"Once you have beaten back a disease to just a few hundred cases, they will almost by definition be concentrated in places where there's some barrier—geographical, cultural, political—to easy vaccination. In general, each marginal case will cost more, and will consume more time and effort and labor, than the one before it...[but] the math of cost-benefit analyses runs aground when it comes to eradication campaigns, because the benefits, in theory, are infinite."
Two new revolutions in biology—gain-of-function research and synthetic biology—are forcing policymakers to rethink current national and international surveillance and regulatory systems, and any resolution will require international buy-in since the threat entails all living organisms.
Peter Orszag writes that new research finds hospitals with better heart attack patient survival rates are rewarded with greater market share, which suggests competitive forces are allocating patients to the most productive hospitals.
Authors: Yanzhong Huang, Patricia Moser, and Susann Roth Asian Development Bank
Yanzhong Huang, Patricia Moser, and Susann Roth discuss the key health challenges in the post-2015 development agenda for Asia and the Pacific, a highly populated, diverse region of countries with different health needs and priorities.
Peter Orszag wants regulators to watch out for excessive consolidation in local hospital markets as Medicare's shift to value-based payments puts pressure on health care providers to merge and raise fees for private insurers.
Thomas Bollyky describes the crisis emerging over access to treatment for diabetes, cancers, and other non-communicable diseases (NCDs). Bollyky argues that this crisis could transform the global response to NCDs as the last treatment access crisis transformed the international approach to HIV/AIDS.
CFR Senior Fellow for Global Health Laurie Garrett explains the conundrum of dual-use research of concern (DURC), in which the same experiments that allow scientists to understand pandemics can also create dangerous pathogens. Combined with advances in synthetic biology and increasingly affordable technologies, there is the possibility for a true biology revolution.
The Council on Foreign Relations' David Rockefeller Studies Program—CFR's "think tank"—is home to more than seventy full-time, adjunct, and visiting scholars and practitioners (called "fellows"). Their expertise covers the world's major regions as well as the critical issues shaping today's global agenda. Download the printable CFR Experts Guide.
The authors argue that the United States has responded inadequately to the rise of Chinese power and recommend placing less strategic emphasis on the goal of integrating China into the international system and more on balancing China's rise.
Campbell evaluates the implications of the Boko Haram insurgency and recommends that the United States support Nigerian efforts to address the drivers of Boko Haram, such as poverty and corruption, and to foster stronger ties with Nigerian civil society.
Koblentz argues that the United States should work with other nuclear-armed states to manage threats to nuclear stability in the near term and establish processes for multilateral arms control efforts over the longer term.
Learn more about CFR’s mission and its work over the past year in the 2014 Annual Report. The Annual Report spotlights new initiatives, high-profile events, and authoritative scholarship from CFR experts, and includes a message from CFR President Richard N. Haass. Read and download »