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.

This background paper examines existing intellectual-property protection for computer software-copyrights, patents, and trade secrets—and provides an overview of the often conflicting views and concerns of various stakeholders. It was prepared in response to a request from the Subcommittee on Courts, Intellectual Property, and the Administration of Justice of the House Committee on the Judiciary.

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.

In the aftermath of the Exxon Valdez oil spill in Alaska in March, 1989, a myriad of investigations were initiated to evaluate the causes of that accident and to propose remedies. The Office of Technology Assessment was asked to study the Nation’s oil spill clean-up capabilities and to assess the technologies for responding to such catastrophic spills in the future.

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.

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 is the second of two OTA assessments on the subject of high-temperature superconductivity (HTS). As the title suggests, this study attempts to put HTS in perspective, both in terms of competing technologies (e.g., the more mature low-temperature superconductors), and in terms of the many technical and economic problems that must be overcome before HTS can be widely used.

The report notes that America’s defense technology base has weathered significantly, with challenges to U.S. high-Technology firms from abroad, increasing dependence on foreign and civilian sources of technology for use in military systems, and growing technological sophistication of our adversaries.

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 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 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 report identifies several immediate steps the Federal Government could take. First, new environmental standards, population shifts, and industrial changes have transformed the nature of many public works problems, and Federal programs must be refocused to fit the new circumstances. Second, if we expect to maintain our economic health, the Nation must increase its investment in public works, despite budget dilemmas.

This paper presents the status of national efforts to cleanup dioxin-contaminated sites and the technologies that have been used, proposed, and researched. It covers thermal and nonthermal treatment techniques as well as approaches such as stabilization and storage. It discusses the development of these technologies as well as advantages and disadvantages of their use.

This report focuses on the Federal Government, the Nation’s largest single energy consumer, in terms of the opportunities and constraints for the use of energy efficient technologies. Energy efficient technologies could greatly reduce energy demand growth and spending in the United States and lessen environmental impacts while increasing productivity. Yet, in today’s public and private markets, adoption rates for many of these technologies are low. This report reviews past and current efforts to improve Federal energy efficiency and discusses policy options that could accelerate the adoption of these measures by the Federal Government.

This report, the first of two, was prepared in response to the requesting committees’ interest in receiving an interim product. It examines how energy is supplied and used in developing countries, and how energy use is linked with economic and social development and environmental quality.

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.

This is OTA’S fifth report on U.S. foreign aid and African agriculture and our most detailed look at one specific problem. The report provides a background on the unusual nature of grasshopper and locust problems, examine t e implications this has for the way problems are treated, then consider how U.S. contributions to the bilateral and multilateral control effort might be improved.

This report is the final, summarizing report in a series of products from a broad assessment of space transportation technologies undertaken by OTA for the Senate Committee on Commerce, Science, and Transportation, and the House Committee on Science, Space, and Technology.

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 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 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 OTA’s report responds to the request of numerous Members of Congress to review the physical, emotional, and behavioral health status of contemporary American adolescents, including adolescents in groups who might be more likely to be in special need of health-related interventions: adolescents living in poverty, adolescents from racial and ethnic minority groups, Native American adolescents, and adolescents in rural areas. In addition, OTA was asked to: 1 ) identify risk and protective factors for adolescent health problems and integrate national data in order to understand the clustering of specific adolescent problems, 2) evaluate options in the organization of health services and technologies available to adolescents (including accessibility and financing), 3) assess options in the conduct of national health surveys to improve collection of adolescent health statistics, and 4) identify gaps in research on the health and behavior of adolescents.

The report responds to the request of numerous Members of Congress to review the physical, emotional, and behavioral health status of contemporary American adolescents, including adolescents in groups who might be more likely to be in special need of health-related interventions: adolescents living in poverty, adolescents from racial and ethnic minority groups, Native American adolescents, and adolescents in rural areas.