Unlike the previous generation, which has only lived in the era of artificial intelligence technology, the Beta generation will be the first generation to grow up fully in a world of integrated technology, including autonomous vehicles, health technologies, and pervasive virtual environments. 

Undoubtedly, this new generation, which is the children born in 2025, faces new challenges. 

This group will inherit a world that is grappling with complex challenges such as climate change, rapid urbanization, and changing population dynamics that require adaptation, collaboration, and innovation. Therefore, understanding the potential challenges and anticipating effective solutions for such a period is very much inevitable. As usual, the first and most important step in nurturing such a special generation that will live in a challenging period of human history is educational measures and investing in their proper education. 

Therefore, the traditional and common education system will no longer meet the stated needs of the Beta generation and the current conditions, and perhaps changes or reforms will be necessary to prepare as much as possible not only a generation but all units of society that are responsible for this generation and the conditions and challenges ahead. 

A lot of research has been done on education systems, highlighting the problems of the current systems. These systems may not only not foster creativity and innovation but sometimes suppress higher mental abilities such as creativity and problem-solving. 

For example, George Land and his colleagues designed a landmark experiment for NASA in 1960 that showed that one reason many people are geniuses in childhood but less so in adulthood is the weakness of education and school-solving.

In explanation, traditional schools and educational systems promote convergent thinking and reinforce a single answer to a single problem, while the emergence of creative thinking is based on convergent thinking. 

On the other hand, creative children not only do not thrive in this environment but also become frustrated due to the lack of support from the school for genius and unique answers and the hope of obtaining high scores on common school tests. They may not find the educational environment attractive and leave it! 

It seems that a general solution is to reform the educational environment so that the integration of innovative and flexible methods that give priority to children’s independence, experience, and interests is a correct educational reform that paves the way for the training of modern world actors, who are the children of the Beta generation. Meanwhile, it seems that Elon Musk has an educational idea that has a kind of futurism hidden in it, and he showed it a few years ago by founding the Ad Astra School.

– Elon Musk personality as someone who doesn’t believe in the impossible 

Before anything else, I would like to ask the following question and present my general analysis:

– Why can Elon Musk have an educational idea in addition to the ideas of technologists?

My analysis and impression is that Elon Musk is known not only as a wealthy entrepreneur but also as an innovator, creator of practical ideas, and futurist.

It seems that he is not just an idea generator or supporter of new ideas, but he has repeatedly shown that he is an extremely pragmatic and pragmatic person. A pragmatic person who has the flexibility to actualize his own and others’ ideas, puts them into practice and tries to make access to the future smoother by realizing new ideas. In addition to perfectionism, he has intellectual flexibility. “Impossible” seems to be an unfamiliar word for him. The attractive and effective seasoning of these characteristics is his remarkable hard work.

Therefore, given what was said in the introduction and what I briefly said about Elon Musk’s personality, educational ideas for the new generation that consider the future are not far-fetched.

Elon Musk said    …. We should expand consciousness to the stars so that we may better understand the wonders of creation.

In my opinion, the best way to explore Elon Musk’s educational ideas in this sensitive era is to analyze the structure and nature of the Ad Astra School.

-Ad Astra School Educates the Innovative Generation and Creators of Future Technologies 

In 2014, Elon Musk launched an institution in California near Space x to educate children aged 3 to 9, which seems very different from conventional education and traditional schools from the very novel. Musk’s initial goal in establishing this school was to provide exclusive education for his children and those of his employees.

Therefore, Ad Astra School is an innovative and nontraditional educational process whose main goal is to prepare students to face the real challenges of the world and the future. Instead of following traditional educational systems, this school focuses on developing practical skills, critical thinking and problem-solving, and creativity.

Compared to the regular educational courses, Ad Astra School focuses on teaching subjects such as advanced mathematics, engineering, science, artificial intelligence, programming, ethics, robotics, marketing, and some other practical, real-life skills. Moreover, instead of memorizing material, students do practical projects that involve solving real problems(project-based).In addition, students learn the ability to analyze, think critically, and be creative in solving problems through teamwork. 

It seems that the purpose of this school is to educate students who can succeed in the fast-paced world of technology. Ad Astra tries to cultivate students’ natural curiosity and help them acquire the skills necessary to build a better future. 

Perhaps in those years, Elon Musk and the experts of the founding team of Ad Astra predicted the fast-paced years of advanced technologies of the present and thus designed a school suitable for children of the beta generation. That is why a significant part of the content and structure of Astra is working with modern science and technology. Children are considered small entrepreneurs and masters who have all the possibilities of manufacturing and production, and the role of the educational environment is the role of a guide and provider of the necessary platform! 

Elon Musk’s Ad Astra School exemplifies a futuristic approach to education tailored for the Beta Generation. Its Ad Astra focuses on future-oriented topics and equips students with skills and mindsets to navigate a world shaped by artificial intelligence and advanced technologies.

– Key features and fundamental principles 

What possible approaches or trends have inspired Ad Astra?

In my point of view, like many unconventional trends, this educational transformation has also been influenced by trends with different perspectives. Some of which are old and some of which are future-oriented.

Here is my classification of inspiring ideas:

1- The influence of the Montessori approach as a philosophical approach 

The Montessori method is an educational approach based on active learning that was designed by Maria Montessori, an Italian physician and educator, in the early 20th century. This method believes that every child has a unique potential for learning and growth and that the role of education is to facilitate this natural process.

This method emphasizes that the education system should stop wasting time and teaching unused reserves in real life and wasting time and instead try to educate future citizens and professionals in a way that they know what to do as soon as they enter the real world. This approach is futuristic and believes that education should consider the learner as a problem solver.

According to this perspective, the learners progress at their own pace and in serious activity, and no learner will be passive and forced to acquire knowledge. Knowledge and learning are learner-centered and are the product of the learner’s active interaction with the educational environment. This means that it is based on the learner’s abilities, interests, and needs. In other words, the learner has an active and meaningful role in this educational environment to acquire applied knowledge.

This approach is based on principles such as learner-centeredness, an organized learning environment, and learning and problem-solving through experience and observation. among contemporary scholars, Jean Piaget, Vygotsky, and Gardner have been inspired by the Montessori approach.

2- Artificial Intelligence and a Future-Oriented View of Generation Beta 

It seems that the most effective trigger for the layout and design of such an institution is the rapid advances in advanced technologies in artificial intelligence.

As mentioned in the first part of the article, these days, the requirements of life have changed due to the amazing speed of technological changes. It is better for the heart of any society that educates future generations to accept the responsibility of creating them the power of adaptation and the knowledge necessary to live in the super-modern era.

The Alpha generation has largely experienced these changes but has not yet been immersed in them. However, the Beta generation is expected to be immersed in the leaps of the age of artificial intelligence and large language models. This generation must have the skills to adapt to technology from the very beginning. In other words, the Beta generation is a problem solver and adapts to the rapid changes of this era as quickly as possible.

It is used to describe a new generation that is growing up in a world heavily influenced by artificial intelligence (AI). 

Here is a brief explanation: Generation Beta (AI Age) This term may symbolize a generation that was born or raised during the rapid rise of artificial intelligence, automation, and advanced technology. Key characteristics of this generation can include the following: 

A)  AI-Native Mindset

They are AI natives, who are deeply integrated with the understanding, application, and potential of artificial intelligence. This mindset is shaped by living and working in a world where AI is a natural and ubiquitous part of daily life, decision-making, and creativity.

B) Access to advanced technology:

 They grow up with AI-based personal assistants, robots, and smart environments, influencing the way they learn, communicate, and solve problems. 

 C) They face new challenges and opportunities: 

 They may face challenges related to privacy, ethics, and automation in the workforce, but also opportunities for creativity and innovation enhanced by AI.

 D) They value evolving social norms: 

With AI deeply embedded in their lives, this generation could redefine ideas about work, identity, and human-AI collaboration. 

 The name Beta generation may suggest a period of experimentation and transition, as this generation could be seen as a prototype for future societies shaped by AI.

Ad Astra’s effectiveness in educating Beta generation 

Ad Astra is likely to be effective for Generation Betas for the following reasons: 

1. Focuses on Problem Solving and Creativity 

– Ad Astra prioritizes problem-solving, critical thinking, and creativity, which are essential skills for the Beta generation growing up in the age of AI. Instead of traditional classroom learning, the curriculum emphasizes collaborative, hands-on projects and tackling real-world problems, preparing students for a future where AI will perform repetitive tasks. 

2. It has customized learning approaches. 

 – This school rejects traditional age-based grading and standardized testing, opting instead for personalized instruction tailored to each student’s strengths and interests.

 – This aligns with an AI-driven world where adaptive learning and individualization are key to maximizing human potential alongside machines. 

3. Emphasis on Technology and Ethics

 – Students are exposed to cutting-edge technologies including programming, robotics, and artificial intelligence, giving them a head start in understanding and shaping technological advancements.

 – They also explore the ethical dilemmas surrounding technology and develop responsible innovators who can address challenges such as AI bias, data privacy, and the social impacts of automation. 

4. Interdisciplinary Thinking

 – The curriculum integrates diverse disciplines such as science, art, philosophy, and engineering, encouraging students to think across multiple disciplines. This holistic approach is vital for the Beta generation, who will likely work in a world where interdisciplinary skills are essential. 

