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I know what's needed. I don't know how to deliver it. What is needed is a cultural revolution that values curiosity, follow-through and problem-solving orientation and also puts the data being generated – it is public property – in full view, scrutinizable by all, not in packaged form where somebody five years later has to find the one patient who improved.  We can do this in real time, on technology that is available today:  the Internet.  It was not available when the peer review process was formed 100 years ago by our forefathers.  I call this the open-data concept.  Somehow, I think if the software community can do it so can you

 

 

                 [Laughter]

I don't know how to better illustrate to you how far your world is from this than by repeating something that I overheard in the hallways.

 

 

It happened 48 hours ago in a workshop on convection enhanced delivery.  Three people commenting on the question, "Is CED necessary?" Answers were: yes, no and maybe. There was no consensus on as basic a question as that between the best of the best experts in the field in that room. So you would think that they would go at each other and kill each other and nail each other to prove their diametrically opposed assertions. That's what you would think.

                 [Laughter]

 

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