Part of me thinks that innovation, real innovation in health care delivery, needs to happen from the bottom to the top.

I'm someone who can provide an intellectual framework, but I can't tell people who are trying to sell Product X how to do that because I don't know, and I would be faking it if I attempted to step into that role.

Success is deeply rooted in time and place. You may have the drive to read tons of books on biology. But if there are no books on biology in your library, and the library is never open, your drive is meaningless.

The iPod is clearly a tipping point (and I'm not quite sure it is a wholly positive development), because it is a revolution in the way that we consume creative property, which I would call art. It has radically changed the relationship between the artist and the audience, how money changes hands, and how much money changes hands. Music was the first, and books are coming next. The Kindle or some form of electronic book is clearly inevitable, and it will massively reshape how books are sold, who pays for them, and how they're consumed. It is going to be really fascinating.

I'm convinced that ideas and behaviors and new products move through a population very much like a disease does.

Clear writing is universal. People talk about writing down to an audience or writing up to an audience; I think that's nonsense. If you write in a way that is clear, transparent, and elegant, it will reach everyone.

When people in authority want the rest of us to behave, it matters-first and foremost-how they behave.