Here is an idealized transcript of the recent Drupal Dojo session I did regarding the proposed Drupal Guilds, which you can watch here if you didn't catch it earlier:
Also, here are the slides I used during the presentation, which the headers generally refer to, if you want to follow along the text:

My name is Aaron Winborn, and through the Drupal Dojo, I will now present some ideas I’ve had brewing around a concept for a Drupal Guild system for peer-review certifications. You might know me as a developer with Advomatic and contributor to Drupal for nearly five years. You probably don’t realize that I’ve also been involved with the Sudbury model of education for about twelve years, and am currently on the Board of Trustees for my daughter’s school.
First, let’s take a trip back through history.
Feudal Europe 2
Medieval Feudal Europe was not a fun place to live. Despite the image of knights and ladies held in the collective subconscious, everyone was a slave, or serf. All of Europe was parceled up into fiefdoms, where everyone worked to their death on the land. However, by the end of the early middle ages, a few barons came up with the idea of freeing their serfs and charging rent. When others realized they were making easily four times as much by doing this, within a century nearly all serfs had been freed.
The church moved from the center of town to the outskirts, to be replaced by the marketplace, where a new mercantile class sold their wares. Wanting a better life, a large number of them began to educate themselves.
Medieval Guilds 2
Medieval Guilds, deriving from an earlier system of pooling of gold and resources by craftspeople united by craft, quickly rose in prominence throughout Europe. They fostered professionalism with its system of apprenticeship, and the post of Guild Journeymen became the goal for nearly all freemen. This system even survived and thrived in early America, well into the nineteenth century.
Medieval Universities
In the early 11th century, a new type of guild arose, a guild of students, or ‘universitas’. These people met in their homes and churches, pooling together their resources to hire teachers to provide themselves with the best possible education. This system of education became so popular that it attracted the attention of the church and state, who formed competing guilds of teachers, who worked hard to attract paying students.
Modern Universities
Of course, we all know which system survived: by the twelfth century, there were over 100 established universities in Europe. Sanctioned by the state, it became a gatekeeper for the more lucrative professions, such as lawyers and medicine.
Modern Guilds 2
Some guilds have managed to exist into the twenty-first century, particularly in creative arts such as the Screen Actor’s Guild and the Writer’s Guild. Several other systems and organizations resemble modern guilds, such as the Bar Association and many unions.
Modern Guilds 3
I read this morning a paper by a professor at MIT that advocates a return to the medieval guild system, arguing that the twentieth century system of working for the company, with pensions and whatnot, is obsolete. In fact, the modern consultant in many ways resembles the old guild journey member, traveling between clients, working for multiple companies, and sharing their expertise and knowledge with other crafts people.
Professional Certifications
Many developers seek professional certifications, which fall into three categories: Corporate, Proprietary, and Professional. Corporate certifications exist within a single corporation, and are generally non-transferable, but might look good on a resume. Proprietary certifications, or product-specific certifications, are good for a specific software or hardware product, but are also not relevant outside that product. Professional certifications are more general, serving to increase the level of practice, and are generally industry-wide, such as the IEEE Certified Software Development Professional certification. Finally, there are some government mandated and overseen certifications, known as licensures.
Professional Certifications 2
There are hundreds of available software certifications, of dubious quality, most of which are given by the software manufacturer to anyone able to pay a buck and fool the test.
Professional Peer Review
Professional Peer Review is used in place of or to augment the value of testing. It is used in many professions, such as in Health Care, Accounting, Law, Engineering, Aviation, Forest Fire Management, and even Software Development. It has roots in Scholarly Peer Review, used in academia to determine whether an article is worthy of publication. Some criticisms of Peer Review are that it’s subject to gate keeping and elitism, it’s not designed to easily detect fraud, and can be a lengthy and expensive process.
Sudbury Model Schools
Based on the original Sudbury Valley School, Sudbury model schools are democratic, age-mixed, non-coercive environments for children. Part of the model involves certification; students are free to structure their days as they wish, but if they want to use certain equipment (such as a sewing machine, computers, or a dark lab), they must demonstrate proficiency and receive certification. In many of these schools, graduation is also a reflection of this process: students wishing to graduate will create a committee of peers and advisers, who will help guide the student through a portfolio creation, culminating in a defense of their thesis to the entire school body, who will vote on whether to award a diploma.

