Category: Entrepreneurship

Government Regulations Favor Health Care Incumbents

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Source of book image: online version of the WSJ review quoted and cited below.

(p. A11) The rise in U.S. health-care costs, to nearly 18% of GDP today from around 6% of GDP in 1965, has alarmed journalists, inspired policy wonks and left patients struggling to find empathy in a system that tends to view them as “a vessel for billing codes,” as the technologist Dave Chase has put it.

Enter Jonathan Bush, dyslexic entrepreneur, . . .
. . .
. . . , Mr. Bush touts technology as a driver of change. It has revolutionized the way we shop for books and select hotels, but health-care delivery has been stubbornly resistant. Mr. Bush notes that the number of people supporting each doctor has climbed to 16 today from 10 in 1990–half of whom, currently, are administrators handling the mounting paperwork. Astonishingly, as Mr. Bush observes, the government had to pay doctors billions of dollars, via the 2009 HITECH Act, to incentivize them to upgrade from paper to computers. Meanwhile, fast-food chains discovered computers on their own, because the market demanded it.
. . .
Let entrepreneurs loose on these challenges, Mr. Bush believes, and they will come up with solutions.
Mr. Bush identifies three major obstacles to the kinds of change he has in mind. First, large hospital systems leverage their market position to charge hefty premiums for basic services, then use the proceeds to buy more regional hospitals and local practices. “As big ones take over the small,” Mr. Bush laments, “prices shoot up. Choices vanish.” Second, government regulations, especially state laws, favor powerful incumbents, shielding “imaging centers and hospitals from competition.” Third, heath care suffers from a risk-avoidant culture. The maxim “do no harm,” Mr. Bush says, should not be an excuse for clinging to a flawed status quo.

For the full review, see:
David A. Shaywitz. “BOOKSHELF; A System Still in Need of Repair; Routine medical services can be done for less cost–one of many obvious realities that current health-care practices studiously ignore.” The Wall Street Journal (Mon., May 19, 2014): A11.
(Note: ellipses added.)
(Note: the online version of the review has the date May 18, 2014, and has the title “BOOKSHELF; Book Review: ‘Where Does It Hurt?’ by Jonathan Bush; Routine medical services can be done for less cost–one of many obvious realities that current health-care practices studiously ignore.”)

The book under review is:
Bush, Jonathan, and Stephen Baker. Where Does It Hurt?: An Entrepreneur’s Guide to Fixing Health Care. New York: Portfolio, 2014.

Edison Sold General Electric Shares to Keep His Lab and Mine Open

(p. 193) In 1902, at a time when General Electric shares were trading at a historic high and well after Edison had sold his, Mallory happened to be traveling with him and saw in the newspaper the eye-popping closing price. Edison asked what his stake would have been worth had he held on to it. Mallory quickly worked out the number: over $4 million. Hearing this, Edison remained silent, keeping a serious expression for about fifteen seconds. Then his face lit up and he said, “Well, it’s all gone, but we had a good time spending it.”
(p. 194) The story would be retold by Edison’s hagiographers many times. The evidence suggests that Edison did have a jolly time, which, to him, was well worth the $4 million.

Source:
Stross, Randall E. The Wizard of Menlo Park: How Thomas Alva Edison Invented the Modern World. New York: Crown Publishers, 2007.

Public Cannot Go into Space Because of Government Run Space Programs

BransonRichard2014-04-25.jpg “‘You don’t have to be a rocket scientist to be able to run a spaceship company,’ says Richard Branson.” Source of caption and photo: online version of the WSJ article quoted and cited below.

