BlackOxford's Reviews > Bad Blood: Secrets and Lies in a Silicon Valley Startup

Bad Blood by John Carreyrou
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The True Cost of Idealism

I have been guilty of the grave fault of idealism in much of my professional life. Consequently I cringe when I read of the young Elizabeth Holmes and her idealistic trajectory from the thrilling emotionally-laden launch of Theranos, which promised a breakthrough in medical technology, to its ignominious destruction as a fraudulent scam. In her I see myself - not in her level of talent or her self-confidence but in her profound self-delusion. It is this self-delusion which seems the universal cost of idealism, a cost which is borne not just by the promoter of an ideal but by the rest of the world as well - in her case about a billion dollars in round figures.

Idealism sells. What it primarily sells is itself - its promise, its enthusiasm, its own inherent goodness. Modern serial idealists in places like Silicon Valley are idealists about idealism. It is their idealistic energy and talent for putting together pieces in a technological/conceptual/commercial puzzle that gets them what they need: ideas, contacts, talented colleagues, reputation, and money.

The code phrase of the idealist is ‘Making a Difference.’ So Holmes “wanted to truly leave her mark on the world, she would need to accomplish something that furthered the greater good, not just become rich.” But most of all their energy and enthusiasm gets them power, the power to promote their own idealistic self-image.

Idealism is always couched in terms of abstract altruism, that is, improving the human condition. But no matter what the area in which a particular ideal is to be pursued - business, politics, medicine, academia - the idealist imperative, his or her sine qua non, is the acquisition and maintenance of power for themselves.

Power is a logical and practical prerequisite for the realisation of any ideal. Idealists therefore want to enrol the rest of us in their ideal. This is their route to power. Their role model is not that of Albert Schweitzer or Mother Teresa and the selfless doing of good but that of Pericles and the talking of doing good, usually about what others are required to do to prove their goodness.

The world of the idealist is constrained and defined by power regardless of the merits of the ideal put forth as its rationale. Power is the elephant in the room that no one talks about but that must be constantly fed. Eventually there is room for nothing else. The ideal one has started with becomes a nostalgic memory, restored to mind only at the behest of power to increase itself. This is the essential paradox 0f idealism: it will always end in tears.

The more articulate and forceful idealists are in presenting their ideal, the more power they accumulate. The idealist is a visionary, a prophet who deserves power because of the strength of their vision and prophetic acumen. Holmes made it clear to her employees that she was “starting a religion.” It is faith which justifies, for the idealist as for any believer, those actions necessary to acquire power. Chief among such actions is lying.

Chronic mendacity is not incidental or exceptional for the idealist. It is a necessary virtue of technique and substance. Lying is expected because all communication is negotiation, is it not? This is the common thread among idealists of diverse backgrounds, views, and personalities. Donald Trump is an entrepreneurial idealist; Benedict XVI is a religious idealist; Mark Zuckerberg and Elon Musk are high-tech idealists; as indeed is Elizabeth Holmes. However else they differ, they share this distinctive trait: they lie instinctively and routinely, and without remorse, indeed, I suspect, without consciousness of lying at all.

Although idealists have to be enthusiastic salesmen, they are not mere evangelists who tout the advantages of their ideal, while staying silent about its possible defects or adverse consequences. Idealists are true believers. Unlike typical salesmen they do not present half truths, distortions, overstatement, and tendentious arguments knowing them to be such. They believe firmly in everything they say. They are compelling, even for hard-bitten venture capitalists. The guy Holmes recruited to do the engineering was mesmerised by her take of difference-making: “Edmond, who went by Ed, felt himself drawn in by the young woman sitting across from him who was staring at him intently without blinking. The mission she was describing was admirable, he thought.”

