2013 Global Action Report: Food, Health, and Prosperity

Fumbi Chima,
WalMart Executive
Leader, Women’s
Resource Council

2013 Global AConvene
ction Report
Food, Health, and Prosperity

CumberlandCenter
GLOBAL ACTION PLATFORM
GLOB AL ACTION PLATFORM
Global South Summit– Nashville

Challenge
Heidi Kleinbach-Sauter,
Senior Vice President
PepsiCo Global Foods

2013
Jeanne McCaherty,
Vice-President and
Regional Director,
Cargill

Diplomatic
Courier

Food, Health A GlobalProsperity
and Affairs Magazine
Special Edition

global Action Report | 1

Food, Health and Prosperity



DIPLOMATIC COURIER | A Global Affairs Magazine
PUBLISHER | Medauras Global
Editor-in-chief | Ana C. Rold
Executive Editor, GAP | Cynthia H. Barbera
Managing EDITOR, DC | Chrisella Herzog
Managing EDITOR, GAP | Cheryl Harrison
Assistant Editor | Calie Hill
ADVISORY BOARD | Andrew M. Beato; Sir Ian Forbes;
Lisa Gable; Kirk L. Jowers; Greg Lebedev; Anita McBride;
Erik Peterson; Lisa Sutherland
CONTRIBUTING EDITORS | Kathryn Floyd; Kaeleigh
Forsyth; Whitney Grespin; Paul Nadeau; Paul Nash
Art Director | Christian Gilliham
Technology Officer | Kyle Herzog
DC CONTRIBUTORS | Michele Acuto; Whitney Grespin;
Steve Lutes; Boris Maguire; Oscar Montealegre; Paul
Nadeau; Paul Nash; Rebecca Park; Richard Rousseau
Photography/Design | Sebastian Rich;
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VIDEO Correspondent | Monica Gray
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Editorial Interns | Ryan Burkhart;
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Mailing address | Diplomatic Courier
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publishing. The Global Action Report is a product of
the Global Action Platform and the CumberlandCenter,
published in concert with Diplomatic Courier magazine, a
product of Medauras Global LLC. The Diplomatic Courier is
printed six times a year and publishes a blog and online commentary weekly at www.diplomaticourier.com.
editorial. The articles in this report both in print and
online represent the views of their authors and do not reflect
those of the editors and the publishers. The authors are responsible for the facts and interpretations.
permissions. Authors and the Cumberland Center retain all copyrights to their articles. None of the articles can be
reproduced without their permission and that of the publishers. For permissions please email the editors at: info@medauras.com with your request.
ISSN. The Library of Congress has assigned: ISSN 2161-7260
(Print); ISSN 2161-7287 (Online).
legal. Copyright © 2006-2013 CumberlandCenter and
Global South Summit. All rights reserved. No part of this
publication can be reproduced without written consent of the
publishers. All trademarks that appear in this publication are
the property of the respective owners. Any and all companies
featured in this publication are contacted by CumberlandCenter and the Global South Summit to provide advertising
and/or services. Every effort has been made to ensure the
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regards to the information, and disclaim all liability for any
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2 | WWW.GLOBALACTIONPLATFORM.ORG

Leaders and innovators from Accenture, Chic Group Global - China,
University of Florida and Sysco are exploring challenges of the food
supply chain.

Nashville welcomes global leaders, experts and
entrepreneurs in food and health to attend its Global
Summit in November.

Leaders from UCSD Connect, Vanderbilt, Johns Hopkins,
Maryland Industrial Partnerships and UC Davis explored
topics on building life sciences clusters for innovation.

Plenary Speaker, Dr. Francis Collins,
Director of the National Institutes
for Health, addresses an audience
of over 400 leaders and Summit
Fellows in Nashville, setting a new
course for the future of health.

Keynote speaker, Thomas Friedman,
New York Times Pulitzer Prize-winning journalist spoke to audiences
of 600 about the pressing need for
innovation at the Global Summit,
November 2012.

2013 Global action RepoRt
Food, Health, and prosperity
Food, HealtH and ProsPerit y
CumberlandCenter PLATFORM
GLOBAL ACTION
GLOBAL 2013
ACTION PLATFORM

Diplomatic
courier
A Global Affairs Magazine
Special edition

Global South Summit–four hundred leaders from five continents convened in
In November 2012, Nashville
Nashville for
launch of the Global
GLOBAL ACTIONthePLATFORM South Summit.

Today, these leaders and our partners are working actively on issues critical to
our world’s future: food, health, and prosperit y. In the Global Action Report
that follows, we are pleased to share their ideas and recommended actions.
The vision inspiring our work is abundance through innovation. Our goal is
expanding opportunit y for all, so what is emerging is an entirely new platform
for enhancing local, regional, and global economies through uncommon
collaborations and investments that reward scalable and sustainable solutions.
As we look to 2050 and an anticipated population of nine billion, creating
smart strategies is of paramount importance. The next three to five years are
critical. Many effective approaches have already been identified. Our growing
cross-sector network of international partners from universities, business,
government, foundations, media and committed individuals are working
together to share solutions and advance new ideas.
We stand at the threshold of new opportunit y and invite you to join us.

Dr. Scott T. Massey
Chairman and CEO
Dr. Massey leads the CumberlandCenter, a university
business alliance to transform innovation into prosperity.
He serves as Founding Chairman of the Global South
Summit, an annual global event focused on creating abundance through innovation in food, health, and prosperity.

CumberlandCenter


Founding Leadership
and governance
Honorary Chairs
Jack O. Bovender, Jr. | Retired Chairman
and CEO, Hospital Corporation for America
Arlene Garrison | VP, University Partnerships,
Oak Ridge Associated Universities
Phil Bredesen | Former Tennessee Governor
Steve Brophy | VP, Government Affairs,
Dollar General Corporation
Ernesto Brovelli | President, Sustainable
Agriculture Initiative; Senior Manager, Sustainable
Agriculture, The Coca-Cola Company
Congressman Jim Cooper
Ryan Doyle | President, oneC1TY
Harvill Eaton | President, Cumberland University
Kitty Moon Emery | President and CEO,
KittyMoon Enterprises; Senior Strategist, CumberlandCenter
Beth Fortune | Vice Chancellor for Public Affairs,
Vanderbilt University
Darrell S. Freeman | Chairman, Zycron, Inc.
Jim Frierson | President, Compass Innovation
Senator Bill Frist | Former Majority Leader,
U.S. Senate
Jose Gonzalez | Co-Founder, Conexión
Americas; Instructor of Management &
Entrepreneurship, Belmont University
Keith Gregg | Chairman and CEO, JRG Ventures;
Entrepreneur-in-Residence for Health Technology,
Nashville Entrepreneur Center
Cynthia H. Barbera | Executive Editor,
Global South Summit; Founder, e-Global
Reader LLC
Cheryl Harrison | President, Harrison Design
Group; UC Davis Trustee Emeritus & Advisor, UC
Davis College of Agriculture & Environmental Sciences
Ralph Hexter | Provost, University of California, Davis
Carol Hudler | President and Publisher, The Tennessean
John Ingram | Chairman, Ingram Industries Inc.;
Chairman and CEO Ingram Content Group
Clay Jackson | SVP, Regional Agency Manager,
BB&T, Tennessee
Conrad Kiechel | Director of Communications,
Milken Institute
Rev. Timothy Kimbrough | Dean and Rector,
Christ Church Cathedral
L. Randolph Lowry | President, Lipscomb University
Scott T. Massey | Chaiman and CEO,
CumberlandCenter; Chairman, Global South Summit
Alex McCalla | World Bank (retired); Professor Emeritus
Agricultural and Resource Economics, UC Davis
Paul McElearney | Membership
Development, Clinton Global Initiative
April McMillan | Manager, Secure Biosystems
Integration, Oak Ridge National Laboratory
Clayton McWhorter | Founder, Clayton Associates
John Morgan | Chancellor, Tennessee Board of Regents
Trent Nichols | CMO, Secure Biosystems
Integration, Oak Ridge National Laboratory
Brad Perkins | SVP, Strategy and Innovation,
Vanguard Health
Mike Shmerling | Chairman and CEO, Choice
Food Group; Managing Partner, XMi High Growth
Development Fund
Howard Shapiro | Chief Agronomist,
Mars Incorporated
Thomas J. Sherrard | Founding Partner and
Member, Sherrard & Roe, PLC
Deborah Wince Smith | President and CEO,
Council on Competitiveness
Remy Szykier | Co-Founder, Aegis Health Security
Steve Turner | Principal, Market Street Enterprises
Juergen Voegele | Director, Agriculture and Rural
Development Department, Sustainable Development
Network, The World Bank


2013
Cross-sector task forces are convening and collaborating to
create the Global Action Platform in 2013.

The Global Food and Health Innovation
Challenge was announced on March 26, 2013
with a starting $1 million award for transformative solutions. (From L to R): Dr. Scott
Massey, Chairman, joins Mark Cackler
of the World Bank, Mike Shermling, CEO,
Choice Foods Group and Sam Lingo, COO,
Entrepreneur Center.

Mars Incorporated, Chief Science Officer,
Harold Schmitz lead a discussion on a
collaborative approach to sustainable food
and the role of private sector business.

Announcing the 2nd Annual Global Summit:

Global South Summit - Nashville
November 11 & 12, 2013

Keynote Speakers:
Peter Diamandis

Fareed Zakaria

Peter Diamandis is an engineer and
Intel entrepreneur, founder and chairman of the X PRIZE Foundation. He is
also the co-founder and chairman of
Singularity University and the co-author
of the New York Times bestseller book,
Abundance.

Fareed Zakaria is a columnist and
editor of Newsweek International. In
2010 he became editor-at-large of
Time. He is the host of CNN’s Fareed
Zakaria GPS. He is also a frequent
commentator and author about issues
related to international relations,
trade, and American foreign policy.

Communicate
Convene
CumberlandCenter

Connect
Fumbi Chima,
WalMart Executive
Leader, Women’s
Resource Council

Michael Norris,
Chief Operating
Officer, Sodexo
North America

Challenge
Heidi Kleinbach-Sauter,
Senior Vice President
PepsiCo Global Foods

2013
Jeanne McCaherty,
Vice-President and
Regional Director,
Cargill


contents

013

re convening and collaborating to
Platform in 2013.

