Redefining Society and Technology Podcast

Cosmic Care: AI-Driven Healthcare, Space Medicine, And Their Role In the Future Of Space Exploration | The High Alert Institute Series | A Conversation With Dr. Maurice Ramirez and Allison A. Sakara | Redefining Society Podcast with Marco Ciappelli

Episode Summary

Explore the revolutionary potential of AI-driven healthcare in space medicine and its impact on Earth in this thrilling episode of Redefining Society, as experts discuss the interconnectedness of humans, animals, plants, and the environment.

Episode Notes

Guests

Allison A. Sakara, Executive Director, High Alert Institute [@High-Alert-Inst]

On ITSPmagazine | http://www.itspmagazine.com/itspmagazine-podcast-radio-hosts/allison-a-sakara

Dr. Maurice A Ramirez, Founder and President, High Alert Institute [@High-Alert-Inst]

On ITSPmagazine | http://www.itspmagazine.com/itspmagazine-podcast-radio-hosts/dr-maurice-a-ramirez


Host 

Marco Ciappelli, Co-Founder at ITSPmagazine [@ITSPmagazine] and Host of Redefining Society Podcast

On ITSPmagazine | https://www.itspmagazine.com/itspmagazine-podcast-radio-hosts/marco-ciappelli

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Episode Introduction

"Explore the revolutionary potential of AI-driven healthcare in space medicine and its impact on Earth in this thrilling episode of Redefining Society, as experts discuss the interconnectedness of humans, animals, plants, and the environment."

Welcome to a thrilling episode of Redefining Society, where we dive into the fascinating world of AI Healthcare and Space Medicine! Imagine a future where artificial intelligence not only enhances healthcare on Earth but also paves the way for medical advancements in the far reaches of space. 

Strap in as we explore this exciting frontier, and don't forget to think, share, and subscribe. In this episode, we discuss the concept of One Health One Nature, a synergy that emphasizes the interconnectedness of humans, animals, plants, and the environment. As we venture into the cosmos and establish a human presence on the Moon and Mars, AI becomes a crucial factor in overcoming communication delays and providing healthcare in the most austere and remote environments. 

Experts Maurice Ramirez and Allison Sakara lead us through the revolutionary All Hazards One Health One Nature (AHOHN) framework, which unites international policy, diplomacy, and individual governments to address global health, environmental health, climate change, and more. As we embark on new space missions, the lessons learned on Earth must be carried into space, and the innovations developed for space must be brought back home to benefit everyone. In this interconnected world, AI-driven healthcare systems have the potential to revolutionize medical treatment by analyzing vast amounts of data, providing patient-centric care, and improving provider-patient communication. Imagine an AI system capable of diagnosing and initiating treatment autonomously, teaching non-healthcare personnel to provide essential care in the most remote locations – whether on Earth or Mars. 

We also explore the AI Dimes model, a multi-layered approach to healthcare that encompasses electronic medical records, predictive models, community determinants of health, and scientific literature. By using AI to aggregate and analyze data, we can make leaps and bounds in healthcare advancements and improve treatment outcomes for patients all around the world. But what happens when we take these advancements into space? How do we plan to utilize AI-driven healthcare systems to treat astronauts and inhabitants of other worlds? The answer lies in developing technologies that can overcome communication latencies and delays while providing essential healthcare autonomously. 

This episode of Redefining Society invites you to envision a future where AI healthcare transcends earthly boundaries, making healthcare more accessible, efficient, and precise. The innovations we develop for space medicine have the potential to change the way we approach healthcare on Earth, ultimately benefiting all living beings and the planet as a whole. 

Join us as we explore the possibilities and challenges of AI Healthcare and Space Medicine in this mind-bending episode. Don't forget to think about the implications, share your thoughts with others, and subscribe to Redefining Society for more captivating discussions on the cutting edge of human progress.

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Resources

High Alert Institute: highalertinstitute.org

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Episode Transcription

Please note that this transcript was created using AI technology and may contain inaccuracies or deviations from the original audio file. The transcript is provided for informational purposes only and should not be relied upon as a substitute for the original recording as errors may exist. At this time we provide it “as it is” and we hope it can be useful for our audience.

