This weekend I saw a number of news items that caused me to think more about the role of the corporatization of health. It is clear to me that there is a a group of people who don't want us to be healthy and who are invested in our being ill. If I am right what can we do?
In this post I make a case for the problem and I offer up a way of dealing with it.
Breast Cancer and the BRCA1 Gene
First of all, if you wish to test for the Breast Cancer Gene that affects abiut 10% of women but also drives a very high chance of getting Breast Cancer, you will have to have at least $4,000. For this test and the gene are subject to copyright! Link Here
"Unlike routine tests for diabetes or high cholesterol, however, the BRCA gene evaluation — performed by only one company in the United States, Myriad Genetics — is phenomenally expensive, with a “list price” close to $4,000 when a related genomic-rearrangement test is included in the analysis, which oncologists typically recommend."
If you go to 23andme you can get a whole range of gene tests for $99! Testing for genes is no longer expensive. But if you have the copyright and you have a gene and a test that is rooted in a killer problem, then you can charge what you want. What a business!
C Difficile and Fecal Transplants
C Difficile is a major cause of death now. It is caused by a failure of our gut health. Poor diet and the use of antibiotics can kill off the good bacteria leaving us exposed to the bad. THE way of curing this is very simple and works in less than 2 days. It costs almost nothing. It is called a "Fecal Transplant". And yes it is just that. Good poo from a person with a healthy gut is given to the sick person via an enema. Think Blood Transfusion.
There is next to no risk. The patient is often at death's door and time is critical. But now the FDA want to regulate this. Not by setting a standard that any practitioner can get ready to apply but by demanding a lengthy application for a licence to experiment on a human. More at this link here at Wired.
This can be a death sentence if there is no time. I have to ask why? I can only think that the FDA are against treatments that cannot be monetized by their supporters.
The FDA is always quick to step in when there is a non corporate idea.
Alzheimers and Vitamin B
Alzheimers could become the most expensive disease out there as many boomers get it. Of course the real costs are social. Sufferers demand such a high level of care. Big Pharma have been trying for ages to find THE drug and have failed. We are starting to understand though that Alzheimers is a lifestyle disease. It is avoidable. The pathway is diet again.
High levels of Vitamin B preserve brain power and size. More at this link
"Older people’s brains shrink about 0.5 percent a year from the age of 60, and faster in people with vitamin B12 deficiency, mild cognitive impairment or Alzheimer’s disease, Smith said. If that pace can be significantly slowed before full-blown Alzheimer’s develops, it may delay the disease’s progression so that older people can enjoy better lives until they die from another cause.
“If you delay the onset by five years, you can halve the number of people dying from it,” says Jess Smith, a research communications officer at the Alzheimer’s Society, a U.K. charity."
So here is the Big Pharma issue. More research has to be done. But in today's research climate, unless there is a blockbuster pill that can be copyrighted, there is no money. Research into real health does not get funded.
“We need bigger studies and more evidence that looks at what homocysteine is doing and what is actually going on in the brain.”
A. David Smith agrees. He plans a study of B vitamins in 1,200 people over 70 with MCI and elevated homocysteine. He needs 6 million pounds ($9.1 million) to pay for it. Miller plans another large study and wants to see if folic acid in flour in the U.S. leads to different results there. Meanwhile, the lack of blockbuster-drug potential presents funding hurdles.
“The pharmaceutical companies aren’t going to make any money on this and the supplement companies aren’t going to have enough money to do it,” Miller said. “This would have to be government-funded. I’m just not sure the climate is right for it now.”
The good news is that the American Gut Health project has shown us that we can crowd fund this kind of research. I have sent my poo in already! I also participate in the D Action Study to study the impact of Vitamin D. I am going to apply to test my genes at 23andme. I want to check out my ancestry which is a major factor in health risk.
I think that my health is up to me. I do my own research. I help others do theirs. I take action. We can all do this can't we?
"Mr. Gill owes about $45,000 in federal student loans, plus another $40,000 to his parents. That investment in his future has led to a secure job with decent pay and good benefits. But it has left him with tremendous financial constraints, as he faces chipping away at the debt for years on end.
