Comment in 2019

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  • With the growing number of efficient gene therapies on the market, now is the time to take actions to ensure reasonable pricing of gene therapy products. Among these, we propose to incentivize gene therapy companies to adopt a status that translates their corporate social responsibility into concrete commitments.

    • Alain Fischer
    • Mathias Dewatripont
    • Michel Goldman
    Comment
  • Cardiometabolic disease is the leading cause of death and disability in the world, driven in part by the rise in unhealthy diets, poor air quality and other byproducts of economic development. A new economic model is needed, one that places people rather than profits at its center.

    • Johanna Ralston
    • Rachel Nugent
    Comment
  • Emerging virtual reality systems offer intriguing therapeutic possibilities, but their development and use should be guided by ethical priorities that account for the specific vulnerabilities of patients.

    • Philipp Kellmeyer
    • Nikola Biller-Andorno
    • Gerben Meynen
    Comment
  • A crucial consideration for the clinical application of any burgeoning science is when the understanding of that field can be implemented without the risk of unforeseen harm. In our opinion, the need for caution is particularly urgent with respect to increasingly prevalent applications of microbiome science to medicine.

    • Kjersti Aagaard
    • Elizabeth Hohmann
    Comment
  • It has been only recently that scientists come to realize the existence of a lymphatic system within the central nervous system. However, an Italian anatomist had already found and described the system in fine detail over 200 years ago.

    • Stefano Sandrone
    • Daniel Moreno-Zambrano
    • Jan van Gijn
    Comment
  • In this Comment, we provide guidelines for reinforcement learning for decisions about patient treatment that we hope will accelerate the rate at which observational cohorts can inform healthcare practice in a safe, risk-conscious manner.

    • Omer Gottesman
    • Fredrik Johansson
    • Leo Anthony Celi
    Comment
  • Here we argue that now is the time to create smarter healthcare systems in which the best treatment decisions are computationally learned from electronic health record data by deep-learning methodologies.

    • Beau Norgeot
    • Benjamin S. Glicksberg
    • Atul J. Butte
    Comment