The document discusses many changes that have occurred in the last 3 years compared to the last 30 years due to exponential technological advancement. It notes that while technology changes exponentially, people tend to think linearly. It then discusses changes in various areas like business, life sciences, work/life shifts, education models, outsourcing, mobility, and more. It also highlights how some companies have become very large and valuable despite owning no actual assets in their industry. The document suggests the future will bring continued innovation and changes that will impact work and the workforce.