Dear professors and comrades, Thank you and I wish you all a wonderful new year, and my condolences for many, many, sad and unhappy moments we share together. No simple words can explain what we feel. I love you all. The COVID aftermath has been greater than we expected. I must apologize in that performance was poor in 2023 in many aspects. The economic situation appears to be like a second pandemic, largely due to the healthcare spending, challenged industries and healthcare resources like hospitals and professional schools. Two outdated social and institutional systems need to be creatively destructed or they may eventually crash down. We need a new system upgrade in 1. Welfare, and 2. Healthcare ecosystems. We face new issues that are difficult to control with the current system and we need to move fast. It may be related to phenomena such as food toxicity, drug abuse and low birth rate. The pandemic was about resources. Now we need a 'pandemic-like' resource plan change. We need to gather elite healthcare system developers who can bring us the upgraded version. A system upgrade is due. This could be the healthcare 4.0 revolution we have been waiting for. Let's just do it.