr. Adams is responsible for overseeing the operations of the U.S. Public Health Service Commissioned Corps and providing the public with the best scientific information available regarding how they can better their health and reduce their risk of injury and illness. Since he took office in 2017, Dr. Adams has had to confront major national public health issues ranging from opioids to hurricane relief effort to health and national security s, which he has approached from a science-first perspective. Additionally, Dr. Adams is focused on demonstrating the connection between health and economic prosperity at the individual, organizational, and community level. Dr. Adams believes in the power of forming non-traditional partnerships, such as with law enforcement and private businesses, to address America’s most difficult health challenges and build healthier communities.

Dr. Adams at the NIH

Affordable and accessible health care is an important piece of the policy puzzle, too. Irene Papanicolas is a health system performance analyst who asks the important question “Why is health care spending in the United States so much greater than in other high-income countries?” While many have asked that question before, Irene has examined the data behind several theories, finding that issues with the prices of labor and goods, as well as high administrative costs are the main drivers of the differences in spending. Her research, which digs deeper into the strengths, weaknesses, and intricacies of different health care systems around the globe, is providing policymakers with critical data and inspiring new ways of thinking about the future of the US healthcare system.

Sometimes, the most effective policies are already on the books. April Zeoli, an associate professor in the School of Criminal Justice at Michigan State University, has conducted extensive research on the association between laws addressing intimate partner violence (IPV), gun violence, and intimate partner homicide (IPH) rates. With her work, April digs into important questions such as what are “the risks of firearm access and use in IPV?” as well as what is the “effectiveness of interventions designed specifically to reduce firearm violence in intimate relationships”? Importantly, April has found that some states have policies that have proven to reduce instances of IPV and IPH — which have the potential to be adopted in other states as well.

Denisse Rojas’s work also has the potential to change policies in a major way. Denisse grew up as an undocumented immigrant and saw firsthand the issues that marginalized populations in the United States face when it comes to health care — experiences that have inspired Denisse to pursue a career in both medicine and public policy. In addition to her commitment to influencing immigration and health policy, Denisse is dedicated to helping other aspiring medical students navigate the DACA program through the organization she co-founded, Pre-Health Dreamers. With her educational fate in the hands of the government, Denisse is currently pursuing a Masters in Public Policy at Harvard Kennedy School in the hopes of influencing immigration policy, and its health impacts on undocumented people, for the better.

Denisse testifying to the Senate Judiciary Committee, October 2017

Whether it be research, advocacy, partnerships, or law, there are many ways to answer the question, “How are you going to change the health of Americans for the better?” Dr. Adams, Irene, April, and Denisse have all chosen different paths to address public health concerns in the US. Progress does not come without struggle, which each of these Speakers shed light on the incredible challenges we face as a nation, as well as individuals. However, their stories and research spark hope that there are clear ways to change policy to pave the way to a healthier future.

When Our Bodies Have the Solution

The human body is the beautiful coordination and collision of complex systems. While there are some systems that we understand on the deepest levels, other systems have continued to elude us. In the process of unlocking that knowledge of these elusive networks, researches have been able to find solutions to some of our most challenging problems. By amplifying the power of these systems within our bodies, scientists are finding ways to slay the dragons of paralysis and cancer. Coming to the TEDMED stage this November, we have 3 scientists who have found inspiration from within the human body to develop solutions that maximize the impact of the immune and musculoskeletal systems and developed life-changing therapies and technologies for their patients.

Since he was young, Tim Lu was interested in computer programming. He found a way to channel that talent into biology, where his research focuses on engineering bacterial and human cells to perform new functions. Considered one of the founding fathers of synthetic biology, Tim has been working with the Synthetic Biology Group at MIT on designing synthetic gene circuits that encode in DNA. These circuits can be designed to do many things, including distinguishing various cancer cells from non-cancerous cells. With concerns around growing resistance to traditional antibiotics, Tim has looked for inspiration within the body to research how to utilize a person’s immune system to attack the cells that do not belong using bacteriophages. Tim’s research has also focused on immunotherapies for a range of cancers, using synthetic gene circuits that activate when it detects two specific cancer markers. Manipulating the body from the inside out, Tim is leading the way through the synthetic biology revolution.