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SPEAKERS

Marco Ciappelli, Allison Sakara, Maurice Ramirez

 

Marco Ciappelli  00:00

All right, here we are, again with two good friends that you audience probably heard before. I hope so because if you haven't, after this conversation, you're gonna have to go back on redefining society and listen to the three episodes that we already had to introduce the high alert Institute. And so they're had their sub headline on the name, it's unexpected solution for the unexpected. So if you haven't heard that, what it is about before, I think it's starting to get an idea. But before we, we go deeper into one of the many, many area and that's why we had three episodes to just introduce what the high alert Institute is and does. I am going to introduce my guests today, which are the same on the first three episodes, which is Dr. Maurice Ramirez and Alison Saqqara. Welcome to the show again.


 

Allison Sakara  01:04

Thank you, Marco, and hello to everyone. My name is Alison secara, and I am the Executive Director of the high alert Institute. We are a 501 C three that is located here in Lake Wales, Florida.


 

Maurice Ramirez  01:17

And I'm Dr. Maurice Ramirez, I am the chairperson of the board and co founder of the high alert Institute. High Alert Institute is a public charity that operates in the One Health one nature all hazards arena, we have operations in disaster education and disaster behavioral health, environmental stewardship and determinants of health, animal wellness, and mutual aid for animals for aquatic animals. And most interestingly, today, space healthcare and innovation.


 

Marco Ciappelli  01:54

And that, you know, gets me excited. I mean, I'm excited for everything that we've talked so far, don't get me wrong, but I was really listening. Actually, our last the episode number three of the introduction where we talk about AI medicine and how, you know, we're strategizing the presence of humans on Mars and on the moon, and how legal coming between and delay in communication and how we have to rely on artificial intelligence. I know that today, the idea is to kind of put everything together. And just just to remind to the audience, in case they haven't heard the beginning. There is an entire concept here, which is the One Health one nature. And that one thing means that there is synergy. It doesn't matter what the, the high alert is about, if is a natural disaster if in some other kind of disaster and situations. It can be strategize, and this is this is what would you guys do it right, Allison?


 

Allison Sakara  03:03

Absolutely. And the whole concept of all hazards, one health, one nature is all things being interconnected. It's not just humans, or in a separate category as animals and plants, and the environment and climate change. All things are linked, all things are interconnected. And the actions taken in any one arena, are going to affect every living creature and the habitats in which they live.


 

Marco Ciappelli  03:34

You would think that people would have that figured out by now that we're all connected, but I guess we still need people to explain.


 

Maurice Ramirez  03:44

Oh, no, you're absolutely correct. Marco, it's not a new idea, the entire concept of, of One Health and one nature has been around for almost 100 years. But it's very easy for people to carry things in small buckets silos, and to think about those things that most immediately affect them. But when it comes to innovation, and particularly when it comes to space, we have to think more broadly. And when we talk about all hazards, one health one nature isn't just even on Earth. But the lessons that we have learned on earth we have to carry to space. And as we learn new lessons and create new innovations for space, we have to carry those back here home to Earth to benefit everybody.


 

Marco Ciappelli  04:33

It makes sense to me. So why why haven't we got there earlier?


 

Maurice Ramirez  04:42

Well, why haven't we gotten there earlier? There have been a lot of efforts over the years to innovate healthcare with technology going back into the 1980s With the advent of the IBM X t and at and and token ring Network. works, there were efforts to create electronic medical records, with the with the lofty ideal of learning from every patient interaction for every provider. And somehow bringing all of that knowledge together, there were a lot of obstacles and continue to be a lot of obstacles, privacy laws, data boundaries, even just computing power and the ability to correctly analyze and summarize these free texts, databases, as well as numerical databases. These are, these are the challenges. But now that we're headed back to the moon, now that we are planning to go to Mars, there are certain pieces of safety equipment that are being mandated, not just of government related spaceflight, the 22 international space agencies, but also of private industry spaceflight, it's no different than having an altimeter on on an aircraft, you can't fly. Without an altimeter in your jet. Nobody's gonna give you a license to fly it. The same is true for going to space there, the international space agencies have gotten together and drafted documents what will be required for healthcare? And how will healthcare IT healthcare information technologies and innovations be a integral part of the safety of spaceflight, and the safety of future astronauts and inhabitants of other worlds?


