Ontario set to introduce new privacy bill

The Ontario government's proposed new legislation is an improvement over previous attempts, but there are still problems.     

Distance health services under the general agreement on trade in services

This Article discusses the state of distance health with respect to the General Agreement on Trade in Services (GATS). After examining the various aspects of telemedicine and its place in international trade, the author looks at the structure and functioning of GATS and how telemedicine is regulated under this agreement. The author argues that the potential for telemedicine under this agreement has yet to be fulfilled and suggests a number of ways to realize its potential. Ultimately, however, the author concludes that the single most important international trade objective for the United States healthcare industry should be to get its own house in order with respect to cross-border provision of health services. From an international trade perspective, the problem of non-uniform state licensure requirements within the United States makes it very difficult for the United States to negotiate market access commitments for distance health services with other countries. Therefore, it is not realistic to expect significant progress in the liberalization of distance health services until the United States has in place a reasonably uniform domestic system of licensure and regulation for telemedicine practitioners.     

Postmortem concentrations of citalopram

The postmortem concentrations of citalopram in blood, bile, liver, and vitreous humour were investigated in 14 cases using a specially developed high performance liquid chromatography assay. Concentrations from drug and non-drug related deaths were categorized to determine a postmortem therapeutic and toxic range. Therapeutic citalopram concentrations for blood, bile, liver, and vitreous humour ranged to 0.4 mg/L, 2.1 mg/l, 6.6 mg/kg, and 0.2 mg/L, respectively. In one potentially fatal response to citalopram, concentrations were 0.8 mg/L, 6.0 mg/L, 0.3 mg/L for blood, bile and vitreous humour, respectively.     

Introduction: Reflections on Two Decades of Congressional Budgeting

Even casual observers of federal policy making cannot help but notice the increasing preeminence of the Congressional budget process. The Congressional Budget and Impoundment Control Act of 1974, which created this process, brought forth profound changes in budgeting practices, both within Congress and between Congress and the president. In addition, the last decade has seen numerous attempts to use the process for deficit control. The goal of this special symposium is how congressional procedures-adapted over time-have affected the federal budgeting process. Each article examines the original purpose of the 1974 statute and analyzes the statute's impact over more than two decades.     

Direct presidential elections: a world summary

This paper first examines the frequency of direct presidential elections among the 170 countries of the world with a working, directly elected parliament. We find that there is a directly elected president in more than half of the countries and in about two-thirds of the republics. Former British colonies are less likely to hold direct presidential elections, which are otherwise very popular in North and South America and Africa. We then examine the kind of electoral formula that is used for the election of presidents. Most elections are held under the majority rule, most of the time under the majority runoff procedure. The majority rule is clearly predominant in Europe and Africa, and is unpopular in North America. Finally, no relationship is observed between the level of economic development or of democracy and the use of direct presidential elections or the choice of an electoral formula.     

Books in review

She initiates and manages education and policy projects that examine Japan’s evolving role as a world leader.