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15 May 2022

A year-by-year timeline to 2045

The ground rules for the worldbuilding competition were attractive:

  • The year is 2045.
  • AGI has existed for at least 5 years.
  • Technology is advancing rapidly and AI is transforming the world sector by sector.
  • The US, EU and China have managed a steady, if uneasy, power equilibrium.
  • India, Africa and South America are quickly on the ride as major players.
  • Despite ongoing challenges, there have been no major wars or other global catastrophes.
  • The world is not dystopian and the future is looking bright.

Entrants were asked to submit four pieces of work. One was a new media piece. I submitted this video:

Another required piece was:

timeline with entries for each year between 2022 and 2045 giving at least two events (e.g. “X invented”) and one data point (e.g. “GDP rises by 25%”) for each year.

The timeline I created dovetailed with the framework from the above video. Since I enjoyed creating it, I’m sharing my submission here, in the hope that it may inspire readers.

(Note: the content was submitted on 11th April 2022.)

2022

US mid-term elections result in log-jammed US governance, widespread frustration, and a groundswell desire for more constructive approaches to politics.

The collapse of a major crypto “stablecoin” results in much wider adverse repercussions than was generally expected, and a new social appreciation of the dangers of flawed financial systems.

Data point: Number of people killed in violent incidents (including homicides and armed conflicts) around the world: 590,000

2023

Fake news that is spread by social media driven by a new variant of AI provokes riots in which more than 10,000 people die, leading to much greater interest a set of “Singularity Principles” that had previously been proposed to steer the development of potentially world-transforming technologies.

G7 transforms into the D16, consisting of the world’s 16 leading democracies, proclaiming a profound shared commitment to champion norms of: openness; free and fair elections; the rule of law; independent media, judiciary, and academia; power being distributed rather than concentrated; and respect for autonomous decisions of groups of people.

Data point: Proportion of world population living in countries that are “full democracies” as assessed by the Economist: 6.4%

2024

South Korea starts a trial of a nationwide UBI scheme, in the first of what will become in later years a long line of increasingly robust “universal citizens’ dividends” schemes around the world.

A previously unknown offshoot of ISIS releases a bioengineered virus. Fortunately, vaccines are quickly developed and deployed against it. In parallel, a bitter cyber war takes place between Iran and Israel. These incidents lead to international commitments to prevent future recurrences.

Data point: Proportion of people of working age in US who are not working and who are not looking for a job: 38%

2025

Extreme weather – floods and storms – kills 10s of 1000s in both North America and Europe. A major trial of geo-engineering is rushed through, with reflection of solar radiation in the stratosphere – causing global political disagreement and then a renewed determination for tangible shared action on climate change.

The US President appoints a Secretary for the Future as a top-level cabinet position. More US states adopt rank choice voting, allowing third parties to grow in prominence.

Data point: Proportion of earth’s habitable land used to rear animals for human food: 38%

2026

A song created entirely by an AI tops the hit parade, and initiates a radical new musical genre.

Groundswell opposition to autocratic rule in Russia leads to the fall from power of the president and a new dedication to democracy throughout countries formerly perceived as being within Russia’s sphere of direct influence.

Data point: Net greenhouse gas emissions (including those from land-use changes): 59 billion tons of CO2 equivalent – an unwelcome record.

2027

Metformin approved for use as an anti-aging medicine in a D16 country. Another D16 country recommends nationwide regular usage of a new nootropic drug.

Exchanges of small numbers of missiles between North and South Korea leads to regime change inside North Korea and a rapprochement between the long-bitter enemies.

Data point: Proportion of world population living in countries that are “full democracies” as assessed by the Economist: 9.2%

2028

An innovative nuclear fusion system, with its design assisted by AI, runs for more than one hour and generates significantly more energy out than what had been put in.

As a result of disagreements about the future of an independent Taiwan, an intense destructive cyber battle takes place. At the end, the nations of the world commit more seriously than before to avoiding any future cyber battles.

Data point: Proportion of world population experiencing mental illness or dissatisfied with the quality of their mental health: 41%

2029

A trial of an anti-aging intervention in middle-aged dogs is confirmed to have increased remaining life expectancy by 25% without causing any adverse side effects. Public interest in similar interventions in humans skyrockets.

The UK rejoins a reconfigured EU, as an indication of support for sovereignty that is pooled rather than narrow.

Data point: Proportion of world population with formal cryonics arrangements: 1 in 100,000

2030

Russia is admitted into the D40 – a newly expanded version of the D16. The D40 officially adopts “Index of Human Flourishing” as more important metric than GDP, and agrees a revised version of the Universal Declaration of Human Rights, brought up to date with transhuman issues.

First permanent implant in a human of an artificial heart with a new design that draws all required power from the biology of the body rather than any attached battery, and whose pace of operation is under the control of the brain.

Data point: Net greenhouse gas emissions (including those from land-use changes): 47 billion tons of CO2 equivalent – a significant improvement

2031

An AI discovers and explains a profound new way of looking at mathematics, DeepMath, leading in turn to dramatically successful new theories of fundamental physics.

Widespread use of dynamically re-programmed nanobots to treat medical conditions that would previously have been fatal.

Data point: Proportion of world population regularly taking powerful anti-aging medications: 23%

2032

First person reaches the age of 125. Her birthday celebrations are briefly disrupted by a small group of self-described “naturality advocates” who chant “120 is enough for anyone”, but that group has little public support.

D40 countries put in place a widespread “trustable monitoring system” to cut down on existential risks (such as spread of WMDs) whilst maintaining citizens’ trust.

Data point: Proportion of world population living in countries that are “full democracies” as assessed by the Economist: 35.7% 

2033

For the first time since the 1850s, the US President comes from a party other than Republican and Democratic.

An AI system is able to convincingly pass the Turing test, impressing even the previous staunchest critics with its apparent grasp of general knowledge and common sense. The answers it gives to questions of moral dilemmas also impress previous sceptics.

Data point: Proportion of people of working age in US who are not working and who are not looking for a job: 58%

2034

The D90 (expanded from the D40) agrees to vigorously impose Singularity Principles rules to avoid inadvertent creation of dangerous AGI.

Atomically precise synthetic nanoscale assembly factories have come of age, in line with the decades-old vision of nanotechnology visionary Eric Drexler, and are proving to have just as consequential an impact on human society as AI.

Data point: Net greenhouse gas *removals*: 10 billion tons of CO2 equivalent – a dramatic improvement

2035

A novel written entirely by an AI reaches the top of the New York Times bestseller list, and is widely celebrated as being the finest piece of literature ever produced.

Successful measures to remove greenhouse gases from the atmosphere, coupled with wide deployment of clean energy sources, lead to a declaration of “victory over runaway climate change”.

Data point: Proportion of earth’s habitable land used to rear animals for human food: 4%

2036

A film created entirely by an AI, without any real human actors, wins Oscar awards.

The last major sceptical holdout, a philosophy professor from an Ivy League university, accepts that AGI now exists. The pope gives his blessing too.

Data point: Proportion of world population with cryonics arrangements: 24%

2037

The last instances of the industrial scale slaughter of animals for human consumption, on account of the worldwide adoption of cultivated (lab-grown) meat.

AGI convincingly explains that it is not sentient, and that it has a very different fundamental structure from that of biological consciousness.

Data point: Proportion of world population who are literate: 99.3%

2038

Rejuvenation therapies are in wide use around the world. “Eighty is the new fifty”. First person reaches the age of 130.

Improvements made by AGI upon itself effectively raise its IQ one hundred fold, taking it far beyond the comprehension of human observers. However, the AGI provides explanatory educational material that allows people to understand vast new sets of ideas.

Data point: Proportion of world population who consider themselves opposed to AGI: 0.1%

2039

An extensive set of “vital training” sessions has been established by the AGI, with all citizens over the age of ten participating for a minimum of seven hours per day on 72 days each year, to ensure that humans develop and maintain key survival skills.

Menopause reversal is common place. Women who had long ago given up any ideas of bearing another child happily embrace motherhood again.

Data point: Proportion of world population regularly taking powerful anti-aging medications: 99.2%

2040

The use of “mind phones” is widespread: new brain-computer interfaces that allow communication between people by mental thought alone.

People regularly opt to have several of their original biological organs replaced by synthetic alternatives that are more efficient, more durable, and more reliable.

Data point: Proportion of people of working age in US who are not working and who are not looking for a job: 96%

2041

Shared immersive virtual reality experiences include hyper-realistic simulations of long-dead individuals – including musicians, politicians, royalty, saints, and founders of religions.

The number of miles of journey undertaken by small “flying cars” exceeds that of ground-based powered transport.

Data point: Proportion of world population living in countries that are “full democracies” as assessed by the Economist: 100.0%

2042

First successful revival of mammal from cryopreservation.

AGI presents a proof of the possibility of time travel, but the resources required for safe transit of humans through time would require the equivalent of building a Dyson sphere around the sun.

Data point: Proportion of world population experiencing mental illness or dissatisfied with the quality of their mental health: 0.4%

2043

First person reaches the age of 135, and declares herself to be healthier than at any time in the preceding four decades.

As a result of virtual reality encounters of avatars of founders of religion, a number of new systems of philosophical and mystical thinking grow in popularity.

Data point: Proportion of world’s energy provided by earth-based nuclear fusion: 75%

2044

First human baby born from an ectogenetic pregnancy.

Family holidays on the Moon are an increasingly common occurrence.

Data point: Average amount of their waking time that people spend in a metaverse: 38%

2045

First revival of human from cryopreservation – someone who had been cryopreserved ten years previously.

Subtle messages decoded by AGI from far distant stars in the galaxy confirm that other intelligent civilisations exist, and are on their way to reveal themselves to humanity.

Data point: Number of people killed in violent incidents around the world: 59

Postscript

My thanks go to the competition organisers, the Future of Life Institute, for providing the inspiration for the creation of the above timeline.

Readers are likely to have questions in their minds as they browse the timeline above. More details of the reasoning behind the scenarios involved are contained in three follow-up posts:

13 January 2022

Measuring – and forecasting – the health of the planet

An invitation to join a Millennium Project Delphi Study on the State of the Future

Assessments of individual health have been on my mind a lot recently, as I’ve observed my own physical body display less resilience in the face of stress than was the case when I was younger. (See my previous two blog posts, here and here, for the gory details.)

But alongside questions about the health of individuals, a larger set of questions loom. How is the health of global society as a whole? Are we headed toward major reversals, which could knock us collectively off course, akin to how diseases such as Covid-19 have intruded, often horribly, on individual lives?

Indeed, in any such assessment of the overall health of global society, what should we be measuring? Which factors are “symptoms” and which are closer to being “root causes”?