 

Marco Ciappelli  06:37

Yeah, you know, when I asked that I was trying to be provocative because I always assume that there are always good intention, and that sometimes we just don't have the tools to get there. And I believe technology and the convergence of different technology can come together as you just explain, to allow what a vision that has been there for a long time. And I can think, you know, electric cars, that to make it go longer enough, recharge them fast enough, and we're not even there yet. But you know, to make it a something that everybody can use, you need to have the convergence of the right technology to do it. So thankfully, we were getting there, despite people thinking, talking about AI in a good way and people been been afraid of it. But let's dive into I don't know who wants to take this but like what what is exactly the ah oh h n also as all as ours One Health one naturae. And how does this work? And how does this make a difference in achieving the long term goal that you you you're having?


 

Maurice Ramirez  07:51

Well, all hazards One Health one nature or a Ohan is an framework that is known by a number of names internationally, some countries call it global health. Others call it one health. The United States currently is calling it one health security. But the concept is that not only do we need to look at human health care, and human diseases, but we need to consider environmental health, climate change, animal diseases, animal diseases that can be caught by humans, animal diseases that cannot be caught by humans, but impact food chains, food, food chain security, food insecurity, even things like medical informatics, by biosecurity and cybersecurity all need to be part of this consideration for policy for spending and and for individual organizations to build and work together to better the human condition and the planet as a whole.


 

Marco Ciappelli  08:59

And how is it working in terms of putting together different government you said this is something that of course any, any government all over the world is looking at maybe some more, some less, but you always think that when you look at the global reality of things, and the proof is something goes wrong in the supply chain, it goes wrong, pretty much everywhere. So this interconnectedness of of our life now we clearly see it I think lately even because of the war, unfortunately or because a pandemic or because something goes wrong, like a cyber attack or something like that. Do you are you guys finding that we are the right time for people in different government to really come together and make and make this step?


 

Maurice Ramirez  09:53

Yes, at a at an international policy and diplomacy level, as well as within individual governments throughout the EU, Britain, Canada, the United States, Australia, the Far East, and even the Middle East. Literally every country at this point has some form of an all hazards One Health one nature framework, that they are realigning their, their economies, they're realigning their their policies, and even their legislation around. And they're using as a forum for diplomatic cooperation, the understanding that anything that any country does, that any business does, that even individuals do, affects the whole came home to roost, as they say, during the pandemic, as you mentioned, with supply chains, but also with food chains, and with and with diseases, other than COVID-19, but also with COVID-19. And as a result, countries that had considered policies over the years, and worked in some way or another in an all hazards One Health, one nature framework, it over the last decade or two are now focusing their efforts through through that specific lens towards more international cooperation. And of course, it also feeds directly into what the 22 space agencies and human society as a whole is looking to do. With Moon, the Moon, and Mars, as well as within the healthcare industry, the healthcare delivery system internationally, what we're looking to do to address issues like healthcare disparity, healthcare shortages, food shortages. And again, climate change.


 

Marco Ciappelli  12:00

And maybe oil is an iron ore or more recent some, can you give us some concrete example of certain areas where certain step has been made so far, just so that the audience can understand? How is the concrete and pragmatic application of these vision? It's starting to shape? And what are the effects that people will see and, you know, social level in this regard?


 

