Not when you’ve proved them wrong.
No, that’s the wrong battle.
Only when you’ve proved yourself right.
Not when you’ve proved them wrong.
No, that’s the wrong battle.
Only when you’ve proved yourself right.
The impression I got when I was in school was that everything had an answer. If the answer wasn’t obvious then you could always look in the back of the book or ask someone for it. There was always a “correct” answer out there somewhere.
The mirage of certainty fades away the higher up you get in education. When I was in University we would often reach a point in discussions where there were no answers, just questions and ongoing research trying to find the truth.
That’s what science does. It searches for an agreeable “truth” using a method which makes this “truth” undeniable. However, “educated” people go on to believe that there is a truth out there, which is yet to be discovered, for pretty much everything…
In this respect, science seems to be the opposite to business and perhaps this goes some way to explain why very educated people tend to make bad entrepreneurs.
Science = searching for a “truth” that we can all agree with.
Entrepreneurship = searching for a business to prove everyone else in the market place wrong.
For a new business to work and thrive, it has to be overlooked by everyone else in the market place – otherwise there would be no point in creating a new business. This means that you have to bet on something that no one agrees would make a good business. This means that since something new is being done, the journey of an entrepreneur will always be full of hurdles, uncertainty, nay sayers and risk.
Realise, that there’s no hero in this story.
There are no large businesses that will come and help you, there is no waiting for that “big deal”, there is no person that will get the sale for you, there is no one to introduce you to new prospects.
It’s all up to you.
It’s interesting to note that the most precious things in life are intangible. They don’t have a price, they aren’t things that you can hold in your hands and without them life would be pretty meaningless.
Love, family, relationships, purpose, happiness….All intangible.
But there is one thing in life which is intangible, but money can buy.
Time is impossible to put a price on. Your time is precious, non-refundable and once you’ve spent your finite time on this Earth it’s gone forever.
Your time is worth fighting for. Too many people aren’t close to their family and friends, have missed their children’s first steps and words due to not having the time – usually as they’ve tied their time to a 9-5 job.
And for what?
People stick to those 9-5 jobs so that one day they can buy a mediocre car, a mediocre house and receive a mediocre pension so that they can live the rest of their lives out doing what mediocre people do (reading the news, getting angry at politicians, complaining about why their life sucks).
Don’t fall for the “But, money can’t buy happiness*” argument, because no one is arguing for it. But realise that you can buy one of the most precious things in your life: your time.
And it’s worth fighting for. Your life is valuable and you can have it back if you create enough value for the world.
*When I first started to have the idea of starting a business when I was a junior doctor, I would always face the “But, money doesn’t buy happiness!” argument from other doctors when discussing my business ideas. For some reason here in the UK, pseudo-socialist middle class doctors who are in the upper percentiles of income, don’t like the idea of one of their colleagues becoming even richer, as that would just be wrong and socially unjust… To paraphrase Orwell:
“It’s not because they love the poor, it’s because they hate the rich”
It’s a knee jerk argument/reaction on their part, because they’re not willing to think things and do things which would make them uncomfortable. It’s a form of laziness and shouldn’t be taken seriously.
If someone goes up to a baby and says:
“What could this thing ever achieve??!! Look at it, it’s so weak and helpless! It will never accomplish anything!”
Then you would probably call that person an idiot.
But when some know it all looks at a young entrepreneur or an early stage startup and says:
“What could this tiny business ever accomplish?!! They’re all so young, naive and inexperienced!”.
Then most people accept the criticism and stop going after their dream.
We can’t measure human potential. We can’t measure the potential of a startup.
I would say that around two-thirds of the patients I see in my clinic every day have problems related to something that they are choosing to do.
Chest infections caused by smoking.
Back pain as a result of sitting down all day and even after work.
Diabetes due to poor diet.
I seem to be locked in an eternal battle with my patients. I am continually trying to get them to come off of unnecessary medications, stop taking part in harmful habits and to stop taking antibiotics for viral infections.
Patients on the other hand come to me to take yet another pill for their ailments, seek yet another additional action they can take part in so that they can continue taking part in harmful habits.
I have come to realise that we humans find it much harder to subtract something from our lives than to add something to our lives.
It is easier to take a pill for high blood pressure than to stop doing the activities which has caused the condition.
It is easier to inject yourself with insulin than to stop eating processed foods.
I find it ironic how we take medications, often to mask our problems, which in turn leads to more problems down the line. It is clear that if we were simply to stop doing the harmful activity in question, instead of adding something new into our lives then we would benefit a lot more in the long run.
This got me thinking….
I have noticed that subtracting things from your life more often than not, leads to much greater gains than adding more stuff to it.
