Living Longer

Human aging is being controlled and researchers have proven that human cells can be created and in this century people will begin to live 100, 200 or even 300 years. Mice are already living 50% longer with the help of genetic inventions. Thanks to the human genome project, scientists are closer to identifying ways to decelerate human aging. Contrarily, with incompetent, insufficient, and laughable healthcare system in place, Pakistan seems to continue grappling with policy lapses. Due to factors related to high fertility rates, high illiteracy, high mortality, and above all uncreative methods of policy planning, Pakistan stands as a stranger to such a milieu. Its policymakers don’t even sense the world passing through a profound transformation. They lack their understanding for making decisions to understand forthcoming breakthroughs and strategically plan for new environs.

The rapid pace of technology and medicine are quickly posing the prospect of banishing aging and disease, and yes even most causes of death. Some of the most extreme but very possible aspects of technologies such as molecular manufacturing and nanomedicine promise continual cellular maintenance that will alleviate aging altogether and make it impossible for disease or toxins to injure one's body or take one's life. Present anti-aging treatments do not slow aging and do not extend life span more than quitting smoking, exercising, eating vegetables, or heeding ordinary medical advice does. While all over the world we have seen improvements in health and life spans, Pakistan has large gaps and much effort needs to be spent in narrowing that gap.

Although vainly wrestling with high female mortality at younger ages and during the reproductive years, Pakistan claims a life span of 65. This predominantly seems farce when almost one-half of women receive no antenatal care during their pregnancy and 72 percent receive no postnatal care at all.

The advancements in longevity can be generally attributed to improvements in sanitation, the discovery of antibiotics, and medical care. Despite tall claims, Pakistan’s record on these areas is hopeless. Now, as scientists make headway against chronic diseases like cancer and heart disease to extend anti-aging even further, such diseases in Pakistan are greater than ever and basic healthcare service is inaccessible to a vast majority.

There are theories on aging. The programmed theories hold that aging follows a biological timetable, perhaps a continuation of the one that regulates childhood growth and development. The damage or error theories emphasize environmental assaults to our systems that gradually cause things to go wrong.

Lengthening life expectancies in the industrialized nations are bringing about substantial changes including large increases in the number of elderly and in their proportion in the population. Such changes have occurred, for example, in the type of economic activity, housing, social services, and population make-up of the communities. With growth in the health care system and changes in the service mix provided, the elderly continue to consume more health care per capita and need different services.

Health care institutions, including hospitals, which are widely expected to experience increasing demand as the elderly population grows; organizations will provide home-based medical care and other types of assistance, allowing the individual to remain in their own residence; and a variety of assisted living facilities, ranging from adult day care to residential care to nursing homes.

Of greater concern, the already awful health care industry of Pakistan finds itself ill prepared to handle significant increases in the number of the very elderly. Today, there are almost 9.7 million senior citizens. When it has no policy in place for this population today, it has no concern for tomorrow. Neither public nor private sectors are equipped financially to deal with the problems caused by aging population. When a society starts aging, its economic vitality becomes inferior to that of young societies and sluggish economic growth reduces its opportunities to become well heeled. Thus, in Pakistan an aging population will become a heavy public burden, forcing its people to bring down the cost by establishing large institutions so that, by virtue of economies of scale, they could manage to provide the elderly with the most basic care and medical needs.

The health sector of Pakistan offers an inadequate remedy for the serious problems of an outdated and basically unsound system and hence needs an offensive. People must be offered a vision of a revitalized health care system that provides incentives for increased quality and technological innovation, while at the same time, reducing costs. Pakistanis need a system that gives them control over healthcare decisions, while encouraging them to set aside the resources they need to purchase this care.

The policy makers of Pakistan should keep themselves abreast of technological advances and management strategies by constantly scanning the literature and media, interviewing authorities, and drawing on other sources to identify emerging trends. These trends then need to be analyzed to select those that are most significant.

It needs to begin to prepare now for what will be a very different future. The key questions it needs to think about include: What is it that we should be asking? What is it that its policymakers need but do not get in their human development courses? People should be asking about connections -- connections between existing mindsets and human development. These connections simply are not made in most textbooks available for use in human development courses. In fact, effective change requires more than knowledge of human development. Effective change also requires the ability to devise strategies that take advantage of that knowledge … strategies for connecting research and practice. Asif J. Mir, Organizational Transformation

Nothing for it but . . .