Maurice Ramirez  12:31

Absolutely. Marco, I think that while everybody would had a very sharp focus on COVID-19, over the last three years, what they didn't realize was that internationally, The Who, and individual countries are also watching the health of animals and the environment. And the reason they were doing this was to be able to predict additional diseases that may come out during the pandemic. And in fact, we saw that this past winter with the triple Demmick. We had RSV two years in a row at much higher than normal rates, not only here in the United States, but worldwide. And not just among children, but among adults, which is very unusual. But it was seen because we were watching for it, it was predicted, we knew that it was coming and healthcare was able to prepare for it so that it never reached an overwhelming point. The same was true with with with with high contagion, avian flu, this was seen as early for this year, it was seen as early as April 2022, internationally, in bird flocks, and tract as it crossed the planet, and isolated in many cases to to bird populations. And as a result, the the potential for a devastating, devastating avian flu epidemic in the United States and other countries was averted because of that biosurveillance and interventions that were that were made before the disease could jump from bird birds to people. The same the same use of a of a One Health one nature model, looking at all hazards as shared hazards is how we will address healthcare in the future, both here on Earth, and in space. And like many innovations in the early 60s and through the 70s and even up until today have come from spaceflight and spirit and efforts in outer space. We're going to see the next big innovation in AI healthcare, more than likely come to us through the through these efforts to develop programs in space and the high alert Institute is involved in the AI based decentralized, inter global think of it as interplanetary medical Experts system development for that ecosystem is software that has the ability to provide not only advice to providers but a patient centric care. Allison describes it as as petals on a flower. In it works, because it combines what has been what has been recommended and proposed by experts in AI for over a decade in how to provide medicine, how to advance medical informatics, how to advance electronic medical record systems and patient advisory systems and provider advisory systems to to become more democratic, if you will, in the type and extent of health care that is available regardless of where you live. So Marco, as our audience will recall, and the AI dimes model involves the six layers that were outlined by the international space agencies in their XM, see document, that those six layers include the ability to, for an AI to crawl the electronic medical records of all patients, as well as to derive predictive models from all from all patients and all providers. It then looks at all communities, those determinants of health, those things in the environment, those things where we live, work, play, learn and worship, that can impact our individual as well as our health as communities and as groups. At level four, it involves looking at the scientific literature, those data that are controlled and rigorously collected, both the scientific literature as well as as research databases, and government databases that look at outcomes, disease, prevalences, side effects, and even failure modes. In the center of this system, is a decentralized database. Combined with an advisory system for health care providers, that system creates the most not only the most likely successful treatment for a given diagnosis, but a hierarchical list of the of the most successful treatments, given the patient's demographics, their locality, the communities, jobs, and everything that else that impacts their health care, as well as the skill set and those things that impact the providers ability to provide that care, including locality. This is all important on Earth, because in space, we haven't flown enough people yet, let alone enough sick people to have a solid basis in science, for treatment in space. So we're forced to extrapolate from an earthly experience. The advantage back here on earth is that with an advisory system like this, it's possible for healthcare providers to not only tell a patient what's most likely to work, what would give them the best outcome, but also using sentimentality engines, and, and other metrics, what is most likely to be acceptable to the patient based on the kinds of choices for their healthcare they've made in the past, and give them a relative likelihood of success of those and other choices. That's incredibly powerful for concepts like patient autonomy, and patient choice, as well as providing a basis for patient education and for improving the provider patient relationship for improving communication in healthcare.


 

Marco Ciappelli  19:17

Well, this is fascinating. And I will like to highlight the fact that these it's all data centric. I just want to try to simplify the concept here meaning that like you, when you talk about I don't know, a chart GTP that everybody's talking about. Now, when they say, you know, you can predict what is the next word that goes well with the next and come out with a very good taxes because it's being fed gazillions of information almost digesting, like you've seen the sci fi movie, the AI is digesting all the content of the internet until a certain point and kind of predict what is the style that is expected by it. A user that asked to write, I don't know a poetry in the style of Shakespeare or something like that. The reason why I'm saying this is because what I'm what I want to go is that we are using AI, machine learning is a tool that is going to make our job, let's put it that way, our job a lot, a lot easier by being able to aggregate data and produce results in probably milliseconds of what it will take too many doctors to meet and figure it out, look at results, look at scan and all of that. So my reason Allison, I mean, your your expertise, obviously is in the in healthcare. And I feel like people can understand how we can use AI to, to get to a better diagnostic, let's say of what can be done. But the question at this point may be okay, when we look at that, and somebody is in space, what what are we planning to do? Who is going to do what in space, once we know what the action is? Because obviously, they're not here at the UCLA Medical Center or to New York or anywhere else in the world?


 

Allison Sakara  21:21

Right on the nose? Marco? Absolutely. But let me try to answer that in a couple of stages here. And maybe we'll bring Dr. Ramirez in for part of it as well. As we were talking about all the different types of informations funneling back into drawing to be able to make better diagnoses, better outcomes, that's absolutely true. But again, in keeping with in mind, the little flower diagram, if you will, you have every single pedal out stretching, and then coming back to the center, the center has to always be the patient, that always has to be what you're trying what you're trying to do the best for. So yes, we have in, we have one pedal that goes out and looks at all of the information about that patient from their medical histories, for instance, their individual test results, things that are very highly suspicious specific to them, then you have another pedal with all the patients in that area, seeing that that same institution or by that same doctor or in that same clinic, and how are things going for them? And how can that perhaps help that that individual patient, you go into another pedal and I was Baris was mentioning determinants of health things in the environment or in their in the society in which they are being raised, or, or living or working or playing or worshiping, that then circle back to impact on that. On their their understanding of health care. And in their understanding and their acts their acceptance of different health care waves, then you'll have another pedal that's circling out there and coming back to the center. That is all the information that can be gained from scientific studies, from peer reviewed literature's from controlled registries, from ongoing clinical trials from real world evidence. And then you kind of get to that final pedal that's going out there and bringing information back. And that's more where we have the interpretations that might come from the AI itself as it learns more, and focuses back into the center to that patient. Now we can make that jump into space, you have another arena, that's going to impact all of us. All the things that we learn from traveling in space, having habitats that are on other planets, the moon, the Mars, those things are just right around the corner, that is going to funnel back to every single patient as well. Think how one small example on the planet on planet Earth has has impacted on that. We have something called a hyperbaric chamber. Yes, it was designed to help divers who had surface to suddenly and needed to be treated for the bends. But look at all the other implicate in ways that that has been implemented on planet Earth to benefit animals and humans. For things like diabetic wounds, all of that comes back and focuses back to that same centered, how can we do the best for that patient to make things as an individual pot as possible, as culturally acceptable as possible. Take into account all the diversity on the planet and reach people where they need to be reached.


