The whole point of the "risk adjusted" element of RAMI is that it's meant to allow at least some degree of comparison between death rates in different hospitals, even if say, one is a small hospital doing very little complex surgery, and another is a large hospital treating a high number of trauma and critical cases.

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But if small players like David Hart become just a little more wary about launching new products, and if the giants end up spending more on patents lawyers than engineers, then the future could look very different.

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If the ETF is little traded the bid-ask spread will be high, and a reasonably small order may move the market.

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And if that small business just opened a restaurant and now everybody in the community has a little extra money to spend, that restaurant will do better.

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If inequality is one of those things that you worry about, surely a little more in-country inequality is a small price to pay for a fall in global?

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One of my early stories for Forbes was about a small Canadian gold miner running a contest to see if geologists could determine how much gold lay in its little explored property.

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But that is where people start, and as it turns out that seems to work pretty well up to a certain point, from little changes up to kind of small-plus to medium-minus, if you will.

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