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The response to distraction, then as now, was social structure. Reading is an unnatural act; we are no more evolved to read books than we are to use computers. Literate societies become literate by investing extraordinary resources, every year, training children to read. Now it's our turn to figure out what response we need to shape our use of digital tools.

It is tempting to want PatientsLikeMe without the dumb videos, just as we might want scientific journals without the erotic novels, but that's not how media works. Increased freedom to create means increased freedom to create throwaway material, as well as freedom to indulge in the experimentation that eventually makes the good new stuff possible. There is no easy way to get through a media revolution of this magnitude; the task before us now is to experiment with new ways of using a medium that is social, ubiquitous and cheap, a medium that changes the landscape by distributing freedom of the press and freedom of assembly as widely as freedom of speech.