Some facts and assertions about healthcare (particularly in the US) and then an outline of a change agent that could improve health, perhaps dramatically. And so, a system that’s organized around treatments and status, that misallocates time and effort, causing stress for practit … | Continue reading
The smartphone is the most expensive device most people own, and the one they use the most. Here’s everything you can’t have, can’t afford and won’t get, right here. Here’s everyone you want to have an argument with, one click away. Here is every piece of bad news we can imagine, … | Continue reading
Doing what? When we choose which job to apply for, what career to commit to, which business to start, it might be worth a moment (or a few moments) to get at the heart of what a day well spent produces. What’s it for? Here are a few to get you started: It’s hard to […] | Continue reading
Over the last 50 years, 167 different people have been part of the Saturday Night Live ensemble cast. Some of them went on to become comedy superstars, others lasted a less than a season and are fairly obscure in the cultural pantheon. But if you were tasked of creating an all-ti … | Continue reading
This is a complicated promise. It’s about commitment and connection and most of all, time. If we’re saying that we’ll do what’s in our short-term interest and convenient, then there’s really no reason to say anything at all, since that’s what we usually do anyway. Instead, we’re … | Continue reading
This is not a real word, but it’s useful nonetheless. When we default to doing what we did without examining our options, we’re ‘usualing.’ It’s a helpful way to save time, because we can’t re-examine every possible option or we’d never get out the door in the morning. We wear ou … | Continue reading
If you’re the client or the boss, it’s possible that someone is going to create creative work for you. Sooner or later, you’ll get something that doesn’t work. You might want to explain why it’s not good enough. Perhaps you can demonstrate how it doesn’t fit the genre or meet spe … | Continue reading
There’s a delay between the time something goes wrong and when we notice it. Sometimes, it can take years. Part of the art of project management is noticing things more quickly. And it helps to acknowledge that by the time we notice something, it’s probably too late to easily und … | Continue reading
What’s the best speed to drive? I was caught in a snowstorm the other day. Visibility was low, so I was going about 25 mph. Someone passed me on the highway, doing 30. Not 55 or 75, but fast enough to take a risk and pass the rest of traffic. Do that often enough and […] | Continue reading
Once life gets busy, it’s sort of inevitable that we begin to sort the work to be done. And the most natural sort is to focus on the urgent. After all, if that plate is about to break, it’s hard to watch it fall when you’ve decided to work on something less urgent instead. Which … | Continue reading
Of course you’re going to get wet, that’s part of the sport. And yet, only the hard core surfers show up in the rain. If your project is about making things better, organizing the disorganized, connecting the disconnected and building community, you shouldn’t wait until the condi … | Continue reading
It’s just a week until Valentine’s Day, a multi-billion dollar spending jamboree. As often happens, the people we depend on for much of it get the short end of the deal, but a little mindful planning can make a difference. The heart shape we associate with love came from leaves. … | Continue reading
This takes guts, and hustlers are afraid to do so. Thirty years ago, when the avalanche of email spam was on the horizon, I proposed that any commercial email should have a $ in the subject line. A simple way for email programs to filter it out if you’re not looking for it. Obvio … | Continue reading
I won’t walk away. I won’t ease any of the constraints. I won’t forgive. I won’t get a coach. It’s personal. I don’t want to talk about it. I will think about this often. I can add another problem just like this one. I can do this. Persistent perfect problems are a great way to [ … | Continue reading
Work on climate problems is actually about efficiency. It’s easier and cheaper to avoid sloppiness and side effects than it is to clean the mess up later. And energy sources that don’t burn become cheaper over time. The investment in getting started pays off in cost, health and o … | Continue reading
When there’s an overwhelming amount of incoming, it’s possible to bear down and simply get through it. 200 emails because of a product launch. A project goes viral and there are a lot of fires to put out. A deadline is imminent and it’s going to be a long night… But when the inco … | Continue reading
Half a canoe is worth less than no canoe at all. On the other hand, eating half a pear is much better than not having one. You might get 85% of the value from only part of the pear. Some projects only benefit us when they’re finished all the way. Knowing this in advance is […] | Continue reading
Every system, every bureaucracy and every organization creates boundaries. Sooner or later, we say, “I’d love to fix this, but I’m not in charge of that.” Perhaps, though, we’ve been conditioned to say this even when it’s not true. Because being in charge means being responsible, … | Continue reading
Complaining is a cultural phenomenon, but it’s particularly prevalent in societies with a consumer culture (the customer is always right) and those where comfort is coming to be expected. Given all the complaining we do (about the weather, leadership, products, service and variou … | Continue reading
Peter Drucker didn’t say “culture eats strategy for breakfast,” but reality rarely gets in the way of a good quote. But what does it mean? I think what ‘not Drucker’ meant was that MBA tactics will always be subverted by the power of systems, and that systems disguise themselves … | Continue reading
Nothing stays still. Relative to the rest of the world, even something that’s not moving is changing. It’s tempting to talk about not making fast enough progress. But it’s far more useful to ask which direction we’re progressing. Often, people will point to the velocity of the ch … | Continue reading
There are many ways to prioritize our time and focus, but the easiest and most vivid way is to do the urgent things first. If we wait until a house plant is sick before we take care of it, though, it’s too late. Deadlines, loud requests and last-minute interventions are crude for … | Continue reading
If you fail to show us the facts, it’s difficult to accept your analysis. While it’s tempting to simply share an interpretation of what’s happening, credibility and persuasion are based on showing your work. | Continue reading
Consulting firms rank brands on value. Marketers promise to increase it. But brand value has little to do with whether a company is famous or even profitable. The accurate measure of brand value is the premium that consumers will spend over the generic. What time, money or risk w … | Continue reading
