I am developing a framework to enable governments and health systems to design for human life at its most formative and most vulnerable moments.

The very young and the very old are the populations civilization has always underinvested in — and the ones with the most to lose from that neglect. The elders have wisdom we cannot afford to lose. The young have futures ahead of them that we have no right to shape badly.

Optimal human development starts with genomics at birth, nutrition as the body grows, the shaping of the mind, and the architecture of environments where you can flourish… or don't. It ends with keeping the dignity of personhood.

The consistent failure of governance and design to take either end of this developmental timeline seriously is what drives this work.

Getting the systems right for the very young and the very old is the most consequential design challenge of the next decade.

Here I am developing my thinking publicly because this is not an abstract problem to me.