The Millennium Project has been addressing that subject on a regular basis since its formation in 1996. It regularly publishes updates on what it calls “The 15 global challenges” and, in a wider survey, “The State of the Future”.

What distinguishes the Millennium Project analysis from various other broadly similar enquiries is the “Delphi” method it uses to reach its conclusions. This involves an iterative online interaction between members of an extended community, who are asked their opinions on a number of questions, with the option for participants to revise their opinions if they read input from other respondents that brings new considerations to their mind.

The reason I’m mentioning this now is that a new Delphi survey is now starting, and there’s scope for a number of my acquaintances to take part. (Dear Reader: That includes you.)

This survey is being structured differently from previous years, and is using a new tool. Participants will be asked to offer estimates on 29 metrics for the year 2030 – including the best and worst potential value the indicator might have in 2030. You’ll also be asked which of the metrics are the most important (and which are the least).

To help you provide answers, the system already contains data points stretching several decades into the past.

The metrics include:

  • Income inequality (income share held by highest 10%)
  • Unemployment (% of total labour force)
  • Life expectancy at birth (years)
  • Physicians (per 1,000 people)
  • Literacy rate, adult total (% of people ages 15 and above)
  • People using safely managed drinking water services (% of population)
  • CO2-equivalent concentration in the atmosphere (ppm)
  • Energy efficiency (GDP per unit of energy use)
  • Electricity production from renewable sources (% of total)
  • Individuals using the Internet (% of population)
  • Proportion of seats held by women in national parliaments (% of members)
  • Number of conflicts between different states
  • Refugee population

You won’t have to answer all the questions. Instead, you can direct your attention to the questions where you feel you have some particular insight. You can browse the other questions at a later time. And, as mentioned, you can revisit some of your earlier answers once you see comments made by other participants. Indeed, it is in the interaction between different comments where the greatest insight is likely to arise.

If you think you’d like to take part, please get in touch with me. Note that the Millennium Project will give priority to people with the following roles: professional futurists, scientists (including social scientists as well as natural scientists), policymakers, science and technology experts, advisors to government or business, members of NGOs, UN liaison, and professional consultants.

The Delphi questionnaire will remain open until 31 January, 2022. The findings of the questionnaire will feature in a London Futurists event later in the year.

12 May 2020

Five scenarios to unwind the lockdown. Are there more?

Filed under: challenge, healthcare, politics, risks — Tags: , , — David Wood @ 1:55 pm

The lockdown has provided some much-needed breathing space. As a temporary measure, it has helped to prevent our health services from becoming overwhelmed. In many (though not yet in all) countries, the curves of death counts have been slowed, and then tilted downwards. Financial payments to numerous employees unable to work have been very welcome.

As such, the lockdown – adopted in part by individuals and families making their own prudent decisions, and in part due to government advice and edict – can be assessed, provisionally, as a short-term success, given the frightful circumstances in which it emerged.

But what next? The present set of restrictions seems unsustainable. Might a short-term success transition into a medium-term disaster?

The UK’s Chancellor of the Exchequor, Rishi Sunak, recently gave the following warning, referring to payments made by the government to employees whose companies have stopped paying them:

We are potentially spending as much on the furlough scheme as we do on the NHS… Clearly that is not a sustainable situation

What’s more, people who have managed to avoid meeting friends and relatives for two or three months, may become overwhelmed by the increasing strain of separation, especially as mental distress accumulates, or existing family relations rupture.

But any simple unwinding of the lockdown seems fraught with danger. Second waves of infection could shoot up, once social distancing norms are relaxed. In country after country around the world, tentative steps to allow greater physical proximity have already led to spikes in the numbers of infections, followed by reversals of the relaxation. I recently shared on my social media this example from South Korea:

South Korea: bars and nightclubs to close down for 30 more days after health officials tracked 13 new Covid cases to a single person who attended 5 nightclubs and bars in the country’s capital city of Seoul

One response on Twitter was the single word “Unsustainable”. And on Facebook my post attracted comments criticising the approach taken in South Korea:

It is clear Korea is going to be looking over its shoulder for the indefinite future with virtually no immunity in the population.

I have considerable sympathy with the critics: We need a better solution than simply “crossing fingers” and nervously “looking over the shoulder”.

So what are the scenarios for unwinding the lockdown, in a way that avoids the disasters of huge new spikes of deaths and suffering, or unprecedented damage to the global economy?

To be clear, I’m not talking here about options for restructuring society after the virus has been defeated. These are important discussions, and I favour options for a Great Reconsideration. But these are discussions for another day. First, we need to review scenarios for actually defeating the virus.

Without reaching clarity about that overall plan, what we can expect ahead is, alas, worse confusion, worse recrimination, worse health statistics, worse economic statistics, and a worse fracturing of society.

Scenario 1: Accelerate a cure

One scenario is to keep most of society in a state of social distancing until such time as a vaccine has been developed and deployed.

That was the solution in, for example, the 2011 Steven Soderbergh Hollywood film “Contagion”. After a few setbacks, plucky scientists came to the rescue. And in the real world in 2020, after all, we have Deep Learning and advanced biotech to help us out. Right?

The main problem with this scenario is that it could take up to 18 months. Or even longer. Although teams around the world are racing towards potential solutions, we won’t know for some time whether their ideas will prove fruitful. Bear in mind that Covid-19 is a coronavirus, and the number of successful vaccines that have been developed for other coronaviruses is precisely zero. Technology likely will defeat the virus in due course, but no-one can be confident about the timescales.

A variant of this scenario is that other kinds of medical advance could save the day: antivirals, plasma transfers, antimalarials, and so on. Lifespan.io has a useful page tracking progress with a range of these potential therapeutics. Again, there are some hopeful signs, but, again, the outcomes remain uncertain.

So whilst there’s a strong case for society getting more fully behind a considerable number of these medical research projects, we’ll need in parallel to consider other scenarios for unwinding the lockdown. Read on.

Scenario 2: Exterminate the virus

A second scenario is that society will become better at tracking and controlling instances of the virus. Stage by stage, regions of the planet could be declared as having, not just low rates of infectious people, but as having zero rates of infectious people.

In that case, we will be freed from the risk of contracting Covid-19, not because we have been vaccinated, but because there are no longer any infectious people with whom we can come into contact.

It would be similar to how smallpox was gradually made extinct. That virus no longer exists in the wild. One difference, however, is that the fight against smallpox was aided, since 1796, by a vaccine. The question with Covid-19 is whether it could be eradicated without the help of a vaccine. Could it be eradicated by better methods of:

  • Tracking which people are infectious
  • Isolating people who are infectious
  • Preventing travel between zones with infections and those without infections?

This process would be helped once there are reliable tests to ascertain whether someone has actually had the virus. However, things would become more complicated if the virus can recur (as has sometimes been suggested).

Is this scenario credible? Perhaps. It’s worth further investigation. But it seems a long shot, bearing in mind it would need only a single exception to spark a new flare up of infections. Bear in mind that it was only a single infectious hotspot that kick-started this whole global pandemic in the first place.

Scenario 3: Embrace economic reversal

If Scenario 1 (accelerate a cure) and Scenario 2 (exterminate the virus) will each take a long time – 18 months or more – what’s so bad about continuing in a state of lockdown throughout that period? That’s the core idea of Scenario 3. That scenario has the name “Embrace economic reversal” because of the implication of many people being unable to return to work. But would that be such a bad thing?

This scenario envisions a faster adoption of some elements of what has previously been spoken about as a possible longer term change arising from the pandemic – the so-called Great Reconsideration mentioned above:

  • Less commuting
  • Less pollution
  • Less time spent in offices
  • Less time spent in working for a living
  • Appreciation of life freed from a culture of conspicuous consumption
  • Valuing human flourishing instead of GDP
  • Adoption of a Universal Basic Income, and/or alternatives

If these things are good, why delay their adoption?

In short, if the lockdown (or something like it) were to continue in place for 18 months or longer, would that really be such a bad outcome?

The first problem with this scenario is that the lockdown isn’t just getting in the way of parts of life that, on reflection, we might do without. It’s also getting in the way of many of the most precious aspects of life:

  • Meeting people in close physical proximity as well as virtually
  • Choosing to live with a different group of people.

A second problem is that, whilst the true value of many aspects of current economic activity can be queried, other parts of that economy play vital support roles for human flourishing. For as long as a lockdown continues, these parts of the economy will suffer, with consequent knock-on effects for human flourishing.

Finally, although people who are reasonably well off can cope (for a while, at least) with the conditions of the lockdown, many others are already nearing the ends of their resources. For such people, the inability to leave their accommodation poses higher levels of stress.

Accordingly, whilst it is a good idea to reconsider which aspects of an economy really matter, it would be harsh advice to simply tell everyone that they need to take economic decline “on the chin”. For too many people, such a punch would be a knock-out blow.

Scenario 4: Accept higher death statistics

A different idea of taking the crisis “on the chin” is to accept, as a matter of practicality, that more people than usual will die, if there’s a reversal of the conditions of lockdown and social distancing.

In this scenario, what we should accept, isn’t (as in Scenario 3) a reversal of economic statistics, but a reversal (in the short-term) of health statistics.

In this scenario, a rise in death statistics is bad, but it’s not the end of society. Periodically, death statistics do rise from time to time. So long as they can still be reasonably controlled, this might be the least worst option to consider. We shouldn’t become unduly focused on what are individual tragedies. Accordingly, let people return to whatever kinds of interaction they desire (but with some limitations – to be discussed below). The economy can restart. And people can once again enjoy the warmth of each others’ presence – at music venues, at sports grounds, in family gatherings, and on long-haul travel holidays.

Supporters of this scenario sometimes remark that most of the people who die from Covid-19 probably would have died of other causes in a reasonably short period of time, regardless. The victims of the virus tend to be elderly, or to have underlying health conditions. Covid-19 might deprive an 80 year old of an additional 12 months of life. From a utilitarian perspective, is that really such a disastrous outcome?

The first problem with this scenario is that we don’t know quite how bad the surge in death statistics might be. Estimates vary of the fatality rate among people who have been infected. We don’t yet know, reliably, what proportion of the population have been infected without even knowing that fact. It’s possible that the fatality rate will actually prove to be relatively low. However, it’s also possible that the rate might rise:

  • If the virus mutates (as it might well do) into a more virulent form
  • If the health services become overwhelmed with an influx of people needing treatment.

Second, as is evident from the example of the UK’s Prime Minister, Boris Johnson, people who are far short of the age of 80, and who appear to be in general good health, can be brought to death’s door from the disease.

Third, even when people with the virus survive the infection, there may be long-term consequences for their health. They may not die straightaway, but the quality of their lives in future years could be significantly impaired.