 

Maurice Ramirez  24:53

Analysis exactly correct. When you look at at this going out into space, we're developing these technologies so that we can overcome the the latencies and delays in communication that you mentioned at the, at the top of the podcast. In the event that the healthcare providers are part of the injured or a part of the ill, or themselves, have died as a result of whatever catastrophe occurred in that habitat on Mars, and you have a two year delay, until you can get a new health care team to Mars, you need to provide basic health care in an incredibly austere and remote environment compared to Earth. And it may be done by Scotty, the engineer, or a hora, the communications officer. But it's not going to be doc, it's not going to be bones, the medic, who's going to be providing those services, the AI has to be able to, to do that autonomously, to diagnose to initiate treatment, and to teach a non healthcare person how to do health care for two full years, maybe longer until a new crew can arrive. That's an incredibly powerful benefit here on Earth. Alison often tells audiences about a doctor in Manhattan, who is brilliant, top of his field greatest specialist, and he's altruistic. That person chooses to go to Zimbabwe on a mission trip. Now they're in an austere environment, they're away from all the support systems that they have in Manhattan. They're not, they're not treating the same type of patient from the same background, from the same culture, from the same with the same environmental challenges. Nor do they have all of the resources of their downtown Manhattan practice, are still the expert in their field. How can they then render the best possible care? A system like an AI dime system can help them adapt their knowledge. And I love watching audiences when Allison describes that, because they they light up, they understand why something like this in space is so important, because it brings that technology back for everybody.


 

Marco Ciappelli  27:22

And that's a big lesson. That's that's a million dollar question that I get all the time. When we talk about space with astronauts, or we talk about, you know, why we do research why we do build the humongous super expensive particle accelerator in Switzerland, just to go and see if we can find, you know, the little the little new reaction when you slam two particles together. And, and that's exactly because number one, yes, we're curious. But number two, we're learning with kind of like pushing the limits, to leave in healthier life in our everyday situation. And I have to say that this is while you guys, you experts are taking care of this, I think that's why you need to get the support of everyone on this planet of ours, because they need to understand that this is in the interest. I mean, the amount of technologists who said or other, you know, astronauts had been on my on my show before and like the staff that we use every day, that was developed because of those harsh environment and people risking their life to explore so that we could learn a little bit more about ourselves and living a better life here. And Allison, I just love your pedal flower metaphor. I think it's really easy for people to to understand. And also the fact that you mentioned that yes, globalization, yes, generalize thing and everybody collaborating, but also in respect of community, different geographic location, I think that's, that's really important. And then from there, you jump into the environment. Of course, the environment in in at the North Pole is not the same environment that is the Sahara Desert. So even the the reference with the doctor working, where it has not all the tools available that we'll have in New York, it needs to adapt, but also, probably the diseases are different because of their environment. So I think I'm just trying to recap here for a better understanding for people that are not to verse with this, but also I want to go back to space because it sounds like sci fi and at the same time or is I'm thinking the movie our plan. Back in the 80s I don't know if I'm dating myself now but I think Everybody has seen that that thing where you know that the captain has a something happen, the pilot and somebody has to take over and somebody's trying to tell this person how to land, the the airplane, I cannot stop thinking about that reference when you're talking to someone on Mars where there is absolutely nothing that we can do to transfer ourselves there in, in an hour or so. So, do you want to please elaborate a little bit more about the vision for the future, because last time, we also spoke about regulation that need to give license or people to that are in the medical field to operate in, in space in in another on another planet? And what is the vision for all of these, like, what do you see getting concrete next?