5. Prepare for a rapidly changing future

 The age of AI requires agility and lifelong learning. Ad Astra fosters a mindset of curiosity and adaptability, helping students thrive in an environment of rapid technological and social change.

– The most key concept of Ad Astra school 

It seems that the most key concept and skill that is considered in ad Astra is synthesis.

This approach, where learners are placed in a situation where they solve complex problems with a set of information, ideas, and different disciplines, reflects the focus on the skill of synthesis in ad Astra School. As mentioned earlier, in such an institution, the main goal is to train and prepare future inventors and creative minds who can solve complex problems in the age of artificial intelligence, build bridges, learn digital marketing, and all this is done in an atmosphere of collaboration and work in small groups and exposed to different perspectives. 

Teachers’ role is to guide the flow of thought indirectly. They act as vigilant observers and try to pave the way for creativity and creative thinking, placing them in teamwork conditions in diverse contexts. In such a context, thinking shifts from preserving reserves to critical thinking and synthesis.

Such conditions in the era of artificial intelligence help solve life challenges and increase adaptability and flexibility.

Benjamin Bloom’s famous taxonomy of educational goals is considered in order from learning the reserves to the lowest level to the highest level, which is creative thinking.

This taxonomy gradually guides learners from simple educational categories to the most complex ones. Creative thinking is the same as synthesis, which combines information innovatively in new situations. In other words, solving problems for which there was no solution before and a skilled learner can create a solution. This skill is a step higher than the ability to analyze topics and problems.

Focusing on the concept and skill of ‘Synthesis’ enhances creativity and transforms learners into future inventors and innovators. Additionally, it helps them prepare for the fast-paced complexities of the technological world. In a world dominated by artificial intelligence, the ability to integrate knowledge with advanced technology is undoubtedly one of the most essential skills for the future generation and a defining characteristic of the Beta generation

Conclusion 

 As a pragmatic entrepreneur, Elon Musk has a unique and forward-thinking perspective on the future. This vision has led to the creation of an innovative educational institution. 

The structure and philosophy of this school break from traditional education and align with the fast-paced advancements of the artificial intelligence era. 

 The educational foundation behind this shift draws inspiration from the Montessori philosophy, blending it with modern technologies and teamwork-based learning. The school emphasizes creative skills and critical thinking, as outlined in Bloom’s taxonomy while fostering adaptability to meet the challenges of an AI-driven world. 

 There are even suggestions that this school model may expand further in the future. Musk may have new ideas for revolutionizing education in addition to his groundbreaking work in industry and technology. Only time will tell what impact these innovations might have.

Musk’s futuristic vision for education has recently taken another step forward with the approval of a new school charter in Bastrop County, Texas. 

The school is said to incorporate a Montessori-inspired approach, underlining Musk’s commitment to fostering innovative educational models. His efforts aim to equip future generations, particularly Gen Beta, with the skills and adaptability needed to thrive in an AI-driven era.

References

–https://www.kvue.com/article/news/local/elon-musks-ad-astra-montessori-school-permit-to-open-bastrop-county/269-22f51286-34cc-4349-9355-653f96910f65

–https://search.app/ZZmMGUcHSbeLbasm6

– https://search.app/EpmfUVQcM1D4LGde8

– https://search.app/z9WQumHedmnJm7JE7

– https://fortune.com/2024/11/20/elon-musk-ad-astra-school-permit-montessori-bastrop-texas/

– https://youtu.be/kuUG0pQmlwM?feature=shared

– https://www.reformaustin.org/education/elon-musks-ad-astra-school-gets-texas-green-light/

– https://youtu.be/lrBp5BL20Nw?feature=shared

– https://youtu.be/KbowJbyxn64?feature=shared

– https://www.entrepreneur.com/business-news/elon-musk-is-opening-a-school-called-ad-astra-how-to-get-in/484491

– https://www.businessinsider.com/elon-musk-opening-private-preschool-ad-astra-education-texas-trump-2025-1

– https://www.edweek.org/leadership/elon-musk-is-opening-a-school-for-young-students-heres-what-we-know-about-it/2024/11

– https://ntrs.nasa.gov/api/citations/19940029213/downloads/19940029213.pdf

 – https://symposium.org/wp-content/uploads/2024/04/Striving-For-More-or-Thriving-With-Less-%E2%80%94-What-We.pdf

– https://twentyonetoys.com/blogs/teaching-21st-century-skills/creative-genius-divergent-thinking?srsltid=AfmBOorjtHDw_j6JpzcXGf2s6ImvFwv_MqQUvalUTXUHk7aOjwpKjR1J

–https://www.forbes.com/councils/forbesbusinesscouncil/2022/12/09/how-to-unleash-your-creative-genius-at-work/

 – https://www.cwilsonmeloncelli.com/creativity-flow-states-nasa-study/

 – https://magazine.lucubrates.com/my-real-story-about-childhood-and-education/

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I recently conducted a quick poll on “X,” asking my social media community to rank the most common pushback comments against climate change. This is not a statistically significant poll, but the results tell an insightful story: 52.2% suggest it’s a natural phenomenon, 34.8% call it a hoax, 4.3% argue that science is wrong, and 8.7% recommend it’s cheaper to adapt.

As we approach the United National Climate Change meeting COP29 in Baku, where global leaders will gather to discuss solutions, it’s vital to remember that these discussions will be grounded in science. With the clock ticking on a sustainable world, can we afford to be distracted by outdated or misguided beliefs? Can we focus on actionable, science-based solutions to combat climate change and simultaneously be prepared to address the chirping of the naysayers?

[Susan Joy Hassol, a climate change communicator and analyst has made climate science accessible for 25 years. As director of Climate Communication, she helps scientists communicate effectively and provides accessible background to policymakers, journalists, and advocates.]

“It’s a Natural Phenomenon” (52.2%)

The belief that climate change is naturally occurring is rooted in scientifically proven historical facts. The earth’s climate has undergone periods of meaningful change — ice ages, volcanic eruptions, and solar variations have all shaped our planet’s climate. However, this position collapses like holding on to a melting ice flow, considering the current crisis’s pace and scale.

Professor Michael Mann, a climate scientist at the University of Pennsylvania and Director of Penn Center for Science, Sustainability and the Media, explains, “While natural factors influence the climate, the unprecedented warming we’ve seen over the past century is almost entirely due to human activity.” Professor Mann has made this argument in his work and public communications, emphasizing the overwhelming scientific evidence and how natural climate fluctuations over millennia cannot account for the rapid warming seen in recent decades.

The Intergovernmental Panel on Climate Change (IPCC) reinforces Professor Mann’s assertion, reporting that human influence is the dominant cause of today’s global warming. Our industrial activities, deforestation, and fossil fuel consumption have led to rising levels of greenhouse gases, such as CO2 and methane, primarily responsible for the temperature spike.

As world leaders deliberate over policies and strategies during COP29, the scientific community will continue to underscore that we cannot stop our carbon footprint without addressing human-contributed causes. We delay concrete climate action by dismissing human impact, leaving future generations vulnerable to even more severe consequences.

“It’s a Hoax” (34.8%)

One-third of poll respondents suggest that climate change is a hoax, the most disheartening poll result. This claim, often perpetuated by conspiracy theorists, disregards years of research, data collection, and collaboration among nations.

Climate scientists have long been aware of the challenges they face in public perception. Katharine Hayhoe, PhD, the Chief Scientist at The Nature Conservancy, says, “The evidence for climate change is so strong that denying it is like saying the Earth is flat.” Dr. Hayhoe also holds the position of Horn Distinguished Professor and Endowed Professor of Public Policy and Public Law at Texas Tech University and has served as a lead author for the Second, Third, and Fourth U.S. National Climate Assessments.

Leading science-based organizations like NASA, NOAA, and the IPCC rely on rigorous peer-reviewed research to provide accurate, evidence-based insights into climate dynamics. The claim that climate change is politically motivated is a dangerous distraction.

During the Baku climate gathering, we will hear more about pressing discussions about cross-border cooperation, climate financing, and renewable energy solutions. Dismissing the issue as a hoax — allowing those conspiracy theorists to gain traction and influence — impedes the global community’s ability to form cohesive strategies. COP29 negotiations must push past denials and focus on shared responsibility, creating frameworks that recognize the global scale of the issue.

“Science is Wrong” (4.3%)

A far smaller percentage of respondents believe that “science is wrong” about climate change. While healthy skepticism should (always) contribute to scientific progress, when it stems from misinformation, it can be damaging — even deadly. Climate science, in particular, has a solid foundation built on decades of empirical data and global observation.

Professor James Hansen, formerly Director of the NASA Goddard Institute for Space Studies and now Adjunct Professor at Columbia University’s Earth Institute, where he directs the Program on Climate Science, Awareness and Solutions, points out, “The science of climate change is as solid as the science of gravity.”

Technological advances, such as satellite data and ice core samples, have strengthened scientists’ confidence in their findings. These technology tools reveal that the planet is warming at a rate not seen in millions of years, and the cause is undeniably human.

At COP29, reinforcing recent scientific evidence and the year-over-year trends will remain paramount. As countries discuss emissions targets, clean energy transitions, and long-term sustainability, science must continue to serve as the foundation for decisions. The challenge will be to ensure that skepticism is not weaponized to derail agreements or implementation. Science must guide the conversation toward urgent action and investment in climate resilience that improves the well-being of developed and emerging countries.

