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20
May
2020

Pharma’s Digital Champions Should Focus On Solving One Problem Well

Come for the tech, stay for the culture.  That seems to be the hope of most digital champions inside large pharma companies. These executives hope to instill in their organizations not only important new capabilities, but also a “Silicon Valley” mindset, an innovative spirit characteristically associated with tech entrepreneurs. The reality, of course, is more complicated; pharma executives – and...
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19
May
2020

Getting the COVID-19 Numbers Wrong

When I was in college, everyone wanted to major in psychology. I signed up, but switched out after only a few weeks. Why? Well, the more I read, the less I seemed to know. Psychology, after all, is an inexact science. I sought refuge in the exact worlds of computer science and mathematics. Those courses led me to build a...
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19
May
2020

COVID Doctors Navigate Tension Between Individual Autonomy and Systematized Care

I was recently speaking with a friend of mine, a pulmonologist at a large academic medical center in the Midwest, about his COVID-19 experience. I was especially interested, in the context of iterative experimentation, to learn how his hospital was working on improving the care of COVID-19 patients, especially those in the ICU, which he oversees.  It’s real problem, he...
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19
May
2020

Stepping Up One’s Game, Pandemic Style

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14
May
2020

Meet My Friend Who Supported Trump in 2016

[This week, I’m re-publishing this column written Nov. 9, 2016. It’s probably more important to read now.—Luke] I’ve been dreading this moment since June. That’s when I started telling people: Trump was going to win. I could feel it in my bones, because of where I’m from. We’ve heard enough by now that the elites have let us down. The...
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13
May
2020

Coronavirus Vaccine Strategy: Larry Corey on The Long Run

Today’s guest on The Long Run is Larry Corey. Larry is one of the nation’s best-known virologists and vaccine developers. Much of his research over the years has been on HIV, herpes simplex viruses, and viruses associated with cancer. He’s the founding director and principal investigator of the HIV Vaccine Trials Network – a collaborative group to study vaccine candidates...
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13
May
2020

If Trikafta Isn’t Good Enough for ICER, What Drug Is?

Last week ICER released a report concluding that Vertex’s groundbreaking triple-combination cystic fibrosis (CF) drug, Trikafta, is too expensive for the value it provides to patients. By all scientific and clinical standards—including ICER’s own—Trikafta, a novel combination of a CFTR potentiator and two correctors, is a transformative drug. It compensates for a mutation present in 90% of all CF patients, turning a disease...
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11
May
2020

Science in Plain English for the Pandemic

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7
May
2020

Keeping the Faith and Bracing for the Long Slog

We’re suffering from a social disease. It ranks up there with COVID-19. It’s boundless cynicism. We need to tamp this down. Just like we need to wrestle the new coronavirus to the ground. I’m not willing to accept “shit happens” as the national motto. This is a country of can-do problem-solvers. We can do so much better. You can see...
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7
May
2020

Randomized Controlled Trials For Healthcare Delivery Work; Now Let’s Do More At Scale

The value of randomized controlled trials (RCTs) in healthcare delivery was highlighted earlier this year with the publication in the New England Journal of Medicine (NEJM) of a paper that rigorously evaluated a deeply appealing hypothesis: that you can improve care and reduce costs by focusing on “superutilizers” – the patients who consume the most healthcare resources.  I discussed this...
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5
May
2020

Giving Models and Modelers a Bad Name

As someone who has spent a career building and studying disease models, primarily for cancer, the latest update from Chris Murray and the IHME model makes me cringe. The IHME model, readers will recall, has been frequently cited by the White House coronavirus task force. On May 4, the IHME called a press conference to release the results of their...
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1
May
2020

A Time for Empathy

This is a fragile moment. It’s May 1. Some of us have been in social isolation for two solid months. Everyone’s at some point on the continuum of stir crazy. More than 30 million people are out of work. Tempers are flaring. Protestors are carrying guns. It’s obvious we can’t sustain a maximalist social-distancing policy much longer. Today, we have...
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28
Apr
2020

Keeping an Academic Lab Afloat in a Pandemic

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