Entrepreneurship

CRS-8 Dragon: Hosted Webcast

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It’s steps like this that move the space program forward. Notice this wasn’t done by NASA or ULA or the ESA. It was done by a private company that didn’t exist 15 years ago. 37 minutes, including the launch, recovery of the 1st stage, and deployment of the Dragon capsule.

BTW, very cool to me that Spacex did not require the help of a traditional media company for any of this. And it’s actually much better than anything they typically produce. In addition, the people in this video are in the Hawthorne, California, SpaceX facility where these rockets are designed and produced. They designed and built this rocket. And they’re watching it perform almost real time. How amazing is that?

One of the early developmental tests:    GRASSHOPPER 325M HOP | SINGLE CAMERA (HEXACOPTER)

TechnoProletarians?

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Here’s a story about some Silicon Valley tech workers  protesting outside a Hillary Clinton event  co-hosted by a venture capitalist and George Clooney.  One might expect that these people are protesting Clinton because their political preferences lean toward the Libertarian or Conservative side.  But then, one would be wrong.

They are mostly Sanders supporters.  And they feel oppressed by the industry that they are in, and especially by the VCs who fund the companies where they work. Here’s the complaint of a 26-year-old software engineer:

“They sell you a dream at startups the ping-pong, the perks so they can pull 80 hours out of you. But in reality the venture capitalists control all the capital, all the labor, and all the decisions, so yeah, it feels great protesting one.”

“Tech workers are workers, no matter how much money they make,” said another guy, this one a PhD student at Berkeley.

Now, one’s first instinct when reading this story–at least my first instinct–is to feel contempt for these whiners.  Most of them are far better off financially than the average American, even after adjusting for the extremely high costs of living in the Bay area.  And no one forced any of them to work at startups, where the pressures are well-known to be extreme.  They could have chosen IT jobs at banks or retailers or manufacturing companies or government agencies in any of a considerable number of cities.

Looked at from a broader perspective, though, the story reminded me of something Peter Drucker wrote almost 50 years ago:

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The Doctor Shortage revisited.

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33 - Lister

I have previously written posts about a coming doctor shortage.

They assume that primary care will be delivered by nurse practitioners and physician assistants. They are probably correct as we see with the new Wal Mart primary care clinics.

The company has opened five primary care locations in South Carolina and Texas, and plans to open a sixth clinic in Palestine, Tex., on Friday and another six by the end of the year. The clinics, it says, can offer a broader range of services, like chronic disease management, than the 100 or so acute care clinics leased by hospital operators at Walmarts across the country. Unlike CVS or Walgreens, which also offer some similar services, or Costco, which offers eye care, Walmart is marketing itself as a primary medical provider.

This is all well and good. What happens when a patient comes in with a serious condition ?

The health policy “experts” have been concerned to train “lesser licensed practitioners” and have pretty much ignored primary care MDs except to burden them with clumsy electronic medical record systems that take up time and make life miserable.

I repeatedly ask medical students if they would choose a career in primary care if it would completely erase their student loan debt. A few hands go up, but not many. In fact, for a while now, the federal government has dedicated millions of dollars to repaying loans for students who choose primary care. Yet residency match numbers show that the percentage of students choosing primary care is not increasing. Though loan forgiveness is a step in the right direction, medical students realize that by choosing a more lucrative specialty, they can pay off their loans just fine.

I proposed years ago, a health reform that resembled that of France where medical school is free. It could be arranged that service in primary care, low income clinics would give credit against student loans. Nothing happened. Except physician income has declined. And tuition has increased.

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Trust

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A society as huge and complex as the United States can run economically only on the basis of acceptance and trust. This has been true for so long it is no longer noticed, like the air. People accept the rules and generally follow them whether or not there is a policeman in attendance. …. All over the the land people go about their business secure that arrangements will be honored and carried out. A high-trust society is a low-cost society.

Wretchard, at the Belmont Club

Of all that has changed over the last decade in the general culture of the United States, I wonder if a widespread loss of trust in the political, media, intellectual and bureaucratic establishments is the most quietly catastrophic of all the damage done to our society of late. It is axiomatic that once trust in an individual, a friend or a spouse is lost, it can almost never be regained; one of those things which is easily, almost casually done, never to be completely repaired. I suspect that we will discover over the next few decades that the thinking and observing portion of our society will never regain that unthinking trust in our institutions, now that we have seen them become weaponized in open and politically partisan ways. We have observed the national news media become politically partisan, more intent on hiding matters of significance than informing the public about them. What doesn’t appear above the fold, so to speak, or even in the back pages is sometimes more revealing. And the hate for ordinary American citizens in flyover country, frequently expressed by those residents of the wealthy bicoastal enclaves has been mind-boggling. There are personalities who have been so casually offensive in this regard that I have made it a point to avoid patronizing with my pocketbook anything that they have had anything to do with. I suspect that I am not alone in this it’s another element of that ‘cold anger’ that I wrote about some days ago. How has it come to be that the so-called ruling elite of a nation now appear to hold their fellow-citizens in such deep contempt? (This contempt has begun to be returned with interest of late, although the ruling elites are predictably mystified by such quiet demonstrations as in the Chick-Fil-A appreciation day, the failure of certain lavishly promoted moves and TV shows, and heavily attended Tea Party rallies of a few years ago.)

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