Record and Writing

全球健康体系的改革，既要务实地解决眼前问题，也要有放眼长远的理想。本文为此提出一个策略，明确了六项可以重塑全球健康架构的关键“促成要素”。这些要素的目的不是为了新设庞大的官僚机构，而是为了更好地协调和赋能现有各方，从而推动集体行动，建立一个更公平的全球健康体系。 这六项促成要素分别是： 全球健康资助方协调机制（GFCM） ：旨在协调资金流向，避免重复投资。 全球技术转让平台（GTTP） ：旨在促进健康技术的公平获取。 全球健康供应链网络（GHSCN） ：旨在确保医疗物资的高效与公平分配。 全球健康劳动力中心（GHWH） ：旨在解决卫生工作者分布不均和培训不足的问题。 全球健康数据存储库（GHDR） ：旨在标准化并共享健康数据，以辅助更优决策。 全球健康媒体网络（GHMN） ：旨在打击不实信息，重建公众信任。 拟议中的全球公共利益协调理事会（GCCC）将对这些要素进行战略指导，确保我们能够连贯且灵活地应对未来的健康挑战。 引言：全球健康的新思维 当前的全球健康架构可以说是二战后的产物，已经很难有效应对当今复杂且相互关联的健康挑战。COVID-19疫情暴露了体系中的诸多缺陷，包括资金分散、技术获取不公以及不实信息泛滥等。现在，正是进行重大改革的时刻。 本文的核心提议是：根本性地转变我们的思路，从“建立新机构”转向“协调现有机构”。我们设想的全球公共利益协调理事会（GCCC）是一个灵活的机制，而非一个自上而下的庞大组织。它将利用一套六项战略性“促成要素”，作为催化剂，帮助我们建立一个更具韧性、响应更快、更公平的全球健康体系。 我们的策略是基于以下三点现实考量： 世界日益多极化，建立一个强大新全球机构的难度正在增加。 技术既是解决健康问题的利器，也可能加剧挑战。 改革必须从现有框架内开始，着重于切合实际、可操作的步骤。 通过专注于这些促成要素，我们可以构建一个既有效又在政治上可行的全新架构。 现代全球健康架构的六项促成要素 1. 全球健康资助方协调机制（GFCM） 目前全球健康资金格局由众多参与方组成，从多边组织到私人慈善机构，各自为战。这种碎片化导致效率低下，资金缺口和缺乏协调。GFCM 将是一个轻便、不具法律效力的协调平台，供主要的资助方在此汇集并协调策略。它的目的不是控制资金，而是提供一个清晰、实时的资金全景图，帮助我们识别并填补关键的资金缺口。它还将赋能受援国，为其...

Kazuo Ishiguro's Never Let Me Go is not an explosive sci-fi thriller. It is a quiet, haunting masterpiece that tells the story of clones raised for organ donation. The true horror lies not in violence or rebellion, but in the unsettling tranquility of its dystopian world. By exploring themes of fate, humanity, and moral complicity, the novel holds a powerful mirror to our own lives and history. 1. The Banality of a Predetermined Existence The most chilling aspect of the novel is how its horrific premise is treated with a polite, almost mundane acceptance. The characters, who are clones raised at a special boarding school called Hailsham, know from a young age that their purpose is to become "donors" and "complete" their lives. Their existence is meticulously planned, a process that can be likened to high-end angus beef raised to be slaughtered. This analogy is so potent because it highlights a profound psychological truth: humans, when conditioned from birth, c...

JD Health’s rise in China offers valuable insights for Malaysian corporations aiming to reshape the national healthcare system. Its success is rooted in building a connected, efficient, and patient-focused ecosystem. By adapting these strategies, Malaysian companies can play a pivotal role in advancing healthcare delivery and outcomes. 1. Build a Profitable Core for Sustainable Growth JD Health funds its expansion by leveraging profits from its online pharmacy business. Malaysian corporations can follow a similar path by: Developing profitable services like online pharmacies, chronic medication subscriptions, or diagnostic kit sales. Using these profits to finance higher-potential ventures such as telemedicine, digital health platforms, and chronic disease management. This cross-subsidization strategy ensures financial resilience and reduces dependency on external capital. 2. Strengthen Logistics and Nationwide Access JD Health’s edge comes from its integration with JD.com’s logistics ...

The digital health sector is undergoing a profound transformation, shaped by demographic pressures, technology, and shifting consumer behavior. JD Health, the healthcare subsidiary of e-commerce giant JD.com, has emerged as a leader in China’s digital healthcare market. Its success stems not from a single breakthrough but from a robust ecosystem built on JD.com’s logistical and technological infrastructure. By combining high-margin pharmaceutical e-commerce with scalable online medical services, JD Health has created a sustainable and profitable model. Unlike its U.S. counterpart Teladoc Health, which struggled with high-risk acquisitions and financial losses, JD Health leveraged operational excellence, strategic partnerships, and alignment with China’s national health policies. This blog explores JD Health’s growth journey, financial performance, and the lessons it offers for digital health ventures worldwide. The Global Digital Health Ecosystem: A Shifting Landscape Globally, digital...

  An Analytical Take on Social Policy: What Mises Can Teach Us About the Beveridge Model and the Future of Healthcare in Malaysia. When we think about the welfare state, especially systems like Britain’s NHS, most people see it as the pinnacle of compassion and collective responsibility. But what happens when we look at this system through the sharp lens of Ludwig von Mises, one of the greatest classical liberal economists of the 20th century? The results are surprising—and deeply relevant for how we think about healthcare in Malaysia today. In Malaysia, corporate leaders and policymakers are grappling with rising medical inflation, unsustainable government subsidies, and questions about how to balance affordability with quality. These debates are not just about budgets—they reflect a deeper clash of ideas. Applying Mises’s insights from A Free and Prosperous Commonwealth can give us a clearer understanding of why welfare-style systems often struggle and how Malaysia might chart a...

  Strategic Lessons from Global Social Policy Models: What Corporates and Governments Can Learn. Introduction: Why Social Policy Still Matters When most people think about social welfare policies, they often imagine government budgets, rising healthcare costs, or debates about taxation. Too often, these systems are framed purely as expenses . Yet history tells us something different: social policy has consistently been used as a strategic tool —not only for protecting citizens, but also for stabilizing economies, securing political legitimacy, and strengthening productivity. For governments and corporates today, the lessons from past welfare models offer powerful insights. By studying how different systems balanced quality, access, and cost, leaders can design smarter strategies for employee well-being, workforce resilience, and fiscal sustainability. This article unpacks three major approaches—the Bismarckian model of social insurance , the state-socialist systems of the 20th ...

  The Architecture of Social Solidarity: Rethinking Welfare States Through Peter Baldwin’s Lens. Why do some countries succeed in building generous welfare systems rooted in solidarity, while others struggle with fragmented and unequal safety nets? This is the central puzzle at the heart of Peter Baldwin’s landmark 1990 book, The Politics of Social Solidarity: Class Bases of the European Welfare State, 1875–1975 . Baldwin’s work remains one of the most ambitious comparative studies of welfare state development, spanning a century of policy across five nations—Britain, France, Germany, Denmark, and Sweden. Far more than a historical account, the book reshaped how scholars think about the very architecture of solidarity in modern societies. Moving Beyond Industrialization Earlier generations of welfare state research assumed that industrialization naturally produced social protection—that all societies would eventually converge toward some version of the welfare state. Baldwin c...