Ray,
 
The question is this,   can a society encourage disciplined, patient, courageous action or must it simply reward the expedient?   
 
arthur
 
I guess it does both.  Sometimes the reward is in the form of money, sometimes as with Jonas Salk, it is in praise and acclaim. 
Society grinds on, imperfectly, but grinds on.
 
 
 
 
 
-----Original Message-----
From: Ray Evans Harrell [mailto:[EMAIL PROTECTED]
Sent: Sunday, November 9, 2003 9:08 PM
To: futurework
Subject: [Futurework] The problem of Not for Profit.

According to some on the list, this is not supposed to exist.   The market is supposed to take care of everything and the problem is that the market is being tampered with and so these things arise.    I think that is incorrect.   The issue of profit is one of simple business. 
You might compare it to mountain climbing.   Business is like all of the folks who start their climb of Everest at the base of the Mountain and climb for immediate profit and then go home.  Some make it and become famous in their own way while others perish on the slopes in the killing field.  
There was, however one climber who decided to climb the mountain unaided, alone and without oxygen.   In order to do so he needed many months and a lot of start up money.   He got a network to fund him and take the film rights and then he started at the Bay of Bengal and walked across India and all the way to Everest allowing his body to acclimate to the natural ways of the land and the climate including its peoples.   He carried his cell phone and kept his wife with him but from the safety of not having to worry about her.    
When he went home after his success, his profit was within for it had cost monetarily much more than he would ever gain back.   But for us he had proven that the person of discipline, patience and courage could succeed and raise the human spirit beyond the merely expedient.   I've known Doctors like that, and teachers and many classical artists but very few amongst the business people and in the economic field.   It isn't short term cost effective and so they either do it quickly or refuse to try.    The question is this,   can a society encourage disciplined, patient, courageous action or must it simply reward the expedient?    Market answers are important and expediency is one side of human existance but can we not plan for the existance of both.   This article in the NYTimes editorial I find encouraging. 
Ray Evans Harrell
 
November 9, 2003

A New Way to Unclog the Arteries

Last week's report of an experimental treatment that seems to remove plaque from clogged arteries is potentially good news for legions of people threatened with cardiovascular disease. If the findings can be verified in larger and longer studies, the medical profession may have entered a new era in treatments to ward off heart attacks and strokes. Yet this therapy might never have been pursued were it not for a fluke discovery that made patenting possible. Otherwise there would have been little financial incentive for any company to develop the treatment for clinical use.

Although the results announced last week are more suggestive than conclusive, they clearly have scientists excited. Intravenous infusions of a genetically engineered protein actually caused fatty deposits on artery walls to diminish in volume and thickness. The rate of reversal, after just five weekly infusions, far exceeded anything previously achieved with drugs or diets used for much longer periods. The substance infused contained a genetically engineered variant of the key protein in high-density lipoprotein cholesterol, the so-called good cholesterol.

For some time now, pharmaceutical companies have been trying to develop pills that might stimulate the body to produce its own H.D.L. cholesterol, thus far with no great success. An alternative approach, infusing H.D.L. cholesterol directly into the body, was shown effective in animals more than a decade ago, but the industry never really pursued it. One reason was that companies saw little economic incentive in using a normal body protein for therapeutic purposes, since it would be hard to gain patent protection. A medicine that could be made and sold by anybody had little potential for profit. That problem was circumvented in this case by using a mutant form of protein discovered among some 40-plus inhabitants of a small Italian village. That made the drug unique, and patentable.

Several companies are exploring different approaches to develop their own H.D.L. pills or infusion therapy, increasing the likelihood that science may find a new weapon against clogging of the arteries. That's good news. But the fact that such a promising treatment was widely ignored because there was no immediate profit potential is disturbing. In theory, the nation's great web of government-financed medical research institutions should step in to promote development of the kinds of drugs and therapy that industry regards as unprofitable. This story makes one wonder how many similar gaps exist in the vaunted American research establishment.


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