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Sheard B: The Redesign of Progress

The Redesign of Progress

More isn’t always better

Why healthcare's most persistent failures are organizational, not financial or political In The Moral Alibi: How Healthcare Learned to Look Away--and How We See Again, Sachin H. Jain, MD, MBA--CEO of SCAN Group, Stanford faculty member, and former Obama Administration official--delivers a candid diagnosis of why healthcare institutions fail patients despite decades of reform. Drawing on his experience leading an organization from $2.7 billion to over $8 billion in revenue, Jain names the organizational pathologies that executives recognize but rarely discuss openly. The Moral Alibi examines how dysfunctional cultures, conflict-avoidant leadership, misaligned incentives, and ethical drift produce fragmented care, clinician burnout, and systems indifferent to patients. Jain identifies specific patterns including "innovation theater" that mistakes conferences and pilots for transformation and "split-the-baby leadership" that prioritizes institutional harmony over patient outcomes, offering both vocabulary and a framework for addressing the crisis beneath the crisis. Readers will also find: <ul> <li>An honest examination of why healthier organizations may be the prerequisite for healthier patients and what leadership courage that requires</li> <li>Analysis of how administrative complexity and institutional drift from founding purpose create systemic indifference to patient needs</li> <li>Insights drawn from leadership roles at CareMore Health, Aspire Health, and the Center for Medicare and Medicaid Innovation</li> <li>A framework for identifying organizational pathologies that persist despite financial investment, technological upgrades, and policy reform efforts</li> <li>Practical vocabulary for naming dysfunction that clinicians, executives, and board members recognize but rarely confront directly</li> </ul> Written for anyone navigating the gap between what American healthcare claims to be and what it actually does--including healthcare executives, physicians, policymakers, healthcare workers, and patients--The Moral Alibi provides the intellectual honesty and organizational framework needed to confront systemic dysfunction and lead meaningful change.

How Healthcare Learned to Look Away -- and How We See Again

The Moral Alibi

Economics is vital, but its labyrinth of equations can make it feel disconnected from the real world. Enter a powerful tool: the metaphor.From longtime economics journalist Peter Coy comes an approachable and fun guide to the metaphors that unlock its power. With nearly 500 alphabetized entries, complemented by playful illustrations, Economics Without Numbers demystifies concepts, exploring their origins, the truths they express, and where they fall short. The result is a delightful and original primer on economic ideas and history that's perfect for students and anyone who wants to understand what makes the world go 'round.Coy has spent decades collecting these vivid metaphors. From "trickle-down economics" (the idea that making the rich richer will help the poor) to "inductivist turkey" (a parable about the perils of assuming that a trend will persist without knowing its cause), Coy brings economics to life.

An A-to-Z Guide for the Rest of Us

Economics without Numbers

Kamal Shair's book is a classic rags to riches story: the village boy, who with determination and education, achieves business success, wealth, more wealth, and then influence and power. What makes it unusual is that it emanates from the Arab world. Rarely among Arabs have individuals from thoroughly modest backgrounds, with no access to links, networks or connections become truly global commercial players. Shair was born in a small town in what was then Transjordan and dragged himself through school (his mother was illiterate), moved to college in Beirut, then sailed off to America (Michigan and Yale) and returned to the Middle East to create a multinational corporate empire engaged in trade, construction and manufacturing. Dar al Handasah - Arabic for House of Engineers - was founded in a small flat in Beirut and today, spans the globe with offices in 37 countries. In its early years, Dar al Handasah fought off competition from established western consultancies to win contracts for prestige engineering throughout the Middle East. Eventually, its activities extended further to Europe, the United States, Africa and Asia. By not following the usual pattern of patronage and favours, Kamal Shair applied a fresh kind of ethic in an environment with a loosely-structured business ethic. In the process, he lived through and witnessed at first hand and at close quarters some of the most dramatic events of the modern Arab world. This is quite an extraordinary tale and a very original prism through which to read the turbulent post-World War II history of the Middle East. At the same time we see the growth, despite all the odds, of one of the world's great engineering and business enterprises in a narrative of epic and inspirational proportions.

