This background paper reviews the progress of the industry and the law enforcement agencies in implementing the Act since its approval in October 1994.

This report discusses estimates of environmental technology R&D spending, interagency coordination mechanisms, and major federal programs, including programs administered by the Department of Energy, the Department of Defense, the Environmental Protection Agency, and several other agencies.

This paper discusses how EPA sets Superfund cleanup priorities based on Superfund site health ranking data provided by ATSDR. It examines several parameters by which EPA site prioritization might be measured, including timeliness, cost, and use of special removal actions at the worst sites.

This report assesses the factors that facilitate international partnerships in big science projects and those that, conversely, favor the pursuit of purely national projects. The paper also reviews and identifies several important issues to consider in structuring future collaborations.

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 includes information on technological products released during FY1994, legislation in the 103rd Congress related to the Office of Technology Assessment (OTA), and background information on OTA itself, among other things.

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.

Adult education needs are difficult to define and difficult to meet; what constitutes adequate literacy changes continually as the demands facing individuals grow more complex. This report is an attempt to identify those capabilities, along with limitations, and outline how new information technologies can be marshaled to meet the goal of a fully literate citizenry.

This report identifies opportunities for and constraints to reducing Andean coca production through: 1) improving U.S. alternative development efforts and 2) applying biological control technology (bio-control) to eradicate illegally produced coca.

This report examines issues related to the development and operation of publicly funded U.S. and foreign civilian remote sensing systems. It also explores the military and intelligence use of data gathered by civilian satellites. In addition, the report examines the outlook for privately funded and operated remote sensing systems.

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 report examines the costs and benefits of vehicle retirement programs. With regulation of new vehicles above the 90 percent control level for the major pollutants and scheduled to become even stricter in the near future, emissions from older vehicles have drawn increasing attention.

This report assesses the proposals and prospects for automated checks, ranging from the point-of-sale “instant” check now used by the State of Virginia, to the establishment of a computerized national felons file, to live scanning of fingerprints, or the issuance of ‘smart’ cards to identify firearm purchasers. It considers the benefits, costs, and risks of automated checks. The report examines the relationship between automated record checks and waiting periods, the wide variability in State criminal record systems, and the challenges of improving the automation and quality of record systems.

The report provides a broad overview of energy choices facing the Nation. It is not an exhaustive analysis of any one technology; rather, it draws together the main themes of OTA reports from the past 16 years, and other documents, into an outline of the main directions the country could follow.

This report, the result of an assessment of the potential for automation and robotics technology to assist in the exploration of the Moon and Mars, raises a number of issues related to the goals of the U.S. civilian space program. Among other things, the report discusses how greater attention to automation and robotics technologies could contribute to U.S. space exploration efforts.

In 1984, the year after cyclosporine made its debut onto the health care market, OTA reported to Congress on the likely benefits of the drug for Medicare kidney transplant recipients. The present report, requested by the Senate Committee on Finance in the wake of the repeal of the Medicare Catastrophic Coverage Act, examines Medicare’s current immunosuppressive drug coverage dilemma and the policy tradeoffs it entails for the 1990s.

This report examines emerging U.S. national security requirements, surveys the current conditions and trends in the DTIB, and proposes some desirable characteristics for the future base. The report concludes with a discussion of the broad strategic choices and tactical decisions that must be considered as the Nation moves to this future base.

This report deals with the Federal research and development effort in countering terrorism, and with the state of attempts to use technology to aid in detecting and preventing attempts to introduce explosives aboard aircraft. A review of the relevant R&D programs in many agencies is provided. The second report of this study will be released in late summer 1991.

This report examines the potential and limitations of cooperative aerial surveillance as a means of supporting the goals of a variety of international agreements. It surveys the types of aircraft and sensors that might be used. It reviews the status of and issues raised by the Open Skies Treaty negotiations as an extended example of an aerial surveillance regime. The report concludes with a quantitative analysis of one possible use of cooperative over flights: the search for potential arms control violations.

This OTA report analyzes the problem of locating and arranging services for people with dementia, presents a framework for an effective system to connect them to appropriate services, and discusses congressional policy options for establishing such a system. One of the main policy issues is whether the system should serve people with dementia exclusively or serve people with other diseases and conditions as well.

This paper discusses briefly (1) the purposes of research directed toward support of the defense science and technology base and (2) criteria for judging government-supported, military oriented research portfolios. It will not cover, except tangentially, research into science and technology directed to civilian uses or the more advanced development phase of military weapons and systems.