Screwing up royally : an introduction to the errors of the third and the fourth kinds -- What is a problem? : an initial framework for type three and four errors -- Organized meanness : the biggest and the most broken health system in the world -- National insecurity : the complete and utter failure to understand why bigger is no longer better -- Reinventing reality : the biggest potential type four error of all -- The wonderful world of academia : misrepresenting reality -- The abuse and the misuse of science -- The misconstrued God -- A general theory of rottenness : breaking the grip of type four errors.