This report focuses on policy issues in three areas: 1 ) national cryptography policy, including federal information processing standards and export controls; 2) guidance on safeguarding unclassified information in federal agencies; and 3) legal issues and information security, including electronic commerce, privacy, and intellectual property.

This paper examines what is known about administrative costs in the health care systems of the United States and several other countries. In addition to exploring the types of activities that constitute health care administration, it reviews studies that measure and compare these activities in different countries, and it explores the potential usefulness of such comparisons.

This paper reviews how the United States compares with other developed countries on available health status measures, evaluates the validity of the data used to make such comparisons, and describes how international comparisons might be interpreted in the context of health care reform.

The report reviews data concerning the contribution of genetic factors to several severe mental disorders; described methodologies used in the studies, and broached several policy issues relevant to this area of research.

This report discusses globalization in perspective, U.S. technology policy in international economic perspective, and other aspects of technological developments. The most technologically sophisticated and economically significant sectors of the U.S. economy are now characterized by high levels of international production, foreign direct investment, trade among affiliated companies, and complex forms of international financial and technological collaboration.

This report examines an array of sustainable development definitions and discusses their common elements. Current agriculture, energy, and industry technologies are described as well as the strides being made in education, communication, and information technologies that could support sustainable development.

This report examines an array of sustainable development definitions and discusses their common elements.

This report is the fifth publication from OTA’S assessment on the proliferation of weapons of mass destruction, examines the whole range of consequences for proliferation of the Soviet Union’s breakup.

This paper describes the existing public information about osteoporosis and discusses problems that limit its usefulness, including problems in the dissemination and targeting of information to different types of people who have or are at risk of the disease. It also discusses problems that arise because of the way research findings are presented in the mass media and the widespread dissemination of information about medications that are available on the market but have not been approved by the FDA for osteoporosis.

This report examines U.S. plans for managing the prodigious quantities of data expected from current, planned, and future remote sensing satellites. In particular, it explores the Earth Observing System Data and Information System, which NASA is developing to manage and process the data from its Earth Observing System of satellites. It also analyzes the factors affecting the growth of the market for privately generated remotely sensed data.

This Background Paper summarizes OTA’s findings with regard to the three questions asked based on the workshop discussion as well as background information and discussions with various individuals before and after the workshop.

This report examines a set of environmental cost studies, compares and contrasts their methods and assumptions, and discusses how they could be made more useful to federal policy makers.

This report has four parts. The first part focuses on several factors that are necessary for substance abuse and addiction to occur, including an examination of the biological research regarding the phenomenon of addiction to a variety of substances. The second part describes individual risk and protective factors that contribute to the abuse of, and addiction to, alcohol and drugs. The third part, looks at how risk and protective factors play out in subcultures and in major activity settings (home, school, workplace, and recreation), and assesses the effectiveness of various substance abuse prevention initiatives. The fourth section, addresses a range of legislative issues and options for Congress arising from an understanding of the factors leading to substance abuse and addiction.

This paper deals with one of the most basic questions in any health research endeavor: how to measure the outcomes associated with whatever is being studied. The paper describes in greater detail some of the research techniques discussed.

This report provides point estimates of the “access gap” in ambulatory health services contacts and inpatient hospital days per person using the best available data from three recent large national surveys of the U.S. population. The report also estimates the aggregate access gap for the U.S. and it estimates the implications for national health spending of providing universal health insurance coverage.

This paper describes applications of synthetic-environment technologies in simulating combat. This background paper is the first of several publications of the OTA’S assessment of combat modeling and simulation.

This report discusses the medical malpractice system that has frequently been cited as a contributor to increasing health care costs and has been targeted in many health care reform proposals as a potential source of savings. The report first examines the nature of defensive medicine, adopting a working definition of defensive medicine that embraces the complexity of the problem from both the physician and broader public policy perspectives. Finally, it comments on the potential impact of a variety of medical malpractice reforms on the practice of defensive medicine.

This report focuses on technologies to improve energy supply in Central Europe and the former Soviet Union. The report is divided into two parts. The first part reviews energy supply technologies for fossil–fuel and nonfossil–based energy resources. In addition, it reviews the environmental consequences of energy production and consumption. The report highlights specific needs for U.S. technology and opportunities for U.S. business. The second part of the report is devoted to policy considerations. It describes the highly varied political, economic, and social context of reform. Next, it analyzes and catalogues Western energy–related assistance and investment programs for the region. The final chapter of the report presents policy options relating to energy supply and efficiency that will promote the achievement of U.S. political and economic goals.

This paper emphasizes recent changes in the market for health care and health insurance in the Twin Cities, including the growth of managed care organizations, the growth of integrated delivery systems, the development of health insurance purchasing coalitions, and recent state health care reforms. The report concludes with a discussion of potential lessons from the Twin Cities for the health reform debate.

This report focuses on energy use in U.S. transportation, which accounts for over 60 percent of U.S. oil consumption. The report attempts to put these opinions into context by examining the current status of the system and evaluating critical problems such as congestion, presenting forecasts of future energy use, making some pointed comparisons with European transportation, and describing and evaluating a range of options for saving energy.

This paper describes and evaluates the sources of variation in analysts’ estimates of the federal budget impacts of key reform provisions. The paper also discusses potential variations in the estimates of federal budget effects of the American Health Security Act and the Managed Competition Act, and of health reform proposals in general.

This paper seeks to place the issue of climate change within an international context. Specifically, it addresses the feasibility of forging treaty agreements among countries to achieve significant worldwide reductions in emissions of greenhouse gases.

This background paper concludes that continued use of the radioisotope thermoelectric generators (RTGs) at Burnt Mountain entails low risk for the safety of maintenance workers and local populations and for the environment.

This OTA assessment reviews the status of federal government efforts to provide safe sanitation to Alaskan Natives and the technologies that have been used or proposed for this purpose. Finally, the report examines the legislative and institutional setting for the waste sanitation problems, and the criteria that need to be applied in selecting and implementing new technologies.