The Federal Reserve Bank of New York, in a new study, found that 30-year-olds with student loans were now less likely to have debts like home mortgages than 30-year-olds without student loans — even though most of those with student loans are better educated and can expect to earn more money over their lifetimes. The same pattern holds true for 25-year-olds and car loans.
This is surely a different start than any modern generation has had before? Can you buy a car? Can you own a home? Can you afford to have children? What does it mean for how you live your life?
Is this why so many young don't and have to find another way?
Is this why car sharing has to be a new reality? Is this why renting will become so important? Is this why owning stuff will have to be less important? Is this why in the UK so many 30 plus year olds still live with their parents?
Isn't our economy and our culture is centred on owning stuff. It has been since the dawn of agriculture. But the Millennials cannot own stuff. A whole generation will grow into middle age with few assets that they "Own".
A marker of this is car sales. Cars sales have dropped in Europe for 18 months in a row. Car sales are down 10% in Europe and 17% in Germany! Demand also sank in other major continental markets, falling 14.5% in France, 13.9% in Spain and 4.9% in Italy. The UK was the only major bright spot for car makers, with sales up 5.9%.
What does this mean to an economy that is based on selling more and more stuff?
What will this mean to marriage and family? At the moment single people and single parents are at an all time high. Can a person survive as a single in this kind of world where sharing may be the only way to have what we need?
We cannot know how this will be in any detail. But this is will be very different from any generation for 10,000 years.
It could mean the re-emergence of a society that is based on sharing and on the tribe. We used to live like this. Huans lived like this for all time - Except the last 10,000 years after the dawn of agriculture.
What is the economy that will give us all hope - real hope that we can have a good life? I think that it is what I call the Networked Artisan. This is a person who makes things by their own hands but uses often the new tools to do this and the network to connect and sell to a community that can be next door or across the way.
It can be a micro farmer like Amy and Verena at Heart Beet Organics on PEI who operate a 2 acre farm using large greenhouses to produce veggies 10 months of the year.
As part of the pattern for all Networked Artisans, they sell direct to customers and create close personal relationships with them. Farmers markets grew by 17% last year. Food will be at the core of this new personal movement. Trust is at the heart of it.
In the UK there are web hubs springing up that make it easier and easier for customers to become part of this.
Are you a knitter? There are 3 million knitters in an online community called Ravelry. Here they compare projects, help each other and sell things to each other. It is a vast tribe of knitters.
Underneath all of this is a new market. This is the market of the people who no longer trust the corporate offering. They know that they lose control and that they are often lied to. This is why food is a wedge. For as people learn how the processed diet is so bad for them AND how they have been misled as to its safety, they seek food that they can trust.
How big is this market?
2.5% of a population are the Innovators who jump in early. In America that is about 8 million people.
13.5% are the Early Adopters - that is about another 40 million.
So nearly 50 million people are ready for this kind of offering. That is a huge market for a small artisan. A market that the Big Corporates cannot reach and compete in any more. They will be excluded over time.
Meanwhile, all the technology that is taking away the jobs in that sector, is helping the New Artisan. You have rock bottom communication costs. You have top flight tools. Want an ecommerce tool - Woo Commerce. Want CRM - Paupress. Want to publish a book - pressbooks. Want make a prototype - 3D printers. Each year, the tools get better and cheaper.
And most importantly as we see in Ravelry and Big Barn, we see the online aggregators getting better. You have an appartment - Airbnb. You make fountain pens - Etsy.
Soon every commnity will have such a site. It will get easier and easier to become part of this.
The future is here now. The empowered person in the empowering network of people who want trust and meaning back in their lives.
So what do you do?
My first book - You Don't Need a Job - explores this shift in detail. If you want to know more abouyt what is going on and how to become part of this, then please give it a whirl.
On this day, April 9th, 1917 the Canadian Corps captured Vimy Ridge and changed how war was fought in WWI. Their story is not only important in purely historic terms (this was Canada's Waterloo - Gettysburg - Gallipoli) but how they did this has lessons for all today who wish to make their organization more like a network and less like a machine.
