This report examines the U.S. preparations process for WARC-92, highlighting efforts to integrate the needs and concerns of various interest groups. It also reviews the forces and trends affecting the United States as it approaches WARC-92, and is intended to inform future congressional oversight of the domestic and international radio communication policy process.

This paper concludes that, thus far, Department of Energy has (DOE) and its contractors have devoted little attention to cleanup worker health and safety. They have not convinced workers and managers that a “new culture” of accountability in environment, safety, and health is truly ascendent.

This report discusses the indirect cost of medical malpractice, commonly referred to as “defensive medicine,” that may add to overall health care costs. The cost of defensive medicine remains unknown and is subject to much speculation because there are no sound empirical data.

This paper examines the health services and economics literature to learn what is known about the effects of patient cost-sharing (that is, annual deductibles, coinsurance, copayments, and out-of-pocket maximurns) on patients’ use of health care services, on plan expenditures, and on patients’ health outcomes.

This paper describes biological contributing factors to substance abuse and addiction. The second document being produced by this study will discuss the complex interactions of biochemical, physiological, psychological, and sociological factors leading to substance abuse and addiction.

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 report discusses a study that provides a basic introduction to biopolymer technology; profiles some of the more promising polymer materials; reviews research activities in the United States, Europe, and Japan; and describes the principal technical challenges and regulatory issues that may affect biopolymer commercialization efforts.

This background paper provides an overview of developing country environmental problems and markets for environmental technologies and services. It discusses preliminary estimates on the amount and purposes of environmental aid provided by donor countries in 1991. The paper discusses the commercial implications of other countries’ aid for U.S. environmental firms, and the Helsinki package adopted by the OECD in late 1991 to limit commercial advantage from use of tied aid credits.

This background paper on U.S. banks is one of several case studies prepared as part of a huger assessment of International Telecommunications Networks and U.S.-European Trade in Services.

This report discusses different aquatic species that are produced in the United States, including various animal and plant ornamentals, species for environmental remediation, industrial and pharmaceutical feedstocks, and products for biomedical research.

This background paper, OTA sought information and advice from a broad spectrum of knowledgeable individuals and organizations whose contributions are gratefully acknowledged. As with all OTA studies, the content of this background paper is the sole responsibility of the Office of Technology Assessment and does not necessarily represent the views of our advisers and reviewers.

This background paper outlines some of the issues of importance for making choices about the future nature and role of U.S. armed forces, and suggests how these choices will affect defense base requirements. The final report of the assessment, to be delivered in the spring of 1992, will address specific policy options arising from the strategic choices and tactical decisions discussed here.

This OTA background paper evaluates the current state of knowledge and assesses the potential of bioremediation for responding to marine oil spills. Our basic message is a dual one: we caution that there are still many uncertainties about the use of bioremediation as a practical oil spill response technology; nevertheless, it could be appropriate in certain circumstances, and further research and development of bioremediation technologies could lead to enhancing the Nation’s capability to fight marine oil spills.

This paper reviews the technical requirements for countries to develop and build nuclear, chemical, and biological weapons, along with the systems most capable of delivering these weapons to distant or defended targets: ballistic missiles, combat aircraft, and cruise missiles.

The background paper extends the analysis of energy use into new areas by explicitly looking at how energy use has changed with the expansion of the service sector, the explosion of international trade, and greater complexity of the U.S. economy as the structure of businesses changed in response to new technologies and competitive challenges. The increasing sophistication of the U.S. economy means that the role of energy is less likely to be directly identified and is instead more likely to be an indirect factor that was added many steps before in the complex network that connects producer to consumer. This report explicitly separates direct from indirect energy use.

This report reviews how bioenergy crops could potentially affect soil quality and soil erosion, water quality, air quality, habitat for a variety of species, and the global environment.

This background paper is one of four documents resulting from OTA’s study of policy issues in the prevention and treatment of osteoporosis.

This background paper focuses on the Federal role in supporting a national high-performance computing initiative. High-performance ‘‘supercomputers’ * are fast becoming tools of international competition and they play an important role in such areas as scientific research, weather forecasting, and popular entertainment. They may prove to be the key to maintaining America’s preeminence in science and engineering. The automotive, aerospace, electronic, and pharmaceutical industries are becoming more reliant on the use of high-performance computers in the analysis, engineering, design, and manufacture of high-technology products.

This report focuses on key assumptions that will affect the sizing and procurement of the new FBI system, and on other related steps that appear necessary to ensure complete and up-to-date record systems. These include full implementation of a Federal/State/local partnership for maintaining and exchanging fingerprint and criminal history records; enactment of an interstate compact or Federal legislation setting out uniform rules for the exchange of such records; standards and funding for improving criminal history record completeness and disposition reporting; and privacy and security protections for electronic fingerprint and record information.

This background paper focuses on one technological option for increasing the supply of fresh water to the Southwest-that of building a freshwater subsea pipeline to transport water from Alaska to California. Originally a suggestion by Governor Walter Hickel of Alaska, the proposal has recently attracted attention in southern California.

This background paper describes the development of alglucerase, illustrates the role that both the Federal Government and private sector can have in making new therapies available for orphan diseases, and lays out some of the tradeoffs that can exist between developing new medical technologies and controlling health care costs.

This short background paper summarizes the discussion concerning data pricing and distribution from a one-day workshop convened by OTA on May 20, 1992.

This paper presents information on the ecotourism trends; identifies issues related to resource conservation, ecotourism development and management, and planning; and presents questions for possible further consideration.

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.