Also finding inspiration from the human immune system, Carl June designed the CAR T cell immunotherapy for lymphoid leukemia while leading the Center for Cellular Immunotherapies at the Perelman School of Medicine, and the Parker Institute for Cancer Immunotherapy at the University of Pennsylvania. This immunotherapy is the first FDA approved personalized cell therapy for cancer in the US. Carl weaved together his experience as a Navy-funded HIV researcher and his research experience studying cancer to develop the idea of using genetically engineered T cells. Using the body’s own immune system, Carl saw an opportunity for a modified HIV virus to deliver modified DNA to a tumor. While thinking outside the box, Carl dove deep inside of cells and is one of Time Magazine’s 100 Most Influential People of 2018. While the therapy is focused on specific types of leukemia, for now, this gives us hope that may more cancers will be able to be treated using similar therapies.

While Carl and Tim design therapies from the inside out , Kathleen O’Donnell has been designing solutions from the outside in. As an Industrial Designer at the Wyss Institute, Kathleen focuses her work on designing and programming a robotic exosuit to mitigate, or ultimately eliminate, challenges to mobility, such as the impact of partial paralysis caused by stroke. Through a robotic device attached to a patient’s lower limb, the exosuit allows for gait correction and prevents the development of maladaptive compensatory strategies, such as limping. As the team member leading the effort in getting this technology to a clinical setting, Kathleen is working with ReWalk Robotics to mass-produce the design for physical therapy clinics.

The human body is an extraordinary set of systems and has evolved to overcome nature’s most complex problems. Just like we look to optimize our systems to maximize our health, Carl, Tim, and Kathleen have found ways to support powerful systems in our body and guide them to perform in ways that can cure illnesses and impairments that were once thought impossible to overcome. The human body still holds many secrets, but we know that some of the solutions to our most difficult challenges lie within it.

Meet the 2018 Session Hosts

The countdown to TEDMED 2018 continues, and we’re thrilled to announce the personalities who will guide us through this year’s stage program: The 2018 Session Hosts.

These Hosts connect the stories and ideas shared by our speakers and help us navigate themes and relationships throughout the program. This week, we’re happy to introduce our Hosts below. Next week, we will announce the Sessions they’ll host, including the Speakers in each and the themes that tie them together, so keep an eye out!

All of our Hosts also helped shape this year’s program as a part of TEMDED’s Editorial Advisory Board (EAB). They, and other members from the EAB, are looking forward to meeting you in Palm Springs, CA. If you haven’t already registered, there’s still time – register today to join us at TEDMED!

We’ll reveal more about TEDMED 2018 each week as we count down to opening night – If you haven’t yet secured your spot at TEDMED 2018, don’t hesitate to do so today.

Q&A with Sian Leah Beilock, Performance Under Pressure Sage

Sian Leah Beilock is exploring the science behind why people “choke” in pressure-packed situations. Specifically, she examines factors in the brain and body that influence performance in stressful situations ranging from test taking, to public speaking, to sporting events. Using a variety of research methods, including assessing test performance to neuroimaging techniques, Sian’s work is aimed at better understanding how our cognition and reasoning skills change when we are under stress. Sian’s research is routinely covered in the media, including CNN, NPR, The New York Times, and The Wall Street Journal. In 2017, the National Academy of Sciences honored Sian with the Troland Award, in recognition of her pioneering work in experimental psychology. Sian has published two books and over 100 papers though her research. After serving as Executive Vice Provost of the University of Chicago, Sian was recently appointed as the eighth President of Barnard College. She spoke at TEDMED 2017, and you can watch her Talk here.


TEDMED: You were an athlete growing up, and in your talk you speak a lot about the pressures that athletes feel when it’s game time. How do you see athletic performance relating to the other types of performance pressures that people feel, such as those in the classroom or in the boardroom? Is there anything interesting to note in how these pressures are alike and how they’re different?

Sian Leah Beilock: I did spend a lot of time on the soccer field during my youth, and I learned, often the hard way, how the mental and the physical are linked. Later, as a scientist, I’ve studied this connection closely. Dealing with pressure is a universal. It doesn’t change, whether you have a golf club in your hand or a pencil. It’s the same. Accomplished athletes learn how to thrive when all eyes are on them—and by observing how they manage that and the strategies they use, we can learn a lot about how students survive the pressure of tests and how we can cope with other pressures of everyday life.