The Global Food and Health Innovation
Challenge was announced on March 26, 2013
with a starting $1 million award for transformative solutions. (From L to R): Dr. Scott
Massey, Chairman, joins Mark Cackler
of the World Bank, Mike Shermling, CEO,
Choice Foods Group and Sam Lingo, COO,
Entrepreneur Center.

10 INTRODUCTION
Building a Global Action Platform
for Food, Health and Prosperity
By Scott T. Massey
Chairman and CEO, CumberlandCenter
chairman, Global South Summit Annual
Announcing the 2nd
18

Global Summit:

SECTION I:Global South Summit - Nashv
Abundant Food

November 11 & 12, 2013

19 The Future of Food
Editorial by Juergen Voegele
Director, Agriculture and Rural Development
Sustainable Development Network, the World Bank

Keynote Speakers:

21 Feeding the Planet:
Where Do We Stand Today?
Peter Diamandis
Fareed Manager, Agriculture and Environmental Services
Mark Cackler, SectorZakaria
The World Bank Group
Role of Business: Harold Schmitz, Mars Inc.
Role of Government: Bill Lacy, UC Davis
Role of Foundations and NGOs: Prabhu Pingali,
Bill and Melinda Gates Foundation
Role of Research: April McMillan, Oak Ridge National Laboratory
Peter Diamandis is an engineer and
Fareed Rosenzweig, and
Role of Finance: William Zakaria is a columnistPhysic Ventures
Intel entrepreneur, founder and chaireditor of Newsweek International. In
2010 he became editor-at-large of

man of the X PRIZE Foundation. He is
also the co-founder and chairman of
Singularity University and the co-author
of the New York Times bestseller book,
Abundance.

25 Growing Abundantthe host of CNN’s Fareed
Time. He is Food:
Zakaria GPS. He is
Global Trends in Food Securityalso a frequent
Frederick Vossenaar, commentator and author about issuesAffairs,
Ministry of Economic
related to international relations,
Agriculture & Innovation, Royal Netherlands
trade, and American foreign policy.
Kent Bradford, Seed Biotechnology Center, UC Davis
Michael (Mike) Dimock, Roots of Change
Sylvia Ganier, Green Door Gourmet
28 From Harvest to Table:
Preservation, Logistics and Distribution
Rob Howell, Sysco Systems
Jeffrey K. Brecht, University of Florida
Rich Kottmeyer, Accenture
Edward Zhu, CHIC Group Global

Communicate

Mars Incorporated, Chief Science Officer,
Harold Schmitz lead a discussion on a
collaborative approach to sustainable food
and the role of private sector business.

Convene

Connect
Fumbi Chima,
WalMart Executive
Leader, Women’s
Resource Council

32 At the Table: Nutrition and Health
Roy Elam, Vanderbilt Center for Integrative Health
Greg Drescher, Culinary Institute of America
David Schmidt, International Food Information Council (IFIC)

CumberlandCenter


Mic
Chi
Offi
No

Challe

He
Sen
Pep

2013
Jeanne McCaherty,
Vice-President and
Regional Director,
Cargill

Food, Health and Prosp

34

SECTION II: Abundant Health

35 THE FUTURE OF HEALTH
Editorial by Senator William H. Frist, M.D.

37 Transforming Healthcare:
How Collaboration and IT Create Game-Changing Innovation
Keith Gregg, Chairman and CEO, JRG Ventures
James Lakes, Director US Health and Life Sciences, Microsoft
Douglas Wenners, SVP, Provider Engagement and Contracting,
Wellpoint-Anthem
Jordan Shlain, Commissioner, San Francisco Health Service Systems;
Founder, HealthLoop, & practicing physician at Private Medical Services
39 The New Medicine
Roy Elam, Medical Director, Vanderbilt Center for Integrative Health
Steven Burd, President and CEO, Safeway, Inc.
Brent Parton, Program Director, Shout America
Wayne Riley, President, Meharry Medical College
41 The Future of Hospitals and Hospital Management
Jordan Asher, CMO and CIO, Mission Point Health Partners
Martin Rash,Chairman and CEO, RegionalCare Hospital Partners
Trent Nichols, Senior Research Staff, Chief Medical Officer,
Secure Biosystems Integration, Oak Ridge National Laboratory
Landon Gibbs, Director of Healthcare Initiatives of Clayton &
Associates
44 Personalized Medicine: Treating the Unique
Jeff Balser, Vice Chancellor, Vanderbilt Medical Center
Raymond DuBois, Jr., Provost and Executive Vice President,
The University of Texas MD Anderson Cancer Center
Dan M. Roden, Assistant Vice Chancellor for Personalized Medicine,
Vanderbilt University School of Medicine


contents
48

SECTION III:Abundant Prosperity
Building Global Innovation Hubs for Food and Health

49 THE FUTURE OF PROSPERITY
Editorial by Christian Ketels
Director, The Competitiveness Institute (TCI)
Institute for Strategy and Competitiveness, Harvard Business School
51 the Future of American Research
Francis Collins, Director, National Institutes of Health
Ted Abernathy Jr., President and CEO, Southern Growth Policies Board
Arlene Garrison, Vice President of University Partnerships,
Oak Ridge Associated Universities
Nickolas S. Zeppos, Chancellor, Vanderbilt University
54 International Perspectives on Health,
Food and Sustainability
David Schmidt, President and CEO,
International Food Information Council (IFIC)
Anne-Christine Langselius, Founder of Nuwa, CEO,
My Global Enterprise Solutions
56 Building Life Science Clusters of Innovation
Mary Walshok, Vice Chancellor, UCSDConnect
Alan Bentley, Associate Vice Chancellor, OTTC, Vanderbilt University
Thomas Cebula, John Hopkins, CTO CosmosID; Former FDA Director,
Office of Research and Food Safety
Martha Connolly, Director, Maryland Industrial Partnerships
Steven Currall, Dean, UC Davis Graduate School of Management
59 Designing a Research Innovation Model
Editorial by Cheryl E. Harrison
President, Harrison Design Group; UC Davis Trustee Emeritus
and Advisor, College of Agriculture and Environmental Sciences,
Founding Leadership Committee, Global Action Platform


62

SECTION IV: Perspectives

63 A Vision for Abundance:
Research and the Future
By Francis Collins
Director, National Institutes of Health (NIH)
65 The World at the Crossroad:
Where Do We Go From Here? A Call to Action
By Thomas Friedman
Columnist, The New York Times
68 Partner Viewpoints
International Food Information Council (IFIC)
Global Harvest Initiative
STEMconnector

74

SECTION V: Building
a Global Action Platform

75 Inspiring Leadership
Editorial by Linda Peek Schacht
Executive Director
Nelson and Sue Andrews Institute for Civic Leadership
76 Recommendations for Action
Editorial by Cynthia H. Barbera
Executive Editor, Global Action Report, Founding Leadership
Committee, Co-Founder, eGlobal Reader
80 About the Cumberland Center
Transforming Innovation into Prosperity


INTRODUCTION

2013 Global
Action Report
Building a Global Action
Platform: Food, Health,
and Prosperity
by Dr. Scott T. Massey


INTRODUCTION

I

n November 2012,
four hundred leaders from ten nations, representing
the corporate, research,
government, media,
foundation, and NGO
sectors convened at the
Global South Summit
in Nashville, Tennessee.
The goal of this international gathering was to
begin framing an agenda
for abundance with a
focus on three interconnected, issues—food,
health, and prosperity.

Founding Mission
and Objectives
The mission of the Global
South Summit is to convene
leaders from around the world
to define solutions that create
abundance through innovation. At the conclusion of the
Summit in 2012, an integrated
approach to Food, Health and
Prosperity were defined as
the most critical national and
global priorities over the next
three to five years.
Similar to Davos, the Clinton Global Initiative and the
Milken Global Conference,
the annual Global South
Summit Series is designed to
create a singular opportunity to
convene top state, national and
international C-Level decisionmakers. The Global South
Summit uniquely integrated
the varied perspectives from
across key sectors, including
corporations, global NGO’s,
research universities and nonprofit organizations.
Nashville was selected as the
“hub” for these discussions
due to its outstanding geographical location, connecting
wide cross-sector expertise in
the food and health industries,
with direct access to emerging
scientific research and leading
investments in regional, national and global initiatives.
The Cumberland Center,
headquartered in Nashville, is

Dr. Francis Collins, Director, National Institutes of Health
the organizer and host for the
Global South Summit. With
its expanding collaborative
networks and long-standing
relationships among major
research universities, thought
leaders and institutions in the
United States and throughout
the world, CumberlandCenter
is the ideal convener of the
ongoing annual Summit and
Global Action Platform.
Why Food, Health
and Prosperity?
Founding Leaders creating
the project started with an
economic concern--how to
advance sustainable economic
growth and prosperity for a
growing world population.
The organizers found strong
interest in mobilizing cross
sector leadership to find new
paths and models for economic
development aimed at sustainable prosperity. It became clear
that models could be focused
on strategies to meet the growing global challenges of food
and health with an eye toward
expanding, shared prosperity.
This vision of an economic
future of growth, sustainability,
and expanding opportunity
for everyone required a special
lens. To balance growth,
sustainability, and opportunity
leaders needed an adaptable
model named the “Global Action Platform”, a nimble, neu-

tral infrastructure well-suited
for the fast-emerging, complex
conditions of the
21st century.
The elements of this model
include industry clusters, regional economies, and strategy
for competitiveness, which are
of central importance. New
technologies, the internet, and
innovation are also key to the
mix.
A Vision of
Abundance
Instead of a focus on scarcity
and conflict, Summit founders
and participant leaders wanted
to look toward the creation of
abundance, as a central organizing idea. How can we focus
economic activity in regional
innovation hubs to expand
opportunity and unleash innovation? How can the whole human population flourish--while
also allowing the environmental and ecosystems that make
life possible also flourish?
Initial research and broad
conversations with global
leaders, major research institutions and thought leaders
led to a converging focus and
integration on issues in food,
health, and prosperity. The
interconnections were intriguing and compelling--as well as
surprising.