The simplest way forward is to see which boxes your target market has and then check all of them. Unfortunately #1: The audience doesn’t publish their actual list of boxes, they conceal many of them. Unfortunately #2: They don’t all have the same boxes. Unfortunately #3: If it we … | Continue reading
In the ideal world, credentials would be awarded to all experts, and withdrawn from all charlatans. But they don’t always line up as neatly as that. An expert is someone who can keep a promise. Point to the results that demonstrate your skill and understanding and commitment and … | Continue reading
Twenty handwritten letters received by someone in power are worth a hundred times as much as two letters. And when that becomes a hundred different personal letters, increasing in volume, from different people, delivered to an organization every week for a year… it’s worth a mill … | Continue reading
“I don’t want to learn to be better,” is something we rarely admit. We don’t say: I don’t want to learn statistics, even though it will dramatically improve my decision making. I don’t want to learn a new programming language, even though it will get me a better job. I don’t want … | Continue reading
For generations, humans have been entrusting their lives to computers. Air Traffic Control, statistical analysis of bridge resilience, bar codes for drug delivery, even the way stop lights are controlled. But computers aren’t the same as the LLMs that run on them. Claude.ai is my … | Continue reading
The second worst is the unaware sort. The work doesn’t meet spec, and we don’t even realize it. The worst is uncaring. We know the work doesn’t meet spec, but we don’t bother to fix it. But there are other varieties, and some are worth seeking out: There’s the incompetence of cre … | Continue reading
Selfish is easy. Short term is easy. Complacent is easy. Turning our head and ignoring the problem is easy. Going along to get along is easy. But easy isn’t the point. Better is. Challenging the status quo is difficult, and worth it. Happy Birthday. | Continue reading
Learning is a journey of incompetence. First, we realize that there’s something we don’t know. Then we see that we’re going to be better at it, and we’re not good at it yet. Then we figure it out and we’ve succeeded. Repeat. When we pre-process the information and simply test peo … | Continue reading
The experience of the now is often more vivid than a distant memory. As a result, we can make decisions in the future without enough regard for how we felt the last time we were in a similar situation. Here’s a simple hack that can inform your decisions… You know someone who rece … | Continue reading
Freedom is something we desire. The freedom to choose, to speak up, to produce, to follow our passions and our dreams. And organizations in search of efficiency, shortcuts or profits often argue for freedom as well. The freedom to organize their production and to go to market wit … | Continue reading
Process is the investment we make in inefficiency now to prevent errors from costing us later. Jet airlines are the safest form of travel ever created, largely because of the inefficient process that we put in place. They’re over tested and over staffed, with checklists and feedb … | Continue reading
The cult of consulting suggests that if you simply had better advice from someone who knew more than you, your problems could be solved. Generally, the advice isn’t really the hard part. There’s endless good advice just a click away. The art is in creating the conditions for peop … | Continue reading
Annoyance is the inflammation that occurs after a mild emotional injury or wound. Like a physical inflammation, if it’s not cared for it can become infected. The difference is that an annoyance is easier for us to control. We can invest the energy to build a habit about what we d … | Continue reading
Decisions are easy, choices are hard. A good decision is our best analysis of the facts, options and risks. If it’s too close to call, flip a coin, because it’s too close to call. On the other hand, a choice involves understanding our priorities, evaluating our preference for ris … | Continue reading
Every successful SNL sketch, every bestselling book, every landslide-winning candidate… every single one… had skeptics. Someone in the writer’s room, or on the editorial board or even an investor looked at what was on offer and said, “no.” Not just, “I’m sorry, this doesn’t match … | Continue reading
Almost all car crashes would be avoided if the driver were just going a bit slower. (That’s why it’s more accurate to call them “crashes” and not “accidents.”) That doesn’t mean we shouldn’t have bold plans. That’s essential. It’s the last-second shortcuts that get us into troubl … | Continue reading
Sheep are not like ideas. 200 years ago, William Foster Lloyd began pointing out that if land is shared, ranchers will all have an incentive to overgraze their sheep–if they don’t, the thinking goes, the others will. Each farmer expands until the commons is ruined. And this justi … | Continue reading
It costs more than you think. Last month, I hit the old stock on the Avery labels in my office cabinet. I had a bunch of things to send out, and off they went. It turns out, who knew, that old labels stop sticking. It’s entirely possible some of my really important packages never … | Continue reading
Money is a story. But money is also an exchangeable commodity, valued by different people in different ways. And time is the wildcard. Situational spending is a trap that seduces us into forgetting that time passes and debt (or assets) remain. A couple about to wed might not hesi … | Continue reading
When I made breakfast this morning, I didn’t begin by making the blender. Someone else, a team with more skills, resources and scale, built the blender. I simply bought it. That seems obvious–no one expects a from-scratch baker to make their own baking powder. And yet, our projec … | Continue reading
An artifact is an object that holds or signifies an idea. A book on paper is an artifact: it’s the object plus the words. Now that you can get the words in many other ways, the value of the book is changed. A wedding ring is an artifact. If lost, it has sentimental value far […] | Continue reading
Situations have no solution, they’re not problems, they’re simply the way it is. Problems are distinguished by the fact that they have solutions. But that doesn’t mean that the solution is obvious, easy or convenient. If the problem is important enough, we should pick the best av … | Continue reading
We all make mistakes. We all do things that we then realize weren’t in our interest, or useful to the community. If we do it a second time, it’s worth taking a hard look at the system that set us up for failure. How did the system get here? Who benefits? When we can see […] | Continue reading
That’s the first question. The second question is, “how do we make it work better?” These two questions, patiently repeated, lead to incremental improvement and an understanding of reality. The opposite approach is, “because I said so.” Reality might not care what you want. | Continue reading