This background paper analyzes technologies for tomorrow’s information superhighways. Advanced networks will first be used to support scientists in their work, linking researchers to supercomputers, databases, and scientific instruments. The paper also describes six test networks that are being funded as part of the High Performance Computing and Communications Program.

This report reviews the history of four Federal bioethics initiatives: the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research, the Ethics Advisory Board, the President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research, and the Biomedical Ethics Advisory Committee.

This paper provides a detailed look at the State that is often considered a model for what States can do to help provide universal or near universal health insurance coverage for their residents. The paper discusses the history of health insurance provision in Hawaii, emphasizing two relatively recent State insurance laws: 1) the 1974 law that required employers to offer coverage to most of their employees, and 2) the 1989 law that provided a State subsidy for coverage of those individuals who fell in the gap between employment-based coverage and Medicaid coverage. The paper addresses the difficulties faced in evaluating the impact of Hawaii’s various attempts to provide coverage and access, and speaks to whether all or parts of Hawaii’s experience can be transferred to other States or to the Nation as a whole.

This report reviews numerous analyses of the economic impacts of the major approaches to health care reform addressed in this Report-Single Payer, Play-or-Pay, Individual Vouchers or Tax Credits, and Managed Competition and identifies some of the key issues and significant assumptions behind the estimates provided in these analyses.

This report discusses the problem of fratricide, or “friendly fire” casualties among combat units. The House Armed Services Committee requested that OTA assess the technology and techniques available to reduce this tragic loss of life.