Suchergebnisse

PAPER REVIEWS THE CHANGES IN FEDERAL GOVERNMENT INVOLVEMENT IN MEDICAL TECHNOLOGY IN THE PAST DECADE, FROM PRIOR RELIANCE UPON NON-GOVERNMENTAL DECISION-MAKING ABOUT DEVELOPMENT, DIFFUSION, AND USE, TO INCREASINGLY CENTRALIZED DECISION-MAKING. THE RESULT OF FEDERAL INVOLVEMENT IS GREATER RELIANCE ON FORMAL ANALYSIS AND BUREAUCRACY.

IT IS THE MOON SHOT EXPERIENCE WHICH DOMINATES THOUGHT TODAY, BOTH IN POPULAR DISCUSSION AND TO A SURPRISING EXTENT AMONG PROFESSIONAL AND TECHNICAL PEOPLE. THIS EXPERIENCE REINFORCES A VIEW OF ENGINEERING AS AN HEROIC ENTERPRISE, CONDUCTED ON A LARGE SCALE, MANAGED BY LARGE AND DYNAMIC ORGANIZATIONS, AND RESULTIN IN "BREAKTHROUGH" TECHNOLOGY.