I have to admit that business-type thoughts do sneak into my head: I hope our customers pay us, I hope this stuff is decent, I hope we get it done on time. The little additions and subtractions that one has to do. Take sales, take costs and try to get that big positive number at the bottom.

As I look forward, I'm very optimistic about the things I see ahead.

If you're too focused on your current business, it's hard to change and concentrate on innovating.

Well depending on the government, you either work through the government, which is ideal, because then you're strengthening their capabilities, or you work through the non-governmental organizations. It's never easy, and you know, it's just about the very basics of health. This is not hospitals. This is just primary health care [in Africa], the most simple things, and even so, getting the supplies out, getting the trained workers there.

The intersection of law, politics, and technology is going to force a lot of good thinking.

[Smart] is an elusive concept. There's a certain sharpness, an ability to absorb new facts. To ask an insightful question. To relate to domains that may not seem connected at first. A certain creativity that allows people to be effective.

What destroys more self-confidence than any other educational thing in America is being assigned to some remedial math when you get into some college, and then it's not taught very well and you end up with this sense of, 'Hey, I can't really figure those things out.'