INTRODUCTION

Integrated themes:
Food, Health and
Prosperity
As this vision was explored, it
became clear that key conditions for innovation and
prosperity are food and health.
If economic growth requires a
broad base of talented, innovative people working together,
then the health and nutrition
of society is paramount in
determining the prosperity
of the future.
In fact, food and health are
baseline measures of the asset
strength of the major economic
driver of today’s economy-human capital.
Food and nutrition are widely
discussed as integral to the
future of human health and
healthcare. The path through
healthcare transformation
thus led us to conversations
on food, food security, food
productivity, distribution and
safety. Interestingly, food and
agriculture are also key foundations for economic growth and
stability. So, food, health, and
prosperity proved to be linked
in strategic ways.
Health and Healthcare: An urgent need
for new solutions
In each area of our Summit
program, clear challenges exist.
How to stimulate economic
growth through innovation,
how to transform healthcare,
how to feed the planet—these
were framing questions for our
work.

Dean Steven Currall, UC Davis, with Summit co-founders
Cheryl Harrison, Scott T. Massey, Chairman, and Cynthia
Barbera at the Plenary Luncheon Session, Nashville
Experts in the health field
offered a wide range of options to change healthcare,
from proposing a model for a
“new medicine” to applying
advanced genetic research.
Between the current state of
affairs and a major transformation lay thorny issues of realigning financial incentives while
managing the demographic
shifts toward an older population with greater health needs.
It was clear from our research
and from presentations at the
Summit that time is running
out and that there is a growing
sense of urgency to find transformative healthcare solutions.

the world currently produces
enough food to feed everyone
alive, but we lack the logistics
and political consensus to
distribute efficiently and safely
what we produce. We have seriously depleted food reserves,
which had not been replenished since the 2010 drought,
putting the world on the edge
of major food shortages. Disputes are raging over the role
of genetically modified foods,
the composition of a healthy,
nutritious diet, and the role
of government to enforce diet,
food policies, food safety, and
its role in funding research and
food relief efforts.

Food: A compelling
concern for feeding
our planet
In the area of food, we found
a state of crisis, economic
challenge and conflict over the
future similar to the parallel
challenge in economics and
healthcare. We learned that

Our advisors pointed toward
a need for a trusted convener
to bring the sectors and key
institutions together to build
trust and create consensus;
they asked us to help serve
that role.

Nashville Symphony Orchestra Brass Quintet performing at
the 2012 Global South Summit


As organizing plans for the
2012 Summit began, plans
were also emerging for the next
Universal World Expo in Milan, Italy in 2015 to focus on
its theme, “Feeding the Planet
–Energy for Life.” As the
world now begins to prepare
for this Expo, we were asked to
help launch the global discussion on food among cross-sector leaders and participants.
Building a Global
Action Plan
The challenge we face now is
to frame long term solutions
and innovations that have the

INTRODUCTION

capacity and promise to create
abundant food, health, and
prosperity for everyone on
the planet. Our approach is
local, regional and global. In
short, we are bringing together
cross-sector leaders to imagine,
to explore—and to specify—
how innovation can create
abundance, and how we can
efficiently and much more effectively connect and network
invested leaders, research
institutions and innovators
to collaborate in fulfilling the
promise of abundance.
The programs, events and
initiatives of the Global South
Summit are being planned
over the next five years, as a
way to convene the key leaders
who will build a coherent set
of ideas and recommendations
that culminate in a comprehensive set of high profile
reports into a “Global Action
Platform.”
Innovation as a
Human Resource
Simply put, the future welfare
of both human beings and the
planet depend on a distinctly
human resource—innovation.
Our emerging economies
demand more timely solutions,
access to innovation, improved
efficiencies and high impact
results. On this there is broad
consensus. In order for societies be innovative, people in
these societies must be able to
thrive; they need food, health,
and the tools and systems of innovation that produce sustainable prosperity.
As we strive to achieve positive
change in our complex world,
leaders and innovators will
need to collaborate together
to create a shared platform for
clear, more efficient decisionmaking and informed actions
to guide our future.
The Global Action
Reports
Reports following the
Summit(s) will be published
as a series, used to inform and
engage leaders in food, health,
and economic strategy/innova-

tion, disseminated through
partnerships with the Diplomatic Courier, The World
Bank, CGIAR, USAID, National Press Club, and a growing network of organizations,
agencies, research universities
and business partners around
the world.
The following report is the
first in a series offering three
powerful framing essays on the
future of food, healthcare, and
prosperity by three profound
thinkers in these fields. This
report summarizes and shares
the wide array of innovations
and ideas for how to move out
of the current crises in these
areas to abundant food, health,
and prosperity. The report
offers initial recommendations for action, distilled from
the inaugural Global South
Summit in November 2012.
Editorials and essays from
industry experts add perspective and depth to the findings
presented.
This Report is the first in a
series that will continue to
promote innovation and action
for abundance.
Report Content
and Editorials
The Global Report features
four major editorial works on
three topics of food, health,
and prosperity, as noted below:
• “The Future of Healthcare”, Dr. William Frist
(former Senate Majority
Leader, surgeon, and HCA
founding family member).
• “The Future of Food,”
Juergen Voegele, Director, Agriculture and Rural
Development Division,
The World Bank.
• “The Future of Prosperity”, Dr. Christian Ketels,
MOC Director, Institute
for Strategy and Competitiveness, Harvard Business
School.
The Report also features editorial contributions from the

Keynote speaker, Thomas
Friedman, New York Times Pulitzer Prize-winning journalist
International Food Information Council (IFIC), Global
Harvest Initiative, STEMconnector and others.
Global Distribution
to Leaders and Major
Institutions
The 2013 Global Action
Report will be previewed with
lead editorials distributed in
the G8 Summit materials in
London, followed by distribution in the G20 materials in St.
Petersburg, and a World Bank
event in Washington DC.
Later in June 2013, 25,000
copies of the published report
will be mailed to a target list
of tier-one global corporate executives, heads of state, policy
makers, foundation leaders,
media leaders, and leaders of
major international agencies
and foundations. Further, an
electronic version of the Report will be published on the
Diplomatic Courier website
and the website of the Global
South Summit, reaching a
global online audience of 1.5
million readers.
The 2012 Global South Summit and this Report are our
first steps along this path to
create the Global Action Platform for the next five years.
We invite you to join us.

nashville
collaboration | innovation | technology | you

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Global Health.

driving innovation through colaboration

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reflecting our City’s investments in health,
culture and unmatched urban fabric

Personal Health.

leveraging the opportunity to be students of
mindful living and improve human performance

56

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I.

O

oneC1TY
HCA Healthcare
Centennial Park
Centennial Medical Center
Red Cross
Baptist Hospital
Nashville General Hospital at Meharry


Fisk University

Meharry Medical College

Tennessee State University
J.
K. Vanderbilt University
L. VA Medical Center
M. Vanderbilt University Medical Center
N. Monroe Carrell Jr. Children’s Hospital at Vanderbilt
O. Belmont University
OPTION 1b
P. Downtown Nashville
505DESIGN | 25 FEB 2011 | 2
Q. Entrepreneur Center

1

3

2
4

6

5
7

1

Avenue 31

2

C1TY Boulevard

high touch, pedestrian scaled
shopping and dining street.
lush, ped-friendly streetscape
with landscaped median is the
collector for everyday traffic.

3

The LOOP

expressive canopy and a modern,
sophisticated landscape provide
a big sense of arrival.

4

Community Table

anchored by healthy eating, local
food is the main focus for this
teaching and dining experience.

5

The Yard

a terraced lawn and community
orchard anchor this multipurpose gathering place.

6

The WATERSHED

water quality gardens double
as a series of outdoor rooms
for great minds to steep.

7

The Climbing Gardens

the terraced gardens link
28th Avenue to the Yard and
back to Centennial Park.


Section I

Abundant Food
Feeding the Planet
As the world approaches a population of 9 billion,
we face an unprecedented challenge: how will we
feed our planet while also preserving our environment and the fragile ecosystems that make life
possible? It is not just about food. Solutions must
also include nutrition and healthy diets as fundamental considerations to our global well-being.
Leading experts in food, health and nutrition
explore the interrelated challenges of sustainably
growing abundant food, safely transporting and
storing food, transforming food into a nutritious
diet, and the cultural experience and values surrounding food and food policies.


Abundant Food

The Future
of Food

Editorial by Juergen Voegele, Director, Agriculture and Rural
Development, Sustainable Development Network, The World Bank

Agriculture must urgently
address three sets of issues:
• Reduce the hunger and malnutrition affecting
870 million people. We must address the fact
that 165 million children under five years of age
are stunted, and the number of stunted children
is rising in sub-Saharan Africa, with 52 million
children suffering from wasting, and with little
improvement globally since 1990. For most of
these children, the damage to their growth and
development is irreversible and will impact the
world for generations.
• Provide sustainable solutions to extensive
rural poverty on a large scale. Three-quarters
of the world’s very poor people (incomes
<US$1.25/day in 2005 $) live in rural areas, and
most get their main livelihoods from farming.
• Mitigate 30% GHG which is leading factor in
the expected 4 degree Celsius increase in temperature...which could wreak havoc on global
agriculture.
Producing more food will not solve hunger
and malnutrition problems on its own; food
security requires ensuring access to sufficient
nutritious food every day to every person, which
goes beyond what agriculture can do on its own.
However, failing to produce at least 60% more
food by 2050 will ensure that there will not be
enough to go around, with truly catastrophic
effects. The way we increase production has a
lot to do with the distribution of its benefits for
food security. So, we also need to worry about
the resilience of production systems, nutritional
implications of production systems, and how to
reduce waste.
For success in both production growth and
ensuring that food gets to those who need it
most, small farmers will have to be a big part of
the solution. Today roughly 83% of the world’s
population lives in developing and emerging
countries. There are roughly 400-500 million
small farmers in the world, heavily concentrated

in developing countries. Globally, the average
farm size (scale of production) declined from 2.1
hectares in 1980-1985 to 1.9 hectares in 20062010, with large regional variations.
Resource depletion is beginning to set in. By
2025, nearly two-thirds of all countries in the
world will be water-stressed and 2.4 billion
people will face absolute water scarcity. Since
about 70% of freshwater use is for agriculture,
such countries will depend on imports to meet
their food needs. Worldwide, about 18% of
cropland is irrigated, producing 40% of all crops
and 60% of all cereals. Large parts of the world
are already living beyond their water means by
supporting agriculture based on unsustainable
use of groundwater. In addition, about 25%
of the world’s crop land is degraded; a further
35% of present African cropland is likely to be
unsuitable for cultivation by 2100 due to climate
change. And, just between 2000 and 2010, we
lost on average 5.2 million hectares of forest
every year.
We also face the prospect of as much as 4 degree
Celsius warmer world. If this happens, food
staple production could decline by 10-15% over
current levels, rather than increase as is needed,
leading to greatly expanded hardship, conflict,
and even mass starvation within the span of
one lifetime. We not only need to increase
production under conditions that are harder
than when the world was responding to a big
food crisis in the 1970s, but we also need to pay
specific attention to how production occurs to
create the benefits of improved livelihoods and
better nutrition.
Fortunately, agriculture is in a unique position
to help on all these issues. Only agriculture at
scale (including forestry) can take carbon out
of the atmosphere. Forests cover 25-30% of
the earth’s land surface and absorb about 15%
of the planet’s GHG emissions, and crops can
potentially absorb more. In-depth work in 2008
also showed that agricultural growth is very
effective (2 to 4 times more than other sectors)