“It’s Cheaper to Adapt” (8.7%)

Economics always drives conversation and policy outcomes. Some believe it would be cheaper to adapt to the consequences of climate change rather than mitigate them. This may seem pragmatic, but it overlooks the actual long-term costs—financial and human—of inaction. It is always “cheaper to do nothing” when considered in isolation from all other factors.

The World Bank and the International Monetary Fund (IMF) have studied economic climate-related disasters such as hurricanes, wildfires, and rising sea levels. The costs are already staggering and are only set to grow as significant climate events become more frequent and severe. Preventative measures, such as investing in renewable energy and sustainable infrastructure, are far more cost-effective than reactive ones, resulting in employment training and compensation that elevates communities.

This perspective — focused on short-term financial thinking — will surface during COP29. Some countries with lower carbon footprints or economies heavily reliant on fossil fuels may push for adaptation rather than mitigation as a cost-saving strategy.

Christiana Figueres, former Executive Secretary of the UN Framework Convention on Climate Change, and now co-founder of Global Optimism, and co-author of the recently published book The Future We Choose: Surviving the Climate Crisis, said, “Mitigation is non-negotiable. Without it, adaptation costs will be astronomical, and the human toll unimaginable.”

The discussions in Baku must stress the need for proactive, long-term solutions rather than reactive measures that place future generations and jeopardize the progress of emerging regions at greater risk.

The Path Forward: Preparing Great Communicators

Conversations at COP29 will shape future global climate policy action. World leaders, businesses, and organizations must act decisively. Purpose-driven leadership is critical at this moment. However, that leadership must also be able to sway naysayers or put their comments into perspective for others. The community of pundits is growing. It cannot be ignored.

While conversation centers on the warming planet, we must connect the ecological dots. Climate change also impacts a multitude of other life-threatening concerns. The frequency of extreme weather events is a tipping point for poor air quality, increased vector-borne diseases, and increased food and water insecurity. Using sunscreen or wearing a hat is a given — not a solution.

As the COP29 discussions unfold, it’s clear that the voices advocating for climate action will need to be prepared and their messages more compelling than those seeding doubt. Sustainability, resilience, and equity must be the decision-making goal. The skeptics will remain vocal, but the growing body of scientific evidence and the increasing demand for climate action cannot be ignored. Yet, we must not get mired in science and forget that good communications are compelling and easy to digest.

Savvy communicators will recognize that advocates for action and those who disagree are not arguing apples to apples. They likely have competing interests — they are focused on another priority —lost jobs, budget allocation or political affiliations.

The future depends not just on adapting to a deteriorating situation but on preventing disaster in the first place. As we look ahead to COP29, we must somehow turn the tide together — but only if we listen to the ambient noise and not pretend that we can get the job done by talking over naysayers or pretending their words are irrelevant to the conversation.

Somehow, we must cultivate a wave of “great communicators” who can align objectives, strategies, (and fears) with the common need for a better, safer, sustainable world where we survive and thrive.

Let’s move forward, not as adversaries, but as allies seeking common ground for the greater good.

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Health and Climate: An Intertwined Crisis

Climate change has already begun to manifest severe health consequences, from the spread of vector-borne diseases like malaria and dengue to the exacerbation of respiratory and cardiovascular illnesses due to poor air quality. According to the World Health Organization (WHO), between 2030 and 2050, climate change is expected to cause an additional 250,000 deaths per year due to heat stress, malnutrition, and diseases such as malaria and diarrhoea. These statistics show that addressing climate change without considering health is a missed opportunity to mitigate its human toll.

At COP29, this realisation is coming to the fore. For the first time, health will have a dedicated day and see the introduction of various health-focused initiatives. Elmar Mammadov, Co-Lead of the COP29 Global and Regional Initiatives and Action Agenda Team, emphasised that the presidency aims to make health a permanent and sustainable focus at future COPs. Mammadov highlighted the intention to form a coalition with the WHO and previous COP presidencies, building on the legacy of the Alliance for Transformative Action on Climate and Health (ATACH), an informal network established at COP26.

Key Health Initiatives at COP29

Several initiatives to enhance the intersection of health and climate resilience will be unveiled at COP29. The Harmonia 4 Climate Resilience Initiative, developed in collaboration with the UN Food and Agriculture Organization (FAO), aims to empower rural communities by integrating climate-resilient farming practices. This initiative recognises food security’s critical role in health outcomes, particularly in low-income regions where climate change threatens to undermine agricultural productivity.

Another major programme, the Baku Initiative on Human Development for Climate Resilience, is a multi-sectoral effort focusing on health, education, employment, and youth empowerment. This initiative addresses the social determinants of health, acknowledging that the effects of climate change are deeply intertwined with economic and educational disparities.

A significant focus of COP29 will be on integrating health into urban planning. Cities are increasingly seen as key battlegrounds in the fight against climate change, as they generate significant global carbon emissions. Mammadov pointed out several events and roundtables will be dedicated to healthy cities and urban agriculture. These discussions will explore how urban landscapes can be reimagined to promote better health outcomes, focusing on reforestation and sustainable urban farming practices.

The Global Health Impact of Climate Change

The WHO’s Director of Environment, Climate Change, and Health, Dr Maria Neira, stressed the importance of collaboration between COP29 and other UN agencies. She pointed out that climate change’s impacts on health are multifaceted, involving physical and mental health. For example, extreme heat and natural disasters, which are becoming more frequent due to climate change, have been linked to increased rates of mental health issues, including anxiety, depression, and post-traumatic stress disorder.

Neira also highlighted the importance of gender equity in climate and health discussions. Women, particularly in low- and middle-income countries, are often disproportionately affected by the health impacts of climate change. They are more likely to suffer from malnutrition and are often primary caregivers, making them more vulnerable to the cascading effects of climate-related health crises. Gender equity will thus be a key topic at COP29, ensuring that climate solutions are inclusive and address the needs of the most vulnerable.

Making COP29 Inclusive and Accessible

In addition to health, another key goal of COP29 is to make the conference more inclusive. Previous COPs have faced criticism for being inaccessible to certain groups, particularly from the Global South, due to high costs, visa issues, and limited opportunities for participation. Mammadov stressed that the presidency would make a concerted effort to ensure that all voices, particularly those from underrepresented regions, are heard. He emphasised that the success of climate action depends on incorporating diverse perspectives, particularly from those most affected by the climate crisis.

The presidency also encourages multilateral development banks and climate funds to invest in health and climate initiatives. By directing financial resources towards these areas, COP29 aims to catalyse tangible action to improve health outcomes and build resilience against future climate shocks.

Call to Action

As the world grapples with the dual crises of climate change and public health, COP29 presents a unique opportunity to align global climate and health policies. The initiatives outlined by the presidency, coupled with the WHO’s expertise, are a promising step towards making health a central component of climate action. However, the success of these efforts will depend on sustained political will, investment, and the involvement of all sectors of society.

The health impacts of climate change are not just a future threat — they are already being felt globally. Dr Neira aptly noted, “We cannot afford to wait until tomorrow to act on health and climate. The time to integrate these two agendas is now, and COP29 will be a critical milestone in this journey”.

By prioritising health at COP29 and beyond, global leaders have the chance to curb emissions and save lives. The challenge now is to ensure that the commitments made in Baku translate into real-world action, benefiting those most vulnerable to the health impacts of our changing climate.

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The UN Conference of the Parties (COP) has gathered annually for nearly three decades, bringing together leaders from almost every nation to tackle the most pressing issue of our time: climate change. However, the media’s focus on immediate outcomes and controversies often invites us to overlook these Summits’ long-term progress and significance. It’s important to remember that these events are not just about the headlines but about the promise of change and hope they bring for a sustainable future.

While skeptics may point out the shortcomings of these Summits, they may be missing the bigger picture. No nation is perfect, and even those with sustainability policies must recognize that turning their backs on emerging nations’ struggles delays global action. The participation of developing countries in the COP process is not just theoretical; it is crucial to the worldwide mobilization necessary to tackle the issue.

These nations, often the most at risk from climate change, are not just participants but key contributors to arriving at inclusive solutions. Their unique perspectives and challenges shape the discussions and decisions made at these Summits, making them an integral part of the global climate action.

In nearly three decades, COP Summits have made remarkable progress. The Paris Agreement, adopted at COP21, was a significant milestone in global climate action. This agreement, signed by 195 countries, aims to limit global warming to well below 2 degrees Celsius, with an aspiration to limit the temperature increase to 1.5 degrees. Recognizing such achievements is crucial; it reminds us that these gatherings and collaborations are not in vain but a beacon of hope for a sustainable future.

The Early Days: Building a Framework for Global Action

The first COP meeting in 1995, held in Berlin, marked the beginning of a sustained global effort to address climate change, and it set the tone for what would become an evolving negotiation process. COP1 established the “Berlin Mandate,” a landmark agreement that recognized the historical responsibility of developed countries, the most significant historical emitters of greenhouse gases, in causing climate change. This mandate laid the groundwork for future discussions and paved the way for the Kyoto Protocol, adopted two years later in 1997 at COP3 in Kyoto, Japan.

The Kyoto Protocol was a watershed moment in global climate policy. For the first time, countries agreed to legally binding emission reduction targets. Although it applied to developed nations, the protocol set a precedent for collective and individual national accountability.

The agreement faced its share of challenges—most notably, the United States’ refusal to ratify it—but it still represented a significant step forward. The protocol underscored the principle of “common but differentiated responsibilities,” a concept that remains central to climate negotiations today.