 

Maurice Ramirez  31:03

Or will be on the moon, I believe, and I know that it is the the idealized timeline for the international space agencies to be on the moon, with private with private enterprise with in about five years or so. And that what is the future look like? The future looks very much like the science fiction, within limits, it's going to be a place to go to work, people will will migrate there in the same way that they they move to other countries to to take a job for a period of time. If they're on whether they're on the moon or they're on Mars, they will travel there, they'll live they'll have families, and because of that healthcare will have to adapt and learn in those environments. All about pregnancy and space, something we've never done with humans. We will have to learn how to how to raise animals, people will want pets in space. How will we get them there? How will we get them from earth to to Mars? Even if we start breeding them on Mars from that point forward? How will we care for them? How will we feed them? People aren't going to just want astronaut food like you can buy in the in the gift shop at NASA. They're going to want the same kinds of foods that they eat here on Earth. For some plants, that won't be too difficult to grow, but how are we going to make proteins. 3d printing of food is a technology that is in its that it's in its infancy, but it will be prominent in space. And it will be prominent in space because people like their hamburgers, people like their steaks, they like their pork chops. Aquaculture will probably be one of the first transferable living proteins to outer space, simply because fish and crustaceans don't care if they're in microgravity. They swim upside down. But as long as you give them a current to orient themselves in, they're quite happy. But that means now we have to have space veterinarians, we're back to that all hazards, one health, one nature model, because now we don't just have the medical officer being in charge of human health care. You can't fly everybody. So you're going to have veterinarians caring for humans, you will have humans caring for caring for domesticated animals, and food animals and agricultural animals. And you will have botanist caring for the the plant based food chain for all of them. And it will be a complex web of professionals and professions and knowledge. And the technology that will draw it together will be information based technologies, including AI and AI dime's type software ecosystems.


 

Marco Ciappelli  34:07

Well, my sci fi brain it's going 100 miles an hour right now. So who are we? Who should we send in space? First, and I'm not talking space like astronauts on board, the International Space Station which we know that they went from being pilot to them be researcher, geologists, doctors, and some some people said, we should put points and philosopher in space so that we actually understand about our own humanity. But if we have to limited space, as we of course we will have limited space to go to space to Mars or the Moon in this colonies, or this new civilization that we build there. Who on your opinion, and I'd love to hear from both of you. If you have a crew of I don't know 2050 Who are these people like Jack of all trades that can execute a lot of things? Engineers, philosophers who Who do you think should be going there?


 

Allison Sakara  35:15

Well, I think probably the most common denominator for all of them is going to be the passion. The passion for exploring for learning new things, for meeting new people for living in new ways for doing new things, and the open mindedness to look beyond look beyond what you know, look beyond what you've experienced. And being able to image and being able to embrace all these new technologies that are going to help fill in the gaps to make it a survivable experience.


 

Maurice Ramirez  35:46

I have to agree with Allison. There, there used to be a concept of the Renaissance man, the Renaissance woman, somebody who they might be a specialist in one area, healthcare, sciences, philosophy, the arts, but they don't let that limit their mind. They don't let that limit their learning. They learn as much as they can about everything they can, so that they can do anything that's needed. And you use the phrase, the jack of all trades. I remember my grandfather and I and I hear the stories about Allison's grandfather. And not and I'm not bringing them up because they're male, because the reality is, is that my mother and Alison's grandmother, were also Renaissance people. These are people who have Alice's grandfather was an electrician in the steel mills in Pittsburgh. My grandfather was a Mason in New York City, set the floors after World War Two in Grand Central. But my grandfather was also a carpenter, and he could fix and he could fix a car and a truck. He had one of the first dump truck style pickup trucks, because he he and his buddy sketched out using their third grade educations. But his buddy was a was a truck mechanic, how to install a hydraulic pump and a lift and a hinge in his pickup truck so that he could carry materials in the back of the back of his pickup truck and not have to have a big, big dump truck in New York City trying to navigate to deliver a quarter load. These are these are people who solve problems in the moment. They MacGyver them to borrow from from the cultural vernacular. And, and they MacGyver, they MacGyver them within the newest technology, they know how to master and the new MacGyver is in space will be MacGyvering technology. There'll be MacGyvering electronics, but they'll also leave a guy wearing the the physical structures, the drilling equipment, the mining equipment, the the the materials, transfer equipment, and communications equipment. Imagine the MacGyver 20 3050 Maybe it will take 100 years, who comes up with a way to have a conversation like we're having right now on the internet here on Earth, separated by milliseconds. But it's between Mars and the and Earth, which right now takes 30 minutes. What a change that makes not only there, but here on Earth. They there are already companies working on holographic telepresence to the ISS, it's already been tested. Imagine zoom calls, where you're standing in a room and presenting to having a meeting running a meeting. And everybody around the table is a hologram and it doesn't cost a million or 10 million or $20 million. It just runs from your tablet or some other electronic device possibly from from your, from a wristband on your and those kinds of MacGyver isms, those kinds of innovations, that ability to see the possible and then make the possible reality. That's how humanity has advanced. That's how the planet has advanced for good and for bad for all of recorded time.