The Emergence of an Arab Global Business

Out of the Middle East

Turn your difference into a repeatable advantage for leading change The Room Needs You: Let Your Difference Drive Change-The Connect, Trust, Grow Method presents a field-tested method for driving transformation when you are not the expert in the room. Jennifer Langton, the NFL's former Senior Vice President of Player Health and Innovation, came to player safety out of finance-no medical, scientific, or engineering training-and led a decade of work that took the league from the era of League of Denial to record-low injuries. She distills that experience into the Connect, Trust, Grow (CTG) Method: a three-move sequence for connecting the experts, earning trust with evidence no one can dispute, and growing a win into a standard that holds after you leave. The Room Needs You follows the work in the order it happened-learning first to react to injury, then to prevent it, then to predict it-from a partnership with GE and the Department of Defense to the AI-powered Digital Athlete built with AWS, which now predicts injury risk for every player in the league. Underneath it runs the story of the girl on the boys' lacrosse team, the athlete who lost her mother and her knee in the same year and turned both into fuel, and the finance executive who asked her way into a role that did not exist-because the method works on you before it works on the room. Readers will also find: <ul> <li>A three-move sequence-Connect, Trust, Grow-run first on yourself, starting with what you are good at and what fuels you, then on the room, with the questions to answer at each move</li> <li>The Langton Roadmap: a one-page method for making the case for the role that should exist, inside the organization you are already in</li> <li>A clear distinction between the Expert Path, which delivers the science, and the Human Path, which delivers adoption-and why the human path matters more as technology gets more capable</li> <li>Practical guidance on reaching the people who have to adopt your work, setting an evidence standard, and turning a success into a standard that runs without you</li> <li>Real-world lessons from one of sports' most visible transformations, including the NFL-AWS partnership and the day Langton stopped the room The Room Needs You serves leaders, change agents, and anyone building with data or AI who has to move experts, skeptics, and institutions they do not control. It speaks just as directly to anyone at a turning point-a career pivot, a step into leadership, the chance to grow into something larger-and to the athlete leaving the game, the person coming back from an injury or a loss, the student choosing a path: anyone asking what am I good at now, because the method begins with that question. Langton's method equips anyone who has felt out of place in a room to make their difference the reason they belong there.</li> </ul>

Let Your Difference Drive Change -- the Connect, Trust, Grow Method

The Room Needs You

How apprenticeship shaped the English economy Apprenticeship dominated training and skill formation in early modern Europe. Years spent learning from a skilled master were a nearly universal experience for young workers in crafts and trade. In England, when apprenticeship reached its peak, as many as a third of all teenage males would serve and learn as apprentices. In The Market for Skill, Patrick Wallis shows how apprenticeship helped reshape the English economy. Some historians see apprenticeship as a key ingredient in the industrial revolution; others agree with Adam Smith in seeing it as wasteful and conservative. Wallis shows that neither of these perspectives is entirely accurate. He offers a new account of apprenticeship and the market for skill in England, analyzing the records of hundreds of thousands of individual apprentices to tell the story of how apprenticeship worked and how it contributed to the transformation of England. Wallis details the activities of apprentices and masters, the strategies of ambitious parents, the interventions of guilds and the decisions of town officials. He shows how the system of early modern apprenticeship contributed to the growth of cities, the movement of workers from farms to manufacturing and the spread of new technologies and productive knowledge. In this groundbreaking study, Wallis argues that apprenticeship succeeded precisely because it was a flexible institution which allowed apprentices to change their minds and exit contracts early. Apprenticeship provided a vital channel for training that families could trust and that was accessible to most young people, whatever their background.

Apprenticeship and Economic Growth in Early Modern England

The Market for Skill

This book explores how trial lawyers, driven by self-interest, use argumentation to shape legal and ethical ideals in society through their manipulation of language, people, and objects. It argues that by employing various persuasive styles and deceptive strategies, lawyers influence juries and affect broader legal and communal values. These individual actions, while focused on client interests, collectively contribute to significant social changes in the practice and perception of law.

Etiology, Elements, and Effects

A Natural History of Legal Argument

What goals are still feasible for the politics of emancipation on a ruined planet?This is where we are. Today's techno-oligarchs are not concerned with saving the planet; rather, they have accepted the end of progress and are focused on safeguarding their wealth in the face of an impending political and ecological collapse. Artificial intelligence and algorithms make decisions for us. Climate breakdown has long steamed past the wreckage of the Paris Agreement.Perhaps the accelerationists have the right idea. Accelerationism - which aims to resolve the current crisis through the intensification of technological development - is the only philosophy not clinging to the now-extinct idea of progress. The idea has gained ground on both the left and right: but the right-wing is shot through with misanthropy, while the left remains entangled in a faith in technological progress and the domination of nature.Transcending capitalism at the end of progress requires a synthesis of the two. The result of this synthesis: Dark Socialism. From 'rock star philosopher' Kohei Saito comes an anticapitalist clarion call for our breakneck times, channeling despair into a socialist project equal to the end of progress.

