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The subject of this conference is the Quantum State --- what the hell it is. A central issue is whether quantum states describe reality (the ontic view) or an agent's knowledge of reality (the epistemic view). Advocates of the epistemic view maintain that many quantum puzzles and conundra are artifacts of an inappropriate reification of strictly epistemic concepts. To provide a broader context for such considerations, I argue that even in classical physics we have got into major trouble by inappropriately conferring physical reality on the abstractions we have used to organize what we know.

Instrumentalism about the quantum state is the view that this mathematical object does not serve to represent a component of (non-directly observable) reality, but is rather a device solely for making predictions about the results of experiments. One honest way to be such an instrumentalist is a) to take an ensemble view (= frequentism about quantum probabilities), whereby the state represents predictions for measurement results on ensembles of systems, but not individual systems and b) to assign some specific level for the quantum/classical cut. But what happens if one drops (b), or (a), or both, as some have been inclined to? Can one achieve a consistent view then? A major worry is illustrated by the Wigner's friend scenario: it looks as if it should make a measurable difference where one puts the cut, so how can it be consistent to slide it around (as, e.g., Bohr was wont to)? I'll discuss two main cases: that of Asher Peres' book, which adopts (a) but drops (b); and that of the quantum Bayesians Caves, Fuchs and Shack, which drops both. A view of Peres' sort can I, think, be made consistent, though may look a little strained; the quantum Bayesians' can too, though there are some subtleties (which I shall discuss) about how one should handle Wigner's friend.

I describe a number of techniques that allow for the generation of (near) scale-invariant fluctuations in the early Universe without inflation or ekpyrosis. The basic ingredient is a decaying maximal speed of propagation, for which a Universal law is found. Connections are made with k-essence, the cuscaton, and the DBI action. However the simplest realizations result from bimetric theories and deformed dispersion relations and DSR. A number of implications to theories of quantum gravity are discussed.