Fourth, many people recoil from the suggestion that it’s not such a bad outcome if an 80 year old dies sooner than expected. In their view, all lives area valuable – especially in an era when an increasing number of octogenarians can be expected to live into their 100s. We are struck by distaste at any narrow utilitarian calculation which diminishes the value of individual lives.

For these reasons, few writers are quite so brash as to recommend Scenario 4 in the form presented here. Instead, they tend to advocate a variant of it, which I will now describe under a separate heading.

Scenario 5: A two-tier society

Could the lockdown be reconfigured so that we still gain many of its most important benefits – in particular, protection of those who are most vulnerable – whilst enabling the majority of society to return to life broadly similar to before the virus?

In this scenario, people are divided into two tiers:

  • Those for whom a Covid infection poses significant risks to their health – this is the “high risk” tier
  • Those who are more likely to shrug off a Covid infection – this is the “low risk” tier.

Note that the level of risk refers to how likely someone is to die from being infected.

The idea is that only the high risk tier would need to remain in a state of social distancing.

This idea is backed up by the thought that the division into two tiers would only need to be a temporary step. It would only be needed until one of three things happen:

  • A reliable vaccine becomes available (as in Scenario 1)
  • The virus is eradicated (as in Scenario 2)
  • The population as a whole gains “herd immunity”.

With herd immunity, enough people in the low risk tier will have passed through the phase of having the disease, and will no longer be infectious. Providing they can be assumed, in such a case, to be immune from re-infection, this will cut down the possibility of the virus spreading further. The reproduction number, R, will therefore fall well below 1.0. At that time, even people in the high risk tier can be readmitted into the full gamut of social and physical interactions.

Despite any initial hesitation over the idea of a two-tier society, the scenario does have its attractions. It is sensible to consider in more detail what it would involve. I list some challenges that will need to be addressed:

  • Where there are communities of people who are all in the high risk tier – for example, in care homes, and in sheltered accommodation – special measures will still be needed, to prevent any cases of infection spreading quickly in that community once they occasionally enter it (the point here is that R might be low for the population as a whole, but high in such communities)
  • Families often include people in both tiers. Measures will be needed to ensure physical distancing within such homes. For example, children who mix freely with each other at school will need to avoid hugging their grandparents
  • It will be tricky – and controversial – to determine which people belong in which tier (think, again, of the example of Boris Johnson)
  • The group of people initially viewed as being low risk may turn out to have significant subgroups that are actually at higher risk – based on factors such as workplace practice, genetics, diet, or other unsuspected underlying cases – in which case the death statistics could surge way higher than expected
  • Are two tiers of classification sufficient? Would a better system have three (or more) tiers, with special treatments for pregnant women, and for people who are somewhat elderly (or somewhat asthmatic) rather than seriously elderly (or seriously asthmatic)?
  • The whole concept of immunity may be undermined, if someone who survives an initial infection is still vulnerable to a second infection (perhaps from a new variant of the virus)

Scenario 6: Your suggestions?

Of course, combinations of the above scenarios can, and should, be investigated.

But I’ll finish by asking if there are other dimensions to this landscape of scenarios, that deserve to be included in the analysis of possibilities.

If so, we had better find out about them sooner rather than later, and discuss them openly and objectively. We need to get beyond future shock, and beyond tribal loyalty instincts.

That will reduce the chances that the outcome of the lockdown will be (as stated earlier) worse confusion, worse recrimination, worse health statistics, worse economic statistics, and a worse fracturing of society.

Image credit: Priyam Patel from Pixabay.

21 October 2014

An exponential approach to peace?

While the information-based world is now moving exponentially, our organizational structures are still very linear (especially larger and older ones)…

We’ve learned how to scale technology… Now it’s time to scale the organization: strategy, structure, processes, culture, KPIs, people and systems

Opening slide

The above messages come from a punchy set of slides that have just been posted on SlideShare by Yuri van Geest. Yuri is the co-author of the recently published book “Exponential Organizations: Why new organizations are ten times better, faster, and cheaper than yours (and what to do about it)”, and the slides serve as an introduction to the ideas in the book. Yuri is also the Dutch Ambassador of the Singularity University (SU), and the Managing Director of the SU Summit Europe which is taking place in the middle of next month in Amsterdam.

Conference overview

Yuri’s slides have many impressive examples of rapid decline in the cost for functionality, over the last few years, in different technology sectors.

Industrial robots

DNA sequencing

But what’s even more interesting than the examples of exponential technology are the examples of what the book calls exponential organizations – defined as follows:

An Exponential Organization (ExO) is one whose impact (or output) is disproportionately large — at least 10x larger — compared to its peers because of the use of new organizational techniques that leverage exponential technologies.

Organizations reviewed in the book include Airbnb, GitHub, Google, Netflix, Quirky, Valve, Tesla, Uber, Waze, and Xiaomi. I’ll leave it to you to delve into the slides (and/or the book) to review what these organizations have in common:

  • A “Massive Transformative Purpose” (MTP)
  • A “SCALE” set of attributes (SCALE is an acronym) enabling enhanced “organizational right brain creativity, growth, and acceptance of uncertainty”
  • An “IDEAS” set of attributes (yes, another acronym) enabling enhanced “organizational left brain order, control, and stability”.

I find myself conflicted by some of the examples in the book. For example, I believe there’s a lot more to the decline of the once all-conquering Nokia than the fact that they acquired Navteq instead of Waze. (I tell a different version of the causes of that decline in my own book, Smartphones and beyond. Nevertheless I agree that organizational matters had a big role in what happened.)

But regardless of some queries over details in the examples, the core message of the book rings true: companies will stumble in the face of fast-improving exponential technologies if they persist with “linear organization practice”, including top-down hierarchies, process inflexibility, and a focus on “ownership” and “control”.

The book quotes with approval the following dramatic assertion from David S. Rose, serial entrepreneur and angel investor:

Any company designed for success in the 20th century is doomed to failure in the 21st.

I’d put the emphasis a bit differently: Any company designed for success in the 20th century needs to undergo large structural change to remain successful in the 21st. The book provides advice on what these changes should be – whether the company is small, medium-sized, or large.

A third level of exponential change

I like the change in focus from exponential technology to exponential organizations – more nimble organizational structures that are enabled and even made necessary by the remarkable spread of exponential technologies (primarily those based on information).

However, I’m interested in a further step along that journey – the step to exponential societies.

Can we find ways to take advantage of technological advances, not just to restructure companies, but to restructure wider sets of human relationships? Can we find better ways to co-exist without the threat of armed warfare, and without the periodic outbursts of savage conflict which shatter so many people’s lives?

The spirit behind these questions is conveyed by the explicit mission statement of the Singularity University:

Our mission is to educate, inspire and empower leaders to apply exponential technologies to address humanity’s grand challenges.

Indeed, the Singularity University has set up a Grand Challenge Programme, dedicated to finding solutions to Humanity’s grand challenges. The Grand Challenge framework already encompasses global health, water, energy, environment, food, education, security, and poverty.

Framework picture

Peace Grand Challenge

A few weeks ago, Mike Halsall and I got talking about a slightly different angle that could be pursued in a special Grand Challenge essay contest. Mike is the Singularity University ambassador for the UK, and has already been involved in a number of Grand Challenge events in the UK. The outcome of our discussion was announced on http://londonfuturists.com/peace-grand-challenge/:

Singularity University and London Futurists invite you to submit an essay describing your idea on the subject ‘Innovative solutions for world peace, 2014-2034’.

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First prize is free attendance for one person at the aforementioned Singularity University’s European two-day Summit in Amsterdam, November 19th-20th 2014. Note: the standard price of a ticket to this event is €2,000 (plus VAT). The winner will also receive a cash prize of £200 as a contribution towards travel and other expenses.

We’ve asked entrants to submit their essay to the email address lf.grandchallenge@gmail.com by noon on Wednesday 29th October 2014. The winners will be announced no later than Friday 7th November.

Among the further details from the contest website:

  • Submitted essays can have up to 2,000 words. Any essays longer than this will be omitted from the judging process
  • Entrants must be resident in the UK, and must be at least 18 years old on the closing date of the contest
  • Three runners-up will receive a signed copy of the book Exponential Organizations, as well as free attendance at all London Futurists events for the twelve months following the completion of the competition.

At the time of writing, only a handful of essays have been received. That’s not especially surprising: my experience from previous essay contests is that most entrants tend to leave essay submission until the last 24-48 hours (and a large proportion have arrived within the final 6o minutes).

But you can look at this from an optimistic perspective: the field is still wide open. Make the effort to write down your own ideas as to how technology can defuse violent flashpoints around the world, or contribute to world peace in some other way within the next 20 years. Let’s collectively advance the discussion of how exponential technology can do more than just help us find a more effective taxi ride or the fastest route to drive to our destination. Let’s figure out ways in which that technology can solve, not just traffic jams, but logjams of conflicting ideologies, nationalist loyalties, class mistrust, terrorists and counter-terrorists bristling with weaponry and counter-weaponry, and so on.

But don’t delay, since the contest entry deadline is at noon, UK time, on the 29th of October. (That deadline is necessary to give the winner time to book travel to the Summit Europe.)

London Futurists looks forward to publishing a selection of the best essays – and perhaps even converting some of the ideas into animated video format, for wider appeal.

Footnote: discounted price to attend the SU Summit Europe

Note: by special arrangement with the Singularity University, a small number of tickets for the Summit Europe are being reserved for the extended London Futurists community in the UK, with a €500 discount. To obtain this discount, use partner code ‘SUMMITUK’ when you register.

 

 

19 August 2013

Longevity and the looming financial meltdown

Filed under: aging, books, challenge, converged medicine, Economics, futurist, healthcare, rejuveneering, SENS — David Wood @ 2:12 pm

What kind of transformational infrastructure investment projects should governments prioritise?

In the UK, government seems committed to spending a whopping £42 billion between now and 2032 on a lengthy infrastructure project, namely the “HS2” High Speed rail link which could see trains travelling between London, Birmingham, and six other cities, at up to 250 miles per hour. The scheme has many critics. As Nigel Morris notes in The Independent,

In an analysis published today (Monday), the IEA (Institute for Economic Affairs ) says the scheme’s cost has been vastly underestimated and had failed to take into account changes to routes and extra tunnelling because of local opposition.

Richard Wellings, its author, said: “The evidence is now overwhelming that this will be unbelievably costly to the taxpayer while delivering incredibly poor value for money.”

Supporters of this investment claim that the improved infrastructure will be a boon for business in the UK. Multi-year infrastructure improvement projects are something that the private sector tends not to attempt. Unless there’s coordination from government, this kind of project will not happen.