Open Guilds
My initial idea for creating the Drupal Guilds (as a subset of Open Guilds) came about during the development of the latest incarnation of DrupalDojo.com. Part of the initial discussions for that site included “learning tracks”, where users could flag their favorite lessons and sessions, forming “playlists” to be shared with others. I realized along the way that this could serve as an excellent form of certification.
For instance, a developer interested in learning how to present multimedia in Drupal could work through all the lessons in a specific track and come out the other end able to put their new-found knowledge to work. It would simply require people putting in the the time to oversee their education and award a certification. Considering that thousands of people already donate hundreds of thousands of hours to development and documentation, it simply requires a framework to funnel some of this expertise into an Open Source University.
Rather than a corporation coming along and offering a $500 certification test, we can create this system in a grassroots fashion, bootstrapping and certifying ourselves. Certifications would be free, with reputations as strong as the developers’ due diligence.
Open Guilds 2
The structure I propose involves allowing any person to join the Open Guilds as an Apprentice. Anyone may also join any individual Guild. Each Guild itself offers its own certifications, which are overseen by Journey Members and Masters, who, after presentations by the Apprentice and discussions, vote on whether to award a certification. The Masters of a Guild are likewise elected within that Guild.
Open Guilds 3
Finally, the creation of new guilds itself follows similar tenets: anyone may propose a new guild charter, which is determined by a majority of Vested Members of the Open Guilds. The proposed charter would state the title and purpose of the guild, as well as (perhaps) its form of governance, such as by democratic vote of all members, or the representative vote of its council of Masters.
Open Guilds 4
Vested Members would be members of the entire organization who have a vested stake (most likely determined by paying dues, and/or by the length of their membership and the frequency of their involvement). However determined, Vested Members would oversee the General Business of the Drupal Guilds and Open Guilds.
(Cross-posted at groups.drupal.org/guilds.)
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In looking at this further, if you Google search on "ALS herbs" and "Gehrig Herbs", there are some links you may find interesting. An expert on herbs is Dr. Andrew Weil in Arizona Center for Integrative Medicine; he might have some suggestions to pursue in concert with your doctors. There are several herbs suggested to resist neural degeneration. Hard to know what to believe as some of the recommendations are on sites that sell herbs.
Search also on "gehrig fruit", to find a webpage about an Annals of Neurology study by Alberto Ascherio at Harvard, for an article with the text "Bright colored fruits and vegetables may hold the power to prevent or delay Lou Gehrig’s disease, also known as amyotrophic lateral sclerosis (ALS), a group of U.S. researchers found.". And you can ask yourself, from the name of a related book, "What Color is Your Diet"? Which may be hard, because if anyone has a "right" to unhealthy comfort food, it would seem to be you and your family.
One thing that surprised me also were discussions about mercury fillings (and other dental infection issues) and neural degeneration. Could there be some common toxin like that or something else related to ALS? Search on "Mercury ALS" for those discussions. Could people with ALS be sensitive, say, to some pesticides used in farming? Some pesticides work by destroying the nervous system of insects. Search on "ALS pesticides" for related discussions. Note that even if you have mercury fillings and eat foods with pesticides, it is possible that overall superior nutrition may better help your body to deal with related challenges even if you don't do anything about the challenges themselves. For example, the body does have biochemical pathways that excrete mercury, so the question might be, why are those pathways not working correctly in some people with ALS?
Still, I don't want to provide false hope, and likely all of these won't do much beyond perhaps slow the degeneration (if they work at all). Just making sure you have considered these options, even if they may not apply for you. There are multiple ways to approach diseases by trying to understand root causes, and mainstream medicine often ignores some of these basics, since there is no profit in telling people basic advice compared to selling drugs and procedures. As Dr. Joel Fuhrman says, we all have weak links (and strong ones) from genetics; whether those links get pulled on tends to be a function of diet and lifestyle.
Following those sorts of links has led me to the story of someone who kept ALS at bay for ten years (although eventually succumbing to it). Here is a sample page from his blog on mercury and ALS:
http://fromnightmarestomiracles.blogspot.com/2010/10/mercury-heavy-metal...
About Joe Wions from his blog: "In 2003, I was forced into early retirement by ALS (aka Lou Gehrig’s Disease), from a successful career as a management consultant. Facing the nightmare that my life was about to end prematurely, I began to contemplate the horrors of a difficult demise, abandoning my family, financial ruin, and other emotionally crushing issues. It took about a month to shake off the depression, and get busy. Since traditional medicine offers no cure or effective treatment, and the expectation of certain death, I began exploring alternative medicine and healing practices. Along the way, I have experienced miracles of friendship, community, personal insight, courage, strength, and healing. As a result, I am now a member of an elite group – the less than 10% of PALS (persons with ALS) who have survived 10 years or more. I intend to keep exploring and learning until I heal completely, or until medical science finds a cure. I am currently seeking help to publish a book about my experiences. By sharing my story, I hope to inspire and motivate others with difficult challenges to find creative, productive and satisfying ways to persevere."
