April 9th, 2012 | By Glen Hiemstra | Posted in Asides, Environment & Energy | Comments Off

Record Warmth Ends Winter in Seattle

Yesterday, Easter Sunday, we here in Seattle finally joined most of the rest of the nation in setting a high temperature record. It has been an unusual year in that regard. Is it a harbinger of the future, or a one-year anomaly?

It was nice to be warm here, for the first time this year. The day finally put a long, unusually cool and wet winter and early spring behind us. I will use the occasion for one last memory from the winter, a day of snow shoeing with David on the one of more gorgeous winter days of the year. Enjoy some highlights.

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March 30th, 2012 | By Glen Hiemstra | Posted in Science & Technology, Space | Comments Off

Space still calls to us

I’ve written before about our future in space, and why I think we need to keep investing. I was taking a break over lunch today and clicked on the telly, where I watched 15 minutes of a Dr. Who episode. It was set in the year 4000-something, and two characters reviewed a map of how humanity had now spread over three galaxies. One of the characters, surprised to have found herself in the future, protested “but they were telling us that humanity had just a few years left before extinction, what with global warming and global flooding, and so on.” It is easy to get caught in the trap of thinking we’ll never solve our problems, when history is pretty much a story of doing just that, though never on a smooth or easy trajectory.

Anyway, it got me thinking this Friday afternoon. First I had just tweeted this new image of the Milky Way last night, which captures a billion stars.

Second, I noticed an article today in which the European Space Agency has estimated that there are tens of billions of inhabitable planets just in the Milky Way that we see above.

And finally, I clicked on the SpaceX website, remembering that they had a made a recent announcement – and was reminded that the announcement is that the SpaceX Dragon spacecraft has been selected by NASA for an unmanned test trip to the Space Station. This company may represent the current best hope in the U.S. of continuing our adventure in space, and eventually getting to the near-by planets. They are also continuing to ready the Dragon for astronauts, see the two photos below taken from their website.

SpaceX and NASA conducted a daylong review of the Dragon crew vehicle layout using the Dragon engineering model equipped with seats and representations of crew systems. Photo: SpaceX

Test crew included (from top left): NASA Crew Survival Engineering Team Lead Dustin Gohmert, NASA Astronaut Tony Antonelli, NASA Astronaut Lee Archambault, SpaceX Mission Operations Engineer Laura Crabtree, SpaceX Thermal Engineer Brenda Hernandez, NASA Astronaut Rex Walheim, and NASA Astronaut Tim Kopra. Photo: Roger Gilbertson / SpaceX

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March 30th, 2012 | By Glen Hiemstra | Posted in Business & Economy, Current Choices for a Better Future | Comments Off

Beyond 2020: A Nebraska Chamber Keynote

This week I had the privilege of delivering the keynote speech to the annual dinner of the Grand Island, Nebraska Chamber of Commerce. I shared the stage with Nebraska Governor Dave Heineman, who greeting the packed house, along with the many winners of annual Chamber awards.

I was thoroughly charmed by the success story of Grand Island, a community of 50,000 in the heart of Nebraska, as well the state success story. Nebraska has weathered the economic downturn in good shape, and has half the unemployment rate as the rest of the nation, at 4%. The state economic performance is better than the nation’s in a variety of economic indicators, including retail sales and growth in exports of goods. Grand Island went after the Nebraska State Fair when it decided to relocate from the state capital of Lincoln a couple of years ago, and now enjoys a beautiful new fairgrounds development. As Governor Heineman said in his remarks, this does not happen by accident.

Picking up on that thought, I opened my keynote speech with my favorite concept, that the future is not something that just happens to us, but rather is something we do. I had decided in this talk to begin with some history, setting the stage with stories of the techno-social-economic revolution of 1900-1930, and comparing that to our own time. Mostly I wanted to get to an important quote from the American industrialist Henry Ford, who said,

There is one rule for the industrialist and that is: Make the best quality of goods possible at the lowest cost possible, paying the highest wages possible.

I asked if we are forgetting the third of Henry’s three principles, and illustrated the question with this disturbing chart (Hamilton Project) of annual employment and earnings of American men with a high school diploma only, from 1970 to 2010. What the chart shows is that, in 2010 dollars, such a man earns only half of what he earned in 1970 ($26,000 versus $48,000) and is much less likely to actually have a job. We are moving in the wrong direction.

Having set the stage with some historical perspective, I turned to future trends. Here I outlined six converging forces that shape the future and collectively offer more opportunity to shape a positive future than they do challenges to the future. The forces are:

  • Young and old populations
  • Technology acceleration, especially communications, nanotechnology, and biotechnology
  • Globe races ahead – the growth of the middle class in the world, while the middle class in the U.S. stuggles.
  • Century of cheap and easy energy winding down, leading to a new energy boom
  • Sustainability defined as the challenge of food security – a big opportunity for Nebraska
  • Income gap economics

  • In that final point I circled back to the beginning. I shared the now classic chart from the Congressional Budget Office illustrating the income growth of the 1% versus the income stagnation of the bottom 80% since 1979, warning that many people get upset by this discussion. But I argued that by focusing on the 1% we have focused on the wrong thing. The great future challenge is how to reverse the stagnation of the bottom 80%, and get their income back on a growth curve. This is not easy in world of global labor competition, but that is what we need to figure out how to do. I concluded with a core strategy for changing this downward slide, and that is preparing for the knowledge value economy, which thus requires educating millions of young people at a much higher level.

