Table 2 Brain Capital in all policies.

From: A Brain Capital Grand Strategy: toward economic reimagination

Policy area Opportunity with the Brain Capital Grand Strategy
Women’s affairs Globally, women’s brain capital is massively unrecognized and underutilized. Funding research and innovation into the field of sex and gender differences in brain health prediction, disorders, diagnosis, treatment, and prevention are critical. There is an increasing understanding of the role of biology as well as social and cultural factors leading to underinvestment in women’s brain capital. There is a recognition that clinically relevant insights need to be systematically incorporated into policy and care.
First nations people Address the factors recognized as contributing to current mental health challenges faced by first nations people. Taking a life span approach recognizes that mental health disadvantages start before birth; these include intergenerational trauma and barriers to accessing health services in pregnant women. A community mental health approach can help address the historical background factors that have led to increased mental health problems among first nations people.
Multiculturalism and immigration Racial and ethnic minorities, refugees, asylum seekers, often suffer from poor mental health outcomes due to multiple factors; these include inaccessibility of high-quality mental health care services, cultural stigma surrounding mental health care, discrimination, and overall lack of awareness about mental health.
Military and veterans Develop greater accessibility to brain health resources, overcoming delivery barriers and stigma. Ensuring support for brain health and mental well-being at the top leadership level is especially important to prevent negative career effects for those who seek treatment. An opportunity also exists to develop preventative measures for post-traumatic stress, traumatic brain injury, dementia, and other conditions to which military personnel are susceptible and to successfully transition to civilian life. Consideration must be give not noncombatants in conflict zones, who are also at risk for trauma-related issues.
Industry and innovation Preventative strategies can be developed to mitigate brain health effects from automation and potential job loss or displacement and the need for retention. Working to ensure people has productive coping strategies that can prevent anxiety and depression, boost brain capital across the lifetime, and reverse the health effects of prolonged stress. Innovations in the future of the workplace (e.g., reduced work hours, developing ways to be less sedentary with increasing automation, etc.) may also help develop brain capital. Assess the brain health value of universal basic income.
Foreign affairs and trade International diplomacy is needed that promotes brain capital and considers the brain health and brain skills implications of decisions, seeks synergies, and avoids harmful impacts. Brain health innovation diplomacy (BIND) seeks to improve global brain health via diplomacy, strengthen health systems, and leverage public and not-for-profit sectors, while also leveraging technological innovation, entrepreneurship, and innovation diplomacy to improve global brain health outcomes.
Climate and environment A pressing need exists to fund research into risks, impact, and priority actions of climate change and brain health. An overt opportunity exists to increase our understanding of the dynamics between the brain and environmental changes and to develop innovative solutions and strategies.
Health care Innovation is increasingly valued within health care systems, particularly with recent emphasis on remote health care technology. Changing the paradigm from an acute care model to emphasize health promotion and primary prevention of chronic disorders linked to lifestyle choices (such as obesity, cancer, cardiovascular disease, and stroke) that are currently the main source of high cost of health care to the society. An opportunity exists to develop strategies to integrate mental and neurological disorders into primary health care to help achieve accessible, equitable, and universal health coverage. Current barriers need to be overcome by increasing funding, rethinking, and harmonizing the architecture of primary to tertiary health care across the world, developing novel integration strategies, and taking a life span approach.
Social services The health care system can interface more effectively with social services, helping to address social isolation and loneliness, which are linked to an increased risk of mortality, depression, and cognitive decline. Novel strategies to identify, prevent, and mitigate these health consequences are needed across the life span, especially for underserved and minority populations.
Aged care With an increasingly aged population, more robust medical, social, and brain health services will be urgently needed. Furthermore, enhanced infrastructure is needed to ensure that caregivers are informed, engaged, available, and have the support they need. By developing and implementing preventative brain health strategies from birth, these challenges will be mitigated later in the life span.
Cybersecurity and misinformation It is necessary to fund research into the brain effects of a new information ecosystem marked by false media and misinformation and develop strategies to identify, prevent, and mitigate effects of misinformation consumption.
Transportation and infrastructure Transportation and infrastructure help shape the environments people live in and determine how people get from place to place. There is an opportunity to ensure that these policies and systems help promote healthy lifestyle choices; mitigate air pollution; and ensure access to healthy foods, primary care, and stable jobs that pay a living wage.
Education Develop ways to increase equitable educational engagement and attainment to improve brain health. Innovative strategies are especially needed to rethink aging and promote learning and engagement across the life span, beginning in early childhood.
Telecommunications Help improve brain function and mental well-being by developing more meaningful ways of digitally connecting and communicating and preventing the adverse health and psychological effects of digital media. Age limits on social media use should be enforced.
Aerospace and aviation Develop bi-directional value of mental health technology transfer to address issues both on earth and in space. Mental health challenges associated with long-duration spaceflights (such as a Mars mission) result from prolonged confinement, microgravity, and different sunlight exposure lengths. Increased dialogue and training opportunities for using these technologies on earth and in space will enhance innovation and outcomes.
Immigration Develop a new type of Visa program for Global Impact Brain Movement (GIBM) by supporting a community of impact entrepreneurs, investors, and changemakers to build meaningful solutions to advance Brain Capital. The GIBM provides individual pioneering entrepreneurs and investors with a 3-year visa to create, support, and incubate ventures and models that result in positive global impact in terms of Brain Capital policies and investments. After 3 years, migrants can qualify for permanent residency.
Criminal justice reform Criminal justice policymakers, locally and globally, struggle to develop and implement policies to balance justice, punishment, and rehabilitation. However, many of the issues that criminal justice policy is tasked to manage involve the interactions of people and the modification of behavior. Neuroscience researchers are actively mapping circuits and the changes involved in addiction, violence, and mental illness. They are developing neurological devices to help those suffering from mental illness or substance use disorders when traditional pharmaceutical therapeutic methods do not work.