(p. C11) Richard Branson, founder of the Virgin Group, is just months away from launching what he considers “the biggest Virgin company we’ve ever built.” At 63, he’s already founded multiple businesses worth billions, including a record label and a mobile company. But it’s his foray into outer space with Virgin Galactic that has Mr. Branson excited.
. . .
Safety has been one of the biggest challenges in building Virgin Galactic. In 2007, two workers died after a tank explosion during a rocket test, and three were seriously wounded. The accident, which occurred at a partner company’s facility, delayed the program for an estimated 18 months.
Risk factors weigh on the minds of potential customers as well, especially after NASA’s 1986 Challenger disaster, in which seven crew members, including a schoolteacher, died. Mr. Branson thinks that today most people would want to go into space if they could be guaranteed a safe return trip. “Sadly, I think because the space program was run by governments, there was never any real interest in enabling members of the public to go to space after they tried once” with the Challenger, he explains. “After that, they decided not to take any risks whatsoever.” He adds, “I would say 90% of people my age thought they would go to space because they saw the moon landing.”

For the full story, see:
ALEXANDRA WOLFE. “WEEKEND CONFIDENTIAL; Richard Branson; The Virgin Group founder on his out-of-this world venture: space travel.” The Wall Street Journal (Sat., Nov. 2, 2013): C11.
(Note: ellipsis added.)
(Note: the online version of the story has the date Nov. 1, 2013, and has the title “WEEKEND CONFIDENTIAL; Richard Branson on Space Travel; The Virgin Group founder on his latest out-of-this world venture, Virgin Galactic’.”)

Edison Failed to Stop Film Projectors from Disrupting His Kinetoscope

Edison tried to kill film projection because he thought the whole country would only need 10 projectors, while they could sell a great many of the single-view kinetoscopes. But the wonderful twist to the story is that it DID NOT WORK because Edison could not stop the Lathams and others from coming forward and disrupting the kinetoscope.

(p. 205) The Lathams were not the only exhibitors frustrated with Edison’s kinetoscope, and the others urged Edison to introduce a projection machine. Edison was adamant: no. He reasoned that the peephole machines (p. 206) were selling well and at a good profit. The problem with projection was that it would work all too well–if he replaced the inefficient kinetoscope with projection systems that could serve up the show to everyone, “there will be a use for maybe about ten of them in the whole United States.” He concluded, “Let’s not kill the goose that lays the golden egg.”

At Edison’s lab in Orange, without his boss’s approval, W. K. L. Dickson carried out research on film projection on his own and shared his findings with a friend who was a keen listener: Otway Latham. And when Dickson accepted an invitation to try a projection experiment in a physics laboratory at Columbia, who should show up but Otway’s father, Professor Latham. The Lathams made an offer to Dickson–come join us and we’ll give you a quarter-share interest in the business–but Dickson was unwilling to make the leap. When Edison got word of his fraternizing with the Lathams, however, and failed to reassure Dickson that he believed Dickson’s dealings had been perfectly honorable, Dickson felt he had no choice but to resign. The exact chronology of what he did and what he knew at various points preceding his resignation would be the subject of much litigation that followed. But regardless of intellectual-property issues, Edison lost the one person on his staff who would have been most valuable to him in developing a projection system.
The Lathams and Dickson had discovered that sending a bright light through a moving strip of film did not project satisfactorily because any given image did not absorb enough light before it sped on. The Lathams came up with a partial solution, which was to make the film wider, providing more area for the light to catch as each image went by. The projected images were about the size of a window and good enough to unveil publicly. Professor Latham gave a demonstration of his newly christened Pantoptikon to reporters in April 1895.

Source:
Stross, Randall E. The Wizard of Menlo Park: How Thomas Alva Edison Invented the Modern World. New York: Crown Publishers, 2007.

In Bringing Us Electricity, Westinghouse Rejected the Precautionary Principle

(p. 180) The defensive position that Westinghouse found himself in is illustrated by the way he contradicted himself as he tried to defend overhead wires. The wires that were supposedly safe were also the same wires that he had to admit, yes, posed dangers, yes, but dangers of various kinds had to be accepted throughout the modern city. Westinghouse said, “If all things involving the use of power were to be prohibited because of the danger to life, then the cable cars, which have already killed and maimed a number of people, would have to be abolished.” Say good-bye to trains, too, he added, because of accidents at road crossings.

Source:
Stross, Randall E. The Wizard of Menlo Park: How Thomas Alva Edison Invented the Modern World. New York: Crown Publishers, 2007.

