The document discusses major global shifts that have systematically altered history from the late 1980s to present. It analyzes political, economic, and social shifts including the fall of the Berlin Wall, 9/11 attacks, 2008 financial crisis, and erosion of the middle class. The document argues these shifts have questioned US leadership and sustainability, caused economic upheaval, and changed the social contract. It advocates for transitions to design-based economies and communities through education, commerce, health innovations, and attracting gifted talent.