The ideal consumes idealists, including their awareness of reality. In their own minds they do not lie, they convince - themselves as much as others - in order to further the ideal. Lies are aspirational statements not false claims. Their repetition is constructive truth, an embodiment of hope, and a demonstration of that very Christian virtue of faith. So from the start of Theranos, Holmes was faking the results of her diagnostic devices through high-tech trickery - believing, much like Bernie Madoff (another idealist), that the breakthrough was at hand. She was selling nanobot snake oil to West Coast money men at the same time as Goldman Sachs (an exceptionally idealistic firm, just ask them) was pushing its sub-prime portfolios into German pension funds. Same product - efficiency - just different labels, one procedural, the other financial.

In short idealism is not merely a neurosis; it is a sociopathology. Idealists don’t simply have ideals; they seek to impose them on the rest of us - at a profit. Idealism is an infection spread from mouth to ear to mouth. As both a philosophy and a practical ethic it is the secular residue of the Christian idea of faith. It may not move mountains directly but it certainly can generate the cash to develop the machines which can. And idealism justifies anything for those who have it; it makes the idealist immune from self-criticism, and indifferent to the consequences of his actions. Idealism certainly gets things done in a world which expects and respects it. But what it gets done is rarely discussed.

In business the consequence is constant low-level deceit punctuated by not infrequent criminal fraud; in politics the consequence is extremism and ultimately terrorism; in religion, fundamentalism and doctrinally-justified inhumanity. Idealism, like its progenitor of faith, is something we culturally value. The central question that Bad Blood raises is not legal, or organisational; nor is it essentially about the moral code of Silicon Valley. It is about whether this legacy of what we glibly call Christian civilisation is a salvific virtue or a destructive vice.

Postscript: It is also clear that idealists have no shame: https://gizmodo.com/disgraced-therano...
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Reading Progress

June 6, 2018 – Shelved as: to-read
June 6, 2018 – Shelved
December 13, 2018 – Started Reading
December 13, 2018 – Shelved as: american
December 13, 2018 – Shelved as: biography-biographical
December 13, 2018 – Shelved as: measurement
December 13, 2018 – Shelved as: science
December 14, 2018 – Finished Reading

Comments Showing 1-50 of 85 (85 new)


Lori Amen. Outstanding review!


BlackOxford Lori wrote: "Amen. Outstanding review!"

Thank you Lori. It’s nice to be confirmed in my heresies.


message 3: by Tammy (new)

Tammy Once again you have made me think and I thank you for it


BlackOxford Tammy wrote: "Once again you have made me think and I thank you for it"

Thanks Tammy. Returned appreciation.


message 5: by Kaleah (new) - added it

Kaleah Great review! That last paragraph really hits home.


BlackOxford Kaleah wrote: "Great review! That last paragraph really hits home."

Thanks Kaleah.


message 7: by Viktoria (new)

Viktoria Thank you for wonderful material for contemplation first thing in my morning, Michael! You always deliver.


message 8: by Paula (new)

Paula K Wow, I loved your review, Michael. Spot on! Sociopathology...


BlackOxford Viktoria wrote: "Thank you for wonderful material for contemplation first thing in my morning, Michael! You always deliver."

Hey, thanks for that endorsement, Viktoria!


BlackOxford Paula wrote: "Wow, I loved your review, Michael. Spot on! Sociopathology..."

Thanks Paula. Unfortunately I’ve known quite a few. It’s the main reason that I hide out in the country now. Many fewer of them per head of population outside The Smoke.


Andrea Great (and daring) review. Would you consider the idealists' followers as victims or perpetrators of a "sunk-cost" mindset? In for a penny, in for a pound...


message 12: by Caterina (last edited Dec 14, 2018 10:13AM) (new)

Caterina The code phrase of the idealist is ‘Making a Difference.’ So Holmes “wanted to truly leave her mark on the world...

Excellent and unexpected (to me) analysis of idealism, Black, with a personal touch. You got to the kernel of it when you identified the idealist's central desire to make (their own) mark to which everything and everyone else becomes an accessory. Fascinating and deeply disturbing!