Abundant Food

Juergen Voegele,
Director, Agriculture
and Rural Development,
Sustainable Development
Network, The World Bank

at reducing poverty. And agricultural growth at
the smallholder level can be managed to provide
more beneficial nutritional outcomes. It takes
proactive investment and policy changes to
achieve these outcomes at scale.
The climate-smart agriculture of the future
requires that we think in terms of an integrated
approach to landscapes. A “landscape approach”
means taking both a geographical and socioeconomic approach to managing the land, water
and forest resources. The World Bank Group
is increasingly using landscape approaches to
implement strategies that integrate management of land, water, and living resources, and
that promote sustainable use and conservation
in an equitable manner. The precedents for
this were a few large-scale but highly successful
projects in what would now be called emerging
countries such as China, India and Brazil. Here,
the landscape approach combined with other
methods of conservation and development can
increase personal income while protecting local
landscape.
Examples are now found in Africa as well. In
Ethiopia’s Great Rift Valley, the landscape approach has included establishing forest cooperatives that sustainably manage and reforest
the surrounding land using Farmer-Managed
Natural Forest Regeneration techniques, thus
addressing deforestation that threatens groundwater reserves that provide 65,000 people with
potable water. In Rwanda, a landscape approach is being scaled-up to a large area of steep
hillsides by providing infrastructure for land
husbandry (for example, terracing and downstream reservoir protection), water harvesting
and hillside irrigation. Training is provided for
farmers, farmer organizations are supported, and
marketing and financing activities are enhanced.
As a result, productivity in rain fed areas has
tripled, more land is protected against soil erosion, and the share of commercialized agricultural products has increased. In Western Kenya,
some 60,000 farmers on 45,000 hectares of land
are now combating erosion using sustainable
land management practices to enrich degraded
soil. In Niger, new farming systems now include
trees that capture nitrogen.

For a landscape approach to work, we need
secure land tenure rights, so that individual
farmers, especially women, as well as communities have an incentive to invest in improved land
and water management and to protect trees and
forests. In Indonesia, for example, research by
the CGIAR on Forests, Trees and Agroforestry
shows that community management and village
forest permits not only lessen deforestation and
forest degradation, but also reduce risks for
smallholder farmers and improve the well-being
of forest-dependent communities.
Appropriate pricing regimes are needed to
encourage rational use of scarce resources.
Regulations backed by strong legitimacy at
the local level are needed to control pollution
run-off or to avoid free-grazing of animals, while
appropriate incentives are in place for private
farmers to invest in “public good” activities. An
environment conducive to behavioral change
is fundamental. Transparent and accountable
institutions are critical. And if people do not
have access to information they can understand,
they do not have an incentive to change behavior. The ICT revolution is now widely spread,
including in many parts of Africa. This serves to
impart information, provide interactive information exchange, and to collect data.
In summary, agriculture is the “essential sector”
for reducing poverty, creating shared prosperity
and promoting environmental sustainability.
Together, we can harness the power of agriculture to meet the world’s challenges.
Juergen Voegele, is the Director of the
Agriculture and Rural Development Department,
Sustainable Development at The World Bank.
He oversees World Bank global programs for rural
poverty alleviation, agriculture and natural resources
management. Prior to his current appointment,
Mr. Voegele worked in agriculture and natural
resources divisions in the Europe and Central Asia
Region and in the East Asia and Pacific Region.
He also led various assignments for the East Asia
and Pacific Region and transferred to the World
Bank’s Beijing, ChinaOffice to lead the World
Bank’s Agriculture Unit.

Abundant Food

Feeding the Planet
Where Do We Stand Today?
“We can do this! We can harness the power of agriculture to achieve abundant, sustainable safe and
nutritious, food for all. We just have to have the will to make it work. Nine billion people are counting on us.”
-Mark Cackler, World Bank, Manager of the Agriculture and Rural Development Department
“Food will not represent sustainable breakthrough abundance if it is comprised of hollow calories”.
-Harold Schmitz, CSO, Mars Inc.
“I believe that sustainable change can happen. But we alone cannot achieve this change. In order for this
change to take place at scale and for it to be sustainable, it requires an enormous number of partners to be
working together.”
-Prabhu Pingali, Deputy Director, Agriculture, Bill and Melinda Gates Foundation
“Dance with entrepreneurs. Invite entrepreneurs to the table.”
-Will Rosensweig, Co-Founder and Managing Partner, Physic Ventures
SUMMIT PRESENTERS
• Mark Cackler, Sector Manager, Agriculture and Environmental Services, The World Bank Group
• Harold Schmitz, CSO, Mars Inc.
• Bill Lacy, Vice Chancellor, UC Davis
• April McMillian, Manager, Secure Biosystems Integration, Oak Ridge National Laboratory
• Prabhu Pingale, Director, Tata-Cornell Initiative, Former Deputy Director, Agriculture,
• William Rosenzweig, Co-Founder and Managing Partner, Physic Ventures


Abundant Food

We will need to leverage uncommon collaborations and build bridges with other “tribes” with
expertise in health, energy, transportation, and
the environment. It is time to connect the scattered global food initiatives and fuel the cycles of
innovation in order to achieve our shared goal
of feeding the planet.
CHALLENGES
1. Price Volatility
High and volatile food prices are the new
normal. Food prices are becoming more volatile
while food stocks in US and around the world
are at the lowest level in a generation.
• World grain consumption in last five years has
increased 2.3 percent per year while production
has only increased 1.8 percent per year.

“I believe that sustainable change
can happen. But we alone cannot achieve this change. In order
for this change to take place at
scale and for it to be sustainable, it
requires an enormous number of
partners to be working together.”
-Prabhu Pingali, Deputy Director, Agriculture
SITUATION
In 2050, we will need to feed nine billion people
and increase food production by 70 percent
worldwide. Tonight and every other night, one
out of eight people in the world–870 million
people–will go to bed hungry.
From an evidence-based perspective, we know
that food and agriculture comprise a dominant
if not the dominant influence on the footprint
of the planet when it comes to our health and
our environment.
We will need to figure out how to feed nine billion people in way that embraces environmental
and ecological sustainability, addresses complex
social and cultural issues as well as strengthens
the relationship of food and nutrition with
public health.
The next three-to-five years presents a critical window to make a difference for the long
term. We can provide sustainable, nutritious,
abundant food for everyone. But this goal
will require trust, innovation, and collaboration among farmers, businesses, governments,
research institutions, foundations/NGOs, and
finance.

• Food stocks have been coming down around
20 percent of annual consumption;
• Since June 2011, corn prices are up 45 percent, wheat prices have risen 50 percent.
• US corn stocks are down to 7 percent, making
us more vulnerable to volatile prices.
There is an absolute correlation between food
stocks and price volatility. The drivers of price
volatility are not going away:
• Increased grain exports from areas such as the
Black Sea and Latin America, which have higher
weather volatility, are contributing significantly
to price volatility. Exports of wheat in the
1990’s from those areas were 11 percent; today
they are 28 percent.
• Biofuel mandates have added constraints and
rigidity to the system.
• Policies such as trade restrictions by countries
like Russia, India, Vietnam, and Ukraine who
limit their exports, are making a bad problem
worse.
All of these have repercussions throughout the
world. The Arab Spring was in large part a reaction against volatility in food prices. This situation cannot be fixed overnight and will require
long-term solutions.
2. Poverty
The poor suffer most from food price volatility
with consequences that include long-term social
and economic disruptions stemming from a lack
of nutrition.
Sudden rises in food prices can cause a harmful chain reaction in terms of personal health

Abundant Food

and livelihood. Poor families pull their children
out of school so they might be another source
of income for the family. They will eat cheaper,
and less nutritious food. And for those who
cannot afford food at all, their children might
suffer from malnutrition, which, if untreated in
the first two years poses a major threat to brain
development and can result in permanent brain
damage. Thus, short-term hunger has catastrophic long-term effects on the health of these
citizens, threatening economic growth as well as
social stability.

5. Food waste

• 20-30,000 children born in India today will
suffer from life-long stunting. Food will not
represent sustainable breakthrough abundance if
it is comprised of hollow calories that contribute
to stunting and other issues.

No country has been able to achieve sustainable
reductions and poverty without massive investments in agricultural development.

Finally, we waste a lot of food. Depending on
the crop, in poor countries between 15-40% of
food is lost. The food waste in rich countries
each year is equal to all of the annual food produced by Sub-Sahara Africa.
RECOMMENDATIONS
1. Invest in agricultural development in
developing countries.

