Starlink Medicines in Jurassic Healthcare Systems—Are We Ready

Genomic medicines are transforming the landscape of human health—but their promise risks being confined to the few. While science has entered the 21^st century, most health systems remain unequipped to deliver one-time curative therapies. This essay calls for a global reckoning: what do we truly value in innovation, and how can we align systems, incentives, and ethics to democratize access? Drawing on real-world experience across four continents, it argues for a new social compact—embedding equity, rethinking value, and modernizing delivery—to ensure that the miracles of modern medicine become global, sustainable, and just. Full article here