And Now, Robodoc!

A robot in California performs its first invasive surgery on a human patient.

Medical robots in the U.S. have been used to locate hard-to-find tumors and guide a surgeon’s scalpel, but have never actually performed surgery on people. Now that line has been crossed. At Sutter General Hospital in Sacramento, California, a 90-kg machine called Robodoc has operated on its first human patient: a 64-year-old man with a bad hip.

The robot played a key role in a total hip replacement, one of 500,000 such operations performed each year. The trick in these procedures is to create a snug hole into which the artificial hip snaps. The standard method is to jam a cutting tool into the thighbone with a handheld mallet. Robodoc, using the high-speed drill at the end of its mechanical arm, can ream a cavity that is 20 times as precise.

Robosurgery doesn’t have to stop at the hip. In Europe, where officials are less squeamish about such things, robots have assisted in operations on the brain, the prostate and the inner ear.

(Time International, November 23 1992, p.15)

                         The Big Destructiveness Of The Tiny Bribe

                                                                                         Alexandra Wrage 03.01.2010

      The smallest bribes can be the most vexing. Not suitcases full of money and transfers to offshore accounts, but the thousands of everyday payments people make to Indian building inspectors, Chinese customs officials and Nigerian airport functionaries, just to get things done. They’re payments for routine government services that a government official is legally obliged to perform but for which he’s hoping to skim off a little extra.

      Unlike more serious bribes, these very modest payouts, formally known as “facilitating payments”, are not against the laws of the U.S., Canada, Australia, New Zealand or South Korea, when made abroad. They’re illegal for Great Britain, but the Serious Fraud Office there has taken the extraordinary public position that they’re unlikely to give rise to a prosecution.

      Why don’t governments that lead the fight against large-scale bribery fall in line with what is already the practice of many major companies? They don’t want to outlaw such small-scale graft in foreign places, they say, because they don’t have the manpower to prosecute violators. By that logic, communities with just enough resources to handle murder and armed robbery would give a green light to shoplifting. You’d think a government could at least go after a few high-profile cases to set an example and a precedent. Permitting these smaller payments has to impede the effort to crack down on the larger ones. Companies know this.

      “Facilitating” bribes are not tips. Tipping is voluntary, and you decide to do it after a service has been rendered. You don’t pay it at the outset to induce the waiter to bring the food, and you can always go somewhere else to eat next time should the service be bad. Nor are they welfare for underpaid civil servants. If government workers are underpaid, we should compensate them for the cost of customs inspections or airport security by aboveboard means, through taxation and so forth. Payment to individuals not only slows service but also encourages entrepreneurial civil servants to increase their income by creating more and greater obstacles.

      Nor are they a mere distraction from the fight against bigger bribes. Rather, they fuel the problem. Junior officials who look for small bribes rise to higher positions by paying off those above them. Corruption creates pyramids of illegal payments flowing upward. Legalizing the base of the pyramid gives it a strong and lasting foundation.

       Nor are these payments legal where they’re made. They may not be banned by the wealthy countries mentioned above, but they are outlawed in the countries where they’re actually a problem. Do developed countries want to say they wouldn’t tolerate such payments at home but don’t care if they’re made abroad? And since they’re illegal in the countries where they’re paid, companies can’t put them on their books. The classic cover for a bribe is to call it a “consulting fee”, but that is a books and records violation that is illegal in any country.

                                                                                                             (www.forbes.com. Adaptado.)