3. Climate Change
Climate change is undeniably altering the landscape for food production. Extreme weather is
becoming more common causing more flooding, heat, and droughts.
We will need more aggressive agricultural
research to prepare for climate change such as
developing more crops that are tolerant tolerate
to extremes in temperature as well as resistant to
diseases and pests.
Given that agriculture contributes to 30% of
greenhouse gasses, it is time to have agriculture
included in discussions surrounding solutions
to climate change rather than just be viewed as
“part of the problem”.
4. Bad policies
Much of the global food system is dependent on
the government policies and regulations that affect trade issues, safety issues, and equity. Many
of these policies, such as protectionism and
bans on exports hinder access of farm products
from poor countries to rich countries and are
self-defeating.
Many governmental policies also discriminate
against the poor and most vulnerable. These
include trade policies, protectionism, and laws
that discriminate against women when it comes
to land tenure. Land grabbing is an increasingly
visible issue around the world as the wealthy buy
up land in an unjust way from poor farmers.
Another issue is that oceans are being depleted
of fish. We must figure out how work together
to improve our policies and get long-term agreements on the high seas to assure sustainable
fisheries.
We also need to change unwise policies that
divert food to other uses.

Because most of the world’s poor people are
farmers, enhancing productivity of small farms
is the best way for poor people around the world
to grow their way out of poverty. We need to
make investments in smallholder agriculture
especially in Sub Sahara Africa and South
Asia. Every solution doesn’t have to scale or be
optimized.
Even small efforts, like teaching farmers how to
rotate crops, better soil management, even waste
management (ie: composting) can make a big
difference.
Gradually higher and more stable food prices,
could actually be a good thing, because higher
prices can help farmers rise out of poverty.
2. Empower women.
Women farmers may be the single most important development priority.
• While women make up 43% of agriculture
labor force in developing countries, women
farmers are less productive than men due to
the fact that they have less access to land, water,

Abundant Food

seeds, training and credit. If women had same
access as men, their farm yields would increase
by 20-30%.
“Feed the Future” which grew out of 2009 G8
Summit, is rooted in partnerships with local governments, donor organizations and civil society.
All of us, including the business sector, would
benefit by joining forces with this coordinated
effort.
3. Make better use of technology.
We need to do a better job of harnessing the
power of technology to help farmers.
In 2002, half the people in the world had never
made a phone call. Today, people have mobile
phones, in the most isolated areas. It is time to
make better use of new technologies, such as
mobile devices, videos and other modern ways
of disseminating and extending knowledge to
help farmers.
EXAMPLE: Using GPS technology, we can
put sensors on top of a tractor that can help
farmers determine what kinds of fertilizers and
how much to use to increase the yields on their
crops. They can do this on the fly, saving much
time with greater efficiency.
EXAMPLE: The Oakridge National Laboratory
is monitoring a wide range of data from around
the globe through a number of uncommon
collaborations–gathering biological, chemical,
transportation, economic, and climate information among other data. The hope is that the
combined data will reveal new information to
guide planning on future food production and
food systems.
4. Invest in infrastructure.
To make a difference in global agricultural development over the long term, the US and other
nations will need to work more closely with
governments around the world on investments
in infrastructure such as roads, ports, irrigation
systems and agricultural innovation.
The US itself is a demonstration model of
successful long-term government investments
in agriculture. Since 1862, the US federal and
state governments played a key role in providing
funding backed by local resources to support domestic agricultural development across America
through the land grant university system and agricultural extension. This investment has been a
fundamental contributor to America’s abundant
food supply and economic success.
5. Connect food issues more closely with health


UN Photo/BZ

We need to focus much more on policies in rich
and poor countries alike that link food production to nutrition and health outcomes.
The FDA, for example could take a much more
active role in allowing food-based health ingredients to be protected and marketed so that they
can make legitimate claims based on clinical
science.
EXAMPLE: Mars, a company that depends
very much on cacao for its products, has been
researching the health benefits from a natural
product that comes from Theobroma cacao.
This cacao product has demonstrated to have
both cognitive benefits as well as its ability to
lower blood pressure.
6. Develop business incentives and invite in
entrepreneurs.
It’s time to dance with entrepreneurs. We know
the magnitude of the problems, but solutions
are moving too slowly.
One of the biggest impediments to change is
that the basic food business model works so
historically there has been no imperative to raise
the game. However, the private sector can be
tremendously helpful in introducing new input
supply systems, new seed systems, new market
systems, and other related systems especially to
rural communities where the needs are highest.
Private sector research and development can also
bring real advances to poor farmers.
To reach our goal of abundant, nutritious food
for everyone, we will need to work with the very
large food corporations who are doing everything possible to optimize their production and,
at same time, engage entrepreneurs and venture
capital to find innovations that can disrupt current models in order to make them better. The
solution is full of paradoxes, full of tension, but
leaders will have to embrace both.

Abundant Food

7. Work collaboratively across disciplines
Sustainable change can happen. Sustainable
change can be scaled up. But by working alone
we cannot achieve this change. In order for this
change to take place at scale, and for it to be
sustainable, requires an enormous number of
partners to be working together.
EXAMPLE: The CIFAR program at UC Davis
is one of the successful programs that includes
all the cross-disciplinary collaboration elements
needed to make a difference. This outstanding
collaborative model grew out of academia and
engages business to embrace all inputs.

Perhaps what is needed is the food equivalent
of Sputnik–a global strategic imperative that
everyone can agree with. Once we establish the
strategic imperative, we can work together on
the long-term strategy with inputs from business,
science and technology along with academia,
NGO’s, and government.
We can do this! We can harness the power of
agriculture to achieve abundant, sustainable safe
and nutritious, food for all. We just have to
have the will to make it work. We have technologies for today. We have a way to develop the
technologies for tomorrow. Nine billion people
are counting on us.

UN Photo/BZ

Growing Abundant Food
Global Trends in Food Security
SUMMIT PRESENTERS
• Frederick Vossenaar, Program Manager, Climate-Smart Agriculture,
Ministry of Economic Affairs, Agriculture and Innovation, The Netherlands
• Kent Bradford, Director, Seed Biology Center, UC Davis
• Michael Dimock, President, Roots Of Change Fund
SITUATION
What we’re doing as human beings to feed
ourselves has the largest impact on the natural
world–greater than any other activity.
We face huge challenges: climate change, hunger, environmental degradation, degradation of
human communities, and challenges to human

health. This tells us that the system isn’t totally
working.
Recently, we’ve moved from a period of commodity abundance, (i.e. more corn, more wheat,
etc,) to a period of relative commodity scarcity.
The number in terms of productivity and consumption are very close: any shock to the system
and we will be negative.*


Abundant Food

Faced with a growing world population, we
must move toward “sustainable intensification”–
increasing productivity per unit area–in order to
protect our wild lands, preserve biodiversity and
reduce the environmental impacts while also
providing the food that is needed by our growing population.

produced each year. Significant other issues surround the appropriate use of biotechnology.
To move forward with a clear vision, trust
between all parties including producers and
consumers alike, becomes a critical priority.
CHALLENGES
In 1960, there were 1 billion hungry people but
we were feeding 2 billion. Today, we still have
about 1 billion hungry people, but we’re feeding 6 billion. We’re actually feeding 3 times as
many people while still experiencing persistent
hunger among the world’s poorest people.
A new problem is coming soon. In 2050
China and India will have 40 percent of world’s
population with only 15 percent of arable land.
By some estimates, we will need another 50-70
percent increase in food production to meet the
anticipated global food demand in 2050.

“I am advocating for biotechnology for sustainability.
Let’s stop marginalizing this
technology–let’s think serious
about how we should be using it specifically to enhance
sustainability.”
–Kent Bradford, Director, Seed Biology Center,
University of California Davis

Advances of the “green revolution” including
genetically engineered crops, improved food
varieties, fertilizers, pest control, all allowed
us over the last 50 years to triple agricultural
yields around the world with only a 10 percent
increase in overall area cultivated for agriculture.
Directly due to innovations in biotechnology,
between 1987-2007, there has been a 41 percent
increase in yield/acre and we have done better
on every index in terms of sustainability: energy
use, soil loss, irrigation, climate impact and land
use.

If we attempt to meet this demand by expanding land area used for production, we will face
enormous problems, including considerable
carbon loss. Burning rain forests for new land,
plowing the land and aerating new lands all
release carbon.
The data show that innovations in seed biotechnology have allowed us to have higher productivity and tackle sustainability issues simultaneously.
With seed biotechnology, we can use fewer
pesticides, less fuel, and lower the impact on
environment. For example, we can control
weeds through new crops varieties so that we
don’t need to plow, reducing carbon release and
reducing energy use in the process.
Most agree that the key to meeting increased
global demand for food is to continue to maximize crop yields per acre rather than increase
land used for production. To accomplish this
for our future, many scientists believe the only
way is to stop marginalizing biotechnology and
think seriously about how we should be using it
responsibly to enhance sustainability.

However, there are many complex issues we still
need to grapple with to get to a world of abundance. We need a robust debate to reconcile the
competing views about how our world will need
to evolve.

Unfortunately, in food biotechnology, we’re
seeing a suppression of entrepreneurship by
regulatory and market-based push-back. While
locally-sourced food is worth promoting, it represents less than 3 percent of food we eat in the
US. We will need all the technologies we have to
solve the significant problems ahead of us. There
is no reason the two can’t work together.

Some question, for example, the need to
increase food production so dramatically when
we already waste between 40-45 percent of food

Nevertheless, significant issues associated with
biotechnology merit public debate. These
include:


Abundant Food

1. Ownership of seeds. Only seven or eight
companies essentially own all the seeds in the
world. While most agree that companies who
invest in biotechnology should be able to have a
return on their investment, better systems need
to be in place to assure more access to these beneficial technologies–especially among the world’s
poorest populations.
2. Who funds the research. If biotechnology
research is mostly paid for by the large seed
companies, the scientific debate can be easily
impeded.
3. Regulation. When those who have been
working in the industry become the regulators, trust is compromised. We need to assure
transparency throughout the system so that the
science and its products can be trusted.
RECOMMENDATIONS

It’s not about the developed world saving food
scraps and shipping them to Africa. The solution is that Africa needs to feed itself. If we
empower women, for example, we would see a
20-40 percent increase in food production.
The food waste problem is very different for US
than in other places. In America, a lot of food
is wasted because people don’t know how to
understand the expiration date and good food
just gets tossed. In Kenya, on the other hand,
half of grain may be wasted due to spoilage after
harvest.
3. Recognize the value of food. There are a lot
of external impacts that are not included in the
price of food. It’s very hard to get to sustainability if we don’t have the right pricing structure
that reflects the true costs. Typically, we create
taxes to deal with these impacts, but we’re struggling with that now.