Maybe the notion of getting rid of faith and hope entirely (religious or secular) is also a form of extremism, though? Aren't they in some form indispensable to human life and all good relationships and communities? I wrestle with the meaning of faith (and hope) in my own life, maybe in a different sense, as in "good faith" and "faithfulness" and in some new form of religious faith appropriate to our time ... in what sense are they still viable, beautiful, livable? -- I ask myself.


message 13: by BlackOxford (last edited Dec 14, 2018 11:04AM) (new) - rated it 4 stars

BlackOxford Caterina wrote: "The code phrase of the idealist is ‘Making a Difference.’ So Holmes “wanted to truly leave her mark on the world...

Excellent and unexpected (to me) analysis of idealism, Black, with a personal to..."


Thanks Caterina. Hope is one thing; faith quite another. As I have suggested elsewhere (https://www.goodreads.com/review/show...), faith is something created as the distinguishing characteristic of Christianity. It is not an element of any other religion. My contention is that our cultural idealism is the secular legacy of faith, something we all would be better off to avoid. Faith means the insistence upon certain presumptions regardless of contradictory evidence. This is not a good idea. Communities are built on trust not faith. Trust is confidence which may be withdrawn if circumstances warrant.


BlackOxford Andrea wrote: "Great (and daring) review. Would you consider the idealists' followers as victims or perpetrators of a "sunk-cost" mindset? In for a penny, in for a pound..."

Interesting question, Andrea. There are alternatives to victims and perps. Perhaps enablers or co-conspirators are better descriptions.


Michael Perkins Michael is being very generous. I confess, I am far more skeptical of Ms. Holmes.


BlackOxford Greg wrote: "Really great review. I think that you are spot on about your insights into Holmes’ psyche; I believe that much of her sociopathic behavior (for some reason, her faking a baritone voice pops to mind..."

Yes, you are probably right about the possibility of a less spectacular success. But as you say, that wouldn’t have satisfied the psychopathology at all.


BlackOxford Marita wrote: "A very interesting review!"

Thanks Marita.


BlackOxford Michael wrote: "Michael is being very generous. I confess, I am far more skeptical of Ms. Holmes."

I’m crushed. I read the book because of your comments. And didn’t think I was inconsistent with your views. De gustibus... or something like that. 🤷‍♂️


Michael Perkins Actually I see that I misunderstood your review. Your take on Holmes is spot on. I realized that the term "idealist" conjures up a different connotation to me. One that I would not associate with any of these rogues. But the way you define and explain it perfectly fits. Sorry for the misunderstanding.


Michael Perkins And I see that part of the definition of idealism is lack of realism and boy is that true of Holmes. And to pick up on one of your threads, it's when people like this bump up against reality and see that their idea is not going to work, is in fact false, that's when they begin to prevaricate and try to convince others it does work, that it's real, when it's not. Otherwise they have to give up on their delusion,. which these personalities are not about to do.


Michael Perkins Your exploration of Holmes' psychology is helpful.


BlackOxford Michael wrote: "Actually I see that I misunderstood your review. Your take on Holmes is spot on. I realized that the term "idealist" conjures up a different connotation to me. One that I would not associate with a..."

Thanks Michael. I was having a moment of unrealism myself. Possibly residual idealism. 🤕


BlackOxford Terence M wrote: "A great review, BO!"

Thanks Terence.


Michael Perkins You raise an interesting question about Holmes. Before I read the book, I assumed she came from a wealthy family because of all the big-name investors who put in the big bucks. But it turns out she came from a middle class family that happened to know these people.

The author quotes an anecdote in the book from a family member. When Holmes is about age 10, she is asked what she wants to be when she grows up and she says: "a billionaire."

So in terms of idealism was she that way at first or a schemer? It comes out that she did not learn anything at Stanford and the dropout scenario is suggestive of imitating Jobs and Gates.

No one seems to know for sure. Did Bernie Madoff sincerely start out trying to benefit Jewish charities by including them in his investment plans and then get seduced by the money and end up in way over his head? It's possible. Perhaps he started as an idealist, too.

Americans like the concept of doing good by doing well, but sometimes the good part gets lost.


