The awe and outrage of Musk's toxic ingenuity

Walter Isaacson’s Elon Musk, is a biographic rollercoaster reckons Krish Kandiah. One marked by magnificent moments and moral crossroads.

Krish Kandiah

Krish is a social entrepreneur partnering across civil society, faith communities, government and philanthropy. He founded The Sanctuary Foundation.

Elon Musk, wearing a dark suit, stands on a stage to a white robotic looking surgical robot.

Elon Musk at a demonstration of the Neuralink technology in 2020.

There is something both inspiring and unnerving about Elon Musk. He is a game-changing pioneer and innovator in so many industries pivotal to our future: rockets, electric cars, solar panels, batteries, satellite Wi-Fi, and Artificial Intelligence. But he is also no stranger to scandal, controversy and allegation. In his latest biography, author Walter Isaacson explores the toxicity as well as the ingenuity that has come to be associated with the richest man on the planet. As he reveals Musk’s series of successes, and what has been sacrificed to acquire them, I found myself going on an emotional journey: from compassion to awe to outrage.

Compassion: a man familiar with misery

In the opening chapter of his book Isaacson draws attention to the trauma in Elon’s childhood. Perhaps unsurprisingly, Elon was socially awkward at school. When he once pushed back at a boy who bumped into him, he was being beaten up so badly his face was unrecognisable. When he returned from hospital Musk reports how his father reacted: “I had to stand for hours. He yelled at me and called me an idiot and told me that I was just worthless.” There are a number of similar stories from Musk’s seemingly brutal childhood. Errol Musk, Elon’s father, features heavily in a series of shocking revelations including that he slept with his own stepdaughter, fathering two children with her. The background of Musk’s chaotic childhood, his experience of domestic abuse, and his series of fractured relationships provides a context for some of the strange, indeed outrageous things catalogued in the book.

Having worked for many years with children in the care system and with refugee experience, I understand a little about the impact of trauma and how it can change the brain in profound ways. There is a great deal of evidence showing how adverse childhood experiences can cause long-lasting impact on decision-making, impulse control, relationship building, mental health management and emotional regulation. While many turn to alcohol, drugs or self-harm as coping mechanisms, others, perhaps like Musk, channel the pain into ambitions and achievements.

I found myself feeling profoundly sorry for Musk. No child should have to experience such prolonged cruelty both at school and at home. All of us need to know that we are loved and valued, independent of anything we have done or anything that has been done to us.

Awe: a man of magnificent moments

Musk’s ideas have revolutionised so many industries. The automotive industries move to electric power owes a lot to the innovation of Tesla. His Space X programme is currently changing the way we think about space travel. His company was the first to create self-landing reusable rockets and was the first private owned company to develop a liquid-propellant rocket that reached orbit; the first to launch, orbit, and recover a spacecraft; the first to send a spacecraft to the International Space Station; and the first to send astronauts to the International Space Station. He is also trying to revolutionise Artificial Intelligence (AI) through his company xAI - a direct competitor to Open AI even though he was one of their early backers.

Musk has a complex relationship with AI as he is not only one of the lead innovators in the field but also the most prominent of the 33,000 signatories of a letter calling for a pause to ‘Giant AI Experiments’ until there is, in Musk’s words, “a regulatory body established for overseeing AI to make sure that it does not present a danger to the public."

AI, alongside each of the other major interest areas in Musk’s work, is way beyond any dreams I ever had of a futuristic world. Musk has managed not only to imagine the unimaginable, but to find a way to get there with impressive speed, scale and sustainability values. The more I read about the innovations involved in each step of each project, the more impressed I am with the genius behind them.

Outrage: a man without a moral compass?

Despite Walter Isaacson’s clear respect for all Musk is achieving, he paints a warts-and-all picture of his book’s subject. We see a man who is ruthless in his hirings and firings, who has often treated staff and colleagues badly. In 2018, he famously called a rescue diver, helping to save teenage boys from a flooded cave in Thailand, a ‘paedo’, in what seemed to be a reaction to a snub to his offer of using his minisub.