How do organizations make sense of the new networked world? The same problems faced generals in WWI. How were they to make sense of industrial warfare? The Canadian Corps solved this problem in 1917 at Vimy. The lessons learned of how they did this apply today. Here we discover the essence of what they did and how to apply this to our own time.
In honour of the men of 1917 and to help us understand how to create the culture to create a truly human organization, I have written a very short book that offers you a step by step acccount of how this was done back then. The times are different but the problem of how to get away from Command and Control remains. The lessons from Vimy are here to be learned all over gain.
My new book - You Don't Need Medicine to get Healthy is now available on Amazon for Kindle. - You can get it here.
70% of chronic illness is driven by how we live: by what we eat, by how we use our bodies and by our social world. In writing this book I have gone to all the experts in all of these fields and I have synthesised their knowledge into one practical manual for living.
We are designed to live out a healthy, active and participatory life. Provided we live close to our own design. In the book I show you why this statement is true.
The book is a personal manual for taking practical charge. You can go as far as you wish but there are simple steps that any of us can start with. I, an old fart, have managed to go a long way and I am sure you can too.
I wanted to show you more though than a diet or an activity plan. I have done my best to bring all the factors for our health into view so that you can see how they all help each other. I have also gone deeply into the science here, so that you can see why this book is not just another self help book.
I wanted to help you take control at a time when medicine has not been successful at preventing you from becoming ill and at a time when the safety net is being reduced as we all age.
I wanted to help us all reduce the immense direct and indirect costs of being ill. In Canada, the average man is disabled by chronic illness by 65 and lives another 10 years. Think of what this means to you as his family? In America health care costs are beyond the reach of any family and a bad diagnosis is often a step to bankruptcy.
Our health is truly in our own hands. When we can accept this, then we change the world that we live in today. This is the greatest step for true freedom that any of us can take today. This is how each of us become the core of any resilient community.
I hope you enjoy the book and I hope that it will help you.
The wonderful Hugh McLeod does it again and shows one side of the story that many people will respond to because it's true. It is easier to work at an office than to work at home with the kids close by.
MM's desire is to get her staff to work better together. She fears that when so many are not face to face, that they cannot. I think that she is partly right here but also wrong.
In this post I am not going to knock her. I deeply sympathazie. I am going to offer an exciting work out for her real problem. And a workout for any who wish to have a successful workforce in the future.
We do need lots of time face to face to get really close. But the office culture does not accomplish this - as it is today.
At the office you are encouraged to leave every part of you outside that is not part of the task at hand. You are mainly in your cubicle with your head down and your earphones on. You attend endless pointless meetings that are all about control and status - not yours. You are stressed by the gap that opens up between this world and your other life. The Cable guy is a reality. Your kids in daycare are a reality. Your commute is a reality. The fact that you have to have a more expensive house, is a reality. The fact that you have to dress for work and eat outside for work is a reality.
You are not fully present at the office.
Nor do you know your colleagues that well. You don't share their lives. You have few opportunities to hang out. Most people eat at their desk alone and spend less than 20 minutes doing this. You may be in teams. But you were ordered to be in this team. You owe nothing to the others in the team. It is like softball at kindergarten. You don't know your boss either - who spends so much of her time reminding you that she is your boss. You often know more than she does too!
How the office is set up as a culture - as factory with you doing piece work with a foreman - is not the setting for collaboration.
But, because most organizations spend no time, thought or effort on culture, working at home can be no better.
Most people who work at home have had no experience in not being a supervised factory worker. This all starts at school where the teacher sets the schedule and the work. If you have worked in an office, you have been cultured to work like this too. I am sure that MM is correct in her observation that many of her home workers are not very productive.
But this is not their fault. It is the culture.
Real freelancers are measured and valued by results. They are hired to pull something off. How they do it, is their business not the client's. But home workers in a traditional organization are measured on how much effort they put in, in time and in the how. They are in effect still in a factory culture.
The issue for Yahoo and others is not who works at home or not but culture. That is the CEO's job.
