Starlink Medicines in Jurassic Healthcare Systems-Are We Ready?

Genomic medicines are transforming the landscape of human health-but their promise risks being confined to the few. While science has entered the 21^st century, most health systems remain unequipped to deliver one-time curative therapies. This essay calls for a global reckoning: what do we truly value in innovation, and how can we align systems, incentives, and ethics to democratize access? Drawing on real-world experience across four continents, it argues for a new social compact-embedding equity, rethinking value, and modernizing delivery-to ensure that the miracles of modern medicine become global, sustainable, and just.