Health care is broken. In the US quality of care is tanking. Even in countries with successful universal health care systems costs are rising too fast for the systems to cope. So what do we do?

Atul Gawande, who knows a thing or two about improving healthcare, argues in his commencement address to Harvard that doctors need pit crews:

We are at a cusp point in medical generations. The doctors of former generations lament what medicine has become. If they could start over, the surveys tell us, they wouldn’t choose the profession today. They recall a simpler past without insurance-company hassles, government regulations, malpractice litigation, not to mention nurses and doctors bearing tattoos and talking of wanting “balance” in their lives. These are not the cause of their unease, however. They are symptoms of a deeper condition—which is the reality that medicine’s complexity has exceeded our individual capabilities as doctors.

Gawande has two main arguments. First, that when doctors use checklists they prevent errors and quality of care goes way up. Second, that doctors need to stop acting like autonomous problem solvers and see themselves as a member of a tight-knit team. Gawande is one of the few sane voices in the health care debate. However, later on in his speech, he says that the solution to the health care conundrum is not technology. To a large degree, I agree with him. But not completely. Tech still has a big role to play. If we take a closer look at Dune and Star Trek, we’ll see why Qualcomm and the X-Prize Foundation are ponying up 10 million bucks to fund a piece of medical technology that could help make Gawande’s dream of team-based medicine a bit closer to becoming reality. (more…)

Most planets featured in science fiction tend to be rather generic. These planets are usually convenient celestial bodies upon which to pitch a narrative tent for a few scenes before the plot moves on. Generic planets also tend to be one-note, reflecting some particular environment on Earth. You have your ice-worlds, desert worlds, lava worlds, jungle worlds, water worlds, city worlds, forest worlds (in particular, forests that look like those near the city of Vancouver), earthquake worlds, and so on.

But sometimes an author will create a world whose presence has a weight and ring of truth, a world that feels like it could happily go on existing on its own terms, with or without a protagonist or antagonist strolling around on its surface. Setting aside obviously artificial habitats like ring words or hollowed out asteroids, here are my top ten best science fiction planets, in chronological order:

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