Mid-Course Correction: The Road to Paris

As the COP Summits progressed, it became increasingly evident a more inclusive and flexible approach was needed, as it was recognized that the Kyoto Protocol, focusing on binding targets for a subset of countries, would not be achievable. The realization led to the Bali Action Plan at COP13 in 2007, which initiated a process to negotiate a new global agreement to include all nations, developed and emerging.

This was the Paris Agreement, adopted at COP21 in 2015. The Paris Agreement marked a significant shift in how nations engage to stem climate change. Unlike the Kyoto Protocol, which imposed top-down targets, the Paris Agreement encourages countries to set their determined contributions (NDCs) based on specific circumstances. This flexibility was vital to securing the participation of nearly every country worldwide. The agreement also established a framework for transparency and accountability, requiring countries to report on their progress regularly.

Yet the Paris Agreement’s most significant achievement was its commitment to limit global warming to “well below 2 degrees Celsius” above pre-industrial levels, intending to limit the increase to 1.5 degrees. Though ambitious, this target reflects the scientific consensus necessary to avoid climate change’s most catastrophic impacts. The Paris Agreement was a triumph of collaborative diplomacy, demonstrating that global cooperation is possible despite incredible policy and economic standing differences.

The United States was a late signer of the Paris Agreement. It joined the community in 2016 but withdrew soon after, in 2017; on January 20, 2021, President Biden reaffirmed the US commitment to the Paris Agreement on his first day in office.

New Era of Ambition and Accountability

In the years following the Paris Agreement, the COP Summits have focused on putting the structure needed to implement its goals. COP24 in Katowice, Poland, 2018 formalized the “Paris Rulebook,” providing detailed guidelines on implementing the agreement’s provisions. This includes rules for how countries should report their emissions and progress and how to ensure transparency and accountability.

Another significant achievement came at COP26 in Glasgow, Scotland, in 2021 under the theme “Together for Our Planet.” The Summit saw a wave of new commitments from countries to enhance their NDCs, reflecting a growing recognition that the original Paris pledges were insufficient to meet the 1.5-degree target.

The Glasgow Climate Pact agreed upon at COP26 urged countries to “revisit and strengthen” their targets by 2022 and included the first-ever explicit mention of phasing down unabated coal power. The pact also emphasized the need for developed countries to fulfill their promise to provide $100 billion per year in climate finance to emerging nations, a commitment that has been a sticking point in negotiations since.

COP26 also saw the launch of several major initiatives aimed at accelerating climate action. The Global Methane Pledge, for instance, committed signatories to reduce methane emissions by 30% by 2030, an action that could significantly slow the rate of global warming. Additionally, more than 130 countries pledged to halt and reverse deforestation by 2030, recognizing forests’ critical role in absorbing carbon dioxide.

Addressing the Critics: Why COP Matters

Indeed, the COP process is not without its flaws. Critics often point to the slow pace of negotiations, the gap between promises and action, and the influence of powerful fossil fuel interests in the nations hosting the Summit. All these concerns are valid. However, they should not overshadow the progress made or the world’s ticking clock in addressing climate change. The COP Summits are instrumental in creating a framework for addressing a common concern—people and planet are at risk.

The shift from the Kyoto Protocol to the Paris Agreement reflects a broader understanding that tackling climate change requires grasstop to grassroots global collaboration and local action. COP provides a community setting for bringing together governments, businesses, non-governmental organizations, and thought leaders to share ideas, forge partnerships, and hold each other accountable.

Notably, the COP Summits have played a crucial role in elevating the climate crisis on the global agenda. These meetings’ visibility and media coverage have helped build public awareness and pressure governments to act. Climate change is now a central issue in international relations due in no small part to the sustained efforts of the COP process.

Looking Ahead: The Road to COP29 and Beyond

The upcoming COP29 Summit in Baku will be another critical moment as we prepare for the future. The focus will be on assessing the collective progress toward the Paris Agreement goals and scaling up ambition to meet the 1.5-degree target. This will require substantial government commitments and more significant engagement from the private sector and civil society.

The challenges are immense, and the achievements of the past 28 COP Summits provide a good cause for optimism. Each Summit has built on the potential of the previous gathering, gradually moving the world closer to a shared, sustainable future. The road ahead will not be easy, but the COP process has shown that, despite imperfections, it remains our best hope for achieving climate justice. The COP gatherings matter because they are the only global forum where every country has a voice in the essential effort to course-correct climate change. They matter because they have led to concrete actions that will make a difference.  They matter because they embody the principle that collaborative action can change the course of history, no matter how daunting the challenge. As we approach COP29, remember that these meetings are about give and take and building

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The host country, Azerbaijan, has committed to ambitious climate goals, including reducing greenhouse gas emissions by 40% by 2050 and increasing renewable power capacity to 30% by 2030. The COP29 Presidency’s plan is built on two pillars: enhancing ambition through national plans and transparency and enabling action through finance to reduce emissions, adapt to climate change, and address loss and damage.

The Path to COP29: Key Preceding Meetings

Several important meetings and conferences will shape the agenda and build momentum for COP29 throughout 2024:

UNFCCC Intersessional Meetings

Typically held in Bonn, Germany, these technical sessions allow negotiators to progress on critical issues away from the spotlight of the main conference. As climate policy expert Alden Meyer notes, “The intersessionals are where the real work gets done, away from the spotlight of the COP.”

Bonn Climate Change Conference

Held on June 3–13, 2024, this conference was a crucial stepping stone towards COP29. Around 6,000 delegates will gather to negotiate mechanisms for implementing previous agreements and draft formal recommendations for COP29. Key topics include climate finance, national climate action plans, just transition from fossil fuels, and adaptation strategies.

G7 and G20 Summits

These high-level meetings of major economies often result in climate-related commitments and financial pledges that significantly influence broader negotiations. The outcomes of these summits will likely set the tone for COP29, particularly regarding climate finance and emission reduction targets.

Regional Gatherings

Events like the African Climate Summit allow countries to align their positions and highlight region-specific challenges and solutions. These conferences often result in declarations that inform the global climate agenda.

UN General Assembly and Climate Week NYC

Held annually in September, these events provide a high-profile platform for world leaders to reaffirm their commitment to climate action. Speeches and announcements during this period can significantly influence the momentum leading into COP29.

Pre-COP Ministerial Meeting

This ministerial gathering is crucial for identifying potential roadblocks and finding common ground on contentious topics before COP29. Christina Figueres, former Executive Secretary of the UNFCCC, describes the Pre-COP as “a vital opportunity to take the political temperature and prepare the ground for successful negotiations.”

Specialised Conferences

Throughout the year, conferences focusing on renewable energy, biodiversity, and climate finance will contribute valuable insights to the COP29 process. For instance, the International Renewable Energy Agency (IRENA) Assembly provides a platform for discussing the latest clean energy technologies and policy developments.

Scientific Gatherings

Meetings involving the Intergovernmental Panel on Climate Change (IPCC) will provide the latest climate data and projections, informing the urgency and ambition of actions discussed at COP29.

Civil Society and Private Sector Events

These gatherings mobilise non-state actors and generate momentum for ambitious climate action, often producing innovative ideas and commitments that complement formal negotiations.

Key Issues and Expectations for COP29

As these preparatory meetings unfold, several critical themes are expected to emerge for COP29:

Negotiating a new climate finance goal to replace the $100 billion annual commitment

Increasing ambition in nationally determined contributions (NDCs)
Accelerating the transition to renewable energy
Addressing loss and damage mechanisms
Scaling up climate finance for developing countries
Implementing the outcomes of the Global Stocktake from COP28
Ensuring a just transition away from fossil fuels

The Road Ahead

The journey to COP29 is paved with crucial meetings and negotiations that will shape the summit’s outcomes. As the world grapples with escalating climate impacts, the pressure is mounting for COP29 to deliver concrete results. The conference in Baku represents a critical opportunity to set more ambitious climate targets and ensure these targets translate into tangible actions.

Azerbaijan’s commitment to renewable energy and emissions reduction sets an encouraging tone for the host country. However, the success of COP29 will depend on the collective will of all nations to address the urgent needs of climate-vulnerable countries and accelerate global climate action.

As Patricia Espinosa, former Executive Secretary of the UNFCCC, emphasised, “Governments cannot address climate change alone. We need all of society engaged and contributing to solutions.” The road to COP29 is a collaborative effort requiring the engagement of governments, civil society, the private sector, and individuals worldwide to drive meaningful progress in the fight against climate change.

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Over the past several decades, too much research has been accumulated to dismiss this lack of attention to the most imperative health factors: the air we breathe, the water we drink, and the food we eat.

We don’t need to smoke cigarettes; we need to breathe in polluted air, which will damage our lungs and possibly cause lung cancer. If the damage isn’t confined to our lungs, it may permeate other areas of our body and even affect our brains. Remember, our brains are oxygen-hungry, and when we deprive them of what they need, they cannot function as we wish.

While all of us, our children included, are subjected to the ravages of air pollution, our older adults will suffer severely. We already know that cognitive impairment comes with age for some, but air pollution exacerbates the problem and can lead to early dementia with all its negative trappings.

Exposure to air pollution in old age is a risk factor for dementia that can be changed, but epidemiological studies have shown mixed results for cognitive loss. Improving air quality (AQ) has been linked to better heart health, lower mortality, and better pulmonary health. However, as far as had been known, no studies had examined the link with brain function. A study was undertaken to see if higher AQ levels were linked to a slower rate of cognitive loss in women aged 74 to 92.

