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Drawing clear parallels between his life as an aid worker and as a patient with a terminal disease, Norman MacIsaac argues that ownership and empowerment are important in efforts to fight both poverty and ALS. Meaningful, sustainable change begins not with doctors, researchers or foreign aid workers, but with respect and support for the unique perspective, understanding, and initiatives of those they seek to help. Their tremendous potential for innovation and leadership must be harnessed and supported, turning their struggle into a force for good, not undermined by top-down approaches. Norman MacIsaac is a leader in international development who believes that meaningful change and sustainable development takes place from the bottom up. He has worked in Africa, Asia, Latin America and Canada, with a wide range of non-profit organizations and government as staff, consultant, advisor, board member and volunteer. Following a career committed to improving the lives of marginalized and vulnerable populations, he has become an advocate for support and access to innovative treatments for the incurable disease that now afflicts him. He supports patient resilience through positivity. He is an ALS ambassador, public speaker and the author of The Best of the Worst News: Tales of Inspiration from Around the World and My Life with ALS. This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at https://www.ted.com/tedx