Hope in a Ruined World

Dark Socialism

Uncover the psychological shortcuts that shape every decision you make - and learn how to use them in business. Voted #1 in the BBH World Cup of Advertising Books Winner of the Sales and Marketing Category at the Business Book Awards Before you can influence decisions, you need to understand what drives them. The Choice Factory is an essential read for anyone who wants to learn. By observing a typical day of decision-making, from trivial food choices to significant work-place moves, behavioural science expert Richard Shotton investigates how our behaviour is shaped by psychological shortcuts. With a clear focus on the marketing potential of knowing what makes us tick, he draws on evidence from academia, real-life ad campaigns and his own original research. Entertaining and highly accessible, The Choice Factory is made up of 25 short chapters, each addressing a cognitive bias and outlining simple ways to apply it to your own marketing challenges. Shotton interviews some of the smartest and most influential thinkers in advertising, including Rory Sutherland, Lucy Jameson and Mark Earls. Covering everything from priming to the pratfall effect, charm pricing to the curse of knowledge, with The Choice Factory as your guide it has never been easier to apply the science of behavioural economics to marketing. 'Actionable, memorable and powerful' - Seth Godin, bestselling author of This is Marketing Now part of the Harriman House Essentials Collection, a series showcasing the very best of business and finance books.

Harriman House Essentials

The Choice Factory

How warmth, competence, and relationships shape our healthcare outcomes The HUMAN Remedy: Why Our Relationships Matter as Much as Medicine reveals why better healthcare depends on more than medical knowledge, advanced technology, and efficient access to care. Drawing on original research with nearly 1.6 million patients and care providers, Chris Malone, founder of Fidelum Group and co-author of The HUMAN Brand, shows how our spontaneous social judgments of warmth and competence shape the way we experience care, receive advice, follow treatment plans, and build lasting relationships with care providers. Malone explains how we unconsciously judge healthcare interactions by asking two unspoken questions: What are your intentions toward me? And are you capable of carrying out those intentions? When the answer to both questions is favorable, care can create hope, belonging, engagement, and stronger relationships. When warmth is missing, even technically excellent care can feel cold, transactional, and harder to trust. The book also introduces the CareStyles(TM) patient engagement framework, which explains four distinct styles patients have for engaging with care providers. Through stories, research, and case examples from healthcare innovators, Malone shows how patients, care providers, and healthcare leaders can make care more human, relational, and effective. Readers will also find: <ul> <li>Case studies from Mayo Clinic, Kaiser Permanente, Northwell Health and others on how relationship-centered care improves patient engagement and outcomes</li> <li>A timely look at how AI could either deepen transactional care or help restore relationship-centered care</li> <li>A practical explanation of the four care engagement styles and the impact they have on the care we receive</li> <li>Access to the CareStyles(TM) Assessment that enables readers to discover their own care engagement style</li> <li>Actionable steps patients can take to seek and receive more relational care that better aligns with their engagement style</li> </ul> Written for patients, families, care providers, and healthcare leaders seeking evidence-based solutions, The HUMAN Remedy offers a research-grounded path toward care that heals through relationships as well as medicine.

Why Our Relationships Matter As Much As Medicine

The Human Remedy

A practical, clever, down-to-earth guide to making decisions big or small, fast—from writer, journalist, and nationally acclaimed decision coach Nell McShane Wulfhart. We are drowning in choices—from major life decisions like whether to move, marry, or change careers, to relentless daily dilemmas about what to wear, eat, say, or do. In a world that glorifies optimization and “smart” choices, we’ve wound up paralyzed, deferring, deliberating, and overthinking to the point of exhaustion.&nbsp; Decision-making has become a source of stress instead of empowerment. Nell McShane Wulfhart is here to change that. In Decide in an Hour, she tackles the epidemic of indecision head-on and offers readers a lifeline: the tools to make better choices quickly, without feeling guilty, spiraling, or second-guessing. In this book, Wulfhart teaches us how to: <ul><li>identify the decision we’re actually making (a shockingly common obstacle)</li><li>eliminate noise and make the call—fast</li><li>follow through with confidence, even when others disagree</li><li>make the most common major life choices (career, relationships, kids, where to live) through the use of a decision-making field guide</li></ul> Equal parts wise, warm, and no-nonsense, Decide in an Hour offers clarity and momentum for how to start making smart, confident decisions today.

The Redesign of Progress

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