Dr. Peter Attia

That was a stage four?

That was a stage four?

This is a median survival study. You're not doing overall survival, correct?

This is a median survival study. You're not doing overall survival, correct?

I feel like it was eight more months of median survival. Does that sound about right?

I feel like it was eight more months of median survival. Does that sound about right?

Now, at this point, I'm in medical school just down the street. I'm at Stanford. And I remember we had a big discussion about this. I'm in my first year of medical school. And the discussion we had in class was, I think at the time Avastin was $100,000 for the treatment. Extends median survival by whatever, but I think it was eight months.

Now, at this point, I'm in medical school just down the street. I'm at Stanford. And I remember we had a big discussion about this. I'm in my first year of medical school. And the discussion we had in class was, I think at the time Avastin was $100,000 for the treatment. Extends median survival by whatever, but I think it was eight months.

The UK said, no, the NHS said, we are not paying for this because at the time the NHS had this $100,000 quality adjusted life year hurdle, which is understandable, right? That's how you throttle supply side economics. They said, look, we can't pay for a drug. We can't pay more than $100,000 for an incremental year of quality adjusted life year. This is only giving you eight months.

The UK said, no, the NHS said, we are not paying for this because at the time the NHS had this $100,000 quality adjusted life year hurdle, which is understandable, right? That's how you throttle supply side economics. They said, look, we can't pay for a drug. We can't pay more than $100,000 for an incremental year of quality adjusted life year. This is only giving you eight months.

That's why I know it was less than 12. And so the NHS flatly said, we're not paying for this. And I do believe people in the UK could pay out of pocket for it.

That's why I know it was less than 12. And so the NHS flatly said, we're not paying for this. And I do believe people in the UK could pay out of pocket for it.

That's right. People in Canada could not because you couldn't have private insurance in Canada, though you could come to the US for treatment. So of course, this just became a great topic of discussion for med school freshmen. What was your thought at the time of, have we moved the needle enough? How do we think about the economics of this?

That's right. People in Canada could not because you couldn't have private insurance in Canada, though you could come to the US for treatment. So of course, this just became a great topic of discussion for med school freshmen. What was your thought at the time of, have we moved the needle enough? How do we think about the economics of this?

Did you go straight from Genentech to being a chancellor at UCSF? Just because I want to stay with the story, I want to continue the arc of your career. We're at the halfway point, right? We're one third of the way into- Early days. Yeah, yeah, yeah.

Did you go straight from Genentech to being a chancellor at UCSF? Just because I want to stay with the story, I want to continue the arc of your career. We're at the halfway point, right? We're one third of the way into- Early days. Yeah, yeah, yeah.

How did you, given you are truly on the cusp of what is happening in oncology and biotechnology, and now the same institution that said- you can't come back here to have a clinical appointment after saving the people of Uganda is now offering you the highest post essentially outside of a provost, I'm guessing, right? I don't even know where the chance- It is the highest post.

How did you, given you are truly on the cusp of what is happening in oncology and biotechnology, and now the same institution that said- you can't come back here to have a clinical appointment after saving the people of Uganda is now offering you the highest post essentially outside of a provost, I'm guessing, right? I don't even know where the chance- It is the highest post.

It is the highest post. Okay. So that's kind of remarkable. And does that just speak to what they saw as the vision of that institution, which was few people have learned what Sue has learned in the last 10 years, and we want that type of leadership here?

It is the highest post. Okay. So that's kind of remarkable. And does that just speak to what they saw as the vision of that institution, which was few people have learned what Sue has learned in the last 10 years, and we want that type of leadership here?