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.     

East Meets West in Anti-Money Laundering and Anti-Terrorist Finance: Policy Dialogue and Differentiation on Security, the Timber Trade and ‘Alternative’ Banking

This paper compares and contrasts South East Asian and European Union countries’ perceptions of the priorities for anti money laundering (AML) and anti terrorist finance (ATF) in relation to three industries: security goods and services; the timber trade; and ‘informal’ value transfer and banking services. It might be expected that all countries would equally support each of these aspects of AML/ATF policies, without differentiating between the industries generating the proceeds. As this paper will show, however, historical experiences, contemporary political relations and patterns of trade shape countries’ approaches, resulting in distinctive enthusiasms and reservations. In a nutshell, the EU points most strongly to products and services originating in Asia as posing AML/CTF risks, and locates primary responsibility for monitoring and control as falling within Asia - a projection of risk and responsibility that is reciprocated by Asian countries. Asian countries perceive a need for tighter control of dangerous products exported by the west, for example, small arms and light weapons, and of related money laundering circuits. Asian and European policy makers increasingly articulate concerns over illegal logging and related laundering, however European importers and their governments see responsibilities for this as falling primarily within Asia. Finally, the EU (like the US) perceives high levels of laundering risk in ‘informal’ value transfer/banking services, in which Asian-run businesses have a global competitive advantage. For the future, as the international balance of trade shifts, and as Asia increases its influence in international fora including those concerned with AML/CTF, so the region’s policy preferences may be expected to carry more weight.

Finding the Best Epistemic Fit for International Criminal Tribunals: Beyond the Adversarial-Inquisitorial Dichotomy

This article considers how well evidentiary processes withinthe international criminal tribunals match up to the challengeto provide fair and reliable verdicts. Rather than using theadversarial–inquisitorial dichotomy as the basis for exploringthis question, the article takes as its reference point thewell recognized norms of equality of arms and the right to adversarialprocedure. It is argued that although the tribunals have metthe minimum standards of fairness required by these norms, thecombination of adversarial party presentation and free admissionof evidence, within an evidentiary context in which it is difficultfor the defence to make their own inquiries, has restricteddefence access to information and its ability to challenge evidence.The article goes on to argue that some of these shortcomingshave been addressed within the International Criminal Courtby the establishment of a Pre-Trial Chamber but that the Chamberneeds to be developed further to promote a truly participativeapproach to fact-finding between the parties.     

Financing the Athenian state: public choice in the age of Demosthenes

The present essay analyses Athenian finances during the fourth century BC, the ‘Age of Demosthenes’, from both the revenue and expenditure points of view. It examines how Athenians practiced the concept of ‘economic democracy’ on matters of public choice, and the sometimes ingenious solutions they adopted for financing public goods such as defense, education and ‘social security’. Ancient Athens, the ‘prototype’ political democracy, was advanced also in matters of public administration, finance and institutions, on which political democracy was based and without their smooth running could not have functioned.

Statistical Discrimination of Footwear: A Method for the Comparison of Accidentals on Shoe Outsoles Inspired by Facial Recognition Techniques

Abstract:  In the field of forensic footwear examination, it is a widely held belief that patterns of accidental marks found on footwear and footwear impressions possess a high degree of "uniqueness." This belief, however, has not been thoroughly studied in a numerical way using controlled experiments. As a result, this form of valuable physical evidence has been the subject of admissibility challenges. In this study, we apply statistical techniques used in facial pattern recognition, to a minimal set of information gleaned from accidental patterns. That is, in order to maximize the amount of potential similarity between patterns, we only use the coordinate locations of accidental marks (on the top portion of a footwear impression) to characterize the entire pattern. This allows us to numerically gauge how similar two patterns are to one another in a worst-case scenario, i.e., in the absence of a tremendous amount of information normally available to the footwear examiner such as accidental mark size and shape. The patterns were recorded from the top portion of the shoe soles (i.e., not the heel) of five shoe pairs. All shoes were the same make and model and all were worn by the same person for a period of 30 days. We found that in 20–30 dimensional principal component (PC) space (99.5% variance retained), patterns from the same shoe, even at different points in time, tended to cluster closer to each other than patterns from different shoes. Correct shoe identification rates using maximum likelihood linear classification analysis and the hold-one-out procedure ranged from 81% to 100%. Although low in variance, three-dimensional PC plots were made and generally corroborated the findings in the much higher dimensional PC-space. This study is intended to be a starting point for future research to build statistical models on the formation and evolution of accidental patterns.     

Top‐up Payments for Expensive Cancer Drugs: Rationing,Fairness and the NHS

This article examines the implications for patient care, and for the future of rationing within the NHS, of the recent decision to permit NHS patients to supplement their care by paying for medicines — mainly expensive new cancer drugs — which are not available within the NHS. The starting point is the recommendations of the Richards' Report and their implementation through new guidance issued by the Department of Health and the National Institute for Health and Clinical Excellence. Practical challenges arise from the insistence upon the ‘separate’ delivery of self‐funded medicines, and more flexible cost‐effectiveness thresholds for end of life medicines may have repercussions for other patients. While undoubtedly part of the trend towards explicit rationing, top‐up fees might also represent a significant step towards regarding the NHS as a core, basic service. Finally, the issue of top‐up fees is located within the broader context of current cancer research priorities and persisting health inequalities.