 

Marco Ciappelli  39:37

Absolutely. It just makes me think that you also need that you said that as well, like the MacGyver of the mind. Were really recreating society and Humar interrelationship in an environment then you're gonna grow kids. You've talked about pets, families. As people need to have distraction, people need to have culture. And I love this kind of conversation happening on redefining society, because there is no, on my opinion, a better way to think of how we need to redefine what is important for us when we go to this sci fi scenario, which is not that sci fi anymore to actually go and live on the moon. So I think the renaissance man or woman is exactly what makes us human. Right. So I welcome this. And I don't know if I'll be the one that is going to go there. I don't think so. But I would love to be the one that talks about this quite a bit. As we as we prepare ourselves for doing it because our lives and we need that metaphor of a flower even when we talk about this kind of things. It's we need that poetry.


 

Allison Sakara  40:59

Absolutely. And I see it as a flower of peace as well in my head. Because I so much, we have such an opportunity with space travel, to change how they things are on an on an other world. Things that we didn't get right here, things we're still working on, we have such opportunity to have such a much more inclusive, much more diverse, much more respectful. Civilization. And I think there's some of these new technologies that we've been discussing with you, Marco definitely opened the doors for breaking down some of those walls.


 

Maurice Ramirez  41:44

And you remember Marco, at least I do, as a kid, always wanting the do over when you didn't quite get it right. Give me another at bat, give me another chance at the basket. Give me another give me another chance to write the paper, give me another chance to say the right thing. And in establishing habitats and civilizations on other worlds, is humanity's do over.


 

Marco Ciappelli  42:14

Love it? I'm gonna end up here because I think we went from very highly technical to very psychological and philosophical. I love this, because this is exactly why we have this conversation is to connect our technology with our humanity and how you both said it beautifully. This is a way to, you know, get to know ourselves a little bit better, not just following whatever happened during the day, but have a vision to to improve ourselves. And, you know, artificial intelligence for me, like a lot of people criticize it. And I go back to the way that people are going to use what is available to them. Not the framework or the seft, the software network that we are discussing here. But is a way to reflect on who we are. And I don't think that philosopher and ethicist have ever had a much bigger role in talking about technology in our society, as we're seeing this day, Tanner's conversation. And I'm so glad to have this kind of conversation with you because we will go way behind the pragmatism and the strategy of a digital health care and one, all adsorbed One Health one nature framework where we talk about ourselves. So I, I love having this conversation with you, I'm very thankful that you are taking your time to share some more of this conversation with me in our audience in the future. So Maurice and Alison, maybe one last words from you, or maybe a teaser, while you're planning to talk to me and educate me and the audience next time.


 

Maurice Ramirez  44:00

Next time, we are looking at talking with you more in a an all hazards, one health one nature framework about environmental stewardship, and determinants of health. And the both the challenges and the possibilities that come from paying more attention to our impact as as individuals and as a society on the world around us.


 

Marco Ciappelli  44:30

Beautiful. So we're coming back to to Earth for a little bit. All right, so with this, I want to thank everybody for paying attention to this conversation. I hope you have more questions than answers, and that you get curious about the disorganization and you go and find out more on the website where you will find the link on the notes of this podcast. And please contribute. This is a beautiful nonprofit Good organization that we have decided on with ITSPmagazine to partner up to share their stories. And we really hope that everybody's going to get involved in a way or in another and support everything that they're doing. So again, is the high alert Institute, and it's high alert institute.org. But you will also find information and how to get in touch with Maurice and Allison and the website and the organization on the note. So stay tuned. This is redefining society on ITSPmagazine and we'll catch you next time