1. Continue to innovate in order to optimize
our food systems through biotechnology and
other means. Some of the proposed biotechnology innovations with the greatest promise
include:
Nitrogen and phosphorus use efficiency. We
don’t have enough phosphorus to maintain our
productivity. Nitrogen can be made from the
air, but there are consequences to doing this.
We need to find ways to optimize the production and use of nitrogen and phosphorus in our
crops.
Fertilizers. About half the fertilizers we use goes
somewhere, but not into the plants. We need to
find ways to make the application of fertilizers
more efficient.
Nitrogen fixation. Certain plants that can
actually fix their own nitrogen. We need to get
this into more crops. With biotechnology, this
is very doable.
Photosynthesis in wheat and rice. If we could
get wheat and rice to do photosynthesis as
efficiently as corn does we would save water, increase productivity and have the next quantum
leap we need in productivity.
Improving stress tolerance. We know that
climate change will increase the variability of
global temperatures and other conditions. Crop
losses due to drought, salinity, and temperature
extremes present critical challenges. We need
to embrace the successful strategies that already
exist to help farmers withstand these situations.
2. Reduce food waste. Food waste is a huge
problem…and opportunity. If we could stop
waste, we might not need a 70 percent increase
in production, we might only need 20 percent.

UN Photo/BZ

4. Involve the public in more science-based
discussions about food to build trust and move
appropriate technology innovations forward.
Transparency is critical. In our discussions, we
need to be “technically correct”, not “politically
correct”.
Three “E’s” merit focus
“Eatable” food. The entire premise of the food
system should be about better nutrition, not
just more food. We must more actively support
health through food.
Education. It’s amazing how many people don’t
know where their food actually comes from. We
need to find ways to educate the public more so
that they are more connected to food. Farmers
don’t have the time to do this.


Abundant Food

more creative ways to produce food with less
regulation, especially by people who have never
farmed before.
5. Engage the private sector in playing a bigger
role in agricultural innovation and encourage
them to make long-term commitments.
EXAMPLE: Several Dutch seed companies are
investing in Sub Sahara Africa knowing they will
lose money for the next decade, but confident
that in the future they will be successful. They
are working to develop markets in countries that
many would consider too difficult or too poor to
generate results.

UN Photo/Eskinder Debebe

Entrepreneurship. Unleashing the inventive
human spirit can lead the way to solving a lot of
agricultural problems. Support both the small
farmer as well as the large farmer find better and

We need to make strategic investments in processes and people that will accelerate pressures
on food producers and governments to change
the system to make it better.
It is time to think strategically about what we all
need to do to sustainably and positively impact
agriculture, and then let’s do it!
* Global Harvest GAP Report.

UN Photo/Forte

From Harvest to table
Preservation, Logistics, and Distribution
SUMMIT PRESENTERS
• Rob Howell, VP, Sourcing and Supply Chain Services, Sysco Systems
• Jeffrey Brecht, Director, UF/IFAS Center for Food Distribution & Retailing, University of Florida
• Rich Kottmeyer, Senior Executive and Global Agriculture & Food Production Leader, Accenture
• Edward Zhu, CEO, CHIC Group Global

Abundant Food

SITUATION
We understand one thing: with more people,
more health and more wealth, we will need to
move more food. While a lot of people think
this is a problem, it is also an opportunity. As
three billion people become middle class by
United Nations standards, the economy will
grow by $1.5 trillion.
That gives us a reason for everyone to get
aligned.
A major obstacle to providing food for everyone is the loss of food through waste, spoilage,
disease, pests or the lack of adequate logistics
for transportation and distribution. According
to Rabobank, we already produce enough food
to feed every person on earth a diet of 8,000
calories per day–clearly more than we need.
However, after we harvest the food, approximately 60 percent is lost from spoilage or failure to be
delivered to where the food is needed. Sometimes politics blocks the movement of food;
other times it is lack of airports, roads, technology or other infrastructure. Improper handling,
storage or poor regulation also contributes to
contamination and loss.

In developing countries, food safety is especially
challenging because the agricultural system is
tied to individual small farms that have little or
no technology in place to capture or report any
data. It is nearly impossible for the government
to effectively track food safety issues or put the
necessary inspections in place at the central,
provincial and local levels.
EXAMPLE: In China, there are 229 million
farmers, most with farms that are less than 1
acre. These farmers are largely illiterate and
lack the ability to understand the complex,
sometimes conflicting agricultural regulations.
In India, there are 630 million farmers with
similar concerns.

“Higher performance at
scale is good for everyone.”
–Rich Kottmeyer Senior Executive and Global
Agriculture and Food Production Leader, Accenture

It is not enough to focus solely on producing
and harvesting enough food. We also must take
thoughtful steps to assure that the right systems
are in place to keep food safely moving through
the food chain including efficient, cost effective
distribution from point of harvest to point of
consumption.
CHALLENGES
1. Growing populations and a growing
middle class will require more food.
Food distribution is like a pipe: as our global
populations grow and as they become more
middle class, we’re going to need to put twice as
much through the pipe. There are three ways to
accomplish this:
1. Improve the pipe: This is what companies
such as Sysco and others are doing to assure
food is distributed efficiently and safely throughout the food chain.
2. Optimize the pipe: Improve the velocity of
food through the pipe. This is what Accenture
and other consulting companies are working on.
3. Fix the leaks: Prevent waste and loss of food
that has already been produced.
2. Food safety is a global concern with
large variations between countries.

UN Photo/James Bu

3. Regulatory issues are too complex and
not globally compatible.
To optimize global and local food distribution,
we will need to address the myriad of national
systems and standards that are not compatible–
some mandatory and some recommended. For
example, in China there are approximately eight
overlapping and contradictory domestic pesticide standards.
Adding to the complexities are large variations
in each country’s diet, crops, maximum residue
limits for pesticides among other factors that
make trade compliance between countries highly
challenging.
Recent global efforts to standardize terminology and cooperate more on food safety such as
GFSI* are making a difference, but agriculture
remains an area that needs much more focused
attention.


Abundant Food

this should be provided for through industry
and not through government subsidies.
The reality is that we have to improve the
performance of small-holder farmers especially
in China, India, SE Asia and Sub Sahara Africa
because we are going to be working with these
small farmers for an indeterminable and probably longer time than we anticipate.
Global agricultural industrial leaders have an
opportunity to work with entrepreneurs in
China and in other developing countries to help
the food chain to improve. By investing in these
countries, they not only open new markets, they
become new places to source safe products from.
UN Photo/John Isaac

[*Global Food Safety Initiative a business-driven
safety initiative managed by The Consumer Goods
Forum, the only independent global network for consumer goods retailers and manufacturers worldwide,
serving CEOs and senior management of nearly 400
members, in over 150 countries.]
4. Too much food is wasted or lost.
Loss and waste are different issues requiring
different solutions. Loss, which refers to food
being destroyed by environmental conditions,
eaten in storage by pests or destroyed through
decay by microorganisms, tends to be more problematic in developing countries. Waste is more
of an issue in developed countries where a lot of
good food is discarded due to expiration dates
or because it is not cosmetically perfect.

2. Celebrate size and scale.
Large size and scale in agriculture brings something to celebrate. If you look at how we got
the incredible increases in crop yields over the
past half-century, it was because of consolidated
power of seed companies and consolidated action.
Scale issues also refer to supply chains. Across
the world, we don’t have to go from really bad
practices to instilling modern supply chains overnight. It’s all about getting modest, incremental
gains, but doing it at scale.
At the same time we’re working to be scalable,
we have to be flexible. For example, can we
predict what the Chinese middle class will want
to eat in 2040 or how that’s going to impact
world food? Anticipating and then planning for
these major trends is where technology will play
a big role.

The goal should not be to deliver barely eatable
food to consumers. Food must be palatable and
nutritionally valuable.
RECOMMENDATIONS
1. Support small-holder farmers to improve
food safety.
A short-term solution to food safety in developing countries is to install electronic traceability
systems such as barcodes that traces food safety
issues from food cultivation to harvesting to post
harvesting through processing and distribution–
all the way to the table. To accomplish this, the
larger agriculture companies will need to take a
leadership role in helping small-holder farmers.
In long run, the only way to assure food safety is
to slowly reduce the number of poor, small-holder farmers in order to have technology-based
large-scale farming. It will be essential to provide
a safety net to ease this transition. Optimally


UN Photo/James Bu

Abundant Food

3. Promote technology.
Even relatively simple technologies can help
quite a bit. While many farmers are illiterate,
almost all now have a phone and many have
cameras. We can analyze a picture and call farmers back to help them understand what’s going
on with their crops.
In a lot of cases, especially in the developing
world, significant gains can come from a shift
from virtually no agricultural practice to modest
agricultural practice.
EXAMPLE: In India, Monsanto has demonstrated that a little technology can have considerable impact. By providing just a little bit of help
to farmers over a simple voice-based system the
farm yields improved dramatically.
EXAMPLE: In China, the CHIC Group is
working to optimize the supply chain and improve safety by giving a scanner free of charge to
thousands of farmers they work with. Farmers
scan every product they are harvesting. Whatever the farmer puts into the system, such as the
source or amount of pesticides, fertilizers, etc,
can all be traced. Information on the barcode
is further linked with the transporting truck,
the shifts of the manufacturing plant, the pallet,
and the shipping container, thereby connecting
information about that food product all the way
from the farm to the marketplace.
4. Use more data and analytics.
We can look at data as a way to be more responsive to the demand forecast in the marketplace.
Data and analytics now allow you understand
what is being grown as it is being grown as well

as what the quality is going to be. We can aggregate all this data and make more sensible supply
chain decisions.
We will need to become more granular about
the data we collect because food companies
and food retailers are saying, “I want to connect
people back to the products, the farmer and the
ingredients.”
The more efficiently we can aggregate data
working with manufacturing partners, the more
effectively it can be moved through the supply
chain. The biggest challenge is the “cold chain.”
We’ve got to be sure we protect the environment
of the product from the day it is farmed to the
day it reaches the table.
This means we have to take the data not only
forward in aggregation but take it back granular.
But this is a big challenge, but it has been done
in many other industries due to the fact that we
can process so many more data and run so many
more analytics on it than ever before.
5. Scale up and be flexible.
To meet our food needs in the future, we’ve got
to either scale or be able to scale up. We don’t
need to necessarily need to consolidate farms,
but farms will have to act bigger than they are.
We’ll have to be more flexible, and that means
we’ll have to optimize. It will no longer be
acceptable to have plants that have 40 percent
operational efficiency because that means we’ll
have to build another plant. It is much better
to use the plant we already have and get it to 60
percent efficiency.
And, prevent waste by fixing the leaks.

