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Rethinking the Role of Medicine

Rethinking the Role of Medicine. Stephen R Leeder The Menzies Centre for Health Policy The University of Sydney. The Gadugil people of the Eora nation. The Medical Foundation – 50 years. …an early desire to do Medicine. Insulin. “Sorry, no By-Pass” – RNSH 1970. The Genome.

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Rethinking the Role of Medicine

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  1. Rethinking the Role of Medicine Stephen R Leeder The Menzies Centre for Health Policy The University of Sydney

  2. The Gadugil people of the Eora nation

  3. The Medical Foundation – 50 years

  4. …an early desire to do Medicine

  5. Insulin

  6. “Sorry, no By-Pass” – RNSH 1970

  7. The Genome

  8. Neuroscience

  9. Nanotechnology

  10. Stem Cells

  11. Organ Regeneration Not this Possibly this

  12. …leagues under the sea

  13. MEDICINE PUBLIC HEALTH DOCTORING

  14. Doctoring • The foundational ethic: to relieve suffering and to save life (Faunce) • Lots of professionals can do bits of doctoring • The workforce crisis: it’s time to sort out who does what bits of doctoring (Gorman).

  15. MEDICINE PUBLIC HEALTH DOCTORING

  16. Medicine • Hi-tech enterprise, market-driven • Most advances depend on people other than medical doctors • Expensive.

  17. MEDICINE PUBLIC HEALTH DOCTORING

  18. Public Health and Prevention • Two courses of action – addressing individuals or addressing the population • The features of population-based approaches • “What is the cause of lung cancer in a population where everyone smokes?” • Individual versus population-based susceptibility • Both hi-risk individual and population-based approaches are needed to achieve health gain.

  19. The Future • The rise and rise of hi-tech medicine • The question of equity • The gains, and losses of exponential growth in productivity.

  20. Edward Jenner and Smallpox

  21. Alma Ata – Health for All

  22. The Eight Millennium Development Goals

  23. The Challenge • Accepting the great advances in medicine • Defining who will do what doctoring • Developing an understanding of public health • Recruiting beyond government – from academia, business and civil society • Seeking a public health ethic • Identifying lots of heroes!

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