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THE FUTURE OF THE PROFESSIONS
Praise for The Future of the Professions
‘A swashbuckling journey through the professions, this book makes sense of sweep-
ing changes going on today and helps us see what it will mean to be a professional
in an era of ubiquitous knowledge and increasingly capable machines. The authors’
rigorous skepticism reveals an astounding future.’
Hugh Verrier, Chairman, White & Case
‘Many books about the future are shallow and unnecessarily alarmist. This book is
neither. We are behaving like ostriches in the developed world, refusing to see that
technology is on the cusp of fundamentally reshaping professions. The future is
bright, but only if we start embracing, rather than shunning, the future which the
Susskinds show is hurtling towards us.’
Sir Anthony Seldon,Vice-Chancellor, University of Buckingham,
and former Master of Wellington College
‘If you want to know how technology will continue to transform our lives, read this
book! Well researched, beautifully written, comprehensive, insightful, and encour-
aging, the authors convincingly make the case that no profession is immune to
these monumental changes, and that they provide an unprecedented opportunity
for those who embrace rather than resist them.’
Professor Nicholas F. LaRusso, MD, Founding Medical Director
of the Mayo Clinic Center for Innovation
‘In the tax profession we have seen transformational change, striking at the very
foundations of what we do and how we do it. In this compelling work, the Susskinds
help us think more clearly about the crucial issues and opportunities we face and
set clear insight as to the way in which we must respond. Essential reading for any-
one interested in the future of a professional organization.’
Conrad Young, Deloitte Global Leader, Tax Management Consulting
PROFESSIONS
how technology will
transform the work
of human experts
RICHARD SUSSKIND
and
DANIEL SUSSKIND
1
3
Great Clarendon Street, Oxford, ox2 6dp,
United Kingdom
Oxford University Press is a department of the University of Oxford.
It furthers the University’s objective of excellence in research, scholarship,
and education by publishing worldwide. Oxford is a registered trade mark of
Oxford University Press in the UK and in certain other countries
© Richard Susskind and Daniel Susskind 2015
The moral rights of the authors have been asserted
First Edition published in 2015
Impression: 1
All rights reserved. No part of this publication may be reproduced, stored in
a retrieval system, or transmitted, in any form or by any means, without the
prior permission in writing of Oxford University Press, or as expressly permitted
by law, by licence or under terms agreed with the appropriate reprographics
rights organization. Enquiries concerning reproduction outside the scope of the
above should be sent to the Rights Department, Oxford University Press, at the
address above
You must not circulate this work in any other form
and you must impose this same condition on any acquirer
Published in the United States of America by Oxford University Press
198 Madison Avenue, New York, NY 10016, United States of America
British Library Cataloguing in Publication Data
Data available
Library of Congress Control Number: 2015939043
ISBN 978–0–19–871339–5
Printed in Italy by
L.E.G.O. S.p.A.
Links to third party websites are provided by Oxford in good faith and
for information only. Oxford disclaims any responsibility for the materials
contained in any third party website referenced in this work.
We dedicate this book to the memory of
Shirley Susskind (1935–2015)
a very loving mother and grandmother
Preface
It is unusual for a father and son to write a book together. Before thanking
the many people who helped us with this book, we thought readers would
be interested to learn a little about the background to our collaboration.
profession. But, for a while, he had sensed that his thinking applied equally
well elsewhere. At the time I was working in the Policy Unit in 10 Downing
Street. As we talked, it became very clear that my experience in government
confirmed his suspicions. And so we decided to set off on a project, together,
to think about the future of the professions. It has been an extraordinarily
happy five years, and a great privilege.
As Co-Authors
This book is written in the first person plural. This reflects the fact that our
views are shared views, so that when we say that ‘we believe’, ‘we see’, or
‘we predict’, then our positions are indeed aligned. However, we accept that
our use of ‘we’ in the past tense is sometimes anomalous. For example,
where we speak of what we wrote in the mid-1980s, one of us (Daniel) was
not yet alive. Nonetheless, as a convention throughout the book, when we
speak of ‘we’, we may be referring, variously, to our joint views or experi-
ence or those of either one of us.