TM: In your Talk, you share how overthinking performance and trying to control the situation causes many people to flub under pressure. However, many people at the top of their fields are often considered to be “Type A” or even “control freaks.” It would seem that these people would suffer from what you call “paralysis by analysis,” and yet many seem to be thriving. How do you explain this seeming contradiction?

SLB: There is a time to focus on the details and a time to, as Nike regularly reminds us, “just do it.” When you are practicing and learning your craft, of course you have to pay close attention to the step-by-step process—that can be very important, even critical. But, my guess is, in the moment, when even the most Type A leaders excel, they are trusting their instincts and focusing on the outcome rather than the process. They are always keeping the big picture in mind.

TM: From practicing under the conditions you’ll be performing under to taking the time to write down all the worries and self-doubts circling around in your mind, your TEDMED Talk gave us some valuable strategies to employ when we’re looking to perform our best under pressure. We have a feeling that you have many more good tips, would you mind sharing a few more?

SLB: Well, here’s one tip that I try to use myself. Think about why you should succeed—rather than entertain the reasons why you might fail. I also recommend reinterpreting the signs that your body is giving you. Rather than your sweaty palms and increased heart beat being signs that you are freaking out, remind yourself that these physiological reactions are important and useful. They are shunting resources to your brain and body so that you can think and perform at your best.

TM: What was the TEDMED experience like for you? It would be especially interesting to learn more about how you prepared for the pressure of memorizing and presenting your Talk!

SLB: Believe me, I feel pressure like everyone else (maybe even more powerfully since that’s the crux of my research), but I also try to practice what I preach. Practicing— not just by yourself, but under the same conditions you are going to encounter when you perform—is what matters. It gets you used to what you are going to experience in the big moment. I talk about it as closing the gap between training and competition. I did this to prep for my TEDMED talk and it helped. I practiced on my own, but also in front of others—people I trust and whose opinions I value. I promise you it was nerve wracking every time, but it made the big day a little less daunting.

Growing up Healthy

Adolescence is a shared human experience full of transitions, experimentation, and growth. It is a rite of passage defined in many ways, whether through religious rituals or legal rights, at one of the most critical developmental stages in a person’s life. In society’s best effort to raise healthy kids, we’ve attempted to place structure around the process of “growing up”—we try to standardize the goals we set, achievements we reach, and skills we acquire. However, as adults continue to more closely and carefully usher adolescents into adulthood, we have to wonder: have we over-defined expectations? Are we interfering too much with the ultimate, shared experience of adolescence—learning how to shape your own identity?

Among the Speakers taking the Stage at TEDMED this November are four experts who have studied various facets of adolescence and how the expectations that today’s youth face—whether self-imposed, parental, peer, or cultural—can impact their mental health and their ability to adjust into healthy adults.

In 2017, the World Health Organization reported that young people around the world are suffering from serious depression and anxiety disorders at record rates—and the growth trend doesn’t appear to be slowing down. Thomas Curran, of the University of Bath’s Department for Health, has been studying the rise of perfectionism and how it might be contributing to these near-epidemic levels of serious mental illness among young people. In a longitudinal study, Thomas found an alarming increase in all dimensions of perfectionism among young people. He found that “socially prescribed perfectionism,” the area of perfectionism associated with excessively high social expectations and the dimension with the largest correlation to a variety of mental health issues, is growing at twice the rate of other dimensions. With his work, Thomas hopes to shed light on the burden of perfectionism and how we can help lessen the stresses felt by young people today.

Niobe Way, Professor of Developmental Psychology and the founder of the Project for the Advancement of Our Common Humanity at New York University, also studies the social pressures that many young people face and how it affects them. Niobe is particularly focused on young men and the detrimental impact of expecting boys to be less emotional and caring than their female counterparts. Through her research, Niobe found that stereotypically feminine traits, such as emotional openness, are necessary for boys’ health and well-being, and that we all share the very human desires for emotional intimacy and connection. Furthermore, her first-hand experience as a counselor at an urban public high school reinforced the importance of the need for connection among boys. As a counselor, Niobe saw the positive impact of listening to boys talk about their deeper feelings on friendships and relationships. This experience drove her to begin the research she continues today and to advocate for how to best support the development of healthy young men.

