Technical decisions and public accountability

Abstract. The paper focuses on Canadian decisions involving technical issues. The inherent difficulties associated with the application of technical advice and the need to secure public accountability for related government action are both discussed. It is suggested specifically that although there has been a significant governmental response to the problem of man-made hazards, much remains to be achieved. The general difficulties with the concepts of ‘public accountability’ and ‘technical advice’ are reviewed, and some observations are made on the idea of ‘risk’ The particular Canadian problems dealt with include those derived from the constitutional and overall political situation. The case of asbestos is introduced especially to illustrate inter-provincial inadequacies. Intra-provincial shortcomings are brought out by reference to the dangers resulting from lead. Note is taken of the limitations imposed by the legal system, and of the issues precipitated by Canada's industrial structure. The foreign policy dimension is recognized. The vinyl chloride issue is used to illustrate the long-term and yet fundamental nature of many risks. Recommendations are finally made concerning the roles of the Environmental Advisory Council and of the National Research Council's Associate Committee on Scientific Criteria for Environmental Quality, and an attempt is made to identify the detailed responsibilities which should fall to the federal government, both in regard to general and occupational standards covering man-made hazards, and more generally in regard to all the ways in which the general and specific publics can be safeguarded. Sommaire. L'auteur traite plus particulièrement des décisions relatives aux questions techniques. Il expose les difficultés inhérentes à l'application des conseils techniques et le besoin d'assurer le droit de regard du public sur les mesures gouvernementales. Il considère en particulier, qu'en dépit de la réaction positive du gouvernement face au problème des risques d'origine humaine, il reste encore beaucoup a faire. Il examine les difficultés générales que présentent les concepts du « droit de regard du public » et des « conseils techniques » et il présentent certaines observations sur la notion de » risque ». Les problèmes plus particulièrement canadiens dont il s'occupe sont la consequence de la situation constitutionnelle et de la situation politique générale. Il utilise le cas de l'amiante pour illustrer les carences interprovinciales. Ces mêmes carences sont évidentes, également, si l'on considère les dangers que présente le plomb. Il prend note des limites imposées par la loi et les problèmes posés par la structure industrielle du Canada. Il reconnait aussi la dimension politique étrangère. L'auteur se sert de la question du chlorure de vinyle pour illustrer le caractère à long terme et pourtant fondamental d'un grand nombre de dangers. Il fait des recommandations quant aux rôles du Conseil consultatif sur l'environnement et du comité du cnr sur les normes scientifiques pour la qualité de l'environnement. Il dégage enfin les différentes responsabilités du government fédéral, quant aux normes générales et professionnelles couvrant les risques créés par l'homme et, d'une façon plus large, quant aux moyens de protéger le public, qu'il s'agisse du grand public ou de groupes particuliers.     

Cluster hanging suicides in the young in South Australia

Retrospective review of hanging suicides in individuals aged ≤ 17 years was undertaken at Forensic Science South Australia, Australia, over two 5-year periods: 1995-1999 and 2005-2009. Seven cases of hanging suicides were identified from 1995 to 1999, with a further 14 cases from 2005 to 2009, an increase of 100% (p < 0.001). Hanging accounted for 33.3% of all suicides in this age group (7/21) from 1995 to 1999, compared with 93.3% of the total number of suicides (14/15) in the second 5-year period. In contrast, Australian national data from 1998 and 2008 showed a 30% decrease in hanging suicides in the young, from one case/100,000 population in 1998 to 0.7 in 2008. Cluster suicides occur in the young and are often initiated by direct communication. As it is possible that Internet-based social sites may facilitate this phenomenon, investigations should include an evaluation of the victim's Internet access given the potential risk of similar actions by peers.     

Lethal manifestations of systemic lupus erythematosus in a forensic context

Systemic lupus erythematosus is an autoimmune connective tissue disorder that affects multiple organs. While the clinical manifestations may vary in intensity over time and be associated with chronic disease, occasional cases occur where sudden and unexpected death has occurred. Cardiovascular disease is common, with accelerated atherosclerosis, intravascular thrombosis associated with antiphospholipid syndrome, and hypertensive cardiomegaly. Vasculitis with superimposed thrombosis may result in critical reduction in blood to vital organs, such as the heart and brain with infarction. Mesenteric ischemia may be caused by vasculitis, thrombosis, and accelerated atherosclerosis and may result in lethal intestinal infarction. Other diverse causes of sudden death include myocarditis, epilepsy, pulmonary hypertension, pulmonary thromboembolism, and sepsis. The autopsy evaluation of such cases requires careful examination of all organs with extensive histological sampling to include blood vessels, and microbiological sampling for bacteria, viruses, and fungi.     

Vitreous humor sodium levels in immersion deaths

To determine whether vitreous humor sodium levels might be of use in evaluating deaths associated with immersion, samples of vitreous humor were prospectively evaluated at autopsy over a 4-year period from 2006 to 2009. There were 19 cases of saltwater immersion (age range 9-76 years; mean age 44 years; M:F, 2.8:1) and 16 freshwater immersions (age range 2-81 years; mean age 27 years; M:F, 2.2:1). In the group of saltwater drownings, vitreous humor sodium levels were elevated, ranging from 145 to 184 mM (mean = 160.2 ± 9.9 mM), and in the cases of freshwater drowning, the levels were reduced, ranging from 73 to 148 mM (mean = 129.8 ± