The 20 Great Challenges of Health and Medicine

3_role_of_the_patient.jpg The Role of the Patient

The Role of the Patient

Patient empowerment can be a double-edged sword. From hospitals and insurance companies to doctors and patients themselves, much of the medical system increasingly treats patients as “customers” or “consumers,” terms that some people love and others hate. If patients are customers, does that mean “the customer is king” or does it mean “buyer beware” — or both?  

If patients retain their traditional role, does that mean doctors are in charge? Are both in charge somehow? How is “power” shared among all stakeholders and how should it be shared?

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8_reducing_childhood_obesity_1.jpg Reducing Childhood Obesity

Reducing Childhood Obesity

The challenge of childhood obesity is significantly different, some argue, from the challenge of adult obesity. Children don’t have the power over their lives, decisions, and lifestyles that adults have (parents and adults make many decisions for them and have the power to enforce certain behaviors).

Social institutions have more impact on kids than on adults (like church, YMCA, and especially school — including school lunch programs, mandatory gym classes, possible nutritional education, etc.).

Finally, there is the fact that kids are less set in their ways than adults, so it’s easier to change their behaviors and teach them new concepts. The number of obese children has just passed 17% and continues to grow. What is the full range of underlying causes for this trend and which combined causes are chiefly responsible?

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5.jpg Achieving Medical Innovation

Achieving Medical Innovation

New medical tests, treatments and devices are often very expensive when first introduced. Eventually, market forces bring the prices down. However, since most patients don’t pay for healthcare out of their own pockets, they don’t want to wait.

Patients disproportionately demand the latest, best medical products and services immediately — often, even if the demanded good is of marginal relevance to their condition. Leaving out questions of universal access and rationing, how can we make more medical innovations more affordable, more quickly, for more people?

Which proven strategies from Silicon Valley, the Moon landings, the Manhattan Project or other successful models could be applied effectively to achieving faster, yet less costly innovation in health and medicine?

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18_healthcare_cost_1.jpg Addressing Healthcare Costs

Addressing Healthcare Costs

The U.S. remains locked in a decades-long controversy over how citizens should pay for healthcare, what healthcare should cost, who should pay, how much, and what incentives, if any, should be “paid” to patients who stay well (or try to).

How do we foster a thoughtful, civil dialog that focuses on science and the public interest, in a way that has a reasonable chance of eventually creating an approach we can all support?

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12_impact_of_poverty_1.jpg Impact of Poverty on Health

Impact of Poverty on Health

The 46.5 million Americans who live in poverty are measurably less healthy and have far worse health outcomes than the rest of the population. Less certain is how much of these negative health outcomes are directly caused by poverty and how much is caused by other factors.

America would be better off if everyone were healthy, regardless of income — especially since government programs cover some of these costs directly. How should we think about the role and impact of poverty within the larger question of health?

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9_making_prevention_popular_1.jpg Making Prevention Popular

Making Prevention Popular

America spends $2.8 trillion a year on healthcare — mostly treating people after they become sick. How can we unlock prevention as a trillion-dollar business in America so we spend less on “sick care” and get Americans to “buy” healthy lifestyles?

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2.jpg The Caregiver Crisis

The Caregiver Crisis

An estimated 44 million people provide full-time or part-time care for the elderly, disabled veterans, new mothers, the injured, the sick, etc. — a problem that eventually impacts everyone in the nation.

Caregivers have few tools, few support systems and receive minimal, if any, training for these responsibilities. What innovations can we develop specifically to support the caregiver community?

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6.jpg Managing Chronic Diseases

Managing Chronic Diseases

Chronic disease is America’s leading cause of premature death and disability. Heart disease, cancer, respiratory illness and certain others are among the most costly and common health problems, yet they are often among the most easily prevented and controlled.

How can we innovate better approaches to help patients prevent, manage and treat their chronic diseases and achieve better outcomes?

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13_best_practices_1.jpg Faster Adoption of Best Practices

Faster Adoption of Best Practices

Best Practices Medical progress only occasionally depends on double blind, placebo-controlled studies. Most healthcare improvements come through small, incremental steps across tens of thousands of surgeries, procedures and protocols — from a better way to take a temperature to a better stitch or a better way to ask a question in the ER. But most of these improvements are not captured, shared and replicated across the healthcare system.

Even when best practices are identified and publicized, many providers seem slow to adopt them. What can we do to capture millions of improvements per year and make best practices available to benefit many more providers and patients?

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10_end_of_life_care_1.jpg End-of-life Care

End-of-life Care

Modern medicine has extended the life expectancies of many terminally ill Americans. In turn, prolonging lives can mean incurring more intensive care and the associated costs.

In 2010, Medicare paid $55 billion for doctor and hospital bills during the last two months of patients’ lives. Quality end-of-life care requires balancing the input of doctors, families and patients themselves. And making crucial end-of-life decisions can take physical and emotional tolls on patients and their loved ones.

How should we help people manage end-of-life care choices to maximize individual well-being and minimize social cost?

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7_improving_medical_communication_1.jpg Medical Communication

Medical Communication

Physicians are not typically trained in interpersonal communications and are not rewarded based on their communication skills.

Equally important, patients are often intimidated when talking to doctors and often feel they don’t have a receptive audience, especially when doctors are rushed. What can be done about this on both sides of the challenge (patients and doctors) — including possible initiatives in areas ranging from education to technology, to possible changes in the physical workspace? How do we make this issue a priority?

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4.jpg The Obesity Crisis

The Obesity Crisis

In 40 years, the U.S. population has gone from 40% overweight to 68% overweight. Half of American adults are dangerously obese, leading to many chronic conditions and deadly (and expensive) diseases.

Scientists and doctors generally agree the obesity epidemic is behavioral in nature (not the result of a pathogen).

The key drivers are our choices of food and activity, but multiple additional factors also play a role — from family dynamics to cultural roots, stress, economics, lifestyle and many more. Unlike smoking or drinking, eating is not optional. How can Americans move to healthier lifestyles — or, if we can’t change these trends, how can the healthcare system cope with the results?

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16_active_lifestyles_1.jpg Promoting Active Lifestyles

Promoting Active Lifestyles

There is no disagreement that people who are more active have dramatically better overall health. Yet today’s average American adult burns 500 fewer calories per day than farmers and factory workers did 100 years ago — while consuming many more calories.

How do we invent broadly popular and achievable ways for people to become more active, so as to replace those “lost” energy expenditures?

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1_inventing_wellness_programs_1.jpg Inventing Wellness Programs

Inventing Wellness Programs

From corporate America to the U.S. government and its armed forces, small businesses and even religious and educational institutions, many large-scale organizations have a strong economic motive to encourage their workforces to adopt healthier lifestyles (worker wellness means lower insurance rates for employers).

Many organizations have discovered elements that support worker wellness to some degree, but no group has put it all together for large scale, long-term success. Compounding this problem is a disagreement over the relative responsibility of the individual versus the responsibility of the organization for employee health (with issues ranging from workplace environment and stress, to on-the-job support for healthy lifestyles—or the lack of such support).

What kinds of innovation should we be thinking about and how can we encourage them to come to market as soon as possible?

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15_personalized_medicine.jpg Future of Personalized Medicine

Future of Personalized Medicine

Science is harvesting more and more information about the human population, and individual patients specifically. Medicine is understanding the roles of genomics and the environment in a patient’s medical history. Yet translating this data to practice has proved difficult. The fundamental question for a physician is still: will this treatment work for my patient?

How can the wealth of medical information be factored into patient medical records and into everyday care — more quickly, more usefully and more completely?

How can insights into individual patients — gleaned from in vitro and in vivo diagnostic tests — allow us to zero in on targeted therapies?

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14_coping_with_stress.jpg Impact of Stress

Impact of Stress

Tranquilizers, antidepressants, sleeping pills and antianxiety medications exceed 33% of annual U.S. prescriptions. Unhealthy levels of stress are far more prevalent than most people recognize, and stress contributes to many other mental and physical health problems.

Given that stress is difficult to quantify and varies from person to person, how do we better understand the role of stress in the larger picture of health?

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17_dementia_tsunami_1.jpg Preparing for Dementia

Preparing for Dementia

It’s no secret that mental health tends to decline as we age (Alzheimer’s, dementia, etc). Some is natural cognitive decline; some is disease with severe cognitive impairment due to diseases associated almost entirely with aging.

By 2020 there will be 43 million Americans over 65 and 15 million over 85 (double the figures of 1980). Almost certainly, we are facing an unprecedented number of mentally impaired citizens.

Hope for cures is not a strategy. What should we be doing to prepare to meet the needs of tens of millions of mentally impaired older citizens?

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19_whole_patient_care_1.jpg Whole-Patient Care

Whole-Patient Care

Regardless of patients’ roles in their own healthcare, there will always be questions about how doctors should approach medical problems — by focusing more on the symptoms and disease, or on the patient who has them?

Most doctors specialize due to a variety of pressures and incentives from economic and technological to social, professional and educational. The number of medical specialists (and specialties) continues to grow while the number of primary care physicians continues to shrink.

In the process, the goal of fitting all these specialties together for effective whole-patient care becomes ever more elusive. How can we treat the whole patient rather than the disease?

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11_sleep_deprevation.jpg Causes of Sleep Deprivation

Causes of Sleep Deprivation

While sleeping too few hours each night can have serious health consequences, we now know that better sleep is a tool that can be applied to many other Great Challenges of health and medicine. More and better quality sleep can fight obesity, help reduce medical errors, improve outcomes for the chronically ill, help special needs children cope better in society, fight stress, etc.

Sleep fights an uphill battle as American society seems to conspire against it.  Children set off for school at dawn. Tough financial times push cash-strapped workers to take multiple jobs. Shift work conflicts with the body’s natural clock. Type A personalities push themselves to work long hours and take redeye flights. Undiagnosed sleep apnea is rampant. Med students work 30-hour shifts with no sleep. Teenagers text into the night.

What is the full range of causes (social, medical, technological, economic, etc.) that engender and promote this widespread problem? What are the first-order and second-order effects, and beyond, of sleep deprivation? What would it take, and what would it mean, for America to view sleep as the third pillar of total health, alongside diet and exercise?

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20.jpg Eliminating Medical Errors

Eliminating Medical Errors

All humans make mistakes. Doctors and nurses are human; they make mistakes. All systems are imperfect. Medical professionals use systems.

Errors by medical professionals and systems are inevitable (unfortunately, they send 2.4 million patients to hospitals yearly and are directly linked to 200,000 annual fatalities). Regardless of methods used to detect, prove and compensate for medical errors, how much better can we do in reducing or eliminating medical errors and what areas should we focus on to get the best improvements?

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The Great Challenges of Health and Medicine are complex, persistent problems that have medical and non-medical causes, impact millions of lives, and affect the well-being of all of America – beginning with patients, and extending to families and citizens everywhere.

These knotty problems are not susceptible to simple cures, magic bullets or “one-size-fits-all” solutions because they stem from broad, interlocking social, economic and psychological sources as well as from medical or scientific triggers. What’s more, each challenge creates multiple, overlapping effects that may cut across all sectors of society.

The mission of TEDMED’s Great Challenges Program is not to solve these complex problems. Instead, we propose to provide America and the world with an unbiased and broadly inclusive view of these challenges, incorporating thoughtful, multidisciplinary perspectives.

TEDMED believes that through an open, ongoing dialog with our intellectually diverse community, we can move toward a broad-based understanding of each challenge. Such an understanding can, in turn, set the stage for truly effective action.

The Great Challenges Program encourages everyone’s input. Doctors, scientists and researchers, of course – also technology innovators, business and government leaders, patients, legal experts, representatives of the armed forces, and the media. Quite simply, if you have a stake to protect…an idea to contribute…or a cause to promote, we want to hear from you!

To learn more about how the program works, click here.

How the Program Works

For the coming year, the Great Challenges Program will conduct a lively national dialogue on 20 challenges chosen by the TEDMED community. For each challenge, we have assembled a different Challenge Team, consisting of a multi-disciplinary group of leaders in their fields, each of whom brings a passionate and thoughtful perspective.

Conversations among Challenge Teams will take place through next March on and during a series of live web-based sessions. TEDMED community members are encouraged to add their voices and unique points of view. You can participate by posting comments and follow-up questions, engaging in real-time, multi-disciplinary dialog with all members of a Challenge Team as well as other members of the TEDMED community.

Ultimately, success of the Great Challenges Program will be defined by lively, far-reaching and meaningful discussions that lead to deeper understanding of these complex challenges.

  • Challenge: Reducing Childhood Obesity
    DSC_8494-Edit-Edit (3).jpg
    Thea Runyan: As parents, teachers, coaches, administrators, youth leaders, we have a tremendous responsibility and opportunity to create healthy environments for kids. Look at a child's environment more wholistically. What is a child eating over the course of the day? Sugar cereal for breakfast, chips for snack, birthday cupcake or class party at school, cookies at friends house afterschool or stop at corner store, sports drink at soccer practice, fast food stop with soda on the way home. It is not just about school lunches! Parents and teachers bring junk food to school. Parents and coaches bring donuts for after the game. Youth leaders and parents bring brownies to a 6pm Brownie meeting (about health) before the girls have eaten dinner. No wonder our kids are so confused! They are bombarded with treats everywhere they go. It doesn't help when their teacher comes into class drinking a coke...
  • Challenge: The Role of the Patient
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    David Arnold: Since our prisons are housing a large portion of our mentally ill, will Medicine take up the challenge to take responsibility for the kind of illness no one wants to deal with, or will it keep pretending law enforcement is an adequate solution to mental illness?
  • Challenge: Eliminating Medical Errors
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    Chuck Pell: Five years ago I experienced a multiple-stage error chain in an ER, and may have saved my own life: When I stepped on a tack and contracted cellulitis, the ER person (med student?) who was attempting to take blood samples/start an IV of high-power antibiotics (my case was rapidly advancing: red lines had started rapidly moving up my leg) had trouble finding my arm vessel, then had difficulty delivering the sharp to target, then could not get the IV properly connected. I do not like watching myself get needled, but attaching the connector was taking quite awhile, so I was able to observe that she had the connector backwards: the little arrow molded into the connector was not highly visible, and it became almost impossible to see the arrow when it was covered in my blood. About half a cup of blood had pooled alongside my body on the ER bed as she was showing significant and increasing signs of anxiety. As the shadow attendant (instructor?) began to step forward to intervene, I saw her see him, and saw that her confidence as a medical professional was at stake, and so all of her future patients would be at risk. In a gentle voice, I assured her that I was OK (I was in pain, actually) and asked geeky leading questions: "That's a cool connector - is that an arrow? How does that work? Does it just seal automatically?" She recovered and gathered her wits, reversed the connector and attached it. "That's neat!" I think they took more than one sample, I was getting a little woozy. A bit later when the IV was being set up, I noticed that the dangling, clear IV line had a long chain of big air bubbles in it (which alarmed the hell out of me) so as she was about to connect it I gently (but quickly!) asked: "Cool! Does all that gas come from the liquid? Is it going inside my blood vessels? Is that OK?" She blanched and immediately disconnected the line, squeezed out all the air bubbles, then reattached the line to the connector in my arm. I glanced at the guy shadowing her through the procedure and, still silent, he smiled back as if to say, 'all is well.' Than he said to her, "Now you've done a thousand." She seemed embarrassed by all the blood soaking the side of my robe, and applied some gauze to sop it up, asking if I wanted a new robe. I declined, smiling: 'I'm good. Thank you for helping me. I do appreciated it.' Was this her first IV? Don't know, but one feels an obligation to make sure that this was a confidence-building event for her. She now knows the procedure, and I dodged an embolism. I hope she's doing well.
    I'd say that if polarity is important in med device design, then indicators (like that molded arrow) need to be way more prominent, preferably in super-high-contrast paint (black and white!), and molded with high relief so that it is still readable when covered in blood. One cannot expect perfect conditions and calm staff: med device design must try to account for chaotic, confusing conditions and flabbergasted operators. If I hadn't paid attention to the defects in the design of the med devices being applied to my body, I might be dead.
  • Challenge: Addressing the Impact of Poverty on Health
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    Tomo Fujioka: In this time and age of abundance in a country like Japan where i live, I was shocked to learn that there are children not getting enough nutirition to have their brains and bodies develop enough to have the ability to think ad care for their own health. It really struck me that giving children access to good nutirition leads to the opportunity of education and a way out of the vicious cycle of poverty. And I guess education lays the foundation for a society to take care of it's young and nurture them into a good chance with their lives.
  • Challenge: The Caregiver Crisis
    Rich Cordero: We need new tools, is the bed sheet a limited platform , I believe it is, many separate tools are needed to address daily hygiene, why not improve the bed sheet to be non shared, and with multiple utilities, In essence an improved platform for care anywhere,my research lead me to the BEDScroll, I challenge all to improve it, that is of course my goal as well!
  • Challenge: The Caregiver Crisis
    Rich Cordero: Yes, but I refuse to state importance of cost because cost is "lives damaged" many your family , friend or even like me mine, I had life threatening sepsis from my cancer operation 21 days later, just like we do not do that in the food industry. besides just common sense, yes if you compare an autoclave sterilization to prevent cross contamination to a laundered sheet having everything from blood to fecal matter washed with many sheets utilized by only the sick, how could washing equal an auto clave, which requires a test sheet in each use to verify kill? Also searching "soiled linen", Dupont, 3M and others are creating a full line of single use anti microbial material for gowns and drapes. (tyvek)The key word is not sheets but linen, that is a way of limiting the discovery of the facts, even drape partitions have heavy amounts of micro organisms. I have done the research and so have the hospital consultants, Sharing creates the bridge of cross contamination, only if you think the commercial handling of soiled sheets from pick up to delivery and storage of those items somehow maintain a germ/micro organism, and their spore free zone can you not sought cross contamination exposure.. The miracle Cotton sheet defies all logic. Now if you add the need to prolong the thread strength of the sheet to extend it's use, the commercial laundry reduces temperature adds to the each load count and reduce caustics of the detergent, followed by a more packed dryer with also lower temperatures, microbes have a Jamaican holiday experience with strangers and family alike! So to reiterate, yes there is absolute evidence, that sharing exposes the patient to cross contamination, and sheets are not seen as a problem, but they are and laboratories are proving it and the CDC advises just recently that sheets should not be reused in ebola, whats the difference bacteria, virus and microbes, the difference is the amount of damage not that they can not survive the laundry, smell your washer three days after it has been closed and not use, that smell is bacteria! Smell a public laundry dryer, yep, and they do not wash or dry100% of sick linen.
    Thank God for the internet, just use different key words to get the truth!
  • Challenge: The Caregiver Crisis
    Rich Cordero: I get good comments from the professionals on the front line, and the direct care nurse, that understand the mechanic and needs to transfer procedure that demand patient's participation. Many times we have to disturb their resting time. Compelling physical and mental participation. We change from a care givers to a disturber of the peace, creating sometimes long lasting negative feelings that block our efforts to console and care in the future. It is an unspoken dreams of many caregivers of getting innovation to addressed this uneasy relationships tasking. This daily procedure it's not only confrontational but also very time consuming that drain the smile from all that participated. Your comment encourages me to no end. The lack of initial interest from Major players touting their interest in improving health, gets me crazy, the grants for healthcare go to computer software while the patient , it seems should be glad to get any treatment at all, "after all we are curing you it should be okay to go through the interruption of the neccesary hygiene and transfer ordeals". THE "DO NOT ROCK THE BOAT" sign is definitely up on management's , and owner doors. Their thoughts is, as long as no one objects lets just bulk laundry the shared linens and control care costs. Even the CDC site their compassion for the southern hospital that infected patients with a flesh eating microb through laundry, killing adults and children directly in days sighting they reacted as much as they could have. Can you imagine the FOOD AND DRUG AGENCY saying that, when a salmonella outbreak happens in a food processing plant? No way, we have all seen major recalls of food whether it be meat, spinach, onions, chicken, no matter how much it cost to pull it off the market it's dangerous to the populous, just throw it all out. Hospitals, total different reaction to the almost two million infected yearly, that is one in twenty five patients admitted, with close to one hundred thousand dead. Amazing, just amazing. Share your thoughts with others, lets get change through one to more caregivers concern starting at a whisper growing to a global demand! Hospitals never want to be in a position where they are shown to be less then totally committed to patient care even the whispering of lack of resolve panicking a hospital from passive to active in addressing H A I's through quickly cancellation of shared bedding and implimenting a single user beddingsystem, BEDScroll is just superior to even the disposable bedding now available, providing more utility to reduce hospitals bottom line cost.

