The document discusses various approaches for dealing with concurrency and parallelism in programming. It highlights that while threads and locks make concurrency difficult, there are better solutions like fork/join pools, dataflow programming, and actors. These approaches allow programmers to write code without worrying about threads and synchronization, making parallelism easier to implement. The key milestone approaches mentioned are asynchronous calculations, parallel collection processing using fork/join, dataflow programming using variables and streams, and using actors to isolate concurrent operations.