During the course of ten years, measurements of brain health were taken from 2,232 women living in the 48 contiguous US states. Findings showed that older women with better long-term AQ had slower cognitive losses.

Studies show that psychosocial stress can make people more or less sensitive to environmental hazards. For example, older people who live in areas with high-stress levels may be more likely to get sick from breathing in harmful substances like air pollution. The immune system is highly sensitive to stress levels in all of us, and once that is affected, our health may be in decline.

Along with the likelihood that they will succumb physically to environmental pollution comes the increased stress of aging, which contributes to difficulties in independence, loneliness, inadequate health coverage, or a lack of availability of health resources and financial factors. Together, this toxic brew subjects older adults to a lower quality of life.

Is this why they worked all those years at low-paying jobs or in environmentally damaging, dead-end careers? Weren’t they supposed to be going into their golden years, where they would enjoy the fruits of their labors? How can that happen if they don’t have clean air to breathe?

Another study of 25,314 adults older than 50 found that higher amounts of traffic-related air pollutants in their homes, such as nitrogen dioxide and particulate matter from road and non-road traffic, were linked to a higher risk of losing their independence. Loss of independence was described as switching to a nursing home or getting help with at least one activity of daily living because of health or memory issues.

A 17-year national cohort study was conducted in the US to examine the links between fine particulate matter and dementia and Alzheimer’s disease. The study found that people who are exposed to mass and major pollution elements for a long time, especially from traffic and burning fossil fuels, are more likely to develop dementia or Alzheimer’s disease.

There is renewed interest in maintaining people in their homes rather than moving them to residential facilities, a.k.a. nursing homes, because it has a great effect on positive mental health and longevity. Most adults want to age in place, and it can be very good for them physically and mentally. However, older people need help from their community to age in place safely and with honor.

Familiar places and surroundings can help older people feel like they have a sense of identity, make it easier to use neighborhood services, and keep them socially connected by putting friends close by. How does that happen in a community where the air is polluted? The answer is patently obvious, and anyone who studies environmental science knows it.

Walking in some communities is no longer pleasurable; in some areas of the country, industrial complexes send volumes of particulate matter into the air and over the surrounding homes and backyards, making breathing a battle.

Aren’t we being encouraged to go into the surrounding parklands near our homes? Nature centers and parks are only as good as the air that pervades them. Could this be seen as violating people’s civil rights to breathe, especially those with chronic lung or other health disorders? Air pollution robs older adults of their mentation as research has shown.

We are entering the “silver tsunami” age, when large numbers of people worldwide will live longer but may suffer the effects of air pollution. Society is expanding into a burgeoning group of these adults with multiple medical disorders and potentially dementia from air pollution. Now, there is a significant need for policy decisions to be made regarding what is important: air quality or providing billions of dollars in healthcare to these individuals.

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Climate change is the worst crisis humanity is currently facing. The evidence is clear with the stark differences in climate-related incidents across the globe. While Dubai received torrential rainfall, causing flash floods, people across various parts of Asia are grappling with heatwaves, leading to severe water shortages, with poorer communities being the worst affected. The Earth is boiling, quite literally, and resources have been stretched to the limit as the population grows, foreshadowing devastating consequences for future generations. Public health, in particular, is reeling from this crisis as the prevalence of communicable and non-communicable diseases grows at a startling rate. Between 2000 and 2019, almost 489,000 people died each year due to heat-related illnesses, with 45% in Asia and 36% in Europe.[1] Rising temperatures are responsible for not just public health emergencies, they can affect health services. Public health is the first line of defense during a crisis of this magnitude, and as systems across the globe struggle to cope, the outlook seems bleak.

Disease prevention, treatment, accessibility, equity, and protection of the environment are all essential facets of health that aim to enhance the well-being of the public. The main goal of sustainability is to meet the needs of the current generation without compromising the needs of future generations. The crux of both these concepts is the adoption of holistic practices that provide long-term welfare over short-term respite. Hence, it is crucial to understand how health and sustainability go hand-in-hand to help humanity weather the current crisis.

Making health sustainable

The health sector is responsible for between 4.4% and 5.2% of the world’s greenhouse gas emissions.[2] This creates a paradoxical situation wherein the systems created to help can harm the well-being of the public. Health services comprise energy-intensive activities, from maintaining hospitals to creating life-saving medicines. Reducing the carbon footprint would be the first step towards making health sustainable. The solutions to this problem boil down to three categories — switching to non-fossil energy, storing energy, and conserving energy. Rather than solely depending on non-renewable sources of energy, the sector must start adopting renewable sources such as wind or solar energy. This helps build resilience to adverse climate-related events and can provide a positive socioeconomic impact.

A critical aspect of health that is often overlooked is the significance of preventive care. Countries that are a part of the Organisation for Economic Co-operation and Development spend less than 3% on preventive care.[3] Prevention is important in reducing the overuse of resources in health, which can result in reducing the carbon footprint. Several short and long-term sustainability goals can be achieved through primary, secondary, and tertiary prevention. A robust global vaccination programme must be implemented to decrease resource consumption. Furthermore, encouraging the public to adopt a healthy lifestyle empowers them to take an active role in enhancing their well-being.

Public health is often highly fragmented as patients may have to go to several points along the treatment pathway. Improving access to early diagnosis and providing one-stop solutions can make this process easier and more sustainable. Policymakers and other stakeholders can drive systemic change by encouraging people to adopt preventive measures to reduce the disease burden and health consumption.

There are several indirect ways in which health can become more sustainable. For instance, encouraging the adoption of telemedicine in cases where the patient does not need to be physically present. Governments must create policies that encourage the sustainable procurement of ingredients for medicines, using greener methods of transportation, embracing a circular economy, and employing safe waste disposal methods.

Public health and sustainability have a symbiotic relationship that requires our utmost attention. COVID-19 may not be the last health crisis we witness in our lifetimes. This is especially true due to climate change, which can exacerbate more than half of the known human pathogenic diseases.[4] As health communicators our task is twofold — drawing attention to the brewing health crisis while shedding light on climate change and its implications. The future hinges on sustainability and integrating it into the health system while not compromising on quality. The transition needs to start now.

[1] https://www.who.int/news-room/fact-sheets/detail/climate-change-heat-and-health

[2] https://magazine.hms.harvard.edu/articles/confronting-health-cares-carbon-footprint#:~:text=Data%20suggest%20that%20the%20global,contribute%202%20to%205%20percent.

[3] https://www.oecd.org/newsroom/boosting-investment-in-health-systems-will-be-essential-to-deal-with-future-shocks.htm

[4] https://www.nature.com/articles/s41558-022-01426-1

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The global healthcare industry is responsible for two gigatons of carbon dioxide each year, which amounts to 4.4% of net emissions worldwide. Hospitals generate about five million tons of medical waste annually from everyday trash such as medical packaging and food to regulated medical waste, surgical gowns, gloves, syringes, IV bags and more.

The recent panel discussion, “Sustainability + Health Systems,” facilitated by mHealth Israel, brought together an impressive roster to discuss this issue. Panelists included:

• Dr. Reed Omary, MD, MS, is the Carol D. & Henry P. Pendergrass Professor of Radiology and Biomedical Engineering at Vanderbilt University Medical Center (VUMC) with over 25 years as a practicing interventional radiologist. Dr. Omary stepped down from his position as Chair of Radiology to make a full career pivot towards sustainable healthcare to motivate US healthcare to decarbonize their operations and adopt sustainable practices. You can follow Dr. Omary’s blog on making healthcare more sustainable: The Green Leap
• Dr. Elizabeth Morris, MD, is the Chair of the Department of Radiology at UC Davis Health, an institution with a history of commitment to sustainability. Dr. Morris approaches sustainability through the academic lens, exploring how to think holistically about planetary health within our healthcare system.
• Bert Hartog, Interim VP of Sustainability & Transformation at The Digital Medicine Society (DiMe), a professional society for the digital medicine community that focuses on driving scientific progress and broad acceptance of digital medicine to enhance public health.
• Philip Guster, Director of System Sustainability at Henry Ford Health. Philip previously worked at DTE Energy, which partnered with Henry Ford in 2021 to help the health system reduce its greenhouse gas emissions through DTE’s voluntary renewable energy program with the purchase of wind and solar energy at increasing rates over the years.

Below is a selection of insights to questions raised during the webinar. Responses have been edited for length and clarity. You can view the full panel discussion here:

https://cdn.embedly.com/widgets/media.html?src=https%3A%2F%2Fwww.youtube.com%2Fembed%2FBjCpeI45wfc&display_name=YouTube&url=https%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DBjCpeI45wfc&image=http%3A%2F%2Fi.ytimg.com%2Fvi%2FBjCpeI45wfc%2Fhqdefault.jpg&key=a19fcc184b9711e1b4764040d3dc5c07&type=text%2Fhtml&schema=youtubeSustainability + Health Systems: U.S. and EU Perspectives Webinar

What made you decide to turn your focus towards sustainability in healthcare? And what do you see as the greatest challenges facing healthcare when it comes to sustainability?

Bert Hartog, DiMe: I’ve spent my career in clinical research, looking at clinical trials and ways to make them not only scientifically robust but also very attractive for participants to take part in, and part of that is convenience for the participants. That’s where digital health technologies can make a huge difference.

