In thinking about nanotechnology today, what's most important is understanding where it leads, what nanotechnology will look like after we reach the assembler breakthrough.

You can find academic and industrial groups doing some relevant work, but there isn't a focus on building complex molecular systems. In that respect, Japan is first, Europe is second, and we're third.

It's a lot easier to see, at least in some cases, what the long-term limits of the possible will be, because they depend on natural law. But it's much harder to see just what path we will follow in heading toward those limits.

Today we have big, crude instruments guided by intelligent surgeons, and we have little, stupid molecules of drugs that get dumped into the body, diffuse around and interfere with things as best they can. At present, medicine is unable to heal anything.