The document discusses fostering collaborative culture in organizations. It argues that traditional command-and-control cultures, organizational complexity, and push communication like email have made organizations sick and dumb. However, organizations can build smarter cultures by renewing leadership to be more collaborative, using improved sharing technologies, simplifying processes, and making work more visible. If done right, this can increase engagement, innovation and responsiveness to change, but many organizations still have far to go in truly sharing information and ideas.