“On the molecular scale, you find it's reasonable to have a machine that does a million steps per second, a mechanical system that works at computer speeds.”
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The basic parts, the start-up molecules, can be supplied in abundance and don't have to be made by some elaborate process. That immediately makes things simpler.
K. Eric Drexler 
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My greatest concern is that the emergence of this technology without the appropriate public attention and international controls could lead to an unstable arms race.
K. Eric Drexler
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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.
K. Eric Drexler
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