How Medical Breakthroughs Happen(newledger.com)
newledger.com
How Medical Breakthroughs Happen
http://newledger.com/2009/07/how-medical-breakthroughs-happen-a-response-to-megan-mcardle/
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As a historical sidenote: large chunks of medical progress were made by rural and war doctors ie precisely those with few resources at their disposal (hence innovation).