"If my calendar is correct, this is 2005 and this is my eighth State of the School address. This fall, as every other fall, has been associated with many new things happening and I can assure you that this is not a dull place. There are five areas that I would note at the beginning of my comments and I will allude to in various parts of the presentation. The first area is some administrative changes that we have had within the medical school itself. The second is new plans for education reform and reorganization of the Program in Medical Education staff, new opportunities with our teaching hospitals, new challenges in our relationships to the university, particularly with respect to the Allston planning, and new developments in our global activities.

This spring I enjoyed very much the reading of Thomas Friedman’s book, The World Is Flat. As those of you who read The New York Times know, he is one of the distinguished Op-Ed writers. He is a foreign affairs columnist for the Times and his premise in writing this book is that we live in a very different world as a result of globalization, the convergence of new technologies, and dramatic changes in the political and economic landscape. As a result of these, competition is no longer based on who can get the job done or even who is willing to do it the cheapest. The fall of the Berlin Wall; change in economic policies in Asia; Netscape; Google; massive overcapacity, particularly in our fiber optic systems; and collaboration enhancing software have created a very different world where high-quality work is being done essentially everywhere. The flattening then, in my own interpretation of his work, has had a profound impact on the way we conduct our international business affairs. Outsourcing, in-sourcing, the juggling of trade deficits, and offshore economic arrangements have each resulted in new constructs in the relationships between business, government, and educational entities throughout the world. I like the one example that he gave about Dell Computer, which is currently the world’s largest computer company, to illustrate his principle.

Dell sells between 140,000 and 150,000 computers each day, and the success of the company depends on worldwide transactions and delivery routes, but there is more to it than that. Research teams in Texas and Taiwan collaborate instantaneously on the design of new products and modifications of existing products. Ten countries, notably China, Malaysia, Korea, Japan, and Taiwan, produce the individual components. Product quotas, production quotas, quality control, and on-time delivery with virtually no inventories are characteristic of the business model.

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Copyright 2005 The President and Fellows of Harvard College