This is the type of logic that doesn’t make sense in a class room, but is empirically true. Say for example you were tasked with building a wall. In a maths book if a team of three people worked hard for 12 hours a day, you would be able to calculate how quickly each portion of the wall could be built. Therefore if twelve people were put to the same task who could work at the same rate, you wold expect this team of people to build the wall at four times the speed.
In reality, if you were put in a team with eleven other people, with all the arguments, the organisational problems, the egos etc, it is likely that the wall would take much longer to build. (If the government were put in charge with building the wall, it is likely that the wall would never get built. I am sure there would also, at some point be allegations that the wall can be considered discriminatory against blacks/women/immigrants/insert a poorly defined group of people here…..)
I’ve been thinking of three examples in particular which I want to write about. These three examples have given me more mental energy, made me fitter and made me financially better off. I’m sure that these principles and concepts can be applied to anyone’s life.
The News & Social Media
Over the last couple of months I’ve stopped reading and listening to the news. I haven’t used any social media since 2012 when I got rid of my FaceBook account, so I thought I was being smart by only using the Internet for learning, business and keeping up to date with the news.
It’s been an odd sensation since I stopped reading the news. I used to wake up in the morning, grab my smart phone and flick through a bunch of new sites. During lunch time I would revisit these sites to see if anything else was going on. I’d probably check again in the evening time at some point as well.
In total, I wasn’t actually spending much time a day reading and consuming news, but it did strike me at some point that I was not learning or gaining anything by reading it. This particularly hit me when I asked myself the question; “If I read last weeks news today, would I have missed out on anything at all?”. It became pretty obvious to me that the news is largely garbage. In this respect it’s very similar to social media; It’s designed to cause an emotional (negative) reaction, it’s designed to suck out time and attention from its readers and it’s designed to keep you coming back for more for a quick dopamine hit.
At first I didn’t notice much of a difference in my life. However, after a couple of weeks I felt a massive difference in my mind. I found that my mind just had to deal with less noise. I could stay focused on things that really mattered to me for much longer and I had much deeper insights about my startup due to the extra mental clarity. In particular, my mornings now just feel much more positive and better. It’s nice to not be bombarded with scare stories and the worlds problems first thing in the morning.
I now go to check out new sites just once a week. And when I do visit these sites, I have noticed that I only read a tiny fraction of the stories, as most of it really is just non-stories aimed at getting you to have a negative emotional reaction.
There really is a case to be made about stopping oneself from visiting web sites which are known to be damaging to overall well-being and which we all know distract you from doing what you really want to do with your life.
Really worth a watch if you don’t agree with what I’m saying, because it seems that the ex-president and a previous executive working at FaceBook both agree.
Here’s an interesting one. Why is it that when people think about getting fit and healthy they immediately think about exercise*?
Why is it that people think about exotic diets? Avocado and poached eggs on rye bread anyone? Or how about a gluten-free, vegan “cake”? No thanks, I don’t like to eat sissy ass food.
I think that it comes back to adding more things to your life, because it’s easier and somehow it seems “more right” to do something new when an existing diet isn’t providing results. However, the reality is that subtracting bad foods from your life is actually the easiest, best and the most realistic way of losing weight for the majority of people.
Food is such a personal thing. I wouldn’t expect anyone to enjoy my diet as much as I do or stick to my diet. The food we all enjoy is likely a combination of social, cultural personal influences. And it’s silly to think that you can adopt a random persons diet, be able to stick to it and enjoy it for the rest of your life.
Alan Aragon is a well-respected nutritionist who has coached many superstar athletes, including people like Pete Sampras. The first chapter in his excellent book was: “What if Everything You’ve Been Told Is True?”. He was trying to point out that for the most part, we all know what healthy food is. We all know that a chicken breast is healthier than a french fry.
Here’s how to subtract food from your diet. Some of my patients with a clinical diagnosis of diabetes have managed to completely stop their medications due to this simple method.
One very easy way of knowing if a food is healthy is if it is a single ingredient food that you can point at and name what it is. For example: “That’s a piece of fish, that’s a potato”. If you can’t name the food in single ingredient terms then it’s likely not healthy / is calorific. For example bread and pasta are made up of lots of ingredients – eggs, flour, milk etc. When foods are processed like this, they become calorically dense and usually end up being pretty bad for you. For example, two slices of bread is usually 300-400 calories, which is the same as eating 400 grams of boiled potatoes. Meaning that you would struggle to eat enough boiled potatoes to put on weight. Single ingredient foods by their very nature have a comparatively small amount of calories for the quantity you can eat!
Subtractive Business Ideas
It never ceases to amaze me how good business ideas all seem to be subtractive. I have noticed that my own healthcare business is subtractive by its nature, which may go some way to explaining why it has so much traction in such a short period of time.
This is what I mean by subtractive businesses / technologies / services; They make life simpler and easier than before. They uncomplicate processes and procedures.
