This paper discusses the experiences of Australia, Canada, France, Germany, the Netherlands, Sweden, and the United Kingdom—technology assessment with six technologies (or sets of technologies) including evaluation and management efforts and how the technologies diffused— are presented and compared.

This report is a part of a larger study on International Differences in Health Care Technology and Spending. It discusses health care technology as a policy issue, healthcare technology in Australia, Canada, France, Germany, Netherlands, Sweden, United Kingdom and United States, as well as the lessons from the eight countries.

This collection of Office of Technology Assessment (OTA) Resources information briefs details assessments and documents completed by OTA and categorized into a variety of topics, including the proliferation of weapons of mass destruction, defense technology, and energy research and development.

This report discusses the pharmaceutical labeling requirements imposed on U.S.-based companies by the laws of the United States and the barriers to U.S. regulation of their labeling in other countries.

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 focuses mainly on the economic side of the R&D process. Pharmaceutical R&D is an investment, and the principal characteristic of an investment is that money is spent today in the hopes of generating even more money in the future.

This report focuses on ways to handle the dislocation of workers and communities that is, to some degree, inevitable in the defense cutback. It opens a discussion of how defense technologies might be converted to commercial applications. The second and final report of the assessment will continue that discussion and will concentrate on opportunities to channel human and technological resources into building a stronger civilian economy.

This report on forest planning evaluates technological, biological, social, economic, and organizational dimensions of national forest planning. It discusses the agency’s planning technologies, the appeals and litigation processes, and the relationship between national planning under Rangeland Renewable Resources Planning Act (RPA) and forest-level planning under National Forest Management Act (NFMA).

This report on proposed performance standards for the Food Stamp Employment and Training Program (FSET) responds to a mandate in the Hunger Prevention Act of 1988 (Public Law 100- 435). This report, then, goes beyond the original mandate and analyzes successful employment and training programs. Based on this analysis, the report identifies several alternative approaches to increasing the impact of FSET.

In this report, OTA places testing in its historical and policy context, examines the reasons for testing and the ways it is done, and identifies particular ways Federal policy affects the picture, The report also explores new approaches to testing that derive from modem technology and cognitive 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 report discusses the actions necessary to effect a major reduction of United States. carbon dioxide emissions. The U.S. is the world’s leading industrial society and largest single emitter of carbon dioxide. Climate change therefore presents a unique challenge to this Nation. It is a threat that will require major prudent political actions even before all the scientific certainties are resolved. The analysis, prevention, and remediation of global warming will require unprecedented international cooperation and action—an effort requiring actions sustained over decades, not just a few years.

This report is a comprehensive look at the problem as we now know it, the public concerns about the problem, and DOE’s plans for addressing it. It focuses especially on the need for additional attention to those areas which DOE has neither the capability nor the credibility to handle.

This paper examines what is known about the course of cervical cancer in elderly women; the effectiveness of the Pap test and its accuracy in this age group; the relative costs and effectiveness of different screening test schedules for elderly women; and the implications of these findings for Medicare.

The U.S. communication infrastructure is changing rapidly as a result of technological advances, deregulation, and an economic climate that is increasingly competitive. This change is affecting the way in which information is created, processed, transmitted, and provided to individuals and institutions. The report analyzes the implications of new communication technologies for business, politics, culture, and individuals, and suggests possible strategies and options for congressional consideration.

This report considers ways to promote the restoration of American leadership in manufacturing technology. Some of the things that most need doing are up to industry— especially in handling people, from managers to engineers to shopfloor workers, and in forming stable, productive relationships between different segments of an industry complex. Government also has a critical role to play.

This Special Report analyzes policy and research issues raised in considering Medicare coverage of preventive services. OTA examines how decisions are currently made about coverage of specific preventive services under Medicare and lays out options for altering the process and criteria governing those decisions. The Special Report also reviews and critiques ongoing demonstration projects and summarizes the results of OTA studies of the costs and effectiveness of specific preventive services for the elderly.

This report provides a definition of distance learning and an overview of selected policies, operative policies and existing polices. The report discusses the policy changes and opportunities, as well as the implications for Federal Policy.

This background paper describes and examines a launch vehicle concept commonly known as the “Big Dumb Booster,” a concept that derives from efforts first made in the 1960s to minimize costs of space launch systems. Some launch system analysts believe that the use of this concept, when applied to existing technology, could markedly reduce space transportation costs. Other analysts disagree.

Congress amended the Food Security Act of 1985 and directed the Office of Technology Assessment to conduct a comprehensive study of the technologies, institutions, and policies that affect U.S. grain quality and to prepare a comparative analysis of the grain quality systems of major export competitors of the United States. It focuses on the U.S. grain system and possible changes within that system to enhance grain quality.

This report is one of two that the Office of Technology Assessment completed in an assessment of the issues in grain quality for Congress. The first, Enhancing the Quality of U.S. Grain in International Trade, focuses on the U.S. grain system and possible changes within that system to enhance grain quality. To consider this issue fully, it is important to understand the grain systems of major competitors, a subject covered in this report.

This report presents the results of an assessment of a subset of these issues focusing in particular on: the oilfield technology being used to develop the Alaskan North Slope’s oil resources and the likely configuration of that technology as it might be applied in the future to the coastal plain; and the prospects for future North Slope oil production, especially the likelihood that the flow of oil through the Trans Alaskan Pipeline System will suffer a serious decline during the next decade.

This special report contains the results of OTA’s assessment. It also provides an admirable example of cooperative effort on the part of all segments of the aviation community in providing information to OTA and working to develop a common solution for a number of difficult issues.

This survey was conducted as part of an Office of Technology Assessment (OTA) assessment on medical testing and health insurance that will be published at a later date. OTA is also monitoring AIDS-related developments for the U.S. Congress, and the survey results are being published by OTA as the second in a series of Staff Papers on AIDS-related issues.