My knees are in pretty bad shape. In fact, every doctor I’ve worked with over the past 10 years has told me that the only real fix available to me is to have them replaced.
But they always give me this recommendation with the qualifier “at some point” tacked on to it. Despite the difficulties my current condition entails, all of them believe I’m about 10 years too young to have the procedure done now. So instead, as a half step to delay the inevitable, I had knee surgery again last week (my 6th knee operation over the past 15 years) to try and provide some temporary measure of relief.
My reason for sharing this with you isn’t a play for sympathy. What I find so interesting here is the justification doctors have for wanting me to wait. There is no doubt that I would benefit from having this procedure done today. Their reticence instead boils down to a conservative view of the future:
I grew up during the 1960′s, when science established itself as the engine of progress and shaped my view of an unbounded future. With this as motivation, I have spent my entire post-gratuate career developing and commericalizing new technologies in a series of startups, seeing entire industries reinvented and new ones created in ways no one imagined previously.
In these types of creative environments, decisions aren’t made based on what you know can be done today – to do that would marginalize progress. Instead, they are based on what you ‘believe’ you’ll be able to do at a given point in the future. Innovation isn’t simply a happy upside surprise that occasionally interrupts an otherwise slow, predictable march forward. It is the ephemeral, yet paradoxically substantial, foundation that every significant thing you accomplish will ultimately be built upon. Innovation happens through strength of will and the conviction that you can accomplish whatever you set your mind to – even if the necessary details aren’t clear when you begin.
With this as context, having doctors defer taking beneficial steps today based on concerns about limitations that may exist a quarter century into the future seems counter intuitive to me. Believing in innovation isn’t a ticket to be reckless, and I do understand that there are risks involved. That said, it should give us the confidence to move forward with things we see as reasonable, even if we currently lack the clarity of detail we will need at some point in the future to execute on it.
To me, that is what believing in innovation is all about.
I do appreciate that doctors need to balance a range of medical, legal, and business factors that are all significant elements of these types of decisions. My comments here are really meant as a more general call for us to recapture that fundamental belief in our ability to solve the challenges we face and to the capture the opportunities we have in front of us – even when they initially seem overwhelming. We need to view risk in our society less as a yoke of uncertainty that we should avoid, and more as a liberating force of possibility that we should embrace.
This belief is an essential component of building an innovative culture. And it’s what makes America a beacon for so many people throughout the world.