"The American Dream, RIP?"

"An ever-expanding array of ratings will expose so-so doctors + patients who do not take their meds" @TheEconomist http://t.co/ivhRT0SI6b
— Eric Topol (@EricTopol) September 22, 2013

http://www.economist.com/news/united-states/21586581-economist-asks-provocative-questions-about-future-social-mobility-american

COULD America survive the end of the American Dream? The idea is unthinkable, say political leaders of right and left. Yet it is predicted in 'Average is Over', a bracing new book by Tyler Cowen, an economist. Mr Cowen is no stranger to controversy. In 2011 he galvanised Washington with 'The Great Stagnation', in which he argued that America has used up the low-hanging fruit of free land, abundant labour and new technologies. His new book suggests that the disruptive effects of automation and ever-cheaper computer power have only just begun to be felt.
It describes a future largely stripped of middling jobs and broad prosperity. An elite 10-15% of Americans will have the brains and self-discipline to master tomorrow’s technology and extract profit from it, he speculates. They will enjoy great wealth and stimulating lives. Others will endure stagnant or even falling wages, as employers measure their output with 'oppressive precision'. Some will thrive as service-providers to the rich. A few will claw their way into the elite (cheap online education will be a great leveller), bolstering the idea of a 'hyper-meritocracy' at work: this 'will make it easier to ignore those left behind'. Mr Cowen’s vision is neither warm nor fuzzy. In his future, mistakes and even mediocrity will be hard to hide: eg, an ever-expanding array of ratings will expose so-so doctors and also patients who do not take their medicines or otherwise spell trouble."

http://www.economist.com/news/united-states/21586581-economist-asks-provocative-questions-about-future-social-mobility-american