I wrote this as we chatted today:
Design is no longer about making an object, but rather a system in which a need occurs and is resolved. Why this now? In a consumer society, we’ve saturated ourselves with products and waste, and yet our needs still persist. We need to redefine who we are and what we need. Choice is not a matter of 30 brands of toothpaste lining up your drugstore shelf. Rather, it’s choosing and controlling life’s milestones: birth, education, family, health and death. Services need to become more human-centered and less profit-oriented. As designers, we have an edge up on balancing diverse viewpoints in a creative process. Let’s share our skills as we embark on a colossal re-envisioning of ourselves and the things we use.

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Brown writes how we need to “extend the perimeter” (205) of the design project, beyond just the making of the artifact, but to the complex system of its use and the need that it fulfills in a broader social spectrum. For example, in the case of the Ararind eye hospital in India, it’s not about the expensive eye lens, but the need of a poor population for care. What this project needed, and got, was an extremely low-cost yet viable solution to the problem.

Ideas in the book, annotated:
Design moving upstream (20)
Project space (35)
Empathy (44)
Wisdom of crowds (58)
Experience design (110, 114)
Storytelling (133, 140 Intel Video, 148)
Interaction design (134)
MBA/design programs (160)
Nurture — medical consultancy (167-9)
Ararind eye hospital, India (209)
Ormondale Elementary (224)
How to, step by step (229)