For youth developing and exploring their gender identity, there are many difficult questions to answer. Unfortunately, society often forces young people to live in a binary male/female world where not everyone feels that they belong. sj Miller’s work centers on how these binary norms can be harmful to a person’s mental health and how in today’s evolving culture, we must work to adopt an inclusive way of defining (a)gender. As a professor and consultant on professional development for teaching, affirming, and recognizing trans*+ and gender creative/expansive students, sj helps to expand how we think about gender, our relationship to our own (a)gender identity, and how we can best support adolescents in accepting their own identity. Using schools as a primary vehicle for creating safe spaces for trans*+ and gender creative/expansive students, sj’s research illuminates a path toward broad social change and a society that is more accepting of all people.

Adolescence is also a time where many people begin to explore their sexuality. And while many adults today are taking an increasingly hands-on approach in guiding their children through the various challenges of adolescence, the topic of sex remains a difficult conversation for many families to have. In the absence of sufficient information on the subject, Emily F. Rothman, a public health scholar and professor at Boston University, has found that youth are turning to pornography to learn about sex. Emily is adamant that if young people are going to watch pornography as an educational tool, then they must be able to watch it as critical thinkers, not passive consumers. Furthermore, Emily argues that it’s important to help teens become pornography literate—capable of analyzing what is healthy and what is not in consensual sexual interaction—so that they can have genuine conversations about their views of sex and pornography. Having written a pornography literacy curriculum that is being implemented in several after school programs in Boston – and soon to be implemented in programs around the country as well – Emily and her team are now working to find the best ways to help young people think critically about sexual interactions, with the intention of reducing the potential for dating violence and abuse in their relationships.

Adolescence is a period of simultaneous Chaos+Clarity, where individuals break down their identity and rebuild it over and over again. While this developmental period is fraught with the challenges inherent in any transition, today’s youth face an especially complicated set of issues and pressures. As we learn more about the work of 2018 TEDMED Speakers Thomas, Niobe, sj, and Emily, we come to see that keeping non-judgemental communications lines open with young people is one of the best ways to support them through this difficult time in their life. After all, adolescence isn’t meant to be perfect. Instead, it should be a time where burgeoning young people are encouraged to ask questions, make mistakes, and learn to deal with life’s struggles in a way that helps to prepare them to become happy, healthy, well-adjusted adults.

Looking Forward to TEDMED with The Editorial Advisory Board

The 2018 TEDMED Editorial Advisory Board (EAB) consists of 20 diverse, impressive and creative individuals who have played an important role in helping to identify the topics, themes, Speakers and Innovators that will make up the TEDMED program this year. You’ll see each of them throughout the 2.5 days of TEDMED. Whether they’re hosting a Session, moderating a Meetup Discussion, participating in Partner events, watching a TEDMED Talk, or hanging out at evening celebrations, the members of the EAB are invaluable members of the TEDMED Community and will help create the tapestry of TEDMED 2018.

Given their unique role in helping to shape the TEDMED program, we wanted to know what they’re excited to experience at TEDMED this year and which speakers they are looking forward to meeting.

Below are some of their responses – and we want to hear from you as well. Tag us in your responses on Twitter (@TEDMED), and on Facebook and Instagram (@TEDMEDcommunity).  

And, if you aren’t yet registered to join the EAB and the rest of the delegation at TEDMED 2018, make sure to do so today! Space is limited!


Which speaker(s) are you excited to see and why?

Roxanne Khamsi:
“I’m really looking forward to meeting as many of the speakers as possible, including Mathias Basner, because I live in the not-very-quiet city of New York and am fascinated by his research into the effects of noise from traffic. And Elizabeth Howell, because I am curious to learn more about how what we can do to address disparities in the quality of healthcare that people receive. ”

Sara Gorman:
“I’m most excited to meet Niobe Way because I think she’s a wealth of knowledge on adolescent development, a topic that continues to be elusive to many researchers and scientists but has become increasingly important in the wake of heightened adolescent mental health issues in recent years.”