In light of these sorts of outbursts, and his apparent desire to save the world from looming environmental disaster, it is no wonder that some people have accused Musk of having a messiah complex. Yet if he does, it is a very different mindset from the true messiah. He appears to me to be morally, emotionally and financially the polar opposite to the Jesus whose willingness to sacrifice himself on behalf of those in need was central to his claim to be sent from God. From the way Isaacson describes Musk, I see him more as a man on a mission to save himself than to save those around him.

The future? Musk, a man at a crossroads.

Isaacson closes his book with the following analysis:

“But would a restrained Musk accomplish as much as Musk unbound? Is being unfiltered and untethered integral to who he is? Could you get the rockets to orbit or the transition to electric vehicles without accepting all aspects of him, hinged and unhinged? Sometimes great innovators are risk-seeking man-children who resist potty training. They are reckless, cringeworthy, sometimes even toxic. They can also be crazy. Crazy enough to think they can change the world.”

I find this a disconcerting epilogue to the book. It suggests that we can pardon toxicity in the name of innovation, that the ends always justify the means, that morality and decency can take second place to advancement and wealth. If this stance were to be applied to, say, the development of AI, Musk’s fears of it becoming a danger to the public may sadly well be realised.

While factors such as grand ambition, the contribution to society, early years trauma, and mental health struggles may provide a robust explanation of why a person may be toxic, toxicity itself can never be excused. No amount of wealth can undo the harm toxic masculinity does to those around us. No amount of charitable giving can buy a person a generous spirit or moral compass. No amount of environmental awards can create the sort of world we really want to live in in the future – a world where people treat one another with the respect they need and deserve.

Elon Musk’s biography is unusual because he is still mid-journey. Who knows what else he may go on to achieve or fail at, to create or destroy? Will his AI revolution be a force for good, helping to create a better future for those who need it most, or will it become the behemoth of the doomsayers? What will future editions add to his biography? Is being ‘untethered’ really integral to who Musk is, or can he change? The visionary in me would love to imagine a redemption and transformation story for Musk that can unleash a compassionate generosity that could even overshadow his creative genius. The sceptic in me fears he may end up doing more harm than good.

Article

Care

Change

26 July 2024

6 min read

Are we forgetting how to care?

The profound act at the heart of nursing.

Helen Cowan

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

A nurse bends beside a bed and talks to a patient

Marie Curie.

Recently, at a nursing leadership programme in Oxford, attendees focused on the fundamentals of care. Have we forgotten how to care? What can we re-learn from those who pioneered an ordinary yet profound act that affects millions?

Anam Cara is an old Gaelic term for ‘soul friend’, a person with whom you can share your innermost self, your mind and your heart. It is a term that Tom Hill, former chief executive at Helen House Hospice in Oxford, used to describe the relationship between his staff and the thousands of children and their families who passed through their ‘big red door’ in its first twenty-five years. The hospice (or ‘loving respice’ as it became known) had been founded by Sister Frances Dominica in 1982.

Other care in this country can also trace its religious roots. Between 1048 and 1070 in Jerusalem, the Order of St. John was founded for the purpose of helping pilgrims (“our Lords, The Sick”) who had become lost, weary, or beset by other difficulties while on their way to the Holy Land. Today, in the United Kingdom, the British Association of the Order has extended care to older people first in almshouses and later in care homes. A trustee for ten years was John Monckton, a man of ‘considerable talent, enormous integrity and deep religious conviction’; his tragic murder in 2004 led to the creation of the John Monckton Memorial Prize, which recognised and rightly celebrated commitment to care by care workers.

Today, across the world, seen and unseen, nurses, carers and families continue to provide compassionate care. “Assisting individuals, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge” is the very essence of nursing, captured by ‘architect of nursing’, researcher and author Virginia Henderson in 1966. Meeting more than basic needs such as breathing, eating, drinking and eliminating bodily waste (which are of essential importance), Henderson recognised the role of the nurse in enabling humans to communicate with others, worship according to their faith, satisfy curiosity and sense accomplishment.

In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care?

