Whose business is your pancreas? Potential privacy problems in New York City's mandatory diabetes registry

This article examines a recent New York City health regulation that mandates the compilation and storage of individual medical data from nearly all diabetics in a centralized registry. The authors distinguish this novel registry from prior health registries and scrutinize its potential to compromise individual privacy. In order to address privacy and other concerns, the authors offer suggestions for changes to the current statutory framework of the registry that will also be useful when considering the creation of similar public health registries in other cities.     

Neutrality and advocacy in policy research

The naive scientism which has dominated federal policy research and most policy research institutes has become a self-blinding dogma, an armchair philosophy which fabricates and distorts reality and has failed at its task of understanding our social and economic problems. Broader approaches are needed which do not artificially isolate and arbitrarily quantify selected factors but examine them in their social and historical context. The vain search for “objectivity” should be replaced by an honest avowal of the interests being served. The sanctimonious assertion of an undefinable “public interest” should be replaced by a definable fairness doctrine setting forth the status of the draft and final reports, project finances, and institute and sponsor controls. Such a doctrine could provide the basis for a new professional consensus and self-regulation in the policy research community, and for new IRS tax regulations governing nonprofit research institutions.     

Economic growth and environmental quality are compatible

Man's relationship to the natural environment and nature's influence upon human life are among the oldest topics of speculation. Until modern times the major reason for concern was the prospect of diminishing returns. It was thought that population and economic growth would press against natural resource limits, and that economic welfare would fall to subsistence levels.In modern times in developed nations the prospect of diminishing returns has been avoided. Population increase has abated to rates which promise stability in population numbers. Technology, capital accumulation, and improvements in labor force have yielded increasing returns. Per capita output grows at 2 or 3 % per year.The modern concern is quality of environment and quality of life. The technology, industrialization and agglomeration which have yielded increasing returns of goods per capita have side effects. These are pollution and crowding, increased needs for public goods, expanded monopoly in the market places, and dilemmas of choice from affluence. The task for modern societies is to bend their enlarged technology and productive power to improving quality of environment and, more generally, quality of life.Presented at the Man and Land Symposium on Economic Growth and the Quality of Life, College of Liberal Arts, Oregon State University, Corvallis, Oregon, May 10, 1973.     

Damages in medical litigation in New South Wales

In the period 2001 to 2003, the New South Wales legislature enacted four Acts that impinge on the assessment of damages in litigation against health professionals. They are the Health Care Liability Act 2001 (NSW), the Civil Liability Act 2002 (NSW) (as originally enacted), the Civil Liability Amendment (Personal Responsibility) Act 2002 (NSW) and the Civil Liability Amendment Act 2003 (NSW). This article considers the principles on which damages are assessed in medical litigation and how those principles have been affected by these four enactments. It points out that each piece of legislation was retrospective in applying to events that occurred both before and after its commencement. However, proceedings already issued before a particular date were excluded in each case from the retrospective operation of the legislation. The article provides details of the relevant dates of operation of each of the statutes.     

We need a larger theory of negotiation: The importance of pre-negotiating phases

Negotiation Journal -