The light bulb moment for me was when I realized that many digital health solutions come from digital health devices produced for single use. At the beginning of the 2020s, 100 million devices were newly issued into the global market. I realized this is a mountain of electronic waste that nobody has given much thought to.

Everybody acknowledged that this is an underserved part of the digital health transition we see happening. It’s something that warrants attention.

Dr. Morris, UC Davis Health: When I took the job at UC Davis, I found myself in an environment highly geared towards sustainability. UC Davis is number one in the country for sustainability, and being in that environment made me start looking around at our department. As chair of radiology, which is one of the greatest contributors to greenhouse gas emissions in healthcare, I realized we need to figure out how to make our machines work more sustainably.

I am also interested in AI research, which, as Bert pointed out, is a double-edged sword. AI can help us achieve greater sustainability, but these storage systems can consume significant energy.

Sustainability is our number one problem. We need to start talking about it, communicating, and working together. It’s crucial to collaborate with industry partners to get this right. The biggest challenge is that doctors tend to be conservative. New technology often takes 16 to 20 years to gain traction, but we cannot wait that long. This issue is imminent, and we need to be nimble and act fast.

Dr. Omary, VUMC: I used to think about being green in my personal life, but I didn’t consider how to bring that mindset to my work as a physician. It felt like I was living two separate lives. The pandemic made me realize that as healthcare professionals, we have not just an opportunity, but a responsibility to step out of our medical centers and benefit our communities and nations.

During the pandemic, we saw how events in one part of the world could impact another, seemingly unconnected part. This realization hit me during lockdown — I wanted to do everything I could to help during the pandemic and take on the larger, more complex challenge of climate change.

The more I read about it, the more I realized that climate change, like COVID, disproportionately affects those who can least tolerate it. This led me to pivot my career towards generating the most impact. In healthcare, we think about our patients, but with climate change, we suddenly have 8 billion patients to consider, including future generations.

Philip Guster, Henry Ford Health: Midway through my career, I was working for the largest utility in Michigan, one of the largest in the country. My background is in manufacturing, and then I moved to utilities, working there for 13 years. My expertise is in engineering, energy efficiency, and systems. Healthcare has large systems behind the scenes that are crucial to patient care.

At Henry Ford Health, I’ve seen the crucial role we play as a safety net hospital in Detroit’s revitalization. Our hospital has been here for over 100 years, and we’re building a new 21-story tower that will anchor Midtown Detroit. This project will change the skyline and address the health and poverty challenges in our population. Our patients expect us to lead the way in sustainability and healthcare innovation. I’m excited to be part of a team with a culture of inclusion and collaboration, and our success will depend on our partnerships.

Clinicians have a lot on their minds — patients, improving outcomes, integrating new technologies, dealing with burnout, and staying up to date with the latest research. How does sustainability even have space in your mind as a clinician?

Dr. Morris, UC Davis Health: Sustainability shouldn’t be an additional burden. It needs to be pervasive in all aspects of our work. Sustainability can make a clinician’s day better by improving efficiencies. For example, in my area, we can improve patient protocols to make them shorter and more efficient. Small initiatives like installing motion detector lights can collectively make a significant impact across the system. These small steps create a better working environment and improve patient care.

Dr. Omary, VUMC: Dr. Morris is right. We don’t want sustainability to be seen as separate from our other duties. There’s a massive staffing crisis in healthcare — two-thirds of nurses are burnt out, and roughly half of physicians, depending on their specialty, are burnt out too. One-quarter of physicians in the US are clinically depressed. If we think about these statistics, it’s clear we need to improve our work environment.

When we care for the planet, we care for our patients. For example, telehealth reduces the need for patients to travel and deal with parking, which can be stressful. Telehealth is a sustainable intervention that benefits both the environment and patient care. Measuring the carbon cost of our care algorithms is a great opportunity for research and innovation. Sustainable practices can save money, enhance workforce satisfaction, and benefit our patients.

Philip Guster, Henry Ford Health: This is my first time working with clinicians, but we’re all focused on continuous improvement. The key is making sustainability visible and part of our daily operations. Accurate data is crucial for this. For example, we’ve been working on our energy data for three years to ensure it’s accurate. This visibility can engage hospital presidents, clinicians, and staff.

We’ve made significant strides, such as reducing the use of harmful anesthetics like desflurane. From 2019 to 2023, we reduced its usage from 25 down to one. This data-driven approach can prevent greenwashing and help us track our progress accurately.

We need to continue working on reducing single-use plastics and other waste, but having concrete data like this helps keep everyone motivated and aligned with our goals.

Policy and regulation are crucial for ensuring that our efforts in sustainability and innovation have the intended impact. How is policy either helping or hindering the advancement of sustainability initiatives in health systems? And who’s learning from whom here? Is it the US learning from the EU, the EU learning from the US, or is it a little bit of both?

Bert Hartog, DiMe: The short answer is, the US is learning from Europe, Europe is learning from the US, and we’re both looking at the rest of the world for further inspiration.

The difficulty is scale. We need to transition from point solutions, proof of concept pilots, individual clinics, individual hospitals, and individual networks doing their own thing, which is good and should continue. But we need to move up to the network level where we start addressing issues at state level, country level, and region level to really have the impact we’re looking for. Every little bit helps, but we need to start transitioning from innovation into scaling. That is important, and that’s where policy can make a difference.

One example in Europe is the electronic waste resulting from digital health devices. This was the beginning of a consortium with academics, hospitals, business schools, pharma, med tech, and startups, funded by the European Commission to work on designing these technologies for recycling — be it reuse, repurpose, or any of the “Rs.” We look at incentives for people to return these devices after use, considering a behavioral science component. Downstream, we work with waste management companies so they are equipped to handle this medical waste properly, allowing for recycling and recovering rare earth materials and precious metals when the product has reached its end of life.

Dr. Morris, UC Davis Health: In my area, radiology, we have very big machines like MRI and CT machines. So there’s a lot of effort or thought put around refurbishing these machines so that we’re not just recycling them but making them better. This requires a huge amount of effort and connecting people who normally weren’t connected in the past, and creating new regulations and guidelines.

In the medical space, societies can be very strong in this area, putting out suggested guidelines for machines, for example. There’s the Energy Star program here in the US, which could impact regulations and guidelines. Building these relationships is crucial, and normally, I would never have talked to an Energy Star person until several years ago. But this is critical because we need to speak the same language and get guidelines that are used not just in the US but globally.

We look to Europe because they are usually ahead in environmental policies and ideas. For instance, in MRI, we use gadolinium, a contrast agent that gets excreted into the water. Europe is very concerned about rising levels of gadolinium, which we weren’t even measuring in the US. Now that Europe has highlighted this, we’re starting to think about it too. We can learn a lot from Europe as they often lead in these areas, and I tip my hat to them.

What is the role of innovation in accelerating the sustainability transformation? And what’s the business opportunity in it?

Dr. Omary, VUMC: There’s a lot of money being left on the table when sustainability isn’t considered. Proper sustainability practices save money by reducing waste, and those savings can be reinvested into new growth areas. Entrepreneurs have a crucial role here. They bring a finance lens that can lead to faster adoption of sustainable practices.

If we pitch sustainability as an economic benefit, we meet the needs of the audience better. Entrepreneurs also teach us how to scale and grow quickly, which is essential for expanding sustainability initiatives.

Philip Guster, Henry Ford Health: As we’re building our new campus, sustainability is a priority. At Henry Ford, we’re implementing sustainability upfront in the contracting phase. When we seek partners through RFPs, we hold them accountable for sustainability. This approach ensures that sustainability isn’t an afterthought but a core part of our projects.

We understand there are incremental costs, but having the option to choose sustainable solutions and holding vendors accountable for innovation is crucial. It’s about integrating sustainability into every phase, from contracting to the materials we use in construction.

Bert Hartog, DiMe: In clinical research, which is the prelude to clinical care, we have an opportunity to scale sustainability benefits exponentially. We’ve started quantifying the environmental impact of clinical trials to establish a baseline and identify what good looks like. By understanding these metrics, we can address logistics, utilities, and packaging without compromising patient safety or scientific integrity.

For example, remote monitoring in clinical trials can reduce carbon footprints by 20%. If we multiply this impact across millions of instances, the benefits are substantial. Offering remote options for assessments and trials can significantly reduce environmental impact. More companies are becoming interested in this approach as they see the data proving its effectiveness.

How do we ensure these efforts and technologies are accessible and equitable to all communities, marginalized populations, and developing countries? How do we address these disparities?

Dr. Morris, UC Davis Health: It’s only recently that healthcare systems have started to address inequities and systemic racist policies. It’s crucial that we factor in these disparities completely to ensure we don’t leave behind marginalized communities.

As we scale up initiatives globally, particularly in lower and middle-income countries, we have the opportunity to improve healthcare access. For example, in our area, we’re investing in vans to reach remote communities, utilizing telehealth for primary care, and establishing clinics in rural areas. Shared best practices and collaboration are essential to make healthcare accessible for everyone, although I don’t have a perfect solution yet.

Bert Hartog, DiMe: Sustainability can be a byproduct of changing practices. Initiatives like hospital-at-home and telehealth not only improve access to care but also contribute to sustainability. Equity means reaching those populations who currently lack routine access to healthcare due to various barriers. By embedding sustainability in different practices, we can address both access and environmental concerns simultaneously.

