I have been vacillating between an intense discussion of Bad Blood and a terse and blunt statement about Theranos. In the end, I took a middle path. If you want to dive into the detail again, grab the book and the follow our re-read through it. If you want the later, the bottom line is — sleazy company, bad board and sociopathic people at the top. Now the middle path.
Let’s begin with the statement that Bad Blood is an interesting story. The book is a real-life cautionary tale for our times, whether you are in Silicon Valley or the rust belt. We live in a time in which many feel that the ultimate yardstick is how much profit a firm can squeeze out of a market and the size of the net worth of the owners. Social responsibility, and in some cases the health and welfare of their customers, is thrown to the wind. Theranos is a perfect example. In Theranos’ case (and probably in all of the firms that are like Theranos but don’t have books written about them) there are often good people that want to do the right thing. The problem is that waiting for people to do the right thing often takes a long time to happen therefore people get hurt.
Diving into the themes the Carreyrou draws out in the text suggests the main takeaway is that excess and bravado will always attract followers. A corollary to this idea is those true believers will be slow to abandon their leaders even when it is apparent they are just smoke and mirrors. Followers want to say yes to authority even when asked to do the impossible. I have seen project managers and/or development managers agree to deadlines that are impossible on the surface because they believe that is what is expected. The rationale is often pain delayed is pain avoided. The Theranos story is rife with examples of people that avoid doing what they think is right and but painful in a blind hope that they can avoid pain. Whether Holmes and Balwani are sociopaths, while important to the story, is less important when extracting ideas useful for a typical software development team. One ideas we can extract is that transparency is an important first step for any leader for foster in an organization. Yet, if a team or organization expects action based on transparency there needs to be a mechanism to take action. Any mechanism must also have a way to navigate around blockers and to balance the power between those speaking truth and those hearing the truth. In the book, the use of H1-B visa contractors was a way to generate a power imbalance that stops information flow. In Theranos’ case balancing power to expose problems would have been at odds with Holmes’ shell game.
I recommend that you read the book and if you find yourself in a situation that is anything like described in Bad Blood (whatever level — team, organization or personal), run don’t walk to the exit or if you don’t exit or expose the problem, you are part of the problem. It is easy to say, tough to recognize at the moment and then to act upon.
Next week we will lay out our approach to The Tipping Point by Malcolm Gladwell.
Previous Entries:
Week 1 – Approach and Introduction – https://bit.ly/2J1pY2t
Week 2 — A Purposeful Life and Gluebot – https://bit.ly/2RZANGh
Week 3 — Apple Envy, Goodbye East Paly and Childhood Neighbors – https://bit.ly/2zbOTeO
Week 4 — A Reflection –https://bit.ly/2RA6AfT
Week 5 — Sunny – https://bit.ly/2AZ5tRq
Week 6 – The miniLab – https://bit.ly/2rfmwJh
Week 7 – Wellness Play – https://bit.ly/2rqUYk6
Week 8 – Who is LTC Shoemaker – https://bit.ly/2GkbWv0
Week 9 – Lightning a Fuisz and Ian Gibbons – https://bit.ly/2QR7poR
Week 10 – Chiat\Day, Going Live and Unicorn – https://bit.ly/2SrRpGv
Week 11: The Grandson, Fame and The Hippocratic Oath – https://bit.ly/2FfSwp3
Week 12: Chapters 19 through Epilogue – https://bit.ly/2RoSYZ3
January 20, 2019 at 3:59 am
The “fake-it-until-you-make-it” culture in young software companies and some startups does not translate well into a regulated industry like medical as we saw in the Bad Blood story. False blood-test results can severely affect people’s lives with unneeded stress and potentially dire consequences.
Elizabeth’s north star was becoming wealthy (and famous). She ultimately lost sight of her end-users while pursuing her dream. Something her hero, Steve Jobs, never did. Jobs was always a fanatical advocate for product quality that affected the end-user.
For me, one of the biggest heroes in this story is Tyler Shultz. Who tried to open his famous grandfather’s eyes about the Theranos deceptions. Only to lose his Grandfather’s relationship for a while – since the book published, Tyler’s relationship with his Grandfather has been mended. Tyler also had to endure a mighty legal challenge meant to force his silence, that cost his family over $400K.
The Theranos / Elizabeth Holmes / Bad Blood story will make a great movie – which should show-up in theaters sometime in 2020.
January 20, 2019 at 10:11 pm
[…] 13 – Final Thoughts – https://bit.ly/2sAnBMr […]