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What are U.S. firms at the forefront of?

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They are at forefront of technological advances.

User Echan
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The rise of technology companies has grown exponentially in less than 50 years; Your products are everywhere. Nowadays, it could be said that it is impossible to act or create without technology. The 20 most important technology companies in the world generate more than 1.9 trillion dollars in profits.

Therefore we can say that the US is in the boom of technology companies, are clear examples of them: General Electric - Apple - AT & T - IBM - Microsft among others.