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tragedy of easy problems

tragedy of easy problems. easy problems. easy problems. easy problems have solutions:. easy problems have solutions:. economically feasible technically effective logistically scalable. easy problems are everywhere:. cataract blindness diarrheal disease childhood vaccination

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tragedy of easy problems

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  1. tragedy of easy problems

  2. easy problems

  3. easy problems

  4. easy problems have solutions:

  5. easy problems have solutions: economically feasible technically effective logistically scalable

  6. easy problems are everywhere: cataract blindness diarrheal disease childhood vaccination and more…

  7. cataract blindness

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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 with an intraocular lens (IOL).

  14. An innovative model High throughput: Thousands of free surgeries performed High quality: Small Incision Cataract Surgery with IOL Low price: Cost per surgery is $15-$20 Sustainable: Paying patients subsidize costs for free patients

  15. 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

  16. Other easy problems A promising legacy: Smallpox, Rinderpest The next big things: Polio, guinea worm Seizing opportunities: Diarrheal disease Innovating to easy: Malaria

  17. Other easy problems A promising legacy: Smallpox, Rinderpest The next big things: Polio, guinea worm Seizing opportunities: Diarrheal disease Innovating to easy: Malaria

  18. Other easy problems A promising legacy: Smallpox, Rinderpest The next big things: Polio, guinea worm Seizing opportunities: Diarrheal disease Innovating to easy: Malaria

  19. Other easy problems A promising legacy: Smallpox, Rinderpest The next big things: Polio, guinea worm Seizing opportunities: Diarrheal disease Innovating to easy: Malaria

  20. Why do we fail to address easy problems? The perception problem The mission problem

  21. Doing what works: The incentive triangle opportunity • • • community’s desires worker’s desires

  22. What happens when we fail? My own venture, CatarACT International, failed. What did we learn?

  23. How do we succeed well and fail well? We have to get the most out of every stage.

  24. How do we succeed well and fail well? We can with a process- orientedapproach to identify new ideas and bring them to scale. We have to get the most out of every stage.

  25. How do we succeed well and fail well? A development research to action group. We have to get the most out of every stage.

  26. How do we succeed well and fail well? Think broadly. Realize specifically. Yield sustainably. We have to get the most out of every stage.

  27. Acknowledgements •Dr. V. Panneerselvam & Dr. Michael Gyasi •The whole CatarACT team, especially Yuna Rapoport, Nick Naroditski, Amar Vira, Ashwin Anandani, Yamei Liu, Chris Yim, Gokul Kumar, Hema Ramkumar, Tanay Dudhela, 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

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