You cannot have collaboration or innovation from domesticated pets. They have to act out because they have been made into small children.
Wolves are free and are collaborators who innovate all the time. They are wild. They are not domesticated. They live or die by their wits and their ability to work together and innovate and learn.
They also hang out all the time with each other. They know everything about each other.
Real Freelancers do this too. They hire each other for gigs. They hang out on Twitter and Facebook with each other all day and night. They visit each other. They fly across the world to spend days, night, weeks and even months with each other. They don't do 9 - 5 and run.
If they get no work, they starve. If they do bad work, they starve.
The alpha in a project is the one who got the gig. Or the one who knows the most for that gig. There is a hierarchy but it is a real one. There is one at the bottom too. And he or she is there to learn. In time they grow to be core members or leaders in their own gigs.
The pack goes hunting. The gig is the prize. The pack feeds on the gig.
The pack get gigs because they do a good job. They give the client the result that the client wants They are not hired to spend time or to fit into a work protocol. They are hired to get hard things done in a set time.
So if I was MM I would do this.
I would start to move Yahoo's culture in this direction. I would set up an inner core that had responsibility for key results and fucntions. Some I would keep inside traditionally - you don't outsource your core processing etc. But all other work I would shift to networks. At the core of each would be a set of Facilitators. They would surround themselves with circles of packs of freelancers. There would be a gradient. The inner circle would get work most of the time. As the rings moved out to the periphery, less. But the core would keep a close eye on the edge for that will be where the novel will emerge.
The packs/teams would self organize. Yahoo would not set them up. They would hire on the basis of the task and the capability. It would be up to the team leader to hire the team. She would pay them from the contract.
Yahoo would set up the world's best closed social network so all can be in constant ouch with each other. Skype have open screens in all their offices. A person in Redmond can look up and talk to a co worker in Estonia as if she was next to him. The entire network would be able to talk to each other and help with problems. The full power of the full crowd would be available.
Periodically Yahoo would organize and pay for face to face events that would last for several days and nights where many teams would get together and hang out. Just as tribes used to do. These would mainly be powows where partying and doing fun things with each other would be central. Alcohol, dancing and food would be vital. People will get layed.
The point is to build real relationships in face time to lubricate the virtual.
The cost of this would be payed from the fact that Yahoo's office costs would be cut by millions. So would their salary and benefit costs.
But they also would set up a Yahoo Freelancer health insurance plan that would give their freelancers access to a group. They do as much to empower the group as possible.
Yahoo then will have to do that most vital of things. Yahoo have to know what it is that they want to do. Process no longer needs to be measured. Results have to be measured.With an online workforce this is easy to do.
The core inner circle skill will be facilitation and project scoping. The core executive skill will be in keeping ther network healthy and in noticing important movement that will show them where to focus on next. They will have to be skilled Hackers!
Now Yahoo have a Darwinian ecology of a workforce. Talent rises to the top naturally. Good new teams enter naturally. Now Yahoo can hire from a pool of 7 billion people. This would be exciting and worthy of a turn around.
So why not? What do you have to lose?
PS In my old life I was SVP HR for a company with 45,000 employees whwre my focus was culture and for the last 20 years have been writing about the network - my book You Don't Need a Job: The Rise of the Network is here.
I have been posting a lot recently about how networks work. My new book is all about why and how the Network model will take down all those that organize traditionally. So what to do?
You have a traditional organization. Can you change to become a network and so survive the revolution? I think in most cases the answer is no. But with the right leadership - FROM THE TOP - you can do it. This post is about the context of one organization that had had the right leadership and has made this transition.
TV as we know it is the typical traditional organization. You watch what we think is good when we choose and all you do is watch. Appointment media like that is dying. But The Nine Network of Public Media in St Louis is no longer that kind of station. Yes they still do TV but the choice is massive and you can watch it all on your terms and you can also participate. But this is still nothing.
The Nine Network is much more than a TV station that has taken advantage of the digital realm. It is doing more.
