Legally, the manufacturer has clearly labelled on the pump (in text) the appropriate dosing regime, or for a medicine vial, the type of drug and concentration. The manufacturer has hence fulfilled its duty. Therefore, if there are any mistakes in dosing, the liability for the error lies with the hospital and not the manufacturer of the product. The victim of such a dosing error can be said to be an "externalized cost"; the beneficiaries of the victim's suffering are the manufacturer, who enjoys greater profitability, the hospital, which enjoys greater cost-savings, and the public, who save on healthcare. Is it ethical of the manufacturer, to "pass on" liability to the hospital? To make it difficult (or at least not easy) for the hospital to administer the right dosage? Maybe the manufacturer is at fault, but IMHO, it's very hard to say.