The BBC news website (here and here) helpfully listed ten alternative infrastructure improvement projects that might be better recipients of portions of the £42B earmarked for HS2. Suggestions include:

  • A new road motorway for the east of Britain
  • A bridge to the Isle of Wight
  • A new Channel tunnel, directly accessible to car drivers
  • Tram systems for Liverpool and Leeds
  • A tunnel between Great Britain and Ireland
  • Aerial cycle highways for London

If it were my decision, I would reallocate a large chunk of this funding to a different kind of multi-year infrastructure improvement project. This is in the area of health rather than the area of transport. The idea is to significantly promote research and deployment of treatments in preventive and regenerative medicine.

Ageless CoverThe argument for this kind of sustained investment is laid out in the book The Ageless Generation: How Advances in Biomedicine Will Transform the Global Economy, by Alex Zhavoronkov, which I’ve just finished reading. It’s a compelling analysis.

Alex will be sharing his views at a forthcoming meeting of the London Futurists, on Saturday 31st July. There are more details of this meeting here. (Note that a number of copies of the speaker’s book will be available free of charge to attendees of this meeting.)

The book contains many eye-opening pointers to peer-reviewed research. This covers the accelerating pace of medical breakthroughs, in areas such as bioartificial organs, stem cell therapies, repairing damaged tissues, fortifying the immune system, and autophagy. The research also covers financial and economic matters.

For example, here’s a snippet from the 2009 report “The Burden of Chronic Disease” (PDF) – which is written from a US point of view, though the implications apply for other countries too:

Our current economic reality reminds us that now more than ever, we need to invest in the backbone of our economy: the American workforce. Without question, the single biggest force threatening U.S. workforce productivity, as well as health care affordability and quality of life, is the rise in chronic conditions…

Further into that report, data is quoted from the Milken Institute report “The Economic Burden of Chronic Disease” (PDF)

By our calculations, the most common chronic diseases are costing the economy more than $1 trillion annually—and that figure threatens to reach $6 trillion by the middle of the century.

The costs include lost of productivity, as well as absenteeism:

The potential savings on treatment represents just the tip of the proverbial iceberg. Chronically ill workers take sick days, reducing the supply of labor—and, in the process, the GDP. When they do show up for work to avoid losing wages, they perform far below par—a circumstance known as “presenteeism,” in contrast to absenteeism. Output loss (indirect impacts) due to presenteeism (lower productivity) is immense—several times greater than losses associated with absenteeism. Last (but hardly a footnote), avoidable illness diverts the productive capacity of caregivers, adding to the reduction in labor supply for other uses. Combined, the indirect impacts of these diseases totaled just over $1 trillion in 2003…

In his book, Alex builds on this analysis, focussing on the looming costs to healthcare systems and pensions systems of ever greater portions of our population being elderly and infirm, and becoming increasingly vulnerable to chronic illnesses. Countries face bankruptcy on account of the increased costs. At the very least, we must expect radical changes in the provision of social welfare. The pensionable age is likely to rocket upwards. Families are likely to discover that the provisions they have made for their old age and retirement are woefully inadequate.

The situation is bleak, but solutions are at hand, through a wave of biomedical innovation which could make our recent wave of IT innovation look paltry in comparison. However, despite their promise, these biomedical solutions are arriving too slowly. The healthcare and pharmaceutical industries are bringing us some progress, but they are constrained by their own existing dynamics.

Alex_cover_2_smallAs Alex writes,

The revolution in information technology has irreversibly changed our lives over the past two decades. However, advances in biomedicine stand poised to eclipse the social and economic effects of IT in the near future.

Biomedical innovations typically reach the mass market in much slower fashion than those from information technology. They follow a paradigm where neither demand, in the form of the consumer, nor supply, in the form of the innovator, can significantly accelerate the process. Nevertheless, many of the advances made over the past three decades are already propagating into mainstream clinical practice and converging with other technologies extending our life spans.

However, in the near-term, unless the governments of the debt-laden developed countries make proactive policy changes, there is a possibility of lengthy economic decline and even collapse.

Biomedical advances are not all the same. The current paradigm in biomedical research, clinical regulation and healthcare has created a spur of costly procedures that provide marginal increases late in life extending the “last mile”, with the vast percentage of the lifetime healthcare costs being spent in the last few years of patient’s life, increasing the burden on the economy and society.

There is an urgent need to proactively adjust healthcare, social security, research and regulatory policies:

  • To ameliorate the negative near-term effects
  • To accelerate the mass adoption of technologies contributing positively to the economy.

Now that’s a project well worth spending billions on. It’s a vision of expanded healthspans rather than just of expanded lifespans. It’s a vision of people continuing to be happily productive members of society well into their 80s and 90s and beyond, learning new skills, continuing to expand their horizons, whilst sharing their wisdom and experience with younger generations.

It’s a great vision for the individuals involved (and their families), but also a great vision for the well-being of society as a whole. However, without concerted action, it’s unlikely to become reality.

Footnote 1: To connect the end of this line of reasoning back to its start: If the whole workforce remains healthy, in body, mind, and spirit, for many years more than before, there will be plenty of extra resources and skills available to address problems in other fields, such as inadequate traffic vehicle infrastructure. My own preferred approach to that particular problem is improved teleconferencing, virtual presence, avatar representation, and other solutions based on transporting bits rather than transporting atoms, though there’s surely scope for improved physical transport too. Driverless vehicles have a lot of promise.

Footnote 2: The Lifestar Institute produced a well-paced 5 minute video, “Can we afford not to try?” covering many of the topics I’ve mentioned above. View it at the Lifestar Institute site, or, for convenience, embedded below.

Footnote 3: The Lifestar Institute video was shown publicly for the first time at the SENS4 conference in Cambridge in September 2009. I was in the audience that day and vividly remember the impact the video made on me. The SENS Foundation is running the next in their series of biennial conferences (“SENS 6”) this September, from the 3rd to the 7th. The theme is “Reimagine aging”. I’m greatly looking forward to it!

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21 March 2013

The burning need for better supra-national governance

International organisations have a bad reputation these days. The United Nations is widely seen as ineffective. There’s a retreat towards “localism”: within Britain, the EU is unpopular; within Scotland, Britain is unpopular. And any talk of “giving up sovereignty” is deeply unpopular.

However, lack of effective international organisations and supra-national governance is arguably the root cause of many of the biggest crises facing humanity in the early 21st century.

That was the thesis which Ian Goldin, Oxford University Professor of Globalisation and Development, very ably shared yesterday evening in the Hong Kong Theatre in the London School of Economics. He was quietly spoken, but his points hit home strongly. I was persuaded.

DividedNationsThe lecture was entitled Divided Nations: Why global governance is failing and what we can do about it. It coincided with the launch of a book with the same name. For more details of the book, see this blogpost on the website of the Oxford Martin School, where Ian Goldin holds the role of Director.

It’s my perception that many technology enthusiasts, futurists, and singularitarians have a blind spot when it comes to the topic of the dysfunction of current international organisations. They tend to assume that technological improvements will automatically resolve the crises and risks facing society. Governments and regulators should ideally leave things well alone – so the plea goes.

My own view is that smarter coordination and regulation is definitely needed – even though it will be hard to set that up. Professor Goldin’s lecture amply reinforced that view.

On the train home from the lecture, I downloaded the book onto my Kindle. I recommend anyone who is serious about the future of humanity to read it. Drawing upon the assembled insights and wisdom of the remarkable set of scholars at the Oxford Martin School, in addition to his own extensive experience in the international scene, Professor Goldin has crystallised state-of-the-art knowledge regarding the pressing urgency, and options, for better supra-national governance.

In the remainder of this blogpost, I share some of the state-of-consciousness notes that I typed while listening to the lecture. Hopefully this will give a flavour of the hugely important topics covered. I apologise in advance for any errors introduced in transcription. Please see the book itself for an authoritative voice. See also the live tweet stream for the meeting, with the hash-tag #LSEGoldin.

What keeps Oxford Martin scholars awake at night

The fear that no one is listening. The international governance system is in total gridlock. There are failures on several levels:

  • Failure of governments to lift themselves to a higher level, instead of being pre-occupied by local, parochial interests
  • Failure of electorates to demand more from their governments
  • Failure of governments for not giving clearer direction to the international institutions.

Progress with international connectivity

80 countries became democratic in the 1990s. Only one country in the world today remains disconnected – North Korea.

Over the last few decades, the total global population has increased, but the numbers in absolute poverty have decreased. This has never happened before in history.

So there are many good aspects to the increase in the economy and inter-connectivity.

However, economists failed to think sufficiently far ahead.

What economists should have thought about: the global commons

What was rational for the individuals and for national governments was not rational for the whole world.

Similar problems exist in several other fields: antibiotic resistance, global warming, the markets. He’ll get to these shortly.

The tragedy of the commons is that, when everyone does what is rational for them, everyone nevertheless ends up suffering. The common resource is not managed.

The pursuit of profits is a good thing – it has worked much better than central planning. But the result is irrationality in aggregate.

The market alone cannot provide a response to resource allocation. Individual governments cannot provide a solution either. A globally coordinated approach is needed.

Example of several countries drawing water from the Aral Sea – which is now arid.

That’s what happens when nations do the right thing for themselves.

The special case of Finance

Finance is by far the most sophisticated of the resource management systems:

  • The best graduates go into the treasury, the federal reserve, etc
  • They are best endowed – the elite organisation
  • These people know each other – they play golf together.

If even the financial bodies can’t understand their own system, this has black implications for other systems.

The growth of the financial markets had two underbellies:

  1. Growing inequality
  2. Growing potential for systemic risk

The growing inequality has actually led to lobbying that exaggerates inequality even more.

The result was a “Race to the bottom”, with governments being persuaded to get out of the regulation of things that actually did need to be regulated.

Speaking after the crisis, Hank Paulson, US Treasury Secretary and former CEO of Goldman Sachs, in effect said “we just did not understand what was happening” – even with all the high-calibre people and advice available to him. That’s a shocking indictment.

The need for regulation

Globalisation requires regulation, not just at the individual national level, but at an international level.

Global organisations are weaker now than in the 1990s.

Nations are becoming more parochial – the examples of UK (thinking of leaving EU) and Scotland (thinking of leaving UK) are mirrored elsewhere too.

Yes, integration brings issues that are hard to control, but the response to withdraw from integration is terribly misguided.

We cannot put back the walls. Trying to withdraw into local politics is dreadfully misguided.

