I’m just returning from the Global Forum for Health Research meeting in Havana, Cuba. The theme of this year’s meeting was “Innovating for the Health of All.” As a veteran of the biotechnology industry I thought I knew something about innovation. After all, innovation has been the engine behind the emergence of biotechnology worldwide from a cottage industry in the late 1970s to a vital force for improving health care and building national wealth. But I encountered a new and puzzling use of the term innovation, in the form of “social innovation” to address global health needs.