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Difficult-To-Reuse Needles for the Prevention of HIV Infection Among Injecting Drug Abusers

Description: This paper reviews various possibilities of using non-reusable injection technologies for reducing HIV transmission among injecting drug users in the United States. It does not put forth the redesign of injection equipment as a policy option for congressional consideration; it merely examines some of the implications of a proposal put forth by some health experts.
Date: October 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
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Federal and Private Roles in the Development and Provision of Alglucerase Therapy for Gaucher Disease

Description: 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.
Date: October 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
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Genetic Counseling and Cystic Fibrosis Carrier Screening: Results of a Survey

Description: This paper presents results from a 1991 OTA survey of 431 genetic counselors and nurse geneticists. It was conducted to better understand the environment in which the average genetic counselor or nurse in genetics works, to describe the infrastructure and tools available to these professionals, to assess the state of practice in the provision of cystic fibrosis (CF) carrier screening, and to evaluate their attitudes regarding CF carrier screening.
Date: October 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
open access

Genetic Tests and Health Insurance: Results of a Survey

Description: This background paper describes results from a 1991 OTA survey of U.S. health insurers’ attitudes toward genetic tests and genetic information— both how they currently view information from various sources (e.g., genetic tests, other medical tests, or family histories) in underwriting decisions and how they might reimburse consumers for genetic tests. It also reports data on the role health insurers expect genetic tests and genetic information will play in their business practices over the comi… more
Date: October 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
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Science and Technology Issues in Coastal Ecotourism

Description: 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.
Date: October 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
open access

U.S. Banks and International Telecommunications

Description: 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.
Date: October 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
open access

The Biology of Mental Disorders

Description: This report presents a summary of research into the biological factors associated with schizophrenia, bipolar disorder, major depression, obsessive-compulsive disorder, and panic disorder. The report also discusses support for this research and the social context in which it moves forward.
Date: September 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
open access

Do Medicaid and Medicare Patients Sue More Often Than Other Patients?

Description: This background paper also responds to the request of the Congressional Sunbelt Caucus that OTA examine and judge the available evidence on whether Medicaid and Medicare patients, particularly obstetrics patients, are more litigious than other patients.
Date: September 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
open access

Does Health Insurance Make a Difference?

Description: This background paper reviews and evaluates the available literature linking health insurance coverage with the utilization and process of health care services and with individual health outcomes.
Date: September 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
open access

Green Products by Design: Choices for a Cleaner Environment

Description: In this report, OTA provides a conceptual overview of how designers might integrate environmental concerns with traditional design objectives, and how policymakers can best take advantage of such opportunities. Although the concept of “green” design is gathering momentum, a number of technical, behavioral, economic, and informational barriers need to be addressed.
Date: September 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
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Monitoring Limits on Sea-Launched Cruise Missiles

Description: This report examines in detail ways in which compliance with such a regime might be monitored. Surveying the life-cycle of SLCMs from development testing through deployment and storage, the assessment identifies the ‘indicators’ by which the missiles might be tracked and accounted for. It also assesses the paths of evasion that a determined cheater might take to avoid the proposed monitoring measures.
Date: September 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
open access

U.S.-Mexico Trade: Pulling Together or Pulling Apart?

Description: This report finds little likelihood that a NAFTA, by itself, will lead to the most dismal scenarios. But OTA’s analysis also indicates that market forces alone are not likely to produce the social and economic rewards the heads of both states have promised from a free trade agreement.
Date: September 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
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Cystic Fibrosis and DNA Tests: Implications of Carrier Screening

Description: This report concludes that the value of the cystic fibrosis (CF) carrier test is the information it provides. No one can estimate in common terms what it means to an individual to possess information about his or her genetic status, especially when the value concerns reproductive decision-making. As our knowledge of the human genome increases, what we do with information such as CF carrier status will depend on the perceptions and beliefs of all Americans.
Date: August 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
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A New Technological Era for American Agriculture

Description: The report concludes that these technologies have the potential to provide new solutions to many agricultural problems. The challenge, however, will be whether government, industry, and the public can strike the proper balance of direction, oversight, and use to allow these technologies to flourish. Congress will be faced with many issues and choices as American agriculture moves into this new era.
Date: August 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
open access

Police Body Armor Standards and Testing, Vol. I

Description: This report discusses the standards for body-armor. The report describes the origin of the standard, the rationale for particular provisions, and the main points of controversy, which concern acceptable risks, the validity and discrimination of the test, and the reproducibility of results.
Date: August 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
open access

Police Body Armor Standards and Testing, Vol. II—Appendixes

Description: This report is an extension of volume one, that discusses the standards for body-armor. The report describes the origin of the standard, the rationale for particular provisions, and the main points of controversy, which concern acceptable risks, the validity and discrimination of the test, and the reproducibility of results.
Date: August 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
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Special Care Units for People With Alzheimer's and Other Dementias: Consumer Education, Research, Regulatory, and Reimbursement Issues

Description: This report analyzes the available information about special care units for people with dementia. It discusses ways in which the Federal Government could encourage and support what is positive about special care units and at the same time protect vulnerable patients and their families from special care units that actually provide nothing special for their residents.
Date: August 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
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Retiring Old Cars: Programs To Save Gasoline and Reduce Emissions

Description: 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.
Date: July 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
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Building Future Security: Strategies for Restructuring the Defense Technology and Industrial Base

Description: This report elaborates on the findings of the earlier OTA publications and examines in greater detail the specific policy choices involved in restructuring the defense technology and industrial base (DTIB) over the next decade.
Date: June 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
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Disposal of Chemical Weapons: Alternative Technologies

Description: This background paper briefly describes the Army’s chemical weapons destruction program, discusses the factors that could affect a decision to develop alternatives, discusses the alternatives, and illustrates the difficulty of gaining public acceptance of complex technical systems.
Date: June 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
open access

Identifying and Controlling Pulmonary Toxicants

Description: This Background Paper examines whether the agencies responsible for administering Federal environmental and health and safety laws have taken this concern for respiratory health to heart. This paper provides a partial response to the committees’ request for an assessment of noncancer health risks in the environment and follows OTA’s previous work on carcinogenic, neurotoxic, and immunotoxic substances.
Date: June 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
open access

Lessons in Restructuring Defense Industry: The French Experience

Description: This background paper first describes the structure and management of the French defense-industrial base and then reviews a variety of strategies the French Government and industry are pursuing to rationalize the base, while preserving key technological assets and strengthening the competitive position of French defense contractors in world markets.
Date: June 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
open access

Building Energy Efficiency

Description: This report focuses on energy use in buildings, which account for over one-third of all energy used in the United States. Significant energy savings in buildings are possible through the use of commercially available, cost-effective, energy efficient technologies; yet adoption rates for these technologies are often low. Interviews with industry, property managers, homeowners, and others were used to explore why technology adoption rates are so low. Past Federal efforts to encourage energy effic… more
Date: May 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department
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