Big Head Energy
First there were artisans: craftspeople who knew how to make a class of items by hand. Then there were factories: places where people were employed to make vast quantities of items, with the help of machines. Then came the Taylorist revolution, which redesigned the act of making an item as a set of atomic tasks. With one guy (or immigrant woman, or tween) turning the same screw for 8 to 14 hours a day, a veritable tsunami of crap could be made. The modern factory job was born, not with a bang, but with an endless series of little thwacks stretching on to eternity. They tried the same trick with knowledge work. The lawyers got offshore formatting and printing shops to make sense of their scribbles. The software developers got Agile, where it’s one person’s job to design the thing, one to build it, and one to run the meeting where they all talk about it. Medicine is the most obviously Taylorized domain. Every possible task, clinical and otherwise, is taken off the doctor’s plate so they ...