Udaya Patnaik:
“I’m super-psyched to hear Jason Shepherd talking about his work on memory, synaptic plasticity and how our brains encode information.”

 

Adam Goulburn:
Carl June who is engineering our own immune system to cure the incurable”

 

 

Lucy Kalanithi:
Yoko Sen! Anyone who’s ever set foot in a hospital can see (hear!) why her work matters.”

 

 

Kafui Dzirasa:
“The National Academic of Medicine and American Association of Medical Colleges has raised alarm regarding the paucity of black men in medicine. The Nation’s chief physician, Jerome Adams, is an African American man. I am excited to discover how his background and personal experiences have shaped his unique perspectives on the nation’s health crises including the opioid epidemic and addiction.”

 

Giles Newton:
“Most excited to meet and hear from Queen Dube, and learning how she is changing the life and health of mothers and children in Malawi.”

 


What are you most excited for at TEDMED 2018, and why?

Roxanne Khamsi:
There is nothing better than having an espresso with a speaker who just blew your mind with new data and new analysis. You have an opportunity to ask questions that you didn’t even think to ponder before attending TEDMED.”

 

Harith Rajagopalan:
I am super excited to meet the innovators in The Hive and get a chance to hear about the exciting opportunities they are chasing.”

 

Alicia Jackson:
I am most excited about the interactions and conversations among and between the amazing researchers and visionaries at TEDMED and the new Ideas, collaborations, and projects that will inevitably emerge, grow, and impact the world – all from this single point.”

 

Jeff Karp:
“I am most excited about the energy and passion in the room! It’s totally infectious and so wonderful to connect with the movers and shakers in healthcare and hear lots of different perspectives.”

What Does Chaos+Clarity Mean to You?

 

At TEDMED this year, we are excited to explore the power of the interplay between Chaos and Clarity. Typically, clarity is thought to emerge from chaos, but we see chaos and clarity as symbionts, two expressions of the same force that propel us toward new discovery. Sometimes clarity is hidden inside of chaos, waiting to be discovered. Other times, the clearest of solutions can yield a chaos of new questions requiring new investigation.

The relationship between chaos and clarity is different in each of our lives, and we want to know how the TEDMED Community experiences this relationship. That’s why we’re asking each of our Partners, Speakers, Innovators, Delegates, and our entire community, to finish the following “equation”:

“To me, Chaos+Clarity=_____________.”

To help everyone connect with the theme, we’re asking a few warmup questions:

  • How has the interplay between Chaos+Clarity inspired you and your work?
  • What are you most clear about? What in your life is chaotic?
  • Where do you experience chaos and clarity the most?
  • How would you describe the relationship between Chaos+Clarity?

And, we kicked things off by reaching out to members of our 2018 Editorial Advisory Board (EAB), to see what chaos+clarity means to them. You can see what some had to say below.

Now, we want to hear from you!
Complete the Chaos+Clarity equation and tag us on Twitter (@TEDMED), and on Facebook and Instagram (@TEDMEDcommunity). Be creative – there’s no right or wrong answer to this equation (and good news, you don’t even have to show your work). Don’t forget to use #TEDMED!


Adam Goulburn:
Chaos+Clarity=  “The tension that drives progress and innovation.”


Alicia Jackson:
Chaos+Clarity=  “New insights to propel humanity forward.”

Giles Newton:
Chaos+Clarity=  “Hearing that one idea that makes you sit up and go ‘wow’!”

Harith Rajagopalan:
Chaos+Clarity=  “Superior understanding of complex problems.”

Jeff Karp:
Chaos+Clarity=  “My Life.”


Kafui Dzirasa:
Chaos+Clarity=  “Passion*Purpose^2/Time”


Lucy Kalanithi:
Chaos+Clarity=  “Parenting a 4-year-old.”


Nadja Oertelt:
Chaos+Clarity=  “Integrating the complexity of big healthcare problems into pragmatic solutions, not denying it.”

Roxanne Khamsi
Chaos+Clarity= “The duality that medicine can be simple and complex at the same time.”

