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The future of palliative care - Issue #9

“We discovered that if your friend's friend's friend gained weight, you gained weight." Nicholas Chri

The future of palliative care

April 22 · Issue #9 · View online
In many respects, we've arrived. Yet what we know now won't get us to the next level. So I'm looking for signals from the future, & I'm curating them here.

“We discovered that if your friend’s friend’s friend gained weight, you gained weight.“ Nicholas Christakis

1. Barbara Bush had a bourbon on her last day.
With a typically forthright announcement that she was choosing comfort care, Barbara Bush managed to stir up public discussions about the differences between hospice, palliative care, and comfort care. The good news? She went public. The bad news? Wow, our message is too diffuse.
Barbara Bush Leaves A Legacy: Champion For End-Of-Life Care
2. Social influences pull us in every direction.
Neuroscientists can now see evidence of friendship in the neural responses we share with our friends, if we’re getting fMRIs while we watch movies. And they can also see evidence that stress is socially transmitted, even if the subjects are mice. Our interconnected is increasingly evident. Is being ‘patient-centered’ not big enough?
Similar neural responses predict friendship | Nature Communications
Social transmission and buffering of synaptic changes after stress | Nature Neuroscience
3. How information flows socially: hearing vs trusting.
An “echo chamber” is what happens when you don’t trust people from the other side. An “epistemic bubble” is when you don’t hear people from the other side. These patterns of information flow are created by social structures. What this means for palliative care? The Barbara Bush stories really matter–we need to figure out how to get our voices out there. 
cho chambers and epistemic bubbles. Both are social structures that systematically exclude sources of information.
Why it’s as hard to escape an echo chamber as it is to flee a cult | Aeon Essays
4. When 10% hold an unshakeable belief = tipping point.
This is a surprisingly small proportion, to my mind, but there is real empirical research about it. Conversely: ‘When the number of committed opinion holders is below 10 percent, there is no visible progress in the spread of ideas…“ We need to start talking to people we don’t know, and as Diane Meier would put it, 'Stop the circular firing squads’.
Minority Rules: Scientists Discover Tipping Point for the Spread of Ideas | News & Events
5. Jaron Lanier slams Facebook at TED
Hot off the stage at TED Vancouver 2018, the father of AI: “I don’t believe our species can survive unless we fix this. We cannot have a society in which, if two people wish to communicate, the only way that can happen is if it’s financed by a third person who wishes to manipulate them.” Worth your time.
Jaron Lanier: How we need to remake the internet | TED Talk
6. Stop what you're doing and change into this.
I know, i’m sending this newsletter a bit late in the day. You’ve finished your recreational reading. But check this out: two women, comrades in the “Rational Dress Society” are trying to free us from H&M shirts made in Malaysia that are designed to fall apart after 10 launderings. You make or buy this jumpsuit, and then…“we invite you to throw away all of your clothes.” Made me smile.
The Jumpsuit That Will Replace All Clothes Forever
This newsletter is made possible by the John A. Hartford Foundation. Special thanks to Will, Melissa, Katy! The opinions here however are strictly mine. 
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