Five examples

His book has five examples as illustrations of his general theme (and that’s without talking in this book about poverty, or nuclear threats):

  1. Finance
  2. Pandemics
  3. Migration
  4. Climate change
  5. Cyber-security

Many of these problems arise from the success of globalisation – the extraordinary rise in incomes worldwide in the last 25 years.

Pandemics require supra-national attention, because of increased connectivity:

  • The rapid spread of swine flu was correlated tightly with aircraft travel.
  • It will just take 2 days for a new infectious disease to travel all the way round the world.

The idea that you can isolate yourself from the world is a myth. There’s little point having a quarantine regime in place in Oxford if a disease is allowed to flourish in London. The same applies between countries, too.

Technology developments exacerbate the problem. DNA analysis is a good thing, but the capacity to synthesise diseases has terrible consequences:

  • There’s a growing power for even a very small number of individuals to cause global chaos, e.g. via pathogens
  • Think of something like Waco Texas – people who are fanatical Armageddonists – but with greater technical skills.

Cyber-security issues arise from the incredible growth in network connectivity. Jonathan Zittrain talks about “The end of the Internet”:

  • The Internet is not governed by governments
  • Problems to prosecute people, even when we know who they are and where they are (but in a different jurisdiction)
  • Individuals and small groups could destabilise whole Internet.

Migration is another “orphan issue”. No international organisation has the authority to deal with it:

  • Control over immigration is, in effect, an anarchic, bullying system
  • We have very bad data on migration (even in the UK).

The existing global institutions

The global institutions that we have were a response to post-WW2 threats.

For a while, these institutions did well. The World Bank = Bank for reconstruction. It did lead a lot of reconstruction.

But over time, we became complacent. The institutions became out-dated and lost their vitality.

The recent financial crisis shows that the tables have been turned round: incredible scene of EU taking its begging bowl to China.

The tragedy is that the lessons well-known inside the existing institutions have not been learned. There are lessons about the required sequencing of reforms, etc. But with the loss of vitality of these institutions, the knowledge is being lost.

The EU has very little bandwidth for managing global affairs. Same as US. Same as Japan. They’re all preoccupied by local issues.

The influence of the old G7 is in decline. The new powers are not yet ready to take over the responsibility: China, Russia, India, Indonesia, Brazil, South Africa…

  • The new powers don’t actually want this responsibility (different reasons for different countries)
  • China, the most important of the new powers, has other priorities – managing their own poverty issues at home.

The result is that no radical reform happens, of the international institutions:

  • No organisations are killed off
  • No new ones created
  • No new operating principles are agreed.

Therefore the institutions remain ineffective. Look at the lack of meaningful progress towards solving the problems of climate change.

He has been on two Bretton Woods reform commissions, along with “lots of wonderfully smart, well-meaning people”. Four prime ministers were involved, including Gordon Brown. Kofi Annan received the report with good intentions. But no actual reform of UN took place. Governments actually want these institutions to remain weak. They don’t want to give up their power.

It’s similar to the way that the UK is unwilling to give up power to Brussels.

Sleep-walking

The financial crisis shows what happens when global systems aren’t managed:

  • Downwards spiral
  • Very hard to pull it out afterwards.

We are sleep-walking into global crises. The financial crisis is just a foretaste of what is to come. However, this need not be the case.

A positive note

He’ll finish the lecture by trying to be cheerful.

Action on global issues requires collective action by both citizens and leaders who are not afraid to relinquish power.

The good news:

  • Citizens are more connected than ever before
  • Ideologies that have divided people in the past are reducing in power
  • We can take advantage of the amplification of damage to reputation that can happen on the Internet
  • People can be rapidly mobilised to overturn bad legislation.

Encouraging example of SOPA debate in US about aspects of control of the Internet:

  • 80 million people went online to show their views, in just two days
  • Senate changed their intent within six hours.

Some good examples where international coordination works

  • International plane travel coordination (air traffic control) is example that works very well – it’s a robust system
  • Another good example: the international postal system.

What distinguishes the successes from the failures:

  • In the Air Traffic Control case, no one has a different interest
  • But in other cases, there are lots of vested interest – neutering the effectiveness of e.g. the international response to the Syrian crisis
  • Another troubling failure example is what happened in Iraq – it was a travesty of what the international system wanted and needed.

Government leaders are afraid that electorate aren’t ready to take a truly international perspective. To be internationalist in political circles is increasingly unfashionable. So we need to change public opinion first.

Like-minded citizens need to cooperate, building a growing circle of legitimacy. Don’t wait for the global system to play catch-up.

In the meantime, true political leaders should find some incremental steps, and should avoid excuse of global inaction.

Sadly, political leaders are often tied up addressing short-term crises, but these short-term crises are due to no-one satisfactorily addressing the longer-term issues. With inaction on the international issues, the short-term crises will actually get worse.

Avoiding the perfect storm

The scenario we face for the next 15-20 years is “perfect storm with no captain”.

He calls for a “Manhattan project” for supra-national governance. His book is a contribution to initiating such a project.

He supports the subsidiarity principle: decisions should be taken at the most local level possible. Due to hyper-globalisation, there are fewer and fewer things that it makes sense to control at the national level.

Loss of national sovereignty is inevitable. We can have better sovereignty at the global level – and we can influence how that works.

The calibre of leaders

Example of leader who consistently took a global perspective: Nelson Mandela. “Unfortunately we don’t have many Mandelas around.”

Do leaders owe their power bases with electorates because they are parochial? The prevailing wisdom is that national leaders have to shy away from taking a global perspective. But the electorate actually have more wisdom. They know the financial crisis wasn’t just due to bankers in Canary Wharf having overly large bonuses. They know the problems are globally systemic in nature, and need global approaches to fix them.

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20 February 2013

The world’s most eminent sociologist highlights the technological singularity

It’s not every day that the world’s most eminent sociologist reveals himself as having an intense interest in the Technological Singularity, and urges that “Everyone should read the books of Ray Kurzweil”. That’s what happened this evening.

The speaker in question was Lord Anthony Giddens, one of whose many claims to fame is his description as “Tony Blair’s guru”.

His biography states that, “According to Google Scholar, he is the most widely cited sociologist in the world today.”

In support of that claim, a 2009 article in the Times Higher Education supplement notes the following:

Giddens trumps Marx…

A list published today by Times Higher Education reveals the most-cited academic authors of books in the humanities…

As one of the world’s pre-eminent sociologists, Anthony Giddens, the Labour peer and former director of the London School of Economics, will be used to academic accolades.

But even he may be pleased to hear that his books are cited more often than those of iconic thinkers such as Sigmund Freud and Karl Marx.

Lord Giddens, now emeritus professor at LSE and a life fellow at King’s College, Cambridge, is the fifth most-referenced author of books in the humanities, according to the list produced by scientific data analysts Thomson Reuters.

The only living scholar ranked higher is Albert Bandura, the Canadian psychologist and pioneer of social learning theory at Stanford University…

Freud enters the list in 11th place. The American linguist and philosopher Noam Chomsky, who is based at the Massachusetts Institute of Technology and whose political books have a broader readership than some of his peers in the list, is 15th…

Lord Giddens is now 75 years old. Earlier this evening, I saw for myself evidence of his remarkable calibre. He gave an hour-long lecture in front of a packed audience at the London School of Economics, without any notes or slides, and without any hesitation, deviation, or verbal infelicity. Throughout, his remarks bristled with compelling ideas. He was equally competent – and equally fluent – when it came to the question-and-answer portion of the event.

LSE Events

The lecture was entitled “Off the edge of history: the world in the 21st century”. From its description on the LSE website, I had already identified it as relevant to many of the themes that I seek to have discussed in the series of London Futurists meetups that I chair:

The risks we face, and the opportunities we have, in the 21st century are in many respects quite different from those experienced in earlier periods of history. How should we analyse and respond to such a world? What is a rational balance of optimism and pessimism? How can we plan for a future that seems to elude our grasp and in some ways is imponderable?

As the lecture proceeded, I was very pleasantly impressed by the sequence of ideas. I append here a lightly edited copy of the verbatim notes I took on my Psion Series 5mx, supplemented by a few additions from the #LSEGiddens tweet stream. Added afterwards: the LSE has made a podcast available of the talk.

My rough notes from the talk follow… (text in italics are my parenthetical comments)

This large lecture room is completely full, twenty minutes before the lecture is due to start. I’m glad I arrived early!

Today’s topic is work in progress – he’s writing a book on the same topic, “Off the edge of history”.

  • Note this is a very different thesis from “the end of history”.

His starting point is in the subject of geology – a long way from sociology. He’s been working on climate change for the last seven years. It’s his first time to work so closely with scientists.

Geologists tend to call the present age “the Holocene age” – the last 12,000 years. But a geologist called Paul Crutzen recommended that we should use a different term for the last 200 years or so – we’re now in the Anthropocene age:

  • In this period, human activity strongly influences nature and the environment
  • This re-orients and restructures the world of geology
  • A great deal of what used to be natural, is natural no longer
  • Human beings are invading nature, in a way that has no precedent
  • Even some apparently natural catastrophes, like tsunamis and volcanoes, might be linked to impacts from humans.

We have continuities from previous history (of course), but so many things are different nowadays. One example is the impacts of new forms of biological threat. Disease organisms have skipped from animals to human beings. New disease organisms are being synthesised.

There are threats facing us, which are in no ways extensions of previous threats.

For example, what is the Internet doing to the world? Is it a gigantic new mind? Are you using the mobile phone, or is the mobile phone using you? There’s no parallel from previous periods. Globally connected electronic communications are fundamentally different from what went before.

When you are dealing with risks you’ve never experienced before, you can’t measure them. You’ll only know for sure when it’s too late. We’re on the edge of history because we are dealing with risks we have never faced before.

Just as we are invading nature, we are invading human nature in a way that’s unprecedented.

Do you know about the Singularity? (A smattering of people in the audience raise their hands.) It’s mind-blowing. You should find out about it:

  • It’s based on a mathematical concept
  • It’s accelerating processes of growth, rapidly disappearing to a far off point very different from today.

Everyone should read the books of Ray Kurzweil – who has recently become an Engineering Director at Google.

Kurzweil’s book makes it clear that:

  • Within our lifetimes, human beings will no longer be human beings
  • There are multiple accelerating rates of change in several different disciplines
  • The three main disciplines contributing to the singularity are nanotech, AI, and biotech
  • All are transforming our understanding of the human body and, more importantly, the human mind
  • This is described by the “Law of accelerating returns”
  • Progress is not just linear but geometrical.

This book opens our minds to multiple possibilities of what it means to be human, as technology penetrates us.

Nanotech is like humans playing God:

  • It’s a level below DNA
  • We can use it to rebuild many parts of the human body, and other artefacts in the world.

