An article in Forbes (May 23, 2011,62-66) describes robotic picking and lifting of drug dosages by Remedi Seniorcare. Conveyor style robots take pills from tubes and create individual patient daily dosage sealed plastic pouches. This saves time for nurses and avoids wasted tablets as patient conditions change in nursing homes, an estimated 17% of doses.  Will automation of such services be mandated by the Federal government as part of efficiency demanded for Medicare payments ?  Will transactional details such as patient location, condition changes etc, have to be synchronized with automation to realize projected benefits ?