First of all it is becoming the local community convenor to deal with important local issues. It started by helping people tell their own stories such as what they did in the war. The breakthrough project was when Nine took on ther Mortgage Crisis at the outset. It called the meeting of all who could help and created the space to help the community help itself. This was so successful that CPB funded a national program where stations, radio and TV, in the worst hit parts of America became the local facilitator of the community. Now Nine is involved in Education and Healthcare. Many other stations see this role as Connector as their future too. Here is Ideastream in Cleveland - another leader.
Secondly it is putting the public into Public TV. It has a school that teaches the public how to tell stories on video.
Thirdly it is connected to the St Louis Public Radio station. St Louis Public Radio. The two stations are physically linked in adajacent buildings and are building a Commons between them to enhance their role as Connectors of the Community.
Fourthly, 9 hosts the local online newspaper - The Beacon - that is full of journalists who could no longer work for a paper!
These local relationships are not one organization but are a real network. They are separate but together. They share resources. They look after each other.
So what was the context for this change? First of all there was the leadership issue. Jack Galamiche at then KETC was a man who saw what had to be done. Tim Eby, who had been chair of NPR, was the new leader at St Louis Public radio. He had sponosored the project that had all the stations in the NPR system look into the digital future. It is my experience that without the right kind of leadership at the top, traditional organizations have no chance.
The second was having the right kind of context. What would success look like? What could be the goal and so what then was the work to get there.
This was the context that we worked from. I think that any traditional organization can look at these slides and find a goal and so a path for themselves - provided that the leader wanted to do this AND could bring their board along too.
You will see that at the heart of this work is a shift in culture. There is no harder work. You will also see how, if you can agree to make this shift, how you then schedule work to help you make the transition. For we cannot change our culture by an act of will. We can only acquire new habits. We have to work our way into the new.
This is what the hub looks like. Each member of the guild supports the other. It is the opposite of a monoculture. And applies to human natural networks too.
This is what happens as you learned to speak. You copied sounds. You heard patterns. You started to make connections. When you had made enough connections - you could speak in complex terms. This is fractal design that applies to all living systems. It will apply to human networks. How we set up the environment to achieve this transition will be the new organizational skill
So if you cannot get a job or you have lost one or you fear that you will lose one: what is your future?
I think it is this. The new economy that is emerging out of the ashes of the Job is a return to the Artisan with a difference. This time the Artisan is embedded in a network that leverages the value.
The new economy will not use the rules of the old but the rules of the network. It will not all be about programmers. But about "Makers" and a lot of what will be made will be food. For a new food system will replace the factory food system too. Here is why I think this to be true
In my book, You Don't Need a Job - I explore this is detail. Here is how I see this new world. It is already here - if you look carefully.
Online Global Connecting Trust Platforms
In 1910, Henry Ford opened a new factory at Highland Park. Here were found all the rules that were to make mass production possible in one place. If you had visited Highland Park in 1912, you would have seen the future in working form.
'Highland Parks' exist today. The new Highland Parks are the online connecting trust platforms. They enable global free scaling. If we look at them carefully, we can see the future.
You can easily see this kind of global online connecting trust platform in the craft sector. Community sites like Etsy and Ravelry are enabling millions of people in the craft and knitting worlds to make a living. Who would have thought that a young mother in a rural village in the UK could make a living selling knitting patterns and wool, but many do now.
Trust is built into these systems, they are not mere shopfronts. They enable the old village market, with all its social aspects, to exist globally. These systems enable the Artisan or Pioneer to link up with the Pragmatic and Nurturing archetypes in a systemic way.
Let’s see how they work in more detail.
The Human “Network Effect”: Mutual Benefit, More Trust and Freedom
Connecting trust platforms are emerging all over the place that give us all the benefit of the network effect. In a true network, all the members get more value as the network grows. While there are transactions, the big payoff is more trust. While each member has to fit into the protocols, the result is more personal freedom.
