Like many of us, Rajiv Shah knew early on that he wanted to make an impact on the world, but he wasn’t quite sure how to do it. His book, "Big Bets: How Large-Scale Change Really Happens," opens with some of that early uncertainty, like the summer he spent treating leprosy patients in India, and his time working on Al Gore’s ultimately doomed campaign.

But as Raj writes in his book, that uncertainty was all part of an important realization he’d eventually come to: that large-scale change doesn’t come from caution, but from what he calls a “big bets philosophy,” which says that it’s only by trying to fundamentally solve, not just improve, pressing problems that the world can truly be transformed.

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