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Science and charity: the
purpose of medicine and
the meaning of health
Richard Horton
The Lancet
December 12, 2014
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“I think I have
found out the
simple way by
which species
become exquisitely
adapted to various
ends.”
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“Man in the distant future will be a
far more perfect creature then he
now is.”
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“And fast by hanging in a golden chain
This pendent world.”
Book ll, Paradise Lost
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“I think the odds are
no better than 50/50
that our present
civilisation will
survive to the end of
the present century.”
Our Final Century (2003)
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DOES HUMAN HEALTH
HAVE A FUTURE?
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The Great Divergence
“Humanity’s escape
from death and
deprivation began
around 250 years
ago.”
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PRECONDITIONS
Corruption
Incompetence
Insecurity
Degradation
Poverty
Invasion
ECONOMIC
DECLINE
Economic
Crisis
INITIAL
BREAKDOWN
Conflict
Privatisation
Disease
Decline
Depopulation
INSTABILITY
ADVANCED
BREAKDOWN
Fracture
Civil war
Social chaos
Famine
Fragmentation
COLLAPSE
RESILIENCE/
ADAPTATION
Vision
Solidarity
Transformation
STABILISATION
RECONSTITUTION
Recovery
Cultural memory
New Beliefs
RECONSTRUCTION
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SUSTAINABILITY
RESILIENCE
Food
Security
Economic
Systems
Disease
Political
systems
CivilisationsExtreme
Events
Water
Population
Social
stability
Peace
Physical
Systems
Human
Systems
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“See with what heat these dogs of hell
advance
To waste and havoc yonder world, which I
So fair and good created, and had still
Kept in that state, had not the folly of man
Let in these wasteful furies…”
John Milton, Paradise Lost (Book 10)
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GLOBAL HEALTH
GLOBAL SCIENCE
GLOBAL SOCIETY
GLOBAL SOLIDARITY
GLOBAL SUSTAINABILITY
GLOBAL IDENTITY
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