Lets’s start with growing mutual benefit for all. For instance, many people are putting their apartments up for rent on connecting trust platforms like Airbnb. This way you can get some additional income for your place and I can also find a good place to stay when I travel. I rent an Airbnb place 100 yards from where my son lives in Montreal when I visit him at a third of the cost of a cheap hotel room. The apartment is a real home. The owner has a name and cares what happens. She wins and I win. She reduces the costs of her home, I reduce the costs of my travel and I get to see my grandson more because it costs less and is more convenient. How can a budget hotel compete with this?
It’s all About Trust.
As each of us uses Airbnb, the trust grows. It grows locally between renters and owners who meet each other and get to know each other and it grows system wide. As behaving well becomes the new norm, it enters the social immune system of all parties. It is in everyone’s interest to deal with free riders. As trust grows in total, so does the scaling of the system. It is a positive cycle.
Airbnb makes its money by taxing the total system. The more the system grows, the better all do. So every member including the host is aligned.
The Human Network Effect: The Tighter the Protocols, the More Freedom
The high status in the ‘New World’ will be those who are free of ownership. This brings more personal freedom, for in reality, many of the chains we wear come from our attachment to things and to stuff.
Owning things is a legacy of the ancient age, when your clothes, your horse, and your castle proclaimed your status. What we missed is that the more debt we have and the more we are encumbered by our possessions, the more a slave we become. And by slave I mean a person who has little or no control in their lives. A person who has to fit into the old system.
What Could be More Symbolic of this Attachment than Our Cars?
What we have missed is that we don’t really need a car, we really need the service of a car. The car is perhaps the most important status symbol of the industrial world. In Toronto, it costs $9,000 a year, fully depreciated, to own a car. It costs, on average, another $4,000 to park it. You have to earn $22,000 gross for the privilege. There is, however, a network alternative that is growing in power. Car sharing in Toronto can be for an hour, a week or more.; it is priced by time. You can car share like this.
Even bike-sharing in Montreal and London have become the new normal. Platforms like these will grow up in every part of our lives where we gain a networked cost of the service.
The Human Network Effect: More Innovation
When you participate in a connecting trust platform you will also get progressively smarter. Remember that optimal learning comes from high trust environments that allow for many patterns or experiences to emerge.
While the old industrial model fights for more copyright, the human network offers most ideas for free using the open source model. What this means in practice is that new technology is available to the individual at a very low cost. We all share in the human network effect again.
The best open source systems are rooted in connecting trust platforms that facilitate sharing and that create the network effect for members. Such platforms also create better quality products and services. Open source is a Darwinian process where the good replaces the less good and where thousands work at this process of improvement.
Wordpress is a great example of such a connecting trust platform. The 3D printing world is coalescing around connecting trust platforms. Wikipedia is a connecting trust platform, as are MOOCs. (MOOC’s or Massive Online Open Courses are exploding as universities attempt to find an online alternative to the classroom).
The human network world will be a place where ideas grow more quickly, better and cheaper than in the old machine world. The old will hang onto their desire to control and, in doing so, become progressively more stupid and thus more vulnerable.
The Human Network Effect: It Will Cost Almost Nothing to Operate an Enterprise
You will have access to connecting trust platforms of tools that will enable you to compete directly with large corporations.
Back in 1880, we all owned our own tools. With the advent of industrialization and the mass market, however, tools got bigger and became too costly for the individual. Now technology is making most tools affordable for the individual again. In film, any person can afford an editing suite that only ten years ago would have been the preserve of a studio. Coming soon with 3D printing, it will be possible even to custom make manufactured goods as well. I see the day when even cars are made locally using open source designs and 3D printing.
These tools become even more empowering when they are connected to a platform. Between 40 percent and 60 percent of the costs of most organization are overhead. The most affected are companies with 20 to 50 employees. Most of the costs of running a business can simply go away if you choose to use these new work platforms.
Ideally, your organization should have no central office or offices. With the “Cloud” and the many tools that are supported in the cloud, all your core support processes can be virtual. We are moving quickly from a design where each of us keep our data and our applications locally. With the Cloud, all data and all applications can be shared beyond the node. Soon our local devices will pull down only what we need when we need it. The costs of having great tools and of massive amounts of storage are dropping to close to zero.
