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Indian Adolescent Mental Health

Description: This report reviews the mental health needs of Indian adolescents (those of American Indian and Alaska Native descent) and the services available to them. It summarizes the findings of the review, suggests options that Congress might consider, and provides an overview of other special health needs of adolescents (ages 10 to 18).
Date: January 1990
Creator: United States. Congress. Office of Technology Assessment.
open access

Verification Technologies: Measures for Monitoring Compliance With the START Treaty

Description: 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.
Date: December 1990
Creator: United States. Congress. Office of Technology Assessment.
open access

Preventive Health Services for Medicare Beneficiaries: Policy and Research Issues

Description: 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… more
Date: February 1990
Creator: United States. Congress. Office of Technology Assessment.
open access

Proposal Pressure in the 1980s: An Indicator of Stress on the Federal Research System

Description: For this report OTA compiled time-series data provided by the National Science Foundation (NSF) and the Federal mission agencies on proposals for competitively awarded research projects, and by the American Association for the Advancement of Science’s (AAAS) annual R&D budget series.7 These funding trends, presented below, suggest changes over the decade of the 1980s and raise some issues for future policy study.
Date: April 1990
Creator: United States. Congress. Office of Technology Assessment.
open access

Rebuilding the Foundations: A Special Report on State and Local Public Works Financing and Management

Description: This report documents, the concerns centered on how to raise more money for upgrading and maintaining public works, how to enhance public works, and how to preserve the community environment and quality of life. Local officials focused on the complex tasks of resolving conflicts among these issues in a controversy-ridden and politically charged arena. State representatives highlighted the steps they have already taken to increase support for localities. This special report also outlines the rol… more
Date: March 1990
Creator: United States. Congress. Office of Technology Assessment.
open access

Recombinant Erythropoietin: Payment Options for Medicare

Description: Policy interest in Medicare’s payment policies regarding recombinant erythropoietin has arisen chiefly because of the biologic’s expense. Because of concern about the implications of recombinant erythropoietin use for Medicare expenditures, the House Ways and Means Committee, Subcommittee on Health, requested OTA to examine alternative payment policies that Medicare might adopt to pay for the biologic. In responding to that request, this Special Report reviews clinical and economic issues regar… more
Date: May 1990
Creator: United States. Congress. Office of Technology Assessment.
open access

Replacing Gasoline: Alternative Fuels for Light-Duty Vehicles

Description: 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 … more
Date: September 1990
Creator: United States. Congress. Office of Technology Assessment.
open access

The Effectiveness of Drug Abuse Treatment: Implications for Controlling AIDS/HIV Infection

Description: 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.
Date: September 1990
Creator: Sisk, Jane E.; Hatziandreu, Evridiki J. & Hughes, Rita
open access

The Use of Integrity Tests for Pre-Employment Screening

Description: 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 te… more
Date: September 1990
Creator: United States. Congress. Office of Technology Assessment.
open access

Trading Around the Clock: Global Securities Markets and Information Technology

Description: This background paper assesses the effects of information technology on securities markets and the current status of global securities trading. It compares securities markets and clearing and settlement mechanisms in Japan, the United Kingdom, and the rest of Europe with those in the United States. Finally it identities emerging questions about international markets and national regulatory regimes.
Date: July 1990
Creator: United States. Congress. Office of Technology Assessment.
open access

The Costs and Effectiveness of Cervical Cancer Screening in Elderly Women

Description: 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.
Date: February 1990
Creator: United States. Congress. Office of Technology Assessment.
open access

Costs and Effectiveness of Colorectal Cancer Screening in the Elderly

Description: 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.
Date: September 1990
Creator: Wagner, Judith L.; Duffy, Brigitte; Wadhwa, Sandeep & Jakubowski, Lara
open access

Screening Mammography in Primary Care Settings: Implications for Cost Access and Quality

Description: This staff paper examines the implications for cost and quality, as well as for access to mammography, of expanding the supply of mammographic services in the primary care setting. The special issues raised by third-party businesses that package mammography services for primary care physicians are also discussed.
Date: October 1991
Creator: United States. Congress. Office of Technology Assessment.
open access

Neural Grafting: Repairing the Brain and Spinal Cord

Description: 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 th… more
Date: October 1990
Creator: United States. Congress. Office of Technology Assessment.
open access

Nonferrous Metals: Industry Structure

Description: 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.
Date: September 1990
Creator: United States. Congress. Office of Technology Assessment.
open access

Orbiting Debris: A Space Environmental Problem

Description: 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.
Date: October 1990
Creator: United States. Congress. Office of Technology Assessment.
open access

Physical Vulnerability of Electric Systems to Natural Disasters and Sabotage

Description: This report offers an analysis of the vulnerability of electric power system specific equipment which is included in a separate appendix that is under classification review by the Department of Energy. This appendix will be made available only under appropriate safeguards by the Department of Energy.
Date: June 1990
Creator: United States. Congress. Office of Technology Assessment.
open access

Competing Economies: America, Europe, and the Pacific Rim

Description: This report examines how the economic environment of the United States can be made more conducive to improving manufacturing performance. It considers how Federal institutions, in cooperation with industry, can develop competitiveness strategies for high-tech, fast growing industries; and how trade, financial, and technology policies could be combined into a strategic competitiveness policy.
Date: October 1991
Creator: United States. Congress. Office of Technology Assessment.
open access

Affordable Spacecraft: Design and Launch Alternatives

Description: This background paper examines several proposals for reducing the costs of spacecraft and other payloads and describes launch systems for implementing them. It is one of a series of products of a broad assessment of space transportation technologies undertaken by OTA at the request of the Senate Committee on Commerce, Science, and Transportation, and the House Committee on Science, Space, and Technology.
Date: January 1990
Creator: United States. Congress. Office of Technology Assessment.
open access

Agricultural Research and Technology Transfer Policies for the 1990s: a special report of OTA's assessment on emerging agricultural technology: issues for the 1990s

Description: This report addresses the central issues in the debate of the 1990 Farm Bill. It was requested as part of a larger study examining emerging agricultural technologies and related issues for the 1990s by the Senate Committee on Agriculture, Nutrition, and Forestry and the House Committee on Agriculture.
Date: March 1990
Creator: United States. Congress. Office of Technology Assessment.
open access

Arming Our Allies: Cooperation and Competition in Defense Technology

Description: This Special Report is the frost product of OTA assessment of international collaboration in defense technology. It provides an overview of the subject and analyzes the impact that changes in the environment of defense technology and reduced East-West tensions will exert on defense industrial cooperation and associated alliance relations.
Date: May 1990
Creator: United States. Congress. Office of Technology Assessment.
open access

Beneath the Bottom Line: Agricultural Approaches To Reduce Agrichemical Contamination of Groundwater

Description: 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.
Date: November 1990
Creator: United States. Congress. Office of Technology Assessment.
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