    It was a positive evening with a great group of people, and I enjoyed this speaking opportunity as much as any in recent years.

    You can review the mostly pictorial slides that I used below, from Slide Share.

    Glen Hiemstra is a futurist, author, speaker, consultant, Founder of Futurist.com, and founder and Curator of DoTheFuture.com. To arrange for a speech, workshop or consultation contact Futurist.com.

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    March 26th, 2012 | By Glen Hiemstra | Posted in Science & Technology | Comments Off

    Future of Telemedicine

    Last week I had the privilege of presenting a keynote speech to the annual conference on the future of Telemedicine, put on the Northwest Regional Telehealth Resource Center, in Billings, Montana.

    As I thought about a theme for my talk what occurred to me was that there are certain developments that always seem to be “in the future” and never quite seem to reach full application here in the present. Think nuclear power from fusion, and flying cars. Telemedicine has in many ways always been something that is going to be big, in the future. This is despite widespread experiments with and adoption of telemedicine for some basic care in many rural parts of the world, including the northwest United States.

    Chatting with the resource director I confirmed that indeed as an industry or enterprise those involved with telehealth are always frustrated by the lack of more widespread adoption or support for practices that can lower costs and improve access and quality of heath care. So, I entitled my program “Thinking in the Future Tense: moving telehealth from the future to the present.”

    In my remarks I explored the six future forces that I think are making it more likely that telehealth will move more fully into the present. These include:

      Income gap economics – the fact that incomes have stagnated for 90% of the U.S. population and in fact have declined by many measures, means that a premium will be placed on getting services to people at a cheaper cost that current practices.

      Health care requires it – a startling new study of sources of health insurance for nonelderly Americans shows that since 2001 those with employer sponsored health insurance has declined from 70% of the population to 53%, while the insured have increased from 14% to 20%. When health care reform actually takes effect in 2014 the total insured will improve but I do not expect improvement in employee sponsored programs, in fact I expect the reverse. This all adds up to a system experiencing a fairly rapid devolution, and in the end it will have to change more radically that currently anticipated.

      Age wave need and digital natives lead – the well known age wave as the baby boomers pass through their sixties into their seventies in the coming two decades will increase demand for health care. This population will be more technically savvy and willing to use telehealth if available. At the same time the next generation of health care providers will be the first from the digital native generation, and they will be frustrated if sophisticated tools for telemedicine are not in use.
      Tech acceleration – from more immersive and 3D communication technology more widely available, to better tools for diagnosis and treatment, the tech revolution continues.
      Quantized-self health revolution – this is just becoming known. I related to story of Larry Smarr, currently featured in Technology Review, as an early adopter of increasingly available personalized tools for monitoring and communicating your own health status. As this becomes widely adopted, it dovetails perfectly with telemedicine.
      4-P medicine – the brainchild and mission of Dr. Leroy Hood and the Institute for Systems Biology, the 4 P’s stand for medicine becoming predictive, preventive, personalized, and participatory. As a concept the 4 P’s are becoming widely accepted as appropriate goals for the future of medicine. All of these themes reinforce the value of telemedicine.

    I also explored the two future forces that keep telehealth in the future:

      Political restrictions – state legislatures are increasingly interfering with telehealth, limiting the services they can provide, often for non-medical reasons.
      Achieving consistency, trust and sustainability – the telehealth industry is well aware of the barriers here. The tendency of many telehealth projects is to be treated as a trial or experiment, and getting the services into a consistent basis is a big challenge.

    Following my talk a third future force was emphasized in discussion, and it is obvious and perhaps the biggest of barriers. That is the way we pay for health care in the U.S., the reimbursement system. Since we defined health care as a profit centered enterprise, the incentives of providers is toward services that generate the highest return, while for payers (insurers) the incentives are to provide as little health care as possible. Both of these limit the applications of telemedicine, literally prohibiting telemedicine providers from doing many things.

    So the road from the future to the present for telehealth remains a challenging one, despite so many future forces seeming poised to speed things along. I closed by recommending that the telehealth industry leverage three forces especially. First, as digital native practitioners come online get them trained up and advocating for telemedicine. Second, learn more about and ally with the 4P medicine and quantized self health revolution.

    And, just before starting the keynote one more idea occurred to me. The most important population dynamic in the country (and the world) is the movement of people to the urban areas. By 2050 some 80% of the world’s population will live in cities. The proportion in the U.S. will probably approach 90%. Yet, telemedicine is still touted as the answer to the health needs of a rural population. I urged the group to refocus on urban areas, while not forgetting the rural needs. It is in cities that the infrastructure is there, the health needs are just as great or greater, where people don’t have time to visit doctors in person and doctors don’t have time to see them anyway. It is by shifting to an urban strategy that telemedicine may finally leave the future and arrive in the present.

    You can view the slides that used here via Slide Share.

    Glen Hiemstra is a futurist, author, speaker, consultant, Founder of Futurist.com, and founder and Curator of DoTheFuture.com. To arrange for a speech, workshop or consultation contact Futurist.com.

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