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.

But if we can manage it so people don't have things forced on them that they don't want, I think there's every reason to believe things can settle out in a situation that is recognizably better than the one we're stuck in today.

Plants with leaves no more efficient than today's solar cells could out-compete real plants, crowding the biosphere with an inedible foliage. Tough omnivorous bacteria could out-compete real bacteria: They could spread like blowing pollen, replicate swiftly, and reduce the biosphere to dust in a matter of days. Dangerous replicators could easily be too tough, small, and rapidly spreading to stop - at least if we make no preparation. We have trouble enough controlling viruses and fruit flies.

An international race in the relevant technologies is getting under way at this point, not necessarily with an understanding of where that race leads in the long run, but strongly motivated by the short-term payoffs.

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.

My work at MIT had focused on what we could build in space once we had inexpensive space transportation and industrial facilities in orbit. And this led to various sorts of work in space development.

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.