But we’ve been here before. The agile movement originated as a response to the multifarious problems of big design up front.

In this new world, why stop there? It would be even better if engineers were also medical doctors and held multiple doctorate degrees in mathematics and physics and also were rockstar sales people.

sounds like the kinds of hyperbole someone whose just been forced to set a linter for the first time

As a doctor, this sounds like an engineers job.