Though I don't know how serious I can take this when the guy uses the word 'wonks' in reference to those he disagrees with.
Also I think that the lack of 'skin in the game' encourages risk, which counteracts a natural tendency for large groups to be more conservative (look at big business vs small). If you made decision makers have skin in the game, you'd have even less innovation and new ideas in large institutions. This is taking into account factors beyond his thesis, but leads to interesting thoughts when it comes to practical application of his ideas.