Basketball free throws are like WW2 aviation: nobody uses the best technique

Physics Proves It: Everyone Should Shoot Granny-Style | DiscoverMagazine.com.

I’m writing about the slow and uneven adoption of Standard Procedure Flying (SPF) during World War 2. SPF is  superior, especially for newer pilots (which was who fought the war from 1943 onward, after the experienced ones were killed). So why didn’t everyone use it?? Analogy: free throw percentages in basketball are higher with underhand throws; but nobody uses it! Rick Barry is a legend who used it; but not even his sons followed him.Barry makes free throws into a “standard procedure.”

Rick Barry free throw

POMS talk: Aviation 1940 = Medicine 2005

B-17 Throttles

B-17 Throttles (Photo credit: rkbentley)

On Sunday I gave a capstone talk at the Production & Operations Society meeting in Denver.  I oriented my talk toward a comparison of health care now, with aviation’s transition to Standard Procedure Flying in the 1940s and 50s. BOHN POMS Standard procedure flying 2013e

As in medicine now, experienced expert flyers who did not use standard procedures were still better than newly trained pilots who did. And there was resistance to the changes. But aviation had a couple of advantages in making the transition: New pilots who did not learn SPF died quickly, usually in accidents. And the old experts got rotated out of combat positions (United States Army Air Force), or eventually got shot down no matter how good they were. (Germany)

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Technology’s Real Benefits- NOT so much in cancer research

The first example is cancer research. … The genomic approach helps establish the right treatments today, and will likely lead to new and better drugs in the next few years. ….” this is something that will be useful 200 years from now. This is a landmark that will stand the test of time.”

via Technology’s Real Benefits (Hint: They’re Not Economic).

Sorry, Andy, we have been getting hype about contributions of computers to biotech, and biotech to cancer, for 20+ years.  It’s past time to be highly skeptical that medical breakthroughs are “around the corner… just give us another $X billion for research…” Although the research results have been fascinating, the practical impacts have been modest. I think one reason is that the Big Pharma/Big Academia model of R&D is  inefficient and ineffective. Everyone hoards their data, and pursues their own stove pipe. There’s little collaboration or interchange among computer modelers, in-vitro, animal models, epidemiologists, etc. This is not something that better technology can solve – it’s a problem with business incentives and the academic promotion system.

Case in point: According to a friend, there have been no Randomized Clinical Trials on the relationship between crystalline salt and kidney disease. Everyone assumes there is a relationship, but what is the exact causal link? What’s the magnitude? What are the mediators of the effect (e.g. different diets, different climates). And what effects do intervention at different points (diet versus medications) have?  This is not cancer research, but same principles hold.

Other benefits of technology: sure. Cultural and scientific and business. Mapping Inca ruins: awesome. Effect of Facebook on daily lives: large,and not captured in GDP statistics. So your basic thesis is good; just don’t use medical promises as cases in point!