Live Events  

Join us for TEDMED Tuesdays when we will host live video chats as a way to further explore these great challenges. Participate by submitting questions and sharing your perspective with Challenge Team members and the TEDMED community in real-time. Join us for these live events on TEDMED's Google+ page. To submit questions, follow us on Twitter @TEDMED and tag your questions with #GreatChallenges. Check this schedule regularly for updates.

Join the conversation today by sharing your ideas and comments at #GreatChallenges.

Coming Up

Tuesday April 22, 12:00pm EST
Making The Grade: Examining the Case for Patient Activation Measures 

Tuesday May 6, 12:00pm EST
How do we empower the child? (Childhood Obesity)

Tuesday May 20, 12:00pm EST
What happens in health if supply cannot meet demand? (Healthcare Costs)

Busted: Outing the Top Health Myths - Watch the Recast

Tuesday March 25th at 12:00 PM EST 

You can get the flu – or worse — from a vaccine. Only old folks get strokes and heart attacks. Calories in, calories out. X-rays cause cancer. Sleep eight hours a night and drink eight glasses of water a day. Skip the sunscreen on a cloudy day. Take a multivitamin every day – just to be on the safe side. An apple a day keeps the doctor away. Exercise more to lose weight.

You’ve heard these before – maybe even one or two from your own doctor. They’re myths and sayings of dubious value that just won’t go away, and knowing the truth about them makes a big difference about how you approach preventive care. Join a live Google + Hangout as we out the most popular and damaging tall tales and find out the truth once and for all.

What are the most popular health myths, and how do they spread? Does social media spread scams faster than dispels them? What are the most popular myths, and how do they spread? Does social media spread scams, or help dispel them? How can doctors help patients see the light – and keep up on current research themselves? Nominate your top health myth at #GreatChallenges and we’ll get to the bottom of each with our panel of health experts and nominate the top five of all time.

Watch the Recast


Andrew Holtz, MPH, is an Independent Journalist with more than 20 years specialty experience covering health, medical research, health care and health policy. Andrew's experience includes work as a TV network correspondent, national magazine writer and columnist, and internationally published author. He is renowned for his work exploring how medical television shows, such as House, Grey’s Anatomy &
Monday Mornings, reflect and reinforce popular myths.

Follow Andrew on Twitter: @HoltzReport

Zackary D. Berger, MD, PhD, is an internist and epidemiologist and an Assistant Professor in the Department of General Internal Medicine at Johns Hopkins School of Medicine, with joint appointments in the Department of Health, Behavior and Society at the Johns Hopkins Bloomberg School of Public Health and in the Berman Institute for Bioethics at Johns Hopkins. His research interests include the patient-relevant effects of public reporting, patient-doctor communication, overuse, and the exercise of patient autonomy in the context of limited clinical information.

Follow Zack on Twitter: @ZackBergerMDPhD

Rachel Vreeman, MD, is an Assistant Professor of Pediatrics at the Indiana University School of Medicine in the divisions of Children's Health Services Research and Pediatric Infectious Diseases. In addition, she is Co-Director of Pediatric Research for the Academic Model Providing Access to Healthcare, an academic collaboration that provides comprehensive HIV treatment for over 150,000 patients in Kenya. She also investigates how common medical beliefs become accepted, even in the face of evidence to disprove them. She has co-authored two books on medical myths -- Don't Swallow Your Gum! Myths, Half-Truths, and Outright Lies About Your Body and Health and Don't Cross Your Eyes... They'll Get Stuck That Way! And 75 Other Health Myths Debunked. Her third medical myth book will be published by St. Martin's Press in July 2014.