UN Photo/Kibae Park


Abundant Food

At the table
Nutrition and Health

“I can envision future menus and food choices that can help to reverse obesity, and chronic disease trends,
lighten the impact on our environment and still yield delicious flavors that delight our customers”.
-Greg Drescher, Culinary Institute of America
“If there were a dream to aspire to, it is that the family comes together again around a table–without
the TV–to the eat food that they have prepared together.”
-Dr. Roy Elam, Medical Director, Vanderbilt Center for Integrative Health
SUMMIT PRESENTERS
• Roy Elam, Medical Director, Vanderbilt Center for Integrative Health, Discussion Leader
• Greg Drescher, VP, Strategic Initiatives and Industry Leadership, Culinary Institute of America
• David Schmidt, President and CEO, International Food and Information Council
SITUATION
We can envision a future where menus and
food choices can help to reverse obesity, and
chronic disease trends, lighten the impact on our
environment and still yield delicious flavors that
delight our customers.
It comes down to the average consumer: what’s
on the plate? When we consider what is optimal
nutrition, we need to look at intersection of sustainable, social and equitable food in addition
to what foods are delicious and have cultural
appeal.

“If there were a dream to aspire
to, it is that the family comes
together again around a table–
without the TV–to eat the
food that they have prepared
together.”
-Dr. Roy Elam, Medical Director,
Vanderbilt Center for Integrative Health


Research shows that the future of health and
medicine will focus more and more on human
behavior. The focus will shift from intervening in a health crisis with massive resources, to
behavior that promotes health over a lifetime.
While several factors do promote health, perhaps the most central factor is food--a healthy,
nutritious diet.
As the world moves toward the goal of sustainable, abundant food for everyone, the nutrition
of that food is critical. It isn’t enough just to
produce enough food and distribute it; the food
manufactured, cooked, and served also needs to
be nutritious and to promote good health and
happiness.
Food is deeply cultural, and in almost all human
societies, food is deeply connected with religious and spiritual values. Diverse cultural and
religious perspectives on food are critical issues
to engage and integrate into plans for attaining
sustainable abundant food for everyone.
CHALLENGES
Obesity is a big challenge. The culinary com-

Abundant Food

munity is, in fact, partially responsible. For
example our restaurants tend to equate calories
as a function of value. We have the idea that if
they serve us more, we are getting more value.
This is a perception that may be difficult to
change, but should be addressed so that people
feel that value comes with nutrition and other
positive impacts, not calories.
Other factors that contribute to obesity are environmental. According to Lee Kaplan, an obesity
expert from Massachusetts General at Harvard,
four major environmental factors determine
the “set-point” for body fat, many caused by
advances of the industrial revolution. These
factors have literally altered the set point for
obesity, a situation that costs our country $200
billion in healthcare costs each year.
1. Stress is the biggest factor that has changed
our body fat set-point. All the technology that
allows us to move faster in our daily lives, also
drives the fight or flight hormones faster and
faster into our bodies which changes the setpoint for body fat.
2. Food and nutrition–energy intake - changed
when processed food was introduced because
it became much easier to consume a lot more
calories in a meal than previously possible.
3. Burning energy, through exercise, muscle
movement matters a great deal. The brain manages this set point in a very complex way: it is
not just about calories in, calories out.
4. Medications given to patients, such as antidepression, pain medications and even diabetes
medications will change the set-point for fat and
often cause more obesity.
RECOMMENDATIONS
There is a huge potential for the culinary community to serve as a positive change agent in
guiding the food we purchase and eat by helping
to reshape consumer preferences toward foods
that improve health and nutrition and support
sustainability.
More and more Americans are preparing fewer
meals at home and asking culinary chefs to
make their food choices for them. Americans
currently spend almost half (48 percent) of
their consumer food dollars on restaurant
food. The food service industry–a $630 billion
industry–has many different facets and therefore
numerous avenues to affect consumer change.
For example, the industry has an opportunity to
build excitement about new foods prepared with
plant-based protein rather than animal-based
protein which doesn’t support optimal nutrition
and is unsustainably resource intensive.

As we move now to more plant–based diets,
the Culinary Institute of America, is looking
for inspiration and guidance from other parts
of the world that rely more on plants for their
diet. In rural Thailand, for instance, you will
find largely-plant-based meals that are delicious
because Thai home cooks have been working
away at this diet for generations with the local
foods that were available. There is enormous
cultural genius all around the world that can
help us make the transitions to a more nutritious, plant-based diet.

U.S. consumer data points
76% strongly or somewhat agree that changing
information on food makes it hard to know what
to believe.
Consumers are saying “I’m bombarded with
information so I’m going to make my own decisions.”
Half of all consumers believe it is easier to do their
own taxes than to figure out how to eat healthfully.
Only about 15% of consumers actually know how
many calories they should be eating.
Taste and price drive food and beverage choices
more often than healthfulness.
Nearly 66% of consumers are favorable or neutral
toward the use of biotechnology in food production.
Two-thirds of consumers say they have thought
about the sustainability of their foods and beverages.
People in developing countries are more willing
to see the need for adequate nutrition and in many
cases more willing to support biotechnology.
The issue of transparency regarding information
about the food we purchase and consume will
also become a larger factor in affecting consumer demand. A huge accelerator will be information about food that will include not only what’s
in the product, but also social responsibility,
sustainability and ethical issues such as how
workers are treated.
It is not only the food we eat, but it’s the context
within which we eat. If there were a dream to
aspire to, it is that the family comes together
again around a table–without the TV–to the eat
food that they have prepared together.
Food choice really comes down to people’s imagination. Our goal should be to provide enough
inspiration so that consumers do things that are
going to support a more rational, sustainable,
healthier future in terms of diet and health for
the planet.


Section Ii

Abundant Health
Healthcare Solutions
Practical innovations in patient care, advanced
technologies, and a new focus on wellness have the
potential to transform our approach to healthcare for
the better. How can healthcare providers offer more
personalized solutions, preventive care, nutritional
guidance, and improve patient outcomes in a more
cost-effective way? A healthier world that includes
access to quality healthcare for all citizens is critical
to our economic future and social vitality. Leading
industry experts discuss the challenges and outline
priorities for a “new medicine.”


Abundant health

The Future
of Health
Editorial by Senator William H. Frist, M.D.

I

t’s a common refrain that America has the
best health care in the world but our people
are far from the healthiest. We spend twice
as much as any other nation on health
services yet rank dismally, behind more than
twenty other countries in basic health metrics like
infant mortality and life expectancy. We have more
MRI machines, heart transplants, new drug patents, Nobel prize winners than any country in the
world and yet people in Greece, Israel and Jordan
live longer. How can this be?
The New York Times will tell you that the lack of a
true healthcare system, preferably a nationalized
and universal system, causes these failures. If only
we had a true, equitable and universal system, such
as Britain’s or France’s, we could skyrocket up the
rankings. This is simply not true.
Data have shown that when all factors are taken
into account health services only account for
roughly 10% of determining how long we live. The
two major factors are personal behavior, accounting for 40%, and genetics, accounting for 30%
(social circumstances and environmental exposure
round out the rest at 15% and 5%, respectively).
So how do we harness the true drivers of mortality?
How do we live healthier, create a more targeted
and personalized approach to medicine all while
simultaneously cutting costs and eliminating waste?
The answer lies in what I call “New Medicine.”
I believe that we are currently at an inflection
point in medicine. We are poised to capitalize
on decades of innovation, tying together disparate fields including genetics, social networks,
supercomputing, the internet, stem cells, cutting
edge imaging and sensors, and pharmaceuticals.
These forces, unleashed in a dynamic, coordinated
fashion can usher in this era of “New Medicine”
that treats each patient as an individual, not the
average, eliminates waste, adverse side effects and
maximizes the outcome of diagnosis and treatment
for you specifically, not just for most people or the
population in general.
We have been building towards this inflection
point for decades with seemingly unrelated advances such as the advent of cell phones in the 1970’s,

the discovery of the double helix model of DNA in
1953, or the first MRI on a human being in 1977.
I have written in several forums about some of
these advances, most notably pharmacogenomics
and the rise of consumerism in healthcare, but
today I focus on one breakthrough of incredible
potential.
Stem cells hold the power to be a major pillar of
the “New Medicine.” Scientists have speculated for
years about the awesome potential of stem cells.
Conditions as wide ranging as diabetes, spinal cord
injuries, burns, limb amputations, heart disease
and neurological disorders can all likely be treated
by stem cells. But what makes embryonic stem cells
so special?
Embryonic stem cells are special for two reasons;
first they produce exact copies forever and second
they can grow into specialized tissue, which fully
formed (or “adult embryonic stem cells” human
cells cannot, or at least were not thought able to.
Embryonic stem cells are harvested from a five
day old embryo, taking the inner cell mass of the
blastocyst, generating pluripotent embryonic stem
cells. These cells can be differentiated into heart
cells, brain cells, basically any cell in the human
body.
But there are two problems with embryonic stem
cells. First is the ethical issue. It requires the destruction of embryos, the destruction of something
that, left to nature, would become human life.
Second, it is “non-self.” Even though these cells
can become specialized into any type of cell, they
do not come from you and your body knows this.
But this approach has yielded remarkable scientific
breakthroughs. We have cloned frogs and sheep. I
had the great pleasure of visiting Dolly in Scotland,
the first cloned sheep, which many may not know
was actually named after Dolly Parton, the famous
Tennessean entertainer. However, for reasons we
don’t fully understand, humans cannot be cloned
using this same method.
Thus, the real breakthrough came using a radically different approach. In 2012, the Nobel Prize


Abundant Health

Senator, William H. Frist, M.D, former US Senate
Majority Leader, Clinical Professor of Surgery, heart
and lung transplant surgeon.