This trend for more network value is also true for staffing. Here is a link to the hiring page for Automattic, the organization that runs WordPress. See how they fit this new world and how different it is from an old organization.
In such a world, most of the meetings fade away, as the work is fully open and transparent. People can comment as things come up and much of the friction goes away.
Ideally your organization should only have a tiny core that is fully employed. In reality, all business has its ups and downs and a large, fixed overhead takes away your freedom and pushes you off mission.
Skilled workers can have more than one employer and are therefore safer too.
Employers can hire from the global pool and thus have access to the best people. Workers can choose to live where they want and have the best living choices. We are seeing the beginning of a move away from high cost large cities as a result.
We will no longer have to base a company in a big city, it can be anywhere. As a result the costs of a big city life can be reduced.
I will cover this in much more detail in You Don’t Need an Office.
The Human Network Effect: You Will Need the Banks Much Less
We are seeing a return to the classic rules of credit, where investors have a real connection and a stake in the deal. Connecting trust platforms extend the reach and make this kind of deal easy.
Much of the power of banks, and most of their costs to us, will go away in the network world.
For here the core of the idea of capital will not be financial capital, but social capital. The more trust you have, the bigger the network you have and thus the more you will be financed directly by your customers and other members who share your network.
We see the early evidence of this in the new financing connected trust platforms such as Kickstarter and Indiegogo. (My Dummies guide here)
The best deals here are where the borrower has a name and a cause and a product or a service that fits the needs of the members. The borrower, in effect, pre-sells to the market who are tied to her directly.
We see this in the new local food system, where farmers sell direct early in the season to buyers who will take delivery at harvest. This is called community supported agriculture.
We see this in community equity financings where the regulations confine the deal to parties who live in the same place.
Again, these systems are all based on finding trust again.
The Human Network Effect: Will Lower the Costs of Education and Health
Today, higher education and healthcare are the two most expensive services that we buy. Most of these costs will go away. You will also get better outcomes.
The cost of secondary education has grown faster than any other part of life. It has grown even faster, and by more, than healthcare. Student debt is now a bigger weight on the young than the mortgage bubble was on their parents.
Few things keep aspiring young people more in thrall than the burden of university. Few services have declined as much in quality than the learning experience provided by universities.
All this is changing.
In the next 10 years, educating yourself will become a new norm for many people. In education, we see the Khan Academy emerging as paradigm changing force. Many of the leading universities are putting their courses online.
Soon we will see even the ‘course’, with one teacher, shift to a tutorial model where the expert and the students engage in a conversation. This is a model where all learn from the emergent properties of conversation and where it will be our reputation that emerges as our credential.
The academic credential is like the job, an artifact of the industrial system. It is a convenient symbol of attainment.
Already, in the software world, employers hire on reputation. If you live in the Drupal world, you know the social hierarchy. You know who the players are. You know who is good or not. New entrants have to prove themselves in this ecology. As more of us live and work in networks, our reputation will become more important than any CV. It will be when others who are trusted say that you can do the work that you will get the work.
Learning will return to being a personal activity. The long death of machine education will open up a huge opportunity for those that really do want to teach and learn. Reputation and real knowledge will replace the credential. Connecting trust platforms for learning will emerge as they are for business.
It’s the same in health.
Many of us live in big cities because that is where the healthcare services are concentrated. Many of us pay enormous sums to access healthcare. This burden will go away.
A new, networked community health model is emerging where we help each other eat and live in a more healthy way. Much of this is connected to the new food system.
It will be the advent of the right kind of connecting trust platforms that will tip this idea into the new health reality.
I will cover these two areas in much more detail when I release You Don’t Need Medicine to Be Healthy in March and You Don't Need a School to Get an Education in the summer of 2013.
My best advice right now? Stop seeing the job as your future or the lack of a job as a bad thing. You can take charge of your life. Tomorrow, I will post about what you can do to take those first steps toward being free.
Projects Powered by Podio I am working with Christ Church Cathedral Choir - Grace Church to set up a Virtual Choir School - The team is all over the world and we use Podio to do our work
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