Acknowledgements
We have been fortunate to have had the help of a large number of people
while writing this book. The following list comprises the many individuals
who gave generously of their time to be interviewed, alongside numerous
friends, colleagues, and clients who supported us throughout. To each and
every one of you we extend our warmest thanks: David Agus, David Barnes,
George Beaton, Lukas Biewald, Nick Birks, Bruce Braude, Jonathan Brayne,
Steven Brill, Tim Brown, Simon Carne, Mark Chandler, Stacey Childress,
Keith Coleman, Richard Collier-Keywood, Charles Conn, Dan Cooperman,
Jim Dabney, John Danner, Ian Davis, Robin Downie, Matthew Edwards,
Neville Eisenberg, Philip Evans, Alice Fermor-Hesketh, Gi Fernando, Cam
Findlay, Daniel Finkelstein, Joshua Foer, Howard Gardner, Josh Glancy,
Tom Goetz, Ian Goldin, Colin Gounden, Muir Gray, Ashok Gupta, Ben
Hammersley, Mark Harris, Mike Hess, Silvia Hodges, Jonathan Hughes,
Will Hunter, Michael Ingram, Ari Kaplan, Hanif Kara, John Kerr, Daphne
Koller, Daniel Kraft, Kieran Kumaria, Adrian Lajtha, Nick LaRusso, Bill
Liao, Paul Lippe, Ian Lloyd, Jay Lorsch, George Lowder, Ian Lloyd, Bruce
MacEwen, David Maister, James Manyika, Helen Margetts, Chris McKenna,
Christopher Michel, Christopher Millard, Michael Mills, John Moore,
David Morley, Tim Morris, Alastair Morrison, Gary Nelson, Howard
Nichols, Cory Ondrejka, Chris Outram, Jonathan Oviatt, Alan Paterson,
David Pester, Richard Punt, Stephen Rabinowitz, Chas Rampenthal, Paul
Robinson, Joel Rose, Mari Sako,Viktor Mayer-Schönberger, Dov Seidman,
Anthony Seldon, Richard Sennett, Richard Sexton, Tom Standage, Janet
Stanton, Paloma Strelitz, Ziona Strelitz, Matt Sucherman, Stephen Swensen,
Gideon Sylvester, Eric Topol, Darrel Untereker, David Vines,Vivek Wadhwa,
Kent Walker, Ted Wang, Anthony Warrens, Rachel Whetstone, David Wilkins,
Tom Wright, and Conrad Young.
A very big thank-you also to Darcy Hill for helping us so diligently with
the bibliography, and to Patricia Cato and Suzanne Richmond for their
assistance with early drafts of the book.
x ac k nowle dg e m e nts
Our friends at Oxford University Press have been notably patient. David
Musson has been an ongoing source of encouragement and of wise counsel;
and we are grateful also at OUP to Kim Behrens, Kate Farquhar-Thomson,
Phil Henderson, and Clare Kennedy for their enthusiasm and professional-
ism. Thank you also to Jeff New for his superb copy-editing.
The epigraph by John Maynard Keynes, The General Theory of
Employment, Interest and Money (1936), © The Royal Economic Society, pub-
lished by Cambridge University Press, is reproduced with permission.
Alan Susskind reviewed the entire manuscript. His observations and his
ongoing support were very much appreciated. At the same time, Werner
Susskind merits special mention for keeping us fully supplied with relevant
articles from the BMJ.
Jamie Susskind deserves the largest thank-you of all. He was there for us
constantly—to brainstorm, to motivate, to advise, and, occasionally, to medi-
ate. He read two versions of the manuscript, and his detailed analysis and
critique were invaluable.
Grace—I (Daniel) fear this will not be the last time. With all the love
there is in the world, thank you for being there for me.
Alexandra—we thank you for your warmth, your smile, and your love.
Michelle (our wife/mother)—you have been remarkable in your support of
our work and your belief in us as co-authors. We cannot thank you enough
for your love and endurance.
Finally, we dedicate this book to the memory of Shirley Susskind, our
mother and grandmother.Very sadly, she passed away just a few weeks before
we completed the manuscript. We know she would have been proud of us.