Even as he has passed on, maybe the information he left behind there may be of use to you?
A decade is a long time these days in medical research. Not saying that would work for you though. Just stuff to explore, the same way Joe Wions did.
It's ironic to think off all the knowledge about what works and what doesn't work to treat or prevent disease may be locked up in NSA computers if they indeed record all our conversations and emails with our doctors and relatives about medical issues (as well as anything else) -- but ironically that knowledge is not accessible for improving medical care because such organizations focus all that trillions of dollars of technology and innovation on preventing having historically thousands of US Americans killed by terrorism instead of preventing annually over a million US Americans killed by disease.
Anyway, I guess it may be hard to improve over Google these days for background medical research, if you kind of know what to look for in the first place from years of trial and error. And it is also hard to sift through the junk and scams from the gems -- very hard (why I think sensemaking tools could help with that). There is a funny Dilbert cartoon about "The Google Health Plan" somewhere. That is indeed where a caring competent medical professional may come in handy -- if your doctors listen and are always self-educating.
So, it looks like it is possible to at least manage the ALS disease for a decade, in some cases, with some combination of nutrition (including colorful organic fruits), herbs, perhaps removing toxins like mercury or pesticides, and similar approaches. Although, which is the right approach may be hard to figure out. Hopefully you have good doctors to help with that. MDs like Terry Wahls, Joel Fuhrman, Andrew Weil, or similar doctors may be able to help you in doing that.
You could create Drupal computer software and related content so the world could collectively use its wisdom and experience to make better sense of health challenges? But why wait?
Here is a page with health information I have collected, as part of a related proposal I made to changemakers on "Health Sensemaking":
http://www.changemakers.com/discussions/discussion-493#comment-38823
See especially the link to Dr. Terry Wahls, who overcame a diagnosis of MS with improved nutrition from lots of fresh vegetables, vitamin D, omega 3s, B-complex, and avoiding junk like processed sugar, refined starch, and food additives. Not the same disease, since MS apparently involves the myelin that is attacked, whereas ALS involves motor neurons degenerating -- but inspirational none-the-less, given Terry's doctors had otherwise written her off and she had been confined to a recliner and was otherwise fading fast. Human biochemistry is adapted to a life outdoors in the sunshine, with lots of exercise, lots of organic foods with lots of fiber, and so on. Humans are not adapted to a sunless life indoors, sitting in one place, eating processed foods.
From her web site: "For four years, secondary progressive multiple sclerosis confined Dr. Terry Wahls to a tilt-recline wheelchair. But by using Functional Medicine to create the Wahls Protocol™, Dr. Wahls has transformed her health and body: now she walks easily without a cane and commutes by bicycle. Dr. Wahls uses these diets and protocols in her primary care and traumatic brain injury clinics and is leading a clinical trial to test her protocols on others."
Again, a different disease, but just trying to say that sometimes the human body's capacity for healing can surprise us. Still, from Dr. Joel Fuhrman's members board (he's a family physician who focuses on superior nutrition) from a post he made at 08-22-2011, 10:36 PM: "I have had a some ALS patients over the years and they all report that they progress at a much slower rate and have their lives extended considerably compared to others with the same condition. I consider them successes, but they did not reverse their conditions."
Still, maybe that would be something good for you to consider? Every year longer buys time for a better cure.
If you want an even bigger challenge for the future along the lines you asked for -- come back and help build self-replicating space habitats so everyone can live in sci-fi places with great medical care like Blomkamp's "Elysium" and Banks' "Culture" and Hogan's "Chironia".
Anyway, to build on the point made by Anonymous in "ALS and the Quantum Computer", perhaps the entire universe is a computer simulation (search on "Simulation Argument")? Who really knows how it all fits together? Or what is really possible? In any case, as Valerie Harper said of her diagnosis of brain cancer, "I don’t think of dying. I think of being here now..."
Humor can also at least make things a bit better. Search on comedian "Brett Leake" (who has MS) also for some inspiration.
Good luck to you and your family in making the most of the time you have together.
It's fantastic that you are getting ideas from this paragraph as well as from our discussion made at this time.