This report contains justification for the Office of Technology Assessment's (OTA) estimated FY1990 budget request.

This report discusses the agricultural practices that are contributing to the contamination of groundwater, how to develop alternative practices, it outlines major components of the water quality issues, and describes the integrating and coordinating activities of the respective federal agencies.

This report discusses the assessment of agrichemicals in ground water in the United States in the late 1970's. A series of recommendations are offered in this report to help solve the problems.

The report outlines the monitoring tasks specific to START and suggests the cooperative and unilateral measures available for a START monitoring regime. In the discussion of specific monitoring technologies, the report limits itself to those which may be available (though not necessarily applied) at about the time a START Treaty is ready to be signed and ratified.

The report discusses contamination of the hydrogeological system (a primer), technologies to improve nutrient and pest management, farmer decision-making and technical assistance to reduce agrichemical contamination of groundwater, and public influences on agrichemical contamination of groundwater.

This OTA report was requested by the House Committee on Science, Space, and Technology, the House Subcommittee on Transportation and Hazardous Materials, Committee on Energy and Commerce, and the House Subcommittee on Regulation, Business Opportunities and Energy, Committee on Small Business. The report evaluates medical waste issues in the broader context of a waste management policy for the Nation. Waste reduction and recycling options for medical waste management, as well as incineration and non-incineration treatment alternatives are examined.

This report describes the issues associated with genetic monitoring and screening in the workplace. It examines the technologies used, analyzes the legal framework for the use of such tests, assesses the ethical issues inherent in the use of these tools in the workplace setting, describes how genetic information is conveyed by a genetic counselor, and, based on an OTA survey of 1,500 U.S. companies and the largest unions, evaluates the current and future use of genetic monitoring and screening in the workplace.

This special report, the second of our neuroscience series, discusses the field of neural grafting into the brain and spinal cord to treat neurological disorders. It describes the technology of neural grafting, the neurological conditions that it may be used to treat, and the patient populations that are affected. Also, the legal and ethical issues raised by the development of neural grafting techniques are discussed. The report includes a range of options for congressional action related to the Federal funding of transplantation research using human fetal tissue, the adequacy of existing Federal laws and regulations regarding the use of human fetal tissue, and the role of the Federal Government in guiding the development and promoting the safety and efficacy of neural grafting procedures.

This background paper, OTA sought the contributions of abroad spectrum of knowledgeable individuals and organizations. Some provided information, others reviewed drafts. OTA gratefully acknowledges their contributions of time and intellectual effort. 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 advisors or reviewers.

The report discusses the oral health of children eligible for Medicaid, the House Committee on Energy and Commerce and its Subcommittee on Health and the Environment requested OTA to determine whether children eligible for Medicaid are provided at least a minimum level of dental care. This study compares the dental manuals of seven State Medicaid programs with a set of “basic’ dental services (which comprise shared components of various well-accepted dental guidelines) to see if States allow these particular services.

In this paper OTA summarizes the evidence on the effectiveness and costs of colorectal cancer screening in the elderly and explores the implications for Medicare of offering this preventive technology as a Medicare benefit. Nowhere are the hard choices between potential medical benefits and high costs illustrated more clearly than with this cancer screening technology.

This Background Paper examines the evidence of the effectiveness of drug abuse treatment; it also evaluates the role that such treatment might play in reducing the spread of HIV. Because most intravenous drug users are not in treatment, the paper also examines other approaches to HIV prevention among this high-risk group.

This report responds to requests by the House Committee on Energy and Commerce and the House Committee on Government Operations to assess the role that communication and information technologies play in the securities markets. The Committee desired a benchmark for gauging progress made toward the national market system envisioned by the 1975 Act. This report assesses the current use of information technology by U.S. securities exchanges and over-the-counter dealers, by related futures and options markets, and by associated industries and regulatory agencies.

This report is about access of people in rural America to basic health care services. This report focuses on trends in the availability of primary and acute health care in rural areas and factors affecting those trends.

This report profiles the structures of four domestic nonferrous metals industries (copper, aluminurn, lead, and zinc) and the changes they have undergone since 1980. The study also outlines the U.S. position in the world markets.

In this report OTA gives a broad overview of the qualities of the competing fuels and examines in depth some of the most contentious issues associated with the wisdom of active Federal support for introducing the fuels. Areas of uncertainty that affect the debate on Federal support include fuel cost (including costs of building new infrastructure and modifying vehicles); the air quality effects of the new fuels; effects on energy security; other environmental impacts of the fuels; and consumer acceptance of the changes in vehicle performance, refueling procedures, costs, and other facets of the transportation system that would follow a large-scale introduction of any of the fuels. The report singles out for special examination the arguments concerning the costs, energy security implications, and air quality impacts of introducing methanol fuels into the fleet.

This report market that have institutions, usually refered to as "clearing house", which handle both the clearing and some aspects of the settlement processes.

This report describes the unconventional cancer treatments that are most used by U.S. cancer patients; it describes the way in which people find out about them and how much they pay for them; reviews the claims made for them and the information base in support of the claims; suggests possible ways of generating valid information about their safety and effectiveness; and presents the legal issues surrounding unconventional treatments that have brought civil and criminal litigation to bear on the subject.

This report discusses the definition of honesty and integrity tests defined by OTA. The definition does not necessarily resolve ambiguities over the universe of tests that should be considered integrity tests. Controversy surrounds the meanings of integrity and honesty in the workplace; there is disagreement over whether integrity tests differ from other personnel tests in design or in the kinds of inferences they support; and there is little relative information on how integrity and honesty tests are actually used in hiring decisions.

This report focuses on the training given to employed workers both from the standpoint of the competitiveness of U.S. industry and from the standpoint of the individual worker who may need training to advance. Most workers who get training get it from their employer, and much of the report looks at the employer provided training system. The message of this report is that the debate about national training policies needs to be broadened to encompass not only training programs for the economically disadvantaged, the displaced worker, or people with special needs, but also those who stand on the front line of American productivity-employed workers at all levels.

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.

This report evaluates past RPA efforts, reviews the process used by the Forest Service in preparing the 1989 RPA Assessment and the Draft 1990 RPA Program, and identities options for improving RPA’s contribution to long-range planning and to policy and budget deliberations. The second OTA report on Forest Service planning will review national forest planning, and will examine the relationship between national planning under RPA and forest planning under NFMA.

OTA prepared this report with the assistance of a panel of advisors and reviewers selected for their expertise and diverse points of view on the issues covered by the assessment. These authorities were drawn from academia, industry, and professional societies, as well as Federal, State, and local agencies. They included members of the scientific, law enforcement, forensic, and legal communities. OTA gratefully acknowledges the contribution of each of these individuals; as with all OTA reports, responsibility for the content is OTA’s alone.