Dr. Omary, VUMC: The transition to green technologies allows us to redesign systems with an equity lens. Sustainability and equity can go hand in hand, offering win-win solutions.

What gives you hope for healthcare’s ability to make the needed changes?

Dr. Omary, VUMC: What gives me hope is knowing that younger generations prioritize climate change, making it a top issue facing humanity. This mindset shift will lead to a workforce that’s committed to sustainability. When healthcare professionals see themselves as part of climate solutions, it gives me hope.

Bert Hartog, DiMe: What gives me hope is the blurring of traditional boundaries and the interconnectedness of the world. With knowledge sharing and collective efforts, we can address systemic issues and scale up solutions globally.

Philip Guster, Henry Ford Health: From a Henry Ford perspective, executive support for sustainability initiatives is encouraging. Top-level commitment ensures that sustainability is integrated into our practices from the ground up. It’s a significant shift from when production was the sole focus, and it gives me hope for our future.

Dr. Morris, UC Davis Health: Leadership plays a vital role, and I’m hopeful to see leaders across industries prioritize sustainability. There’s a growing market for green initiatives, which further drives change. It’s reassuring to know that sustainability is becoming a best business practice.

A Hopeful Future for Sustainable Health Systems

Following this conversation, three points stood out to me.

First, everyone has a role to play in making healthcare more sustainable. Clinicians can ensure their areas of health are optimizing resources to ensure their most efficient use (and reuse). Making practice more sustainable can bring an economic benefit. Optimizing costs means funds can be reinvested in other areas of care.

Second, professionals from other industries — the energy sector, materials industry, or waste management — can also “work in healthcare,” enabling the sustainable transformation of healthcare systems.

Finally, often what is good for patients can also be good for the environment. Remote care and telehealth can make care more accessible, equitable and convenient to patients while having an impact on emissions reduction related to transportation to and from healthcare institutions.

As health leaders continue to drive the integration of sustainability into every aspect of healthcare, from clinical practices to large-scale infrastructure projects, we begin to reveal a hopeful future for the global healthcare industry. Leveraging technology, fostering interdisciplinary collaborations, and prioritizing equity will enable healthcare systems to address climate change and improve health outcomes globally.

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The Significance of New York Climate Week

New York Climate Week, hosted by the Climate Group in collaboration with the United Nations and other partners, serves as a platform for governments, businesses, and civil society to showcase their commitments to climate action. Since its inception, the event has played a crucial role in galvanizing global efforts to combat climate change, with leaders announcing ambitious pledges and initiatives to reduce greenhouse gas emissions and foster sustainability.

One of the critical features of Climate Week is the Climate Week NYC Hub, a series of events and workshops focused on various aspects of climate action, from renewable energy to sustainable finance. This hub serves as a melting pot of ideas and solutions, fostering stakeholder collaboration and innovation.

The Intersection of Climate and Politics

The intersection of climate and politics becomes particularly pronounced in an election year. Political leaders are not only under pressure to address the pressing issues of the day but also to appeal to their voter base and secure reelection. This dynamic can influence the discourse surrounding climate action, potentially shaping the outcomes of events like New York Climate Week.

However, the politicization of climate change poses a significant challenge to meaningful progress. Partisan divides can sometimes hinder bipartisan cooperation on sustainability policies, leading to gridlock and a failure to build any meaningful momentum. Additionally, short-term political goals may take precedence over long-term environmental objectives, undermining the urgency of climate action.

The seemingly endless push and pull between what the environment demands at this moment and moving forward and what policymakers are willing to agree on may prove disastrous if we cannot collectively overcome bad-faith actors and engage in solutions-oriented negotiations on common, fact-centered ground.

The Role of Leadership

Despite these challenges, political, social, and corporate leadership remains crucial in driving sustainability policy forward. Political leaders can set the agenda, prioritize climate action, and mobilize resources to support renewable energy, conservation efforts, and other sustainability initiatives.

Moreover, corporate leaders are pivotal in advancing sustainability goals through corporate social responsibility initiatives, supply chain management, and investment in clean technologies. By aligning their business practices with environmental stewardship, companies can contribute to a more sustainable future while enhancing their reputation and competitiveness in the market.

The Role of Corporations

Corporations wield significant influence in the fight against climate change, given their economic power, resources, and ability to drive innovation. Their participation and engagement during New York Climate Week can significantly contribute to the success of the event and the advancement of sustainability goals. Corporate communications, in particular, can play a crucial role in amplifying the impact of Climate Week initiatives and fostering collaboration among businesses, governments, and civil society. Here’s how corporations and their communication strategies can make Climate Week a success:

1. Demonstrating Commitment to Sustainability

Corporate participation in New York Climate Week sends a powerful commitment to sustainability and climate action. By showcasing their initiatives, achievements, and commitments to reducing carbon emissions, conserving natural resources, and promoting renewable energy, corporations can inspire others to follow suit. Whether through keynote speeches, panel discussions, or interactive exhibits, companies can use Climate Week to highlight their sustainability efforts and demonstrate leadership in addressing climate change.

2. Sharing Best Practices and Lessons Learned

Climate Week allows corporations to share best practices, lessons learned, and success stories in sustainability. Through workshops, roundtable discussions, and networking events, businesses can exchange knowledge and expertise on energy efficiency, carbon management, supply chain sustainability, and circular economy initiatives. By sharing insights and collaborating with peers, corporations can accelerate progress toward common sustainability goals and drive collective action.

3. Engaging Stakeholders and Building Partnerships

Corporate communications are crucial in engaging stakeholders and building partnerships during Climate Week. Through strategic messaging, storytelling, and outreach efforts, companies can effectively communicate their sustainability priorities, values, and achievements to employees, customers, investors, and the broader public. By fostering transparency and dialogue, corporations can build trust and credibility, strengthen stakeholder relationships, and cultivate a supportive ecosystem for climate action.

4. Mobilizing Resources and Driving Innovation

Corporations have the resources and expertise to drive innovation and scale up solutions for climate change. During Climate Week, companies can announce new investments, partnerships, and initiatives to advance sustainability goals, such as renewable energy projects, green technology innovations, and sustainable supply chain initiatives. By mobilizing financial resources, technical expertise, and market influence, corporations can catalyze innovation and accelerate the transition to a low-carbon economy.

5. Advocating for Policy Change and Collective Action

Corporate communications can also play a role in advocating for policy change and collective action on climate issues. Companies can advocate for supportive policy frameworks, incentives, and regulations that promote sustainability and drive investment in clean energy and climate resilience by engaging with policymakers, industry associations, and advocacy groups. Through public advocacy campaigns, thought leadership initiatives, and corporate lobbying efforts, corporations can leverage their influence to shape public policy and drive systemic change.

The Power of Collective Action

At its core, New York Climate Week is about collective action. It brings together stakeholders from diverse backgrounds and perspectives, united by a common goal: to address the climate crisis and build a more sustainable world. Through collaboration and dialogue, participants can identify shared challenges and opportunities, forge partnerships, and catalyze change at scale.

Moreover, the outcomes of New York Climate Week can extend far beyond the event itself. Pledges made and initiatives launched during the week can inspire further action and investment, both at the local and global levels. By amplifying the voices of leaders committed to climate action, Climate Week has the potential to mobilize public support and pressure policymakers to prioritize sustainability policy.

The Role of Public Engagement

Public engagement is also critical in driving momentum for sustainability policy. Citizens can hold their elected officials accountable, advocate for climate-friendly policies, and support businesses prioritizing environmental responsibility. Grassroots movements, youth activism, and community-led initiatives can all significantly shape the political landscape and drive meaningful change.

Monitoring the critical conversations at Climate Week can be a challenge for the concerned individual citizen, but finding a non-profit or advocacy organization to align with either in a membership capacity or even to follow on social media and receive updates may provide a more complete picture of how the sustainability conversation is being framed.

In an election year, the power of the electorate to influence policy outcomes is especially pronounced. By demanding action on climate change and making sustainability a top priority at the ballot box, voters can send a clear message to policymakers about the importance of environmental stewardship. Staying informed is critical.

COP v. Climate Week: Global Gatherings with Very Different Tenors

New York Climate Week is just one of the significant global gatherings focused on climate on the calendar. COP29 in Baku, Azerbaijan, will happen shortly after the United States elections in November. While New York Climate Week and the Conference of the Parties (COP) bring together global stakeholders to address climate change, they differ in scope, format, and objectives. Understanding these distinctions is essential for assessing how New York Climate Week may shift paradigms in the fight for sustainability policy, particularly as America chooses its next president.

1. Scope and Focus

COP conferences, organized by the United Nations Framework Convention on Climate Change (UNFCCC), are large-scale international gatherings where countries negotiate and finalize multilateral agreements on climate change. These agreements, such as the Paris Agreement, set binding targets for greenhouse gas emissions reductions and establish frameworks for international cooperation on climate action.

In contrast, New York Climate Week is a more diverse and decentralized event, encompassing a wide range of stakeholders beyond national governments. While COP conferences primarily involve government representatives, Climate Week engages businesses, civil society organizations, and local governments, fostering a potentially more holistic approach to climate action.

2. Format and Structure

COP conferences follow a structured negotiation process, with formal plenary sessions, working groups, and side events focused on specific issues. These conferences culminate in adopting official documents, such as the COP decisions and the conference outcome reports, which serve as the basis for international climate policy.

New York Climate Week, on the other hand, features a more fluid and dynamic format, with various events, panel discussions, and workshops hosted by multiple organizations and stakeholders. While Climate Week lacks the formal decision-making authority of COP conferences, it provides a platform for networking, knowledge sharing, and collaboration, driving momentum for climate action at all levels.

3. Objectives and Outcomes

The primary objective of COP conferences is to negotiate and finalize international agreements on climate change, focusing on achieving consensus among participating countries. These agreements often set long-term targets and timelines for emissions reductions and mechanisms for financial assistance and technology transfer to support developing countries in their climate efforts.

In contrast, the objectives of New York Climate Week are more diverse and multifaceted. While the event aims to showcase commitments and initiatives from various stakeholders, its ultimate goal is to mobilize action and catalyze momentum for climate solutions. The outcomes of Climate Week may include new partnerships, initiatives, and pledges, as well as increased public awareness and engagement on climate issues.

4. Political Context

Another key difference between New York Climate Week and COP conferences is the political context in which they occur. While the UNFCCC process governs COP conferences and involves formal negotiations among countries, Climate Week takes place in a broader political landscape shaped by national and regional dynamics.

In an election year, the political context surrounding New York Climate Week may be particularly significant as policymakers seek to demonstrate leadership on climate issues to their constituents. However, participating countries’ domestic political priorities may influence the ambition and commitment they bring to the event.

As New York Climate Week approaches, the stakes remain high. Amid an election year, the event has the potential to catalyze momentum for sustainability policy, but it also faces challenges posed by political polarization and short-term thinking. Nevertheless, the power of collective action, leadership, and public engagement is a proven combination that gets results. We can build a more sustainable future for future generations by coming together to address the climate crisis. As individuals, businesses, and governments, we all have a role in moving the needle toward a more sustainable world.

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Presidential debates are prime-time audience grabbers and the brunt of late-night talk show host jokes. The two candidates are a complex contrast in tone and leadership.  The nation’s significant issues are many – immigration, economy, health costs, rampant racism, women’s reproductive rights, global security, and more. Still, another debate topic must squeeze in among the moderator’s debate questions: climate and environmental sustainability. 

Climate is the back-burner priority we routinely kick down the road for a future Congress or administration to address eventually.  But under the Biden Administration, Congress enacted bipartisan legislation, and legislators red and blue engaged.

Climate is often the catalyst for migration and demographic shifts, impacting where people live and work. Extreme weather events disrupt agriculture, manufacturing supply chains, real estate value, tourism, and health. But what makes Congressional candidates act is clear – it’s the economy. Climate change destroys more than the earth’s landscape. It ruins people’s livelihoods and lives.

Climate – A Call to Action Among Gen Z Voters

Now 75 years old, Former Vice President Al Gore has long embraced climate as a platform issue. Still, climate advocacy has since been left mainly in the domain of youth-led movements such as Fridays for Future, School Strike for Climate, and the successful class-action suit led by 16 young Montanans.

The presidential candidates and those seeking election to Federal and state offices should be pressed on climate – they should prioritize sustainable communities, continents, and commerce. Climate is not a topic that should dominate the Gen Z agenda alone. It must become a presidential candidate call-to-action as they cross the nation, campaigning, debating, and outlining sustainability platforms to voters.

In a highly partisan Congress, the Biden Administration has, against the political odds, advanced one of the nation’s most comprehensive investment programs to stimulate jobs, innovation, and sustainable communities. The Environmental and Climate Justice Program (ECJ Program), part of the Inflation Reduction Act (IRA), provides financial and technical assistance for environmental innovation and climate justice activities.

The IRA breathes new life into toxic pollution policies by reinstating the Superfund tax, raising more than $11 billion in guaranteed funding for years to come, and reducing the community pollution disproportionately felt by low-income and disadvantaged communities.

Young Voters Care About Climate – Their Grandparents Should Too

The most inflammatory consumer-pressing topics will likely dominate the campaign conversation during the months ahead – seeking to either show one candidate is out-of-touch with voter urgencies or ill-equipped to lead – climate (albeit urgent) will likely be a secondary issue on the electioneering circuit. If Gen Z and younger are rightfully anxious, their parents and grandparents, who are voters, should take note. As the Greatest Generation fought to keep the world safe, in going to the ballot box, they should keep the planet safe for future generations.

Here are 10 hot-button topics that are part of the climate and environment conversation that we should consider as the nation heads into November. These are pocketbook, job creation, and equity transformation possibilities.  When Congressional representatives speak out for their constituents, it’s expected.  Looking at their longer-term needs – and the nation’s – requires collaboration and policy action. 

Top 10 Environmental Priorities for Voters and Candidates

1. Climate Change: We need continued support for policies to reduce greenhouse gas emissions and meet ambitious targets, such as transitioning to renewable energy sources and increasing energy efficiency. The IRA is a tremendous step forward, and the return of the Superfund Tax returns teeth (and tax dollars) to enforcement.

• Renewable Energy: Promoting the expansion of clean and renewable energy sources like wind power, solar energy, ground source and hydropower will decrease reliance on fossil fuels and enhance energy security.  Buying “alternative energy” from supplies is an added cost.  Finding ways to subsidize this expense for homeowners increases jobs and reduces carbon emissions. Even better, look for communities integrating renewable energy into their building plans. 

• Carbon Pricing: Advocate for a carbon pricing mechanism, such as a carbon tax or cap-and-trade system, to incentivize emissions reductions and drive investments in low-carbon technologies. Airlines like United and Turkish Airlines are among the many that have stepped to the fore and put a public face on this issue. Consumers are asked to join in contributing toward carbon credits. Some will question this co-funding approach. In reality, we’re in this together.

• Environmental Disparities: Address environmental disparities and ensure that vulnerable communities, often disproportionately affected by pollution and climate change, receive equitable access to resources, clean air, and clean water.  Post Hurricane Sandy, millions of people were displaced from the New Jersey coastline.  Innovators such as Ecocrete are pioneering ways to create “reefs” that double as protective guards against flooding and protect sea life in the face of continued environmental risks. Advocacy organizations like Rivers are Life are uniting companies that must now repair damages created in years past.

• Conservation and Biodiversity: Support policies that preserve and restore natural ecosystems, protect endangered species, and promote sustainable land and water management practices. According to one innovator – Beewise –75 percent of our produce is pollinated by bees, while 40 percent of bee colonies collapse yearly. That points to a looming global challenge and innovator opportunity.

• Sustainable Food: Promote sustainable farming practices, reduce harmful pesticides and fertilizers, and incentivize regenerative agriculture to protect soil health and decrease emissions. All over the world, companies are stepping up to address the dual challenge of sustenance and sustainability.  One shining example is Tetra Pak, which takes an integrated approach to sustainability, focusing on package recycling to move the world’s food systems forward.

• Clean Transportation: Invest in public transportation infrastructure, incentivize electric vehicles, and develop sustainable urban planning to reduce emissions from the transportation sector. The Inflation Reduction Act of 2022 has set a goal for all new light-duty vehicles to be electric by 2027 and make all Federal vehicle acquisitions electric by 2035. Billions of incentives will be available to stimulate production and purchase.

• Community Response: Develop strategies and funding mechanisms to help communities at risk – close to rising coastal flood and heat zones – adapt to the changing climate, protect critical infrastructure, and plan for sea-level rise and extreme weather events. Babson Ranch is one community that stands among the Time Magazine featured examples other builders should follow.

• Waste and Supply Chain Management: Promote policies that reduce waste, encourage recycling and reuse, and decrease the environmental impact of manufacturing and consumer goods. There are incredible examples of success – companies that are well on their way to showing how our landfills can be transformed into raw materials and recycled into furniture, consumer goods, and more.  If you need an inspiring “it’s possible” example, follow UBQ Materials.

1. International Collaboration: Advocate for global climate agreements and partnerships and engage in diplomatic efforts to address climate change internationally. COP28 was contentious – a fossil fuel nation hosting the international community.  But in reality, all the developed countries are a large part of the problem and must be leaders investing in solutions.

The UN Climate Change Conference COP29 meets on the heels of the US presidential elections. Organizers must set an agenda that draws in the American public and candidates, including benchmarking successes and urgency.  Whoever sits in the Oval Office will have an incredible influence on the US voice in the global forum. The US and global political agenda must align.  We share one planet – a planet that doesn’t need people.  But people need the planet.

“Don’t Live Your Life on the Sidelines”

Will climate and environment be little more than a side mention during the presidential campaign trail? People tend to look at urgent bread-and-butter issues rather than addressing concerns that unfold over time. We “live for today and (supposedly) plan for tomorrow.” 

That being said, for the young people of Montana who successfully sued to protect the environment (and the other 49 states that care), demonstrated climate will be among the ballot box priorities that bring out younger voters to polling places. It’s often suggested that age corresponds with wisdom. That adage is out of step with today’s pressing realities.

The late tech genius and Apple Computer Founder Steve Jobs offered a different perspective: “The people who are crazy enough to think that they can change the world are the ones who do.”

We need courageous government leaders who are ready to prioritize climate change and redirect our imaginations and economic and time investments to preserve our future.  Old and young alike must recognize that delay is not an option.  A theoretical asteroid is heading toward our planet through rising temperatures, melting ice caps, and polluted water and air.

Which presidential candidate can take these challenges on sensibly? Regardless of age, “Think Different” voters look to and vote for the one who can do it!

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