Let’s take Google. What did people do before Google was around and people needed information? The used to go all the way to the library and go through books trying to find that single piece of data that they were looking for. Or they would go and have a look at their own books. Google is subtractive in that it has massively subtracted the effort needed to find data and it has made it much simpler to find the information that we’re looking for.
Uber did the same thing. At the click of a button a taxi will appear. No more trying to find the number for the local taxi firm, no more trying to figure out what the address of your pick up location is, no more wondering how much longer you have to wait for your taxi and no more worrying about having cash on you to pay the taxi driver.
Amazon. At the click of a button you can order most of the commodities that you used to have to make a trip to the store for. At the press of a button your chosen item will appear at your house in a day.
When most people try to think of what the future will look like they start to think about flying cars, talking houses and electrified pants. Most people take the same perspective when they try to come up with new business ideas. They start to have ideas which are “additive” instead of “subtractive”. The best business ideas always go more along the lines of “There is this problem, which I could solve in a better and easier way, which people will give me money for.”
If we look at the successful businesses throughout history and the businesses which are going to be big in the future they have been and will be subtractive in their nature.
*Unless you are an Olympic athlete or a marathon runner, going to the gym and working out really won’t burn many calories at all. Any fit person will say something along the lines of “abs are made in the kitchen” or “80% of results are from diet”.
The large majority of the public don’t know anything about health and therefore healthcare provision.
The majority of journalists and politicians who write and speak about the NHS don’t know anything about working in healthcare and therefore the realities of delivering healthcare to actual patients.
If these two statements are true, then it’s safe to say that most people don’t have a real grasp of the actual problems faced by modern healthcare and where we’re heading.
What You’re Told
The public discourse always revolves around the same lines.
The left always ask for more funding as this would provide the public with more doctors, more hospital beds, more access to cancer treatments and so on.
The right, while not necessarily for privatisation, generally don’t like the idea of paying ever more taxes when the are so many inefficiencies in the healthcare system, when the country has a lot of debt and when people (immigrants etc) who they deem should not have access to the NHS are using up its resources.
Here’s the thing. Both of these stances are not addressing the problems the NHS is facing. The demand in healthcare has been growing at an insane rate (some estimates state that healthcare demands have increased by 50% over the last decade) and will continue to increase. Therefore if we were to hypothetically provide all the funding needed to provide optimal healthcare for everyone and we were able to satiate this need right now, we would still end up in the same situation as now just a few years later.
It is important to realise that no country or system in the world has managed to solve the problem of healthcare provision. All healthcare systems around the world are facing imminent disaster as the demand is growing at such a fast pace, so to say that either providing more funding or reducing inefficiencies would make much of a difference is wrong.
Re-defining The Question
It is often said that if you are given an hour to solve a problem, that you should spend the first fifty-five minutes defining the problem.
I think instead of asking the question: “What can the NHS do?” a better question would be “What should the NHS do?”.
The NHS is treating people mainly for conditions which are a result of poor lifestyle choices. Diabetes, hypertension, COPD, cancers, osteoarthritis (due to being obese), anxiety, depression and so on are all largely due to poor lifestyle choices. If hypothetically the NHS had all the money in the world, we would still end up with a society of over medicated diseased, unproductive people. Is this what we should be aiming for?
The fact is that the only solution for the future of health is not new technology, AI, new medications etc to treat the ill, it’s actually getting patients to take responsibility for their own health by leading a healthy lifestyle. The only way to meet demand is to reduce demand, by reducing the number of ill people.
The problem with this solution is that it puts the onus of health back on patients. I cannot see any politician or person in power really trying to push for this. The backlash would be career suicide. There would be a public outcry if this was talked about seriously. I would imagine that a lot of patients would start to blame their circumstances for their poor lifestyle choices and demand that the government take responsibility and provide support for patients to make sure that they don’t develop chronic diseases.
This leads you to think that perhaps we shouldn’t be asking “What can the government do for public health”, but we should be asking “What should the government do for public health”. This is where the debate needs to be. How much personal responsibility should we all take for our own health? And what would this type of society look like?
Learn to say “good”no matter what and I guarantee your life will improve.
Your diet isn’t going as well as you hoped.
Good, it means you can lift heavier weights for longer.
The development of your app is going slower than you thought.
Good, it means you have longer to get it just right.
You failed that exam.
Good, it means you get to learn more.
People disrespect you.
Good, you have the opportunity to improve yourself.
You didn’t get that job.
Good, you get to use that pain as fuel to get an even better job.
You’re a nobody.
Good, being poor and unknown means you have nothing to lose and that makes you dangerous.
You don’t have time.
Good, you’ll have to stop wasting time on things that really don’t matter.
It’s all good.