Follow Rachel on Twitter: @RachelVreeman


James Garrow, MPH, is a nationally recognized proponent and advocate for the use of social media and digital tools in the execution of public health activities. Jim's role as the Director of Digital Public Health in Philadelphia is among the first in the country charged with using new digital tools and techniques like social media, crowdsourcing, and big data utilization. 

Follow Jim on Twitter: @JGarrow



Rusty Hofmann, MD, is an actively practicing physician and Professor at Stanford School of Medicine, Chief of Interventional Radiology as well as the Medical Director of the Cath Lab at Stanford University Medical Center, and Co-Founder of Grand Rounds, Inc. He has devoted his career to providing state-of-the-art care to patients and has published over 100 scientific articles on minimally invasive treatment of blood clots (DVT) and cancer. 

Follow Rusty on Twitter: @RustyHofmannMD




Watch Recasts of our Live Events 

Did you miss one of our Great Challenge live events? Check out a recast today by selecting from the list below.


The Storytelling of Science: ​
Great Challenges Day

To cap off TEDMED 2013, we convened a special afternoon session devoted to the 20 Great Challenges of Health and Medicine and explored how storytelling and narrative framework can be utilized to help us gain a deeper understanding of these critical topics. 

We invite everyone to explore the collaboration from Great Challenges Day and then add your voice to the conversation!

We invite you to:

  EXPLORE: Community Collaboration   WATCH: The Storytelling of Science   SHARE: Join the Conversation

Explore conversations the community has engaged in across 20 of the most pressing issues we're facing in health and medicine today...then join in. Check out discussions brought together through Storify, as well as those captured at TEDMED 2013 and at our first-ever Great Challenges Day as infographics, community statements and action commitments.


Watch these videos and discover the power of storytelling and the important role it plays in science. Three master storytellers, Randy Olson, Ben Lillie and Erin Barker help us challenge assumptions and tap into new insights.

Randy Olson | Watch

Ben Lillie & Erin Barker from
​The Story Collider | Watch


Share your perspective by creating your own ‘And, But, Therefore’ statement, reflecting your input on the challenges you are most passionate about. Throughout this summer and fall, we’ll feature selected statements as part of our ongoing dialog online and via Google Hangouts. Join the conversation today!

About Great Challenges Day

To cap off TEDMED 2013, we convened a special afternoon session devoted to the 20 Great Challenges of Health and Medicine and explored how storytelling and narrative framework can be utilized to help us gain a deeper understanding of these critical topics. 

The purpose of Great Challenges Day was to:

  • Gather the Great Challenges Community for a hands-on working session that challenged our assumptions, inspired new perspectives and encouraged collaboration as we seek to better understand these important issues
  • Explore how storytelling captures attention and stimulates action while helping us gain a deeper understanding of a topic
  • Facilitate the composition of story narratives for each Great Challenge into a single statement and community actions during the working session
  • Inspire the submission of stories and actions from every member of the Great Challenges Community

We invite you to explore the work from Great Challenges Day and contribute your voice to the Great Challenges by creating statements and action commitments for yourself, your home, your workplace, or even your local community.

We also encourage you to join the TEDMED community and learn about the Great Challenges program and the Great Challenges team members, live events, and social media communities on Twitter, Facebook, and Google+ and then join the conversation by sharing your stories and reflections. 

The Importance of Storytelling


Though research and data are vital, effective storytelling is key to any compulsory exercise in the thinking and exploration of a topic, and mastering the art of storytelling is carefully integrated into the TEDMED experience. Stories create receptivity, engagement, and connection that dissolve during a presentation of cold hard facts.

To make change in the world around us we need to capture other people’s attention; we need them to care; and, ultimately, we need to provoke passion and ignite action. Storytelling provides this difference.  

At Great Challenges Day, the community heard from three master storytellers to learn how to compose an effective narrative and how to identify their own story within their research and work. The community spent the afternoon uncovering new insights and challenging assumptions as they leveraged a narrative framework to create a single statement representing each challenge. Learn more by watching these videos of the experience.

The "And, But & Therefore" of storytelling
Randy Olson
Why your life is as interesting as your research
Story Collider
Ben Lillie
Erin Barker