for Medicine and Physiology went to Dr. Shinya
Yamanaka (along with Sir John B. Gurdon).
Yamanaka induced skin cells to become “Pluripotent Stem Cells” (iPS). These “iPS cells” have all
the special properties of the magical stem cells.
In the simplest terms, Yamanaka was able to take
normal, adult skin cells and transform them, using
four master genes, into pluripotent stem cells, just
as capable of transforming into any cell type, but
without the use, and consequent destruction of
an embryo. Not only does this solve an incredibly
complex moral issue, it also bypasses the issue of
embryonic stem cells being foreign or “non-self”
to the eventual patient or user. Doctors can simply
use the patient’s own skin cells to create the iPS
cells needed to treat him.
The first real application of this breakthrough is in
the form of regenerative medicine. As a transplant
surgeon, I have performed hundreds of operations
to extend the life of patients by giving them a new
heart or lung. This complex procedure meant that
I would get on a plane, fly to the organ donor,
remove the donor heart and fly back, transplanting it into my patient, all in a matter of hours. The
patient receives years, even decades, of life with
family and friends. I have many patients who I
transplanted more than 25 years ago. But the heart
transplant patient has traded a fatal disease for a
chronic disease, which requires daily management.
The heart a surgeon transplants is “non-self” and
thus the body continually attempts to reject it. On
top of having just undergone one of the most traumatic operations a human body can endure, the
patient must then take multiple immunosuppressant medicines to keep his own body from killing
his new heart. Consequently, pneumonia, or even
a common cold, becomes deadly.
But this operation may well become a thing of the
past, like the iron lung. In the not too distant future, we will take a patient who needs a heart transplant, perform a skin biopsy, create patient-specific
iPS cells, grow them into healthy heart cells and
then transplant, not a separate heart, but merely
the genetically matched healthy heart cells. The
body, recognizing its own genetic material, would
find no cause for rejection and this operation
can be done with a needle, not a bonesaw. There


is also no shortage of organ donors or patients
dying while waiting for just the right match. This
example represents just one of hundreds of applications. In fact, the first clinical trials for macular
degeneration (blindness) will occur this year.
The second application of Yamanaka’s breakthrough is the huge potential for drug discovery.
Let’s take Alzheimer’s Disease for an example. Up
to now, all drugs have failed. But what if we could
test a new drug specifically on your brain cells to
see if it works. Using this technology we can. We
simply take adult skin cells, revert them to iPS cells
in a test tube and then again into brain cells and
then test their response to a potential drug in a
dish. Now we can literally conduct “clinical trials
in a dish.” It’s a new world.
The Gladstone Institute, where Dr. Yamanaka
works, has already made cells for Alzheimer’s, Parkinson’s, Huntington’s and cardiac disorders. With
the ability to test drugs on actual cells of a specific
patient, we can take the guesswork out of efficacy
and toxicity of drugs. This should, and will, lead to
a major rejuvenation of the pharmaceutical industry and more targeted, specific and effective care
for patients. “New Medicine” is coming. Don’t be
left behind.
William H. Frist, M.D., is a nationally recognized heart and lung transplant surgeon, former U.S.
Senate Majority Leader, and partner with the private
equity firm Cressey and Company. Senator Frist represented Tennessee in the U.S. Senate for 12 years where
he served on both Health and Finance committees. He
was elected Majority Leader of the Senate having served
fewer total years in Congress than anyone in history.
His leadership was instrumental to the passage of the
2003 Medicare Prescription Drug, Improvement and
Modernization Act and unprecedented funding to fight
HIV/AIDS. He is currently an Adjunct Professor of
Surgery at Vanderbilt University and a Clinical Professor
of Surgery at Meharry Medical College. He is also a
Senior Fellow and Co-Chair of the Health Project at the
Bipartisan Policy Center. His board service includes the
Robert Wood Johnson Foundation, the Kaiser Family
Foundation, and the Center for Strategic and International Studies.

Abundant Health

Transforming Healthcare
How Collaboration and IT Create
Game-Changing Innovation
SUMMIT PRESENTERS
• Keith Gregg, Chairman and CEO, JRG Ventures
• James Lakes, Director US Health and Life Sciences, Microsoft
• Douglas Wenners, SVP for Provider Engagement, Wellpoint
• Jordan Shlain, Commissioner SF Health Service Systems, Founder Healthloop
SITUATION
A yawning disconnect exists between patient
needs and the ability of America’s healthcare system to deliver timely and cost-effective services
to all populations. This is causing a new face of
healthcare to emerge.
Practical innovations that include better use of
technology, new uses of big data, collaborative
teams and a focus on wellness and preventative
care rather than sickness, have the potential to
transform health care delivery, improve patient
outcomes, save money, and promise all populations a healthier life in the future.
CHALLENGES
1. The cost of healthcare in America has
escalated beyond its value to consumers:
• In last 10 years (between 2001 and 2011),
there has been a 119% increase in the cost
of healthcare insurance premiums.

• Average cost for insurance/person - $450/
month ; for family of 4 this is $1,600/month.
2. An aging population that is also less
healthy:
• The senior age group is now, for the first
time, the largest in terms of size and percent
of the population in the US.
• 63 percent of all Americans are either obese
or overweight.
3. A massive primary care shortage, combined
with a high degree of variation in cost and
quality of care:
• Today there is an average 20 days wait for
non-emergency visit. This results in patients
either going to the emergency room for immediate treatment or to specialists who may prescribe
the wrong treatment. Both approaches result in
higher expenses and reduced overall care for the
patient.

Abundant Health

• Much of the population doesn’t have access
to primary care, causing them to go to the
emergency room for care or to no one at all.
4. A failure to use technology to manage
patient data across care providers and/or
bridge communication between the physician
and patient:
• Most of the healthcare technology was developed for doctors primarily for billing purposes.
It is time to refocus technology to support the
patient. Today, for example, a doctor might not
know that their patient went to the emergency
room five times in a month because either s/he
couldn’t get an appointment or had to wait 28
days, or didn’t comply with a medication triggering an emergency room visit.
• The Electronic Medical Record does not fulfill the data reporting needs that are required to
be successful in a modern world. The Electronic
Medical Record and the Physician’s Health
Record tell you about what happened yesterday;
what is really valuable is what is happening
today.
• A focus on “big data” ignores the importance
of the individual. In the end, a doctor manages
one person at a time. We need to use data to
support each individual’s health, not aggregated
populations.
RECOMMENDATIONS
1. Innovations must support doctors helping
patients while involving all parties.
Our overall approach to healthcare needs to be:
“You are the patient, I’m the doctor, together
we develop a roadmap. I can invite your family
member(s) in on the plan.”
EXAMPLE: At “Healthloop”, it’s all about
feedback and involving everyone. If you’re not
in the “loop”, you can’t make a decision. At
Healthloop, the doctor gets reimbursed for the
patient’s participation, not on the diagnosis.
When the patient participates, that’s when the
doctor gets paid.
2. Provide incentives for physicians to maintain
contact with patients, while also focusing on
wellness and preventive care.
We need to take more advantage of the funda-


mental trust people have with their doctors.
An e-mail message from the doctor has the
potential to have a huge impact. Doctors can
personalize messages because they know who
their patients are.
EXAMPLE: Wellpoint is experimenting with
a $6-8/month fee per patient to physicians to
compensate them for personalized care and care
coordination.
3. Technology solutions need to be directed to
the patient’s needs.
Use technology to take the predictive information that is already available and get it to the patient in a way that is both accessible and useful.
It’s the little data that matters; there is no need
to invent complex, expensive solutions.
We need our systems to recognize that our professional life and personal life are closely related.
A solution would include offering consumers
more seamless communication connections
to health care providers with the capability to
communicate across all platforms. IBM is one
company that is working on building platforms
to facilitate this.
Use technology to communicate frequently and
involve family members. If patients know they
are being observed, they will be more likely to
be motivated to do better. Family and friends
typically want to help but they frequently don’t
know how nor do they have the right information.
Look at developing technologies that can reach
into an HMR (Health Medical Record), extract
out pertinent clinical data and marry this with
pertinent financial data to provide meaningful
information to physicians. So far, no company
is doing this adequately.
4. Encourage consumers to be more engaged
partners in health.
To involve patients more, we need to change
some of our language. For example, rather than
say “You must take your pill...” suggest: “How
can I help you take your pill?”
We all have the same problems, but as individuals we need to own our problems. Personalized
medicine is what happens to you.

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THE NEW MEDICINE
SUMMIT PRESENTERS
• Roy Elam, Instructional Systems Specialist, Directorate of Training and Doctrine
MCOE, Fort Benning
• Steve Burd, President and CEO, Safeway, Inc.
• Brent Parton, Program Director, Shout America
• Wayne Riley, President, Meharry Medical College
SITUATION

CHALLENGES

The “New Medicine” is about emerging, disruptive innovations that are likely to cause significant changes in how we approach healthcare.
Large and small providers are already beginning
to transform our system from one that focused
on consumption of disease-based health care
services to one based on the consumption of
prevention and wellness.

1. There is a deep disconnect in our healthcare
delivery system. Our entire system is set up
for patients to be dependent on physicians for
prescriptions, for procedures, and treatments;
there is no model for self-care.

Historically, our healthcare system has worked
to solve targeted health emergencies through
massive intervention: in the early 20th century,
we focused on infectious disease; in the mid
20th century, the focus was on cardiovascular
and strokes; and in the latter part of the 20th
century, the focus shifted to cures for cancer.
It is time now to focus on health. A healthier
world for all citizens–especially those who have
been underserved–is tied to economic vitality.
We must invest earlier and work together more
strategically across teams to promote healthy
lifestyles. This is the “New Medicine.”

EXAMPLE: In Nashville, the capital of healthcare with over 300 Healthcare companies, the
obesity rate is over 30%; Tennessee has a 10%
rate of diabetes. Clearly, the amount of healthcare available in the city and state is not helping
the local population.
2. We must shore up primary care to assure
all populations are provided for–especially
the underserved. Primary care is cost effective
and more efficient. Currently we do not do an
equitable job of serving all populations:
• Both racial and ethnic minorities experience
higher rates of illness and death than nonminorities.”
• Hispanics are less likely to receive major proce-


2013 Global Action Report: Food, Health, and Prosperity

2013 Global Action Report: Food, Health, and Prosperity

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2013 Global Action Report: Food, Health, and Prosperity