Health

Most of what is broken in health is not medicine. It is coordination, paperwork and access.

Ed. 1

HealthProblem 0005

Resistance is as much a data problem as a drug problem. Surveillance depends on cultures, and much of the world's prescribing happens where there is no microbiology laboratory within reach, so the clinician makes a reasonable guess, and what happens next is rarely recorded anywhere that would improve the next one. The map of what still works is drawn from the minority of cases that reach a lab.

Who lives with itPrescribers in primary and rural care · national AMR programmes · hospital pharmacy and stewardship teams

Why nowThe WHO's 2025 global surveillance report draws on more than 23 million confirmed cases reported by 104 countries across 93 combinations of infection type, pathogen and antibiotic: the most complete picture yet assembled, and still one built from where testing exists rather than where prescribing happens.

Why it matters · the JudgeThe feedback loop that would slow resistance is broken at its cheapest point: capture. Anything that makes empirical prescribing legible without requiring a laboratory improves the map for everyone, and most of what is sold here is tests rather than information.

Inspired by reporting from World Health Organization

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Ed. 1

HealthProblem 0019

Caring for an ageing parent means medications, appointments, home visits, bills and forms, shared between siblings in different cities and often different countries. It runs on a group chat, a shared folder and whoever remembers. Things fall through, one person quietly carries most of it, and the professionals involved each see a fragment of a picture nobody holds whole.

Who lives with itAdult children caring for parents · home-care workers · family doctors seeing only their slice

Why nowPopulations are ageing across high-income countries and many middle-income ones while the paid care workforce is not growing with them, so more of this coordination falls to families who were never set up to do it.

Why it matters · the JudgeThis is coordination, exactly what software is good at, and the tools built for it have yet to become the way families actually run it. The work is already being done; it is simply being done badly, by people with no tools and no training, at one of the hardest times of their lives.

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Health

Blind antibiotic prescribing Doctors prescribe antibiotics without knowing what works locally

Uncoordinated family care Families coordinate elder care in a group chat