Devices made in Pakistan tend to be simple stainless steel surgical tools and not complicated technologies. But still, these are unfair labor practices. And, oddly,Â they may have been exacerbated by the growing adoption of global standards. These have made simple devices almost identical, forcing them to compete on price, which may lead their makers to find cheap labor to build them. The cost of living in Pakistan is far lower than it is in the United States or Western Europe; savings can still be achieved by paying these workers a living wage and eschewing child labor.