An uncomfortable truth brought out in healthcare reports such as the Final Report of the Special Commission of Inquiry (The Garling Report) 2008, and the Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (The Francis Report) 2013 is though that this type of nursing is too often done badly or even missed, leading to pressure injury, medication errors, hospital-acquired infection, falls, unplanned readmission, critical incidents and mortality. According to nurse scientist and scholar Professor Debra Jackson, “missed care occurs much more frequently than we might think”. She cites a systematic review in which ‘care left undone’ on the last shift ranged from 75 per cent in England, to 93 per cent in Germany, with an overall estimate of 88 per cent across 12 European countries’.

In one offensively-titled paper, “Shitty nursing - the new normal?” (in which the authors apologise for the title but not the questions raised), real-life pen portraits are drawn of patients lying for hours on hospital trolleys, immobile through infection or injury, ignored by staff. Whilst acknowledging contextual factors for poor care, such as a shortage of nurses and resources, the authors argue that circumstances cannot be the sole cause of missed nursing care.

A report published by the University of Adelaide, School of Nursing, has called for nurses to ‘reclaim and redefine’ the fundamentals of care. It asks whether the cause of the problem (of missed nursing care) lies “deep in the psyche of the nursing profession itself?” “Has something happened to the way modern nursing views and values caring?” it continues. “Indeed, is nursing in danger of losing its claim to care? In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care? Or is this a broader social pattern where individuals are less inclined to show kindness, compassion, and care for others even if it is a necessary requirement of the job?”

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness.

Writing in the British Medical Journal, Professor of critical care medicine Peter Brindley and Consultant in intensive care Matt Morgan wonder whether doctors also “too often default to high-tech and low-touch” when patients are dying – a time “when community and connection matter most”. They powerfully begin with a mother’s comment: “Humans are gardens to tend – not machines to fix.”

Professor Sir Al Aynsley-Green, the first National Clinical Director for Children in Government and former Children’s Commissioner for England, and past president of the British Medical Association, suggests that we as a society need a “momentum for compassion”. Struck by the extremes of compassion witnessed during his wife’s treatment in the last years of her life, Sir Al wants to see a cultural transformation in healthcare: for compassion to be a key operating principle in NHS and care settings, led by the Chief Nurse’s Office; for every organisation to promote the importance of compassion at the professional level; for the views of patients and families to be sought regularly; for much earlier and better focus on compassion in undergraduate and postgraduate teaching programmes for all staff; for compassion to be inspected against by the Care Quality Commission; and for a willingness to encourage staff at all levels to expose poor practice as well as celebrating excellent care.

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness. “It’s putting yourself into somebody else’s shoes – and doing something about it.” Recently appointed the UK’s first Visiting Professor in Compassionate Care at Northampton University, at the age of 80, Sir Al certainly is doing something about it. He has made it his new purpose in life to “embed compassion into every aspect of care”.

Like Sir Al, Queen Elizabeth II, the UK’s longest serving monarch, espoused compassion, in word and deed. Living a life of compassionate service, the Queen made clear that her Christian faith was her guiding principle. She speaks of Jesus Christ as ‘an inspiration,’ a ‘role model’ and ‘an anchor’. “Many will have been inspired by Jesus’ simple but powerful teaching,” she said in her Christmas Broadcast, 2000. “Love God and love thy neighbour as thyself – in other words, treat others as you would like them to treat you. His great emphasis was to give spirituality a practical purpose.”

When nurses do unto others as they would have done unto themselves, and act as role model to colleagues, not only do patient experiences of care and their outcomes improve – but so does job satisfaction for nurses: a critical factor in nurse recruitment and retention – the biggest workforce challenge faced by healthcare organisations. Across the UK, there are currently more than 40,000 nursing vacancies, and thousands of burnt-out nurses are leaving the profession early. Whether nurses decide to stay or go is driven in part by their daily experience at work. The late Kate Granger, Consultant in medicine for older people, inspired Compassionate Care Awards in her name, envisioning that such a legacy would drive up standards in care - and surely also help retain nurses, through restoring a sense of pride, achievement and fulfilment to the nursing workforce.