Interesting that her father made a deliberate decision about this by leaving Enron to work for USAID.


message 26: by BlackOxford (last edited Dec 15, 2018 12:02PM) (new) - rated it 4 stars

BlackOxford Michael wrote: "You raise an interesting question about Holmes. Before I read the book, I assumed she came from a wealthy family because of all the big-name investors who put in the big bucks. But it turns out she..."

I’ve encountered several people like Holmes at Oxford. Similar backgrounds to her - middle-class aspirationals with some heavy contacts. Big self-images and Orange County Right-wingers who picked up their politics and their ideals from their parents’ dinner tables.

Madoff is an interesting case. He was a hyper-idealist whom I had some dealings with at NASDAQ. His scam started not out of greed but his self -image as guru who knew the market better than it knew itself. His belief was that eventually it would conform to his expectations, that it was rational according to his lights. That was his elephant in the room: financial market rationality.


Michael Perkins Swedish Bank Prize winner, Myron Scholes, suffered from the same delusion as Madoff. Scholes thought his "system" could forecast everything. The disaster of Long Term Capital Management proved otherwise. However, many continued to take him seriously. In early 2000, during a Q & A session following a talk at Stanford, he was asked if there was a tech stock bubble and he said no. Within a couple months, NASDAQ imploded. Alan Greenspan was equally naive. They fail to take into account the irrational in human nature. Perhaps more time reading history instead of staring at spreadsheets might help.


BlackOxford Michael wrote: "Swedish Bank Prize winner, Myron Scholes, suffered from the same delusion as Madoff. Scholes thought his "system" could forecast everything. The disaster of Long Term Capital Management proved othe..."

Interesting. My great uncle was Fischer Black. I don’t know if he really believed the stuff in Black-Scholes but he sure was glad other people did.


message 29: by Inna (new) - rated it 5 stars

Inna Volvak I agree with your point about the idealism. I think idealism usually goes hand in hand with zealotry. I am Russian. The tragic history of my country taught me that evil always inevitably appears where an idea is valued above life (and humanism, but humanism itself is an idea as well). And the case of Theranos is another proof. Elizabeth was very cruel to people around her from the very beginning, and in my opinion it is a red flag.


BlackOxford Thank you Inna. I thought I had responded to you last night but I must have forgotten to click Post. In any case, idealism is not just a Russian disease. It is alive and well and wrecking havoc in the USA, where it has a long career. And you’re right: bullies, whether in a marriage or in politics, are to be shunned as completely as possible.


Michael Perkins So true, Inna

I've covered Silicon Valley for most of my professional career. Holmes is a very high profile example. But I am starting to get reports of less famous here in SV who have destroyed themselves and their families because of their twisted idealism.


BlackOxford Michael wrote: "So true, Inna

I've covered Silicon Valley for most of my professional career. Holmes is a very high profile example. But I am starting to get reports of less famous here in SV who have destroyed t..."


Interesting.


message 33: by Inna (new) - rated it 5 stars

Inna Volvak I loved this book because for me it is another proof of the stupidity, ignorance and zealotry of this new wave religion aka ‘The secret’. So many people started to believe that we exist in our subjective reality, and we only need to desire something strongly enough and it will come true. Like a magic. But look, Holmes wanted to be a successful entrepreneur so badly, and she believed in her subjective bubble so badly, that she forgot that we do not existing in subjective reality. We exist in objective reality that we all share, and yes we can understand it only without the boundaries of our perception. But that’s why it is so important to constantly widen the boundaries of your own perception by studying, discussing with other people and digesting totally opposite point of views. So, the “idealism” that you describe for me means mainly the lack of ability to go beyond your own boundaries of perception. This approach always ends up on failure.


message 34: by Inna (new) - rated it 5 stars

Inna Volvak Sorry for typo, I meant “we can understand/access the reality only within the boundaries of our perception”.


BlackOxford Inna wrote: "I loved this book because for me it is another proof of the stupidity, ignorance and zealotry of this new wave religion aka ‘The secret’. So many people started to believe that we exist in our subj..."