Entrepreneurial Consumer J.P. Morgan “Handled Setbacks with Equanimity”

Schumpeter wrote that the entrepreneur is the one who overcomes obstacles to get the job done (1950, p. 132). Obstacles come in many forms. One of them is consumer resistance to change. So one key contributor to the technological progress is the “entrepreneurial consumer” who is willing to invest in new, buggy, possibly dangerous technologies at an early stage. (Paul Nodskov, a student in my spring 2014 Economics of Technology seminar suggested using the phrase “entrepreneurial consumer.”)
Alexis de Tocqueville observed that in contrast to Europeans, Americans were “restless in the midst of their prosperity” (2000 [first published 1835], Ch. 13). Perhaps even that early, America had more entrepreneurial consumers?

(p. 131) Morgan prized being ahead of everyone else, and the next year was concerned that his plant was already less than state of the art, a suspicion that was confirmed when he persuaded Edison to send Edward Johnson to the house for an evaluation. Johnson was instructed to upgrade the equipment and also to devise a way to provide an electric light that would sit on Morgan’s desk in his library. At a time when the very concept of an electrical outlet and detachable electrical appliances had yet to appear, this posed a significant challenge. Johnson’s solution was to run wires beneath the floor to metal plates that were installed in different places beneath the rugs. One of the legs of the desk was equipped with sharp metal prongs, designed to make contact with one of the plates when moved about the room.

In conception, it was clever; in implementation, it fell short of ideal. On the first evening when the light was turned on, there was a flash, followed by a fire that quickly engulfed the desk and spread across the rug before being put out. When Johnson was summoned to the house the next morning, he was shown into the library, where charred debris was piled in a heap. He expected that when Morgan appeared, he would angrily announce that the services of Edison Electric were no longer needed.
(p. 132) “Well?” Morgan stood in the doorway, with Mrs. Morgan standing behind him, signaling Johnson with a finger across her lips not to launch into elaborate explanations. Johnson cast a doleful eye at the disaster in the room and remained silent.
“Well, what are you going to do about it?” Morgan asked. Johnson said the fault was his own and that he would personally reinstall everything, ensuring that it would be done properly.
“All right. See that you do.” Morgan turned and left. The eager purchaser of first-generation technology handled setbacks with equanimity. “I hope that the Edison Company appreciates the value of my house as an experimental station,” he would later say. A new installation with second-generation equipment worked well, and Morgan held a reception for four hundred guests to show off his electric lights. The event led some guests to place their own orders for similar installations. Morgan also donated entire systems to St. George’s Church and to a private school, dispatching Johnson to oversee the installation as a surprise to the headmistress. The family biographer compared Morgan’s gifts of electrical power plants to his sending friends baskets of choice fruit.

Source:
Stross, Randall E. The Wizard of Menlo Park: How Thomas Alva Edison Invented the Modern World. New York: Crown Publishers, 2007.

Schumpeter’s book is:
Schumpeter, Joseph A. Capitalism, Socialism and Democracy. 3rd ed. New York: Harper and Row, 1950.

The other book I mention, is:
de Tocqueville, Alexis. Democracy in America. Chicago: University of Chicago Press, 2000 [first published in two volumes in 1835 and 1840].

“A Libertarian Celebration of Hustling, Hacking and Free-Form Development”

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Source of book image: http://www.hmhco.com/shop/books/the-bright-continent/9780547678313#

(p. 21) Africa’s gains have come not because of Western largess or painful structural adjustment programs set out by the likes of the International Monetary Fund, Olopade argues, nor are they the work of governments. They are largely the fruit of Africans’ efforts to help themselves, through creative means that sometimes involve breaking the rules.
. . .
She excavates a hopeful narrative about a continent on the rise, “a libertarian celebration of hustling, hacking and free-form development.”
The best solutions, according to Olopade, are local, developed by people closest to the problem, not bureaucrats in Washington or Brussels: the South African gynecologist who operates out of two shipping containers stacked together, the Kenyan family who take over an abandoned plot of land to grow vegetables to eat and sell.
Central to Olopade’s thesis is the concept of kanju, a term that describes “the specific creativity born from African difficulty.” It is the rule-bending ethos that makes it possible to get things done in the face of headaches like crumbling infrastructure, corrupt bureaucracy and tightfisted banks unwilling to make loans to people without political connections.
Many countries have these kinds of hacks and workarounds. In India, the term is jugaad, and it has had its moment in the sun as a business school concept. India runs on this informal hacking of the system that makes life and business ­possible.

For the full review, see:
LYDIA POLGREEN. “Home Improvement.” The New York Times Book Review (Sun., APRIL 13, 2014): 21.
(Note: ellipsis added; italics in original.)
(Note: the online version of the review has the date APRIL 11, 2014, and has the title “Home Improvement; ‘The Bright Continent,’ by Dayo Olopade.”)

The book under review is:
Olopade, Dayo. The Bright Continent: Breaking Rules and Making Change in Modern Africa. New York: Houghton Mifflin Harcourt Publishing Co., 2014.

In France “‘Liberté, Égalité, Fraternité’ Means that What’s Yours Should Be Mine”

SantacruzGuillaumeFrenchEntrepreneurInLondon2014-04-27.jpgGuillaume Santacruz is among many French entrepreneurs now using London as their base. He said of his native France, “The economy is not going well, and if you want to get ahead or run your own business, the environment is not good.” Source of caption and photo: online version of the NYT article quoted and cited below.

(p. 1) Guillaume Santacruz, an aspiring French entrepreneur, brushed the rain from his black sweater and skinny jeans and headed down to a cavernous basement inside Campus London, a seven-story hive run by Google in the city’s East End.
. . .
A year earlier, Mr. Santacruz, who has two degrees in finance, was living in Paris near the Place de la Madeleine, working in a boutique finance firm. He had taken that job after his attempt to start a business in Marseille foundered under a pile of government regulations and a seemingly endless parade of taxes. The episode left him wary of starting any new projects in France. Yet he still hungered to be his own boss.
He decided that he would try again. Just not in his own country.
“A lot of people are like, ‘Why would you ever leave France?’ ” Mr. Santacruz said. “I’ll tell you. France has a lot of problems. There’s a feeling of gloom that seems to be growing deeper. The economy is not going well, and if you want to get ahead or run your own business, the environment is not good.”
. . .
(p. 5) “Making it” is almost never easy, but Mr. Santacruz found the French bureaucracy to be an unbridgeable moat around his ambitions. Having received his master’s in finance at the University of Nottingham in England, he returned to France to work with a friend’s father to open dental clinics in Marseille. “But the French administration turned it into a herculean effort,” he said.
A one-month wait for a license turned into three months, then six. They tried simplifying the corporate structure but were stymied by regulatory hurdles. Hiring was delayed, partly because of social taxes that companies pay on salaries. In France, the share of nonwage costs for employers to fund unemployment benefits, education, health care and pensions is more than 33 percent. In Britain, it is around 20 percent.
“Every week, more tax letters would come,” Mr. Santacruz recalled.
. . .
Diane Segalen, an executive recruiter for many of France’s biggest companies who recently moved most of her practice, Segalen & Associés, to London from Paris, says the competitiveness gap is easy to see just by reading the newspapers. “In Britain, you read about all the deals going on here,” Ms. Segalen said. “In the French papers, you read about taxes, more taxes, economic problems and the state’s involvement in everything.”
. . .
“It is a French cultural characteristic that goes back to almost the revolution and Robespierre, where there’s a deep-rooted feeling that you don’t show that you make money,” Ms. Segalen, the recruiter, said. “There is this sense that ‘liberté, égalité, fraternité’ means that what’s yours should be mine. It’s more like, if someone has something I can’t have, I’d rather deprive this person from having it than trying to work hard to get it myself. That’s a very French state of mind. But it’s a race to the bottom.”

For the full story, see:
LIZ ALDERMAN. “Au Revoir, Entrepreneurs.” The New York Times, SundayBusiness Section (Sun., MARCH 23, 2014): 1 & 5.
(Note: ellipses added.)
(Note: the online version of the story has the date MARCH 22, 2014.)