Kurzweil states that human beings will develop intelligence which is 100x higher than at present:

  • Because of merging of human bodies with computers
  • Because of the impact of nanotech.

Kurzweil gives this advice: if you are relatively young: live long, in order to live forever:

  • Immortality is no longer a religious concept, it’s now a tangible prospect
  • It could happen in the next 20-40 years.

This is a fantastic expansion of what it means to be human. Importantly, it’s a spread of opportunities and risk.

These were religious notions before. Now we have the real possibility of apocalypse – we’ve had it since the 1950s, when the first thermonuclear weapons were invented. The possibility of immortality has become real too.

We don’t know how to chart these possibilities. None of us know how to fill in that gap.

What science fiction writers were writing 20 years ago, is now in the newspapers everyday. Reading from the Guardian from a couple of days ago:

Paralysed people could get movement back through thought control

Brain implant could allow people to ‘feel’ the presence of infrared light and one day be used to move artificial limbs

Scientists have moved closer to allowing paralysed people to control artificial limbs with their thoughts following a breakthrough in technology…

…part of a series of sessions on advances in brain-machine interfaces, at which other scientists presented a bionic hand that could connect directly to the nerves in a person’s arm and provide sensory feedback of what they were holding.

Until now, neurological prosthetics have largely been demonstrated as a way to restore a loss of function. Last year, a 58-year-old woman who had become paralysed after a stroke demonstrated that she could use a robotic arm to bring a cup of coffee to her mouth and take a sip, just by thinking about it…

In the future…  it might be possible to use prosthetic devices to restore vision – for example, if a person’s visual cortex had been damaged – by training a different part of the brain to process the information.

Or you could even augment normal brain function in non-invasive ways to deliver the information.

We could learn to detect other sorts of signals that we normally don’t see or experience; the perceptual range could increase.

These things are real; these things are happening. There is a kind of geometric advance.

The literature of social scientists has a big division here, between doomsday thinkers and optimists, with respected thinkers in both camps.

Sir Martin Rees is example of first category. He wrote a book called “Our final century”:

  • It examines forms of risk that could destroy our society
  • Climate change is a huge existential risk – most people aren’t aware of it
  • Nanotech is another existential risk – grey goo scenario
  • We also have lots of weaponry: drones circulating above the world even as we speak
  • Most previous civilisations have ended in disaster – they subverted themselves
  • For the first time, we have a civilisation on a global scale
  • It could well be our final century.

Optimists include Matt Ridley, a businessman turned scientist, and author of the book “The rational optimist”:

  • Over the course of human civilisation there is progress – including progress in culture, and medical advances.

This is a big division. How do we sort this out? His view: it’s not possible to decide. We need to recognise that we live in a “high opportunity, high risk society”:

  • The level of opportunity and level of risk are both much higher than before
  • But risk and opportunity always intertwine
  • “In every risk there’s an opportunity…” and vice versa
  • We must be aware of the twists and tangles of risk and opportunity – their interpenetration.

Studying this area has led him to change some of his views from before:

  • He now sees the goal of sustainability as a harder thing than before
  • Living within our limits makes sense, but we no longer know what our limits are
  • We have to respect limits, but also recognise that limits can be changed.

For example, could we regard a world population of 9 billion people as an opportunity, rather than just a risk?

  • It would lead us to put lots more focus on food innovation, blue sky tech for agriculture, social reform, etc – all good things.

A few points to help us sort things out:

  1. One must never avoid risk – we live in a world subject to extreme system risk; we mustn’t live in denial of risk in our personal life (like denying the risks of smoking or riding motor cycles) or at an civilisational level
  2. We have to think about the future in a very different way, because the future has become opaque to us; the enlightenment thought was that we would march in and make sense of history (Marx had similar thoughts), but it turns out that the future is actually opaque – for our personal lives too as well as society (he wonders whether the EU will still exist by the time he finishes his book on the future of the EU!)
  3. We’ll have to learn to backcast rather than forecast – to borrow an idea from the study of climate change. We have to think ahead, and then think back.

This project is the grand task of social sciences in the 21st century.

One more example: the possibility of re-shoring of jobs in the US and EU:

  • 3D printing is an unbelievable technological invention
  • 3D printers can already print shoes
  • A printer in an MIT lab can print whole systems – eg in due course a plane which will fly directly out of the computer
  • This will likely produce a revolution in manufacturing – many, many implications.

Final rhetorical question: As we confront this world, should we be pessimists or optimists? This is the same question he used to consider, at the end of the talks he used to give on climate change.

His answer: we should bracket out that opposition; it’s much more important to be rational than either pessimist or optimist:

  • Compare the case of someone with very serious cancer – they need more than wishful thinking. Need rational underpinning of optimism and/or pessimism.

Resounding applause from the audience. Then commence questions and answers.

Q: Are today’s governance structures, at local and national levels, fit to deal with these issues?

A: No. For example, the he European Union has proved not to be the vanguard of global governance that we hoped it would be. Climate change is another clear example: twenty years of UN meetings with no useful outcome whatsoever.

Q: Are our human cognitive powers capable to deal with these problems? Is there a role for technology to assist our cognitive powers?

A: Our human powers are facing a pretty difficult challenge. It’s human nature to put off what we don’t have to do today. Like 16 years taking up smoking who can’t really see themselves being 40. Maybe a supermind might be more effective.

Q: Although he has given examples where current governance models are failing, are there any bright spots of hope for governance? (The questioner in this case was me.)

A: There are some hopeful signs for economic governance. Surely bankers will not get away with what they’ve done. Movement to address tax havens (“onslaught”) – bring the money back as well as bringing the jobs back. Will require global co-operation. Nuclear proliferation (Iran, Israel) is as dangerous as climate change. The international community has done quite well with non-proliferation, but it only takes one nuclear war for things to go terribly wrong.

Q: What practical advice would he give to the Prime Minister (or to Ed Miliband)?

A: He supports Ed Miliband trying to restructure capitalism; there are similar moves happening in the US too. However, with global issues like these, any individual prime minister is limited in his influence. For better or for worse, Ray Kurzweil has more influence than any politician!

(Which is a remarkable thing to say, for someone who used to work so closely with Prime Minister Tony Blair…)

16 September 2012

Transcending the threat of the long emergency

The not-so-distant future (2030-2045) may turn out very different from how we commonly imagine. It may turn out very different from what we desire.

At that time, those of us who remain alive and who still have the faculty to think critically, may well bemoan the fact that we didn’t properly anticipate the intervening turn of events, and didn’t organise ourselves effectively to enable a better future to unfold. We may bitterly regret our present-day pre-occupations with celebrity gossip and 24×7 reality TV and rivalries between the latest superphones and by bickering over gullible interpretations of antiquated religious folk tales.

Why did we fiddle why Rome burned? Why did we not see the likelihood of Rome burning? Why were we so enthralled to the excitements of consumer goods and free-market economics and low-cost international travel and relentless technology innovation that we failed to give heed to the deeper stresses and strains portending what writer James Howard Kunstler has termed “The Long Emergency“?

The subtitle of Kunstler’s The Long Emergency book is “Surviving the end of oil, climate change, and other converging catastrophes of the twenty-first century“. His writing style is lively and unapologetic. He pays little respect to political correctness. His thesis is not just that supplies of oil are declining (despite vigorously growing demand), but that society fails to appreciate quite how difficult it’s going to be to replace oil with new sources of energy. Many, many aspects of our present-day civilisation depend in fundamental ways on by-products of oil. Therefore, we’re facing an almighty crisis.

Quoting Colin Tudge from The Independent, The Long Emergency carries an endorsement on its front cover:

If you give a damn, you should read this book

I echo that endorsement. Kunstler makes lots of important points about the likely near-future impact of diseases, shortages of fresh water, large multinationals in their runaway pursuit of profits and growth, the over-complexity of modern life, and the risks of cataclysmic wars over diminishing material resources.

I agree with around 80% of what Kunstler says. But even in the 20% where we part company, I find his viewpoint to be illuminating.

For example, I regard Kunstler’s discussion of both solar and wind energy as being perfunctory. He is too quick to dismiss the potential of these (and other) alternative energy sources. My own view is that the same kinds of compound improvements that have accelerated the information and communications hi-tech industries can also apply in alternative energy industries. Even though individual companies fail, and even though specific ideas for tech improvement are found wanting, there remains plenty of scope for cumulative overall improvement, with layers of new innovations all building on prior breakthroughs.

Kunstler’s first reply to this kind of rejoinder is that it confuses technology with energy. In a recent Rolling Stone interview, “James Howard Kunstler on Why Technology Won’t Save Us“, he responds to the following observation by journalist Jeff Goodell:

You write about visiting the Google campus in Silicon Valley, and how nobody there understood the difference between energy and technology.

Kunstler’s reply:

They are not substitutable. If you run out of energy, you can’t plug in technology. In this extremely delusional society right now, one of the reigning delusions is that if you run out of energy, you can just turn to technology. We completely don’t understand that. And the tragic thing is, the people who ought to understand it don’t get it. And if the people at Google don’t know the difference between energy and technology – well, then who does?

My own comment: the world is not facing a shortage of energy. An analysis published recently in Nature shows that wind energy could provide 20-100 times current global power demand. And as for solar energy, National Geographic magazine reports

Every hour the sun beams onto Earth more than enough energy to satisfy global energy needs for an entire year.

So the problem isn’t one of lack of energy. It’s a problem of harvesting the energy, storing it, and transporting it efficiently to where it needs to be used. That’s a problem to which technology can apply itself with a vengeance.

But as I said, Kunstler is insightful even when he is wrong. His complaint is that it is foolish to simply rely on some magical powers of a free-market economy to deliver the technology smarts needed to solve these energy-related problems. Due to the dysfunctions and failures of free-market economies, there’s no guarantee that industry will be able to organise itself to make the right longer-term investments to move from our current “local maximum” oil-besotted society to a better local maximum that is, however, considerably remote from where we are today. These are as much matters of economics and politics as they are of technology. Here, I agree with Kunstler.

Kunstler’s second reply is that, even if enough energy is made available from new sources, it won’t solve the problem of diminishing raw materials. This includes fresh water, rare minerals, and oil itself (which is used for much more than a source of energy – for example, it’s a core ingredient of plastics). Kunstler argues that these raw materials are needed in the construction and maintenance of alternative energy generators. So it will be impossible to survive the decline in the availability of oil.

My comment to this is that a combination of sufficient energy (e.g. from massive solar generators) and smart technology can be deployed to generate new materials. Fresh water can be obtained from sea water by desalination plants. Oil itself can be generated in due course by synthetic biology. And if it turns out that we really do lack a particular rare mineral, presently needed for a core item of consumer electronics, we can change the manufacturing process to swap in an alternative.