You’re right of course Inna. I realise only after reading your comment that this Silicon Valley worship of technology is the new Gnosticism, the cult of secret knowledge (as you say) which will save the world. Gnosticism has always appealed to the more intellectual as a way to explain the apparent evil in the world. Turns out it’s actually evil’s way to spread itself around a bit more through those who are really motivated.


Michael Perkins Inna: that's a very insightful understanding of the psychology of these personalities. While reading your analysis, several people I know in SV came to mind. Holmes is merely one of many. It's a bizarre solipsism. These people are convinced that what's in their heads is the only true reality and that it conforms to what they want. They are oblivious to the real world and, as you say, it always ends in failure. I think this is what has happened with Facebook. Zuckerberg and Sandberg are in their own world, doing what they want, and seemed surprised that there are consequences for their bad behavior.

There was a infamous example of this during the presidency of George W. Bush. He and his advisers thought they could shape the world, including the Middle East, to their desired ends. Because the U.S. was the only true superpower in the world, don't you know?

This resulted in a famous interchange between a writer for the NYT Magazine and a Bush operative (likely Karl Rove)....

"The aide said that guys like me were 'in what we call the reality-based community,' which he defined as people who 'believe that solutions emerge from your judicious study of discernible reality.' [...] 'That's not the way the world really works anymore,' he continued. 'We're an empire now, and when we act, we create our own reality. And while you're studying that reality—judiciously, as you will—we'll act again, creating other new realities, which you can study too, and that's how things will sort out. We're history's actors...and you, all of you, will be left to just study what we do."


BlackOxford Michael wrote: "Inna: that's a very insightful understanding of the psychology of these personalities. While reading your analysis, several people I know in SV came to mind. Holmes is merely one of many. It's a bi..."

👍👍🤙


carol. Very interesting take on idealism.


BlackOxford carol. wrote: "Very interesting take on idealism."

Experience is a hard teacher. 👻


BlackOxford Greg wrote: "Not sure how I missed this review when you posted. Could not agree more, especially to the extent that the review is about Silicon Valley, where I have been for twenty years. She is a sociopath who..."

One wonders who are the people who are backing her. Are they gullible or do they simply believe in the bigger fool theory? Chutzpah is apparently rewarded.


carol. BlackOxford wrote: ".Are they gullible or do they simply believe in the bigger fool theory? Chutzpah is apparently rewarded. ."

I'm going with gullible and the constant erodement of the American education system. Look at who we elected, after all.


Michael Perkins Well, many of her most ardent and richest supporters have offices in the fantasy tower of the Hoover Institution on the Stanford campus. As long as I can remember, the people in that insular dwelling place have been out of touch with real people and the real world. Are we surprised that they proved so gullible?


BlackOxford carol. wrote: "BlackOxford wrote: ".Are they gullible or do they simply believe in the bigger fool theory? Chutzpah is apparently rewarded. ."

I'm going with gullible and the constant erodement of the American e..."


I had that thought as well.


BlackOxford Michael wrote: "Well, many of her most ardent and richest supporters have offices in the fantasy tower of the Hoover Institution on the Stanford campus. As long as I can remember, the people in that insular dwelli..."

Where do I go to give up?


message 45: by David (new)

David Idealism as a sociopathology. Interesting concept. Hadn't thought of it that way before, but the argument you lay out in your excellent review makes sense. If I take a step back and look at it from a historical perspective, I think it can be applied to a great number of socioeconomic and political movements the world over.


BlackOxford David wrote: "Idealism as a sociopathology. Interesting concept. Hadn't thought of it that way before, but the argument you lay out in your excellent review makes sense. If I take a step back and look at it from..."

Thanks David. It’s counter-cultural but I think it has merit for exactly that reason. Makes sense in my case anyway.


message 47: by David (new)

David So sad to hear about more scams.


BlackOxford David wrote: "So sad to hear about more scams."

Depressing isn’t it?


Rahul Sir a great review.


BlackOxford Rahul wrote: "Sir a great review."

Many thanks, Rahul.


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