SegalenDianeFrenchEntrepreneurInLondon2014-04-27.jpg ‘Diane Segalen moved most of her executive recruiting practice to London from Paris. In France, she says, “there is this sense that ‘liberté, égalité, fraternité’ means that what’s yours should be mine.”” Source of caption and photo: online version of the NYT article quoted and cited above.

Edison Genuinely Believed that AC Was More Dangerous than DC

(p. 174) In Edison’s view, . . . , Westinghouse did not pose a serious threat in the power-and-light business because he used the relatively more dangerous alternating current, certain to kill one of his own customers within six months.
Edison’s conviction that direct current was less dangerous than alternating current was based on hunch, however, not empirical scientific research. He, like others at the time, focused solely on voltage (the force that pushes electricity through a wire) without paying attention to amperage (the rate of flow of electricity), and thought it would be best to stay at 1,200 volts or less. Even he was not certain that his own system was completely safe–after all, he had elected to place wires in underground conduits, which was more expensive than stringing wires overhead but reduced the likelihood of electrical current touching a passerby. Burying the wires could not give him complete peace of mind, however. Privately, he told Edward Johnson that “we must look out for crosses [i.e., short-circuited wires] for if we ever kill a customer it would be a bad blow to the business.”

Source:
Stross, Randall E. The Wizard of Menlo Park: How Thomas Alva Edison Invented the Modern World. New York: Crown Publishers, 2007.
(Note: ellipsis added, bracketed words in original.)

Russia and China Redistributed Wealth “to Disastrous Effect”

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Shane Smith, entrepreneur behind VICE media company. Source of photo: online version of the NYT article quoted and cited below.

(p. 10) You believe that young people worldwide are disenfranchised. Do you think popular uprisings will fix things? No. I’m actually worried, because I believe that it’s going to get worse. Look, economic disparity is bad. But we’ve already tried having governments redistribute wealth. We tried it in Russia and China to disastrous effect.

News Corp. bought a 5 percent stake in Vice, and now James Murdoch is on the board. Why did you sell to them? I’ve said that I want to be the next MTV, the next CNN, the next ESPN. Cue everyone rolling their eyes. MTV went to Viacom, ESPN went to Disney and Hearst, CNN went to Time Warner. Why? Because to build a global media brand, it’s almost impossible to do it alone. James has been involved in one of the largest media companies in the world since he was in short pants.
Do you ever fear that Vice will become legacy media itself? It’s our time now. Then, I don’t know, it’ll be holograms next, and some kid will come up and eat our lunch.

For the full interview, see:
Staley, Willy, interviewer. ” ‘Have We Unleashed a Monster?’: The Vice C.E.O. Shane Smith on His New Kind of News.” The New York Times Magazine (Sun., MARCH 23, 2014): 12.
(Note: ellipsis added; bold in original.)
(Note: the online version of the interview has the date MARCH 21, 2014, and has the title “Vice’s Shane Smith: ‘Have We Unleashed a Monster?’.”)

Edison’s Magnetic Low-Grade Iron Ore Processing Inventions Might Have Succeeded

(p. 193) Edison took great pleasure in the novelty of the technical challenges and in the opportunity to redeem his reputation as a savvy businessperson, even though redemption never came. The low-grade iron ore in New Jersey did not have a competitive chance once huge reserves of high-grade ore were discovered in the Mesabi Range of northeastern Minnesota; the Mesabi ore was easily mined near the surface and close to economical shipping on Lake Superior. Well after the first Mesabi mine opened in 1890, Edison remained pitiably hopeful about his Ogden mine, even when objective facts made the future of its business appear bleak to anyone else. In 1897, when failure was inevitable, he refused to acknowledge the facts. Edison wrote a colleague, “My Wall Street friends think I cannot make another success, and that I am a back number, hence I cannot raise even $10,000 from them, but I am going to show them that they are very much mistaken. I am full of vinegar yet.”

Source:
Stross, Randall E. The Wizard of Menlo Park: How Thomas Alva Edison Invented the Modern World. New York: Crown Publishers, 2007.