At least, these transformations are theoretically possible. But, again, they’ll probably require greater coordination than our present system of economics and politics enables, with its over-emphasis on short-termism.

Incidentally, for a particularly clear critique of the idea that untramelled free market economics is the best mechanism to ensure societal progress, I recommend “23 things they don’t tell you about capitalism“, by Cambridge University economics professor Ha-Joon Chang. This consists of 23 chapters which each follow the same form: a common tenet of free-market economics is presented (and is made to appear plausible), and then is thoroughly debunked, by means of a mixture of data and theory. Professor Chang isn’t opposed to markets, but he does believe in the necessity for key elements of state intervention to steer markets. He offers positive remedies as well as negative criticisms. Alternatively, you might also enjoy “What money can’t buy: the moral limits of markets“, by Harvard professor Michael J. Sandel. That takes a complementary path, with examples that are bound to make both proponents and opponents of free markets wince from time to time. They really get under the skin. And they really make you think.

Both books are (in my viewpoint) brilliantly written, though if you only have time to read one, I’d recommend the one by Ha-Joon Chang. His knowledge of real-world economics is both comprehensive and uplifting – and his writing style is blessedly straightforward. Being Korean born, his analysis of the economic growth in Korea is especially persuasive, but he draws insight from numerous other geographies too.

Putting the future on the agenda

As you can tell, I see the threat of self-induced societal collapse as real. The scenarios in The Long Emergency deserve serious attention. For that reason, I’m keen to put the future on the agenda. I don’t mean discussions of whether national GDPs will grow or shrink by various percentage points over the next one or two years, or whether unemployment will marginally rise or marginally fall. Instead, I want to increase focus on the question of whether we’re collectively able to transition away from our profligate dependence on oil (and away from other self-defeating aspects of our culture) in sufficient time to head off environmental and economic disaster.

That’s the reason I’m personally sponsoring a series of talks at the London Futurists called “The Next Golden Age Of Technology 2030-45“.

The first in that series of talks took place on Saturday at Birkbeck College in Central London: “Surfing The Sixth Wave: Modelling The Next Technology Boom“, with lead speaker Stephen Aguilar-Millan. Stephen is is the Director of Research at the European Futures Observatory, a futures think tank based in the UK.

The different talks in the series are taking different angles on what is a complex, multi-faceted subject. The different speakers by no means all agree with each other. After all, it’s clear that there’s no consensus on how the future is likely to unfold.

Rather than making specific predictions, Stephen’s talk focused more on the question of how to think about future scenarios. He distinguished three main approaches:

  1. Trends analysis – we can notice various trends, and consider extrapolating them into the future
  2. Modelling and systems thinking – we seek to uncover underlying patterns, that are likely to persist despite technology changes
  3. Values-based thinking – which elevates matters of human interest, and considers how human action might steer developments away from those predicted by previous trends and current models.

Stephen’s own approach emphasised models of change in

  • politics (a proposed cycle of concerns: community -> corporate -> individual -> atomistic -> community…),
  • economics (such as the Kondratieff Cycle),
  • and social (such as generational changes: boomer -> generation X -> millennial -> homeland -> scarcity),
  • as well as in technology per se.

For a model to understand long-term technological change, Stephen referred to the Venezuelan scholar Carlota Perez, whose book “Technological Revolutions and Financial Capital: The Dynamics of Bubbles and Golden Ages” is held in high regard. Perez describes recent history as featuring five major technical-economic cycles:

  1. From 1771: The First Industrial Revolution (machines, factories, and canals)
  2. From 1829: The Age of Steam, Coal, Iron, and Railways
  3. From 1875: The Age of Steel and Heavy Engineering (electrical, chemical, civil, naval)
  4. From 1908: The Age of the Automobile, Oil, Petrochemicals, and Mass Production
  5. From 1971: The Age of Information Technology and Telecommunications.

In this analysis, each such cycle takes 40-60 years to spread across the world and reach maturity. Each techno-economic paradigm shift involves “a change in the direction of change” and brings:

  • New industries
  • New infrastructure
  • New ways of transport and communication
  • New ways of producing
  • A new way of working
  • A new way of living.

Golden ages of technology – insight from Carlota Perez

Stephen’s slides will shortly be posted onto the London Futurist website. The potential interplay of the different models is important, but in retrospect, the area that it would have been good to explore further was the analysis by Carlota Perez. There are a number of videos on YouTube that feature her presenting her ideas. For example, there’s a four-part presentation “Towards a Sustainable Global Golden Age” – where she also mentions a potential sixth technical-economic wave:

  • The Age of Biotech, Bioelectronics, Nanotech, and new materials.




Unlike Kunstler, Perez offers an optimistic view of the future. Whereas Kunstler in effect takes wave four as being irretrievably central to modern society, Perez argues that the technology of wave five is already in the process of undoing many of the environmental problems introduced by wave four. This transformation is admittedly difficult to discern, Perez explains, because of factors which prolong the “energy intensive” culture of wave four (even though the “information intensive” wave five already enables significant reductions in energy usage):

  • The low price of oil in the 1980s and 1990s
  • The low price of labor in China and Asia
  • The persistence of “the American way of life” as the “model of well-being” that the world wishes to emulate.

On the other hand, a paradigm change in expectation is now accelerating (see slide 20 of the PDF accompanying the video):

  • Small is better than big
  • Natural materials are better than synthetic
  • Multipurpose is better than single function
  • ‘Gourmet’ food is better than standard
  • Fresh organic fruit and vegetables are healthier
  • Exercise is important for well-being
  • Global warming is a real danger
  • Not commuting to work is possible and preferable
  • Solar power is luxurious
  • Internet communications, shopping, learning and entertainment are better than the old ways.

Nevertheless, despite her optimism that “a sustainable positive-sum future is possible”, Perez states clearly (slide 23):

  • But it will not happen automatically: the market cannot do it alone
  • The state must come back into the picture

Her analysis proceeds:

  • Each technological revolution propagates in two different periods
  • The first half sets up the infrastructure and lets the markets pick the winners
  • The second half (“the Golden Age” of the wave) reaps the full economic and social potential
  • Each Golden Age has been facilitated by enabling regulation and policies for shaping and widening markets.

Scarcity resolved?

The next London Futurist talk in this series will pick up some of the above themes. It will take place on Saturday the 20th of October, with independent futures consultant Guy Yeomans as the lead speaker. To quote from the event page:

Many people regard technological invention as not just a key driving force in human evolution but as the primary source of historical change, profoundly influencing wider economic and social developments. Is this perspective valid? Does it enable us to fully explain the world we live in today, and may actively occupy tomorrow?

Specifically, will technological invention be the ‘saviour’ some believe for our collective future challenges? Can we rely on technology to resolve looming issues of scarcity?

To answer these questions, this talk re-examines the emergence of technology and its role in human affairs. It does this by reviewing the history of the discipline of futures thinking, including techniques such as trend analysis themes.

The talk begins by considering the conditions under which futures thinking formed in North America in the aftermath of World War II. From this, we’ll assess what contributions the methods and techniques created during this period have made to contemporary strategic planning. Using parts of this framework, we’ll formulate a perspective on the key issues likely to affect future technological needs, and assess the dynamics via which technologies may then emerge to meet these needs.

Crucial to all this will be our ability to identify and reveal the core assumptions underpinning such a perspective, thereby providing a more robust footing from which to investigate the ways in which technology might actually evolve over the coming decades. From this, we’ll finally ask:Will scarcity even emerge, let alone need to be overcome?

Later talks in the same series will be given by professional futurists Nick Price, Ian Pearson, and Peter Cochrane.

1 April 2012

Discovering and nourishing an inner ‘Why’

Filed under: books, challenge, Energy, films, leadership, marketing, motivation, passion, psychology — David Wood @ 1:21 am

Where does the power come from, to see the race to its end?

In the 2012 year of London Olympics, the 1981 film “Chariots of Fire” is poised to return to cinemas in the UK, digitally remastered. As reported by BBC News,

The film tells the true story of two runners who compete in the 1924 Paris Olympics despite religious obstacles.

It will be shown at more than 100 cinemas around the country from 13 July as part of the London 2012 Festival.

Starring Ian Charleson and Ben Cross, the film won four Oscars, including best picture, screenplay and music for Vangelis’ acclaimed score.

Although the film is 31 years old, producer Lord Puttnam believes the message is still relevant.  “Chariots of Fire is about guts, determination and belief…” he said.

This is a film about accomplishment against great odds. More than that, it’s a film about motivation that can enable great accomplishment. The film features athletics, but the message applies much more widely – in both business life and personal life.

I vividly remember watching the film in its opening night in Cambridge in 1981, and being so captivated by it that I returned to the cinema the following evening to watch it again. One part that has wedged deep in my mind is the question I’ve placed at the top of this article, which comes from a sermon preached by Eric Liddell, one of the athletes featured in the movie:

Running in a race… is hard. It requires concentration of will. Energy of soul… Where does the power come from, to see the race to its end? From within.

Liddell’s own answer involved his religious faith, including following the principle that forbade playing sport on Sundays. Viewers can take inspiration from the film, without necessarily sharing Liddell’s particular religious views. The general point is this: Lasting personal strength arises from inner conviction.

Anyone watching the film is implicitly challenged: do we have our own inner basis for lasting personal strength? Do we have a ‘Why’ that gives us the power to pick ourselves up and continue to shine, in case we stumble in the course of our own major projects? Indeed, do we have a ‘Why’ that inspires not only ourselves, but others too, so that they wish to work with us or share our journey through life?

In similar vein, the renowned writer about personal effectiveness, Stephen Covey, urges us (in his celebrated book “The 7 Habits of Highly Effective People”) to Begin with the end in mind and to Put first things first:

Are you–right now–who you want to be, what you dreamed you’d be, doing what you always wanted to do? Be honest. Sometimes people find themselves achieving victories that are empty–successes that have come at the expense of things that were far more valuable to them. If your ladder is not leaning against the right wall, every step you take gets you to the wrong place faster…

To live a more balanced existence, you have to recognize that not doing everything that comes along is okay. There’s no need to over-extend yourself. All it takes is realizing that it’s all right to say no when necessary and then focus on your highest priorities…

I was recently reminded of both Chariots of Fire and Stephen Covey when following up an assignment given to me by a personal coach. The assignment was to view the TED video “How great leaders inspire action” by Simon Sinek:

This talk features high on the page of the TED talks rated by viewers as the most inspiring. Watch the video and this high placement won’t be a surprise to you. I liked the video so much that I downloaded the audio book the talk is based on: “Start with Why: How Great Leaders Inspire Everyone to Take Action”. I’ve been listening to it while walking to/from work over the last few days. It’s been both profound and challenging.

