Scalability and Efficiency by… De-Centralisation

A somewhat contraversial thought in recent times, but one that I think has merit and perhaps will see a resurgence as much human brain power is expended trying to understand the recent Brexit vote in the UK. People are beginning to understand that massive scale completely centralised systems actually don’t work – primarily, it seems, because they reach a scale where nobody actually cares about them! Now IMHO a centralised system can work, if it is sufficiently introspective – taking time to celebrate its efficiencies and understand and work on its failures, but the notion of centralisation does tend to work in the opposite direction.

Economy-of-Scale vs Economy-of-Flow

Critical Care in Motorcycle Racing

http://intensivecarenetwork.com/motorbike-mayhem-hinds/

http://emcrit.org/wee/cricolol/

https://twitter.com/DocJohnHinds

emcrit.org/podcasts/trauma-thoughts-john-hinds/

http://www.trauma.org/index.php/main/article/657/

“Cases from the Races” – presentation by Doctor John Hinds (R.I.P.) on critical care in motorcycle racing, with some unconventional interventions that work for his team in ultra-rapid response situations.

José Mujica on the Concept of Freedom

An interview with the President of Uruaguay who has legalised (via a strictly regulated system) use, limited possession and production of marijuana. Ignoring the underlying topic, there is much potential for discussion around the concept of freedom, the implementation of public policy (‘walk slowly’) and an example of a method of regulating a pre-existing (albeit underground / previously illegal) industry.

What is your conception of freedom?

If i have to take a drug in order to be free, I’m screwed. Freedom is here [taps his head]. Otherwise it doesn’t exist. You can’t buy freedom in little jars. That’s a brutal dependency. Then again I’m old… maybe my outlook on life is old fashioned.

José Mujica, President of Uruaguay, 2014