Richard Susskind
Daniel Susskind
Radlett, England
30 March 2015
Hitherto [1848] it is questionable if all the mechanical inventions yet made
have lightened the day’s toil of any human being. They have enabled a
greater population to live the same life of drudgery and imprisonment, and
an increased number of manufacturers and others to make fortunes. They
have increased the comforts of the middle classes. But they have not yet
begun to effect those great changes in human destiny, which it is in their
nature and in their futurity to accomplish. Only when, in addition to just
institutions, the increase of mankind shall be under the deliberate guidance
of judicious foresight, can the conquests made from the powers of nature
by the intellect and energy of scientific discoverers become the common
property of the species, and the means of improving and elevating the
universal lot.
John Stuart Mill
The difficulty lies, not in the new ideas, but in escaping from the old ones,
which ramify, for those brought up as most of us have been, into every
corner of our minds.
John Maynard Keynes
Contents
Introduction1
PART I. CHANGE
Bibliography 309
Index 337
List of Boxes and Figure
T his book is about the professions and the systems and people that will
replace them. Our focus is on doctors, lawyers, teachers, accountants,
tax advisers, management consultants, architects, journalists, and the clergy
(amongst others), on the organizations in which they work, and the institu-
tions that govern their conduct. Our main claim is that we are on the brink
of a period of fundamental and irreversible change in the way that the
expertise of these specialists is made available in society. Technology will be
the main driver of this change. And, in the long run, we will neither need
nor want professionals to work in the way that they did in the twentieth
century and before.
There is growing evidence that a transformation is already under way.
More people signed up for Harvard’s online courses in a single year, for
example, than have attended the actual university in its 377 years of exist-
ence. In the same spirit, there are a greater number of unique visits each
month to the WebMD network, a collection of health websites, than to all
the doctors working in the United States. In the legal world, three times as
many disagreements each year amongst eBay traders are resolved using
‘online dispute resolution’ than there are lawsuits filed in the entire US
court system. On its sixth birthday, the Huffington Post had more unique
monthly visitors than the website of the New York Times, which is almost 164
years of age. The British tax authorities use a fraud-detection system that
holds more data than the British Library (which has copies of every book
ever published in the UK). In 2014 the US tax authorities received elec-
tronic tax returns from almost 48 million people who had used online
tax preparation software rather than a tax professional to help them. At
WikiHouse, an online community designed a house that could be ‘printed’
and assembled for less than £50,000 (built successfully in London during
September 2014). The architectural firm Gramazio & Kohler used a group
of autonomous flying robots to assemble a structure out of 1,500 bricks.The
2 the future of the p rof e s si on s
consulting firm Accenture has 750 hospital nurses on its staff, while Deloitte,
founded as an audit practice 170 years ago, now has over 200,000 profes-
sionals and its own full-scale university set in a 700,000 square-foot campus
in Texas. Meanwhile, the Pope has 19.3 million followers on Twitter; the
Dalai Lama has a modest 10.4 million.1
1
See Chapters 2 and 3 for references and further details of these examples.
2
We use the terms ‘increasingly capable systems’ and ‘increasingly capable machines’ inter-
changeably throughout the book. More generally, unless the context indicates otherwise, we also
use ‘systems’ and ‘machines’ interchangeably.
i nt roduc ti on 3
To sceptics, who may already be tempted to put the book to one side,
consider this: in the mid-1990s, when we predicted (in retrospect, rather
unambitiously) that electronic mail would become the dominant way in
which clients and lawyers would communicate, senior officials at the Law
Society of England and Wales said that we should not be allowed to speak
in public, that we failed to understand confidentiality, and that we were
bringing the legal profession into disrepute. We recall this anecdote now in
order to invite those who feel an intuitive distaste for our arguments to
suspend disbelief for a short while and give serious contemplation to the
notion that the future may look nothing at all like the past. Although some
of the developments we anticipate in this book may seem outlandish today,
none is more improbable than the idea of e-mail between lawyers and
clients seemed in the mid-1990s.
Professionals play such a central role in our lives that we can barely
imagine different ways of tackling the problems that they sort out for us.
But the professions are not immutable. They are an artefact that we have
built to meet a particular set of needs in a print-based industrial society. As
we progress into a technology-based Internet society, however, we claim
that the professions in their current form will no longer be the best answer
to those needs. To pick out a few of their shortcomings—we cannot afford
them, they are often antiquated, the expertise of the best is enjoyed only by
a few, and their workings are not transparent. For these and other reasons,
we believe today’s professions should and will be displaced by feasible
alternatives.
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