Jim Mannoia found himself stuck in traffic on a Los Angeles freeway, his left leg aching from maneuvering the heavy standard transmission in the stop-and-go traffic, sweltering in the heat because his air conditioner was not working and the vehicle was beginning to overheat at the engine level as well as inside the passenger compartment. Worst of all was that the radio was not working. Feeling rightly miserable, he noticed a BMW in the lane beside him, its windows rolled up tight against the heat while undoubtedly the air conditioner blew at full blast. He could hear the bass lines of the car's stereo and even wondered how the driver could hear well enough to carry on his cell phone conversation.
Feeling sorry for himself, Mannoia instantly felt pangs of guilt as he recalls, "I felt envious, inferior, and even a little powerless until I remembered the Mozambican families I had seen sitting stunned and stark naked in the refugee camp that summer of 88. They had walked for months through bandit-ridden bush often at the cost of family death and personal mutilation at the hands of bandits. My thoughts of those refugees were interrupted as President Reagan's helicopter convoy beat through the air over our virtual parking lot, enroute from Pt. Magu Naval Air Station north to the ranch' above Santa Barbara. As we both sat and watched, I wondered if my freeway neighbor' shared my sense of how technology shapes our lives" (Mannoia, 1997; p. Techpap).
It was only 50 years ago that we began to have wonderful labor-saving devices to help accomplish all the tasks that collectively constituted the perfect home environment. Sometimes it has the effect of removing all the reasons that everything cannot be done all the time and so results in more work rather than less, but few of us can imagine living without washing machines, vacuum cleaners or dishwashersor electricity, for that matter.
But in the use of the term "technology" today, there is far more associated meaning than automobiles or washing machines. It has ushered in an entirely new way of working, and in increasing numbers of organizations, increased options of just where work associated with a particular job will be done. More employees than ever have the option of working at home yet still being employed either full or part time with someone else as telecommuting increases in popularity both with employees and employers.
The advantages of medical advances are clear. For a full ten years, Toney Kincaid averaged nearly 600 seizures every week of his life. Beginning in his early 30s, the seizures became so frequent and severe that ultimately he lost his job and driver's license and was unable to carry on the shortest of conversations without being interrupted by a seizure. He could not be a father to his three young children and could not even shower unsupervised (Collins, 1993).
Toney's life took a decided change for the better after he had implant surgery in 1989. In a highly experimental procedure, a vagus nerve stimulator, a device much like a pacemaker in its design and use, was implanted in his chest and he had been free of seizures at least through 1993. It cost $50,000 but he went swimming in 1992 for the first time in 10 years (Collins, 1993). Other spectacular uses of technology in health care has been that the isolation of severe quadriplegics has been ended as many of the fully paralyzed are nonetheless able to communicate with those around them through the use of keyboards and other devices, some of which are driven even by eye movement when that is all the movement the patient is capable of generating (Anonymous, 1998). One of the most useful and lifesaving benefits of medical technological advance is the sophistication of Magnetic Image Resonance (MRI) examination that has eliminated the need for any form of exploratory surgery (Hillman, 1997).
Business benefit of the advances of technology also are clear. What business...
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