Ever since independence technology has sneaked in tardily. Paradoxically, these years have produced equally strident laments concerning the state to which Pakistan’s education has sunk. The educational foundations of our society are presently being eroded by a rising tide of mediocrity that threatens our very future as a nation and a people.

When information technology was approaching in the sixties the US changed the school curricula for preparing students for the future. Contrarily we continue to turn our eye from the need to adopt new technologies and consequently our students are not being prepared (IT students included) to live in a competitive world.

We have managed to survive without adoption of IT for forty years. It will be impossible to continue to exist even for a day if we failed to adopt the approaching technologies. For instance Nanotechnology—examining the world at a millionth of meter and utilizing the ability to manipulate our universe at a molecular or atomic perspective—has united scientists across developed world in the belief that the worlds of medicine, computers, biotechnologies and eventually all manufacturing will never be approached in the same way again. We can’t afford to respond as laggards and follow the same doom which ancient civilizations faced. They perished for resistance to new technologies.

In ancient Greece then, all of the energy sources in use today, with the exception of nuclear power and hydroelectric power (both used exclusively to produce electricity) were known, available, and in limited use. Why then did it take so many centuries for energy sources and technology to come together to produce the Industrial Revolution?

From ancient Greece into the early Renaissance technological development was not only frowned upon, it was downright discouraged. People with money did not invest in it. It was socially unacceptable for the elite to involve themselves in what they considered a degrading activity.

The Greek philosophers, for all of their delving into how the world was made up and how things worked, had a strong aversion to the development of technology. They called it banausikon, meaning, fit for mechanics. It was considered a filthy business beneath the dignity of any intelligent, thinking person. Aristotle held that industries that earned wages degraded the mind and were unworthy of the free man. He would not stoop so low as to attempt to verify by measured observation his reasoning concerning physics or dynamics. As a result, some bad science went unchallenged for almost 2,000 years.

The Museum and Library at Alexandria, established in 290 BC by the rulers of Egypt, was a research facility that attracted scientists from around the known world. Researchers would use valves, expanding gases, solar thermal power, cams, screws, pulleys, levers, springs, siphons, and cogs—the basics for an industrial revolution. They developed double-action pumps and a compressed air cannon. It was there that Hero demonstrated a steam reaction turbine in 60 AD. The Library at Alexandria could have been an ancient model for Silicon Valley, but the research did not lead to improved manufacturing processes, better machines for industry or agriculture, or even for increasing wealth. Rather it was used to amuse royalty or to amaze worshipers in temples.

A valid argument can be made that metallurgy, manufacturing processes, and transportation facilities were too primitive to allow for exploitation of energy and technology at that time. But, absent the social barrier to technological development that existed, it is likely that the great minds, the available wealth, and the power concentrated in the likes of Alexander the Great, and the Roman Emperors could have laid the groundwork for a much earlier development and diffusion of technology.

We are accustomed to resist technological change with full force. We not only refuse to recognize it; we close our eyes to evade it. The attitude that we demonstrate confirms our nasty characterization as a nation of laggards.

Embracing technology is a laudable objective for which our society must aspire. It should provide a classic demonstration of the principles of the Technology Adoption Lifecycle and attempt to explain the pros and cons of investing in new technology. It must transform itself as innovators, early adopters, and not as laggards on a technology adoption timeline.

We should inculcate education of technology at every level of learning. If we claim to know more about how people learn, if we have better tools for facilitating learning, why do so many studies of technology in education show no significant difference from traditional methods? Why are we producing graduates less able to cope with the issues facing them?

Making matters worse, the criteria for success have changed. Our institutions were designed not for an industrial society. Now we've entered the Information Age. Increasingly, even blue-collar jobs require critical thinking, rather than monotonous task performance. To meet these demands, our graduates need different competencies than we typically provide. Intuitively, one would expect technology to be a powerful tool for meeting these new requirements.

We are entering a world in which jobs are requiring technological competency--a world in which they must continue to update their occupational and technological skills in order to be successful. We must enable them to become technologically competent. We must take advantage of the capacity of technology to enhance our traditional classroom presentations and to engage our students in active learning.

Pakistan’s decision-makers must focus on new challenges and issues instead of waiting for emergencies to react. They need to focus more on policy than management issues. They need to be knowledgeable about what rest of the world is doing to achieve change. They should know that change and implementing technology often go hand in hand. The key to success in both is a thorough, inclusive planning process. The disregard of new technologies by ancient civilizations offers us a choice: to embrace new technologies or perish.(www.asifjmir.com)