I've read that doctors now spend as much as 50% of their time documenting their work. Companies such as Epic, which provide the software that hospitals use to build databases of patient data, have been big winners in the new world of hospitals-depending-on-software. But did the doctors become more productive? By almost any measure, they became less productive.

People in tech keep thinking more tech will solve problems and they keep underestimating the flexibility of the old models. For instance, most large companies used to be run by armies of secretaries, and the senior secretaries functioned as what we would now call "project managers" -- they made calendars, oversaw who was working on what, followed up to keep track on whether work was being done, and kept a close eye on what money was being spent. The crucial thing about having humans overseeing such work is that humans can take a flexible approach to the rules: they know when to break them. By contrast, systems that are highly dependent on software tend to be more rigid. Software doesn't know when its rules should be broken.

The flexibility of the old system is constantly underestimated, the rigidness of the new systems is often misunderstood.

In his book "The Design Of Design" Fred Brooks talks about the power of trust, and he contrasts that situations where everything needs to be first negotiated and specified in a contract. High trust systems are flexible and fast, whereas a system where every detail needs to be specified in a contract is slow and rigid. We should stop and ask ourselves, our favorite Agile methodology resembles which of these? Are specifying things with needless detail?