Sinek’s central message is this:

People don’t buy ‘What’ you do, they buy ‘Why’ you do it.

To back up this message, Sinek tells a host of fascinating tales. He offers lots of contrasts, between individuals (or companies) that had a clear, inspiring sense of purpose (their ‘Why’), and those that instead became bogged down in the ‘What’ or the ‘How’ of their work. The former generated loyalty and passion – not so the latter. Examples of the former include Southwest Airlines, Harley Davidson, Starbucks, the Wright Brothers, Martin Luther King, and Apple. He also gives examples of companies that started off with a clear sense of purpose, but then lost it, for example due to changes in leadership, when an operational leader took over the reins from an initial inspirational leader.

Sinek repeatedly contrasts “inspiration” with “manipulation”. Manipulation includes both carrots and sticks. Both inspiration and manipulation can lead to people doing what you want. But only the former can be sustained.

One vivid example covered by Sinek was the leadership of Sir Ernest Shackleton of the 1914-16 Trans-Antarctic Expedition. According to Sinek, Shackleton gathered crew members for this expedition by placing the following advertisement in the London Times:

Men wanted for hazardous journey. Small wages. Bitter cold. Long months of complete darkness. Constant danger. Safe return doubtful. Honour and recognition in case of success. —Ernest Shackleton.

Another of Sinek’s example is how the Wright Brothers succeeded in achieving the first powered flight, beating a team that was much better funded and seemed to be better placed to succeed, led by Professor Samuel Pierpont Langley.

In Sinek’s view, it’s not a matter of having energy, or skill, or financing; it’s a matter of something deeper. It might be called ‘charisma’, or ’cause’:

Charisma has nothing to do with energy; it comes from a clarity of ‘Why’. It comes from absolute conviction in an ideal bigger than oneself. Energy, in contrast, comes from a good night’s sleep or lots of caffeine. Energy can excite. But only charisma can inspire. Charisma commands loyalty. Energy does not.

Energy can always be injected into an organization to motivate people to do things. Bonuses, promotions, other carrots and even a few sticks can get people to work harder, for sure, but the gains are, like all manipulations, short-term. Over time, such tactics cost more money and increase stress for employee and employer alike, and eventually will become the main reason people show up for work every day. That’s not loyalty. That’s the employee version of repeat business. Loyalty among employees is when they turn down more money or benefits to continue working at the same company. Loyalty to a company trumps pay and benefits. And unless you’re an astronaut, it’s not the work we do that inspires us either. It’s the cause we come to work for. We don’t want to come to work to build a wall, we want to come to work to build a cathedral.

There’s a bit too much repetition in the book for my liking, and some of the stories in it can be questioned (for example, the advertisement supposedly placed by Shackleton is probably apocryphal).

But the book (like the TED video) has a tremendous potential to cause people to rethink their own personal ‘Why’. Without clarity on this inner motivation, we’re likely to end up merely going through the motions in activities. We might even seem, from outside, to have many achievements under our belts, but we will (to return to Stephen Covey’s analogy) have climbed a ladder leaning against the wrong wall, and we’ll lack the power to inspire the kind of action we truly want to see.

I’ll finish with a few thoughts on what I perceive as my own ‘Why’ – To enable the widespread radically beneficial application of technology:

Technology, deployed wisely, can do wonders to improve the everyday lives of humans everywhere. But technology also has the potential to do very serious damage to human well-being, via unintended disruptions to the environment and the economy, and by putting fearsome weapons in the hands of malcontents.

As a technology super-convergence accelerates over the next 10-20 years, with multiple hard-to-predict interactions, the potential will intensify, both for tremendously good outcomes, and for tremendously bad outcomes. We can’t be sure, but what’s at risk might be nothing less than the survival of humanity.

However, with the right action, by individuals and communities, we can instead witness the emergence of what could be called “super-humanity” – enabled by significant technological enhancements in fields such as synthetic biology, AI, nanotechnology, and clean energy. Progress in these fields will in turn be significantly impacted by developments in the Internet, cloud computing, wireless communications, and personal mobile devices – developments that will ideally result in strong positive collaboration.

The stakes are sky high. We’re all going to need lots of inner personal strength to steer events away from the looming technology super-crisis, towards the radically beneficial outcome that beckons. That’s a cause worthy of great attention. It’s a race that we can’t afford to lose.

29 December 2011

From hospital care to home care – the promise of Connected Health

Filed under: challenge, Connected Health, converged medicine, healthcare, mHealth, usability — David Wood @ 12:01 pm
  • At least one in four hospital patients would be better off being treated by NHS staff at home

That claim is reported on today’s BBC news website.  The article addresses an issue that is important from several viewpoints: social, financial, and personal:

NHS Confederation: Hospital-based care ‘must change’

The NHS in England must end the “hospital-or-bust” attitude to medical care, says the body representing health service trusts.

At least one in four patients would be better off being treated by NHS staff at home, figures suggest.

2012 will be a key year for the NHS as it tries to make £20bn in efficiency savings by 2015, according to the head of the NHS Confederation, Mike Farrar.

Ministers say modernising the NHS will safeguard its future.

Mr Farrar said: “Hospitals play a vital role but we do rely on them for some services which could be provided elsewhere.

“We should be concentrating on reducing hospital stays where this is right for patients, shifting resources into community services, raising standards of general practice, and promoting early intervention and self-care.

“There is a value-for-money argument for doing this, but it is not just about money and the public need to be told that – this is about building an NHS for the future.”

Mr Farrar said the required changes included treating frail people in their homes, and minimising hospital stays wherever possible.

Politicians and NHS leaders must show the public how these changes could improve care, rather than focusing on fears over the closure of hospital services, he added.

“Many of our hospitals know that the patients that they are treating in their beds on any given day could be treated better – with better outcomes for them and their families – if they were treated outside of hospitals in community or primary care,” he told BBC Radio 4’s Today programme.

Mr Farrar told Today that people had become used to “the hospital being a place of default” and that primary and community healthcare services had sometimes been under-funded.

But he said even where clinicians knew that better care could be provided outside of hospitals, and politicians accepted this privately, the public debate had not helped individuals understand that…

Some of the replies posted online are sceptical:

As a medical doctor based in hospitals, I believe this will not work logistically. Patients are sent to hospitals as they don’t get the specialist care in the community as the skills/services are inadequate/not in place. Patient attitudes must change as many come to a+e against GP advice as they don’t have confidence in community care…

As long as the selfish British public can’t be bothered looking after their own relatives and see hospitals as convenient granny-dumping centres, there is absolutely no way this would work.

There can not be a perfect solution. Not every family can care for a sick person full time, often due to them working. Hospital care may not be a perfect, yet in some cases it does free relatives to be able to work.  Outsourcing care too has a major downside, my wife has done that for years. 15 mins twice a day, can hardly be called acceptable if you apply some form of dignity to the patient.

I saw too many patients I nursed(often elderly or with pre-existing health conditions) kept in hospital too long because no one to care for them at home/wider community. This wasn’t great for them but also blocked an acute bed for someone else. In recent years the pendulum’s swung too far the other way: too many patients discharged without adequate support…

In summary: care in the community would be better in many, many cases, but it’s demanding and challenging:

  • There are social challenges: relatives struggle to put their own lives and careers on hold, to act as caregivers.
  • There are financial challenges: funding for medicine is often preferentially directed to large, centralised hospitals.
  • There are skills challenges: observation of complicated chronic health conditions is more easily carried out in the proximity of specialists.

However, the movement “from hospital care to home care” continues to gather steam – for good reason.  This was a major theme of the mHealth Summit I attended earlier this month in Washington DC.  I was particularly struck by a vision articulated by Rick Cnossen, director of worldwide health information technology at Intel:

In the next 10 years 50% of health care could be provided through the “brickless clinic,” be it the home, community, workplace or even car

As reported in the summary article by Kate Ackerman, “mHealth: Closing the Gap Between Promise and Adoption“:

Cnossen said the technology — such as mobile tools, telehealth, personal health records and social networking — already exists to make this possible. He said, “We have the technology. … It’s time to move out on it.”

Fellow speaker Hamadoun Toure, secretary general of the International Telecommunication Union took up the same theme:

Mobile phones will increase personal access to health information, mHealth and broadband technology will improve data collection and disease surveillance, patient monitoring will improve and become more prevalent, and remote consulting and diagnosis will be enhanced, thanks to low-cost devices.

“In the near future, more people will access the Internet through mobile devices than through fixed devices,” Toure said. “We are witnessing the fastest change in human history, and I believe (we have) a great opportunity for social development.”

Connected health technology enables better remote monitoring of personal medical data, earlier warnings of potential relapses, remote diagnostics, quicker access to technical information, better compliance with prescription regimes, and much, much more.

But Kate Ackerman raises the question,

So if the technology already exists and leaders from both the public and private sectors see the need, why has progress in mobile health been slow?

It’s an important question.  Intel’s Rick Cnossen gives his answer, as follows:

“The challenge is not a technology problem, it’s a business and a workflow problem.”

Cnossen said, “At the end of the day, mHealth is not about smartphones, gadgets or even apps. It’s about holistically driving transformation,” adding, “mHealth is about distributing care beyond clinics and hospitals and enabling new information-rich relationships between patients, clinicians and caregivers to drive better decisions and behaviors…”

He said health care clinicians can be resistant to change, adding, “We need to introduce technology into the way to do their business, not the other way around.”

Cnossen also said that payment reform is essential for “mHealth to survive and thrive.” He said, “We should not be fighting for reimbursement codes for each health device and app. That is ultimately a losing proposition. Instead, we must fight for payment reform to pay for value over volume, regardless of whether the care was provided in a bricks and mortar facility or was it at the home or virtually through electronic means.”

Personally, I would put the emphasis differently:

The challenge is not just a technology problem, it’s also a business and a workflow problem

Moreover, as the technology keeps on improving, it can often diminish the arguments that are raised against its adoption.  Improvements in quality, reliability, miniaturisation, and performance all make a difference.  Improvements in usability may make the biggest difference of all, as people find the experience in using the new technology to be increasingly reassuring.

I’ll finish by noting an excerpt from the keynote at the same conference by Kathleen Sebelius, Secretary, U.S. Department of Health and Human Services:

This is an incredible time to be having this conversation. When we talk about mobile health, we are talking about taking the biggest technology breakthrough of our time and using it to take on one of the greatest … challenges of our time. And while we have a way to go, we can already imagine a remarkable future in which control over your health is always within hand’s reach…

This future is not here yet, but it is within sight. And I look forward to working with you to achieve it.

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