Sara Gorman:
Chaos+Clarity=  “The necessary, sometimes maddening process of researching and learning new things in science and health.”

Udaya Patnaik:
Chaos+Clarity=  “The recipe for innovation! Swim in the Chaos (data, noise, seemingly irrelevant ephemera, and positively weird phenomena) to find Clarity (inspiration, order, patterns, insight, understanding, and meaning).”

 

We look forward to seeing you soon in Palm Springs, CA. If you plan on joining us, be sure to register soon, time is running out!

In States Considering Medicaid Expansion: Ignore the Myths and Look to the Evidence

Heidi Allen studies the impact of health and social policies on the well-being of low-income families. She was a leading investigator on the landmark Oregon Health Insurance Experiment—the first randomized study in the United States to evaluate the impacts of a Medicaid health insurance expansion on uninsured adults. Currently, Heidi is an Associate Professor in the School of Social Work at Columbia University, where she teaches courses on health policy and advanced policy practice. Heidi spoke at TEDMED 2017, and you can watch her Talk here.


In my TEDMED talk, I shared my personal experience of a family member who was diagnosed with stage IV cancer while uninsured. By the time my sister was diagnosed, the cancer was no longer treatable. I’m a professor at Columbia University who has studied U.S. health policy for the past decade, and even I had no idea how to help Rachel navigate the end of her life without health insurance. She died in a matter of weeks, which left us all stunned and devastated, but also spared her family the financial difficulties and subsequent access barriers that we inevitably would have encountered had she been given treatment options or required hospice.

Heidi and her sister, Rachel

I didn’t share my story because it was unique; I shared it because there are still millions of Americans who love someone who is uninsured or are themselves uninsured. In 2014, the Affordable Care Act (ACA) offered states the opportunity, and significant federal funding, to expand Medicaid to their uninsured poor. Yet many states have chosen not to do that, including Idaho, where my sister lived. The politics around the ACA – or “Obamacare”, as it is often called – are undeniable and complicated, but much of the policy debate still centers on the worthiness of either Medicaid or the uninsured poor. Whether society is obligated to care for the health needs of the uninsured is for many a moral consideration, but research can and should be used to help evaluate the costs and benefits of expanding Medicaid. Some of this research runs contrary to prevalent Medicaid myths that have been shaping the debate.

At TEDMED, I discussed these myths in the context of research findings from one of the most rigorous studies of Medicaid to date, the Oregon Health Insurance Experiment. The unique experimental design of the study allowed us to examine the impacts of Medicaid while ruling out confounding factors burdening many other Medicaid studies. Put simply, we were able to make causal statements about Medicaid outcomes rather than describing associations or having to compare groups that aren’t easily comparable.

One of the most insidious myths out there is that Medicaid does not provide much benefit beyond what is already accessible to the poor through the social safety net. George W. Bush once asserted that everybody in the U.S. has access to health care because emergency departments are required to provide it. There are elements of truth to this argument – indeed, it was in the emergency department where my sister learned she had tumors in her lungs. But emergency departments are there to assess and stabilize patients, not to provide the continuum of needed health care services. To access these health care services, you need health insurance, or a good amount of disposable wealth. The Oregon Experiment found that compared to the uninsured, those who gained Medicaid through a health insurance lottery had improved access to all types of health care (inpatient, outpatient, and prescriptions); rated care they received of higher quality; had better self-reported physical and mental health; and saw improvement in their family finances.

A recent systematic review of the post-ACA research literature reinforces these conclusions about the Medicaid program, particularly related to how Medicaid improves access to care.

Other recent studies have found that Medicaid expansion increases access to benefits for substance-use disorder treatments, which is vital to addressing the current opioid epidemic. And another study found that Medicaid expansion reduced the use of payday loans in California, further supporting the case that Medicaid provides meaningful financial security, not just health security. In sum, the evidence is abundant and trustworthy that for low-income people, having Medicaid provides tangible benefits well beyond those available through the health care safety net.

This November, through ballot initiatives, voters in Idaho and Utah will get to decide the issue of Medicaid expansion for themselves. I hope my TEDMED Talk will contribute to a more meaningful discussion of what Medicaid expansion would mean.