Speaker Session: Dr Lam Ching Choi — Doctor, Policymaker, Cyclist?
The ENTR3100 class recently had the honor of hosting Dr. Lam Ching Choi, BBS, JP—a pediatrician and the chief executive officer of the Haven of Hope Christian Service. With two decades of experience in elderly policy in Hong Kong and a former chairman of the Elderly Commission, Dr. Lam shared his insights on transcending professional boundaries and addressing the challenges posed by an aging population within the healthcare system.
Dr Lam Ching Choi speaking to ENTR 3100
Sense of Identity
Are the perceptions others have of us different from how we see ourselves? For Dr. Lam, the answer is yes. While many identify him as a doctor, civil servant, or policymaker, he defines himself first and foremost as a cyclist. This multifaceted identity influences his approach to problem-solving.
For instance, Dr. Lam observed that despite Hong Kong's numerous bridges, they primarily serve vehicular traffic. This led him to ponder, “Wouldn’t a bridge for pedestrians and cyclists be beneficial?” This reflection inspired the creation of the Cross Bay Link in Tseung Kwan O, the first bridge in Hong Kong to integrate carriageway, footway, and cycle track. This initiative not only enhances connectivity but also encourages a more active lifestyle in the Tseung Kwan O area, making it common to see residents running, jogging, and cycling across the link.
Dr. Lam’s experiences illustrate the importance of embracing our multiple identities in problem-solving, benefiting both personal growth and society at large.
The Challenges of Aging
Despite not being the healthiest population, Hong Kong boasts the longest life expectancy in the world, averaging 85.25 years. While many attribute this to a healthy lifestyle, Dr. Lam argues that the city’s efficient healthcare system plays a pivotal role. In a densely populated city of 7.4 million, where one can travel anywhere within an hour, patients can be transported to emergency rooms or ICUs within 15 minutes. This rapid access to care contributes significantly to longer lifespans.
Dr. Lam speaking to students after the Speaker Session
However, an aging population presents various challenges. With the number of elderly individuals increasing, the younger demographic is dwindling, leading to potential strains on the economy. Dr. Lam notes that those over 85 utilize the most healthcare resources, consuming nearly half of the system's budget for medical and long-term care. He advocates for proactive measures to maintain the health of individuals aged 60-84, such as implementing policies that promote physical activity.
A strong proponent of connecting residents with nature, Dr. Lam cycles up Tai Mo Shan—the tallest mountain in Hong Kong—weekly, encouraging others in his age group to do the same. He believes that engaging in physical activities in natural environments can combat common health challenges faced by the elderly, including declines in physical and mental well-being.
Dementia is another significant concern, with Dr. Lam estimating that over 50% of those aged 85 and older will develop the condition, potentially affecting half a million people in Hong Kong. Unfortunately, only 10-20% of these cases receive formal diagnoses due to lengthy processes that create bottlenecks in the healthcare system. As a policymaker, Dr. Lam suggests integrating the diagnostic process for memory disorders with assessments for other medical concerns to streamline care.
Mental health poses further challenges, particularly for the elderly. With only 400 psychiatrists available in Hong Kong, many individuals do not receive the necessary professional help. Dr. Lam highlights the irony that, despite being one of the most densely populated cities, many residents (especially the elderly) live in isolation and experience . He remains hopeful that technology and AI can address these healthcare challenges for the elderly.
Filming the podcast with Dr. Lam
Creating Change
Change is never easy, especially within established systems. Dr. Lam’s session emphasized the essential qualities needed for effective change: common sense, a commitment to truth, and compassion for others. He underscores the value of being a generalist with a broad knowledge base rather than specializing deeply in a single area. As the old adage goes, “Jack of all trades, master of none, but oftentimes better than a master of one.”
To learn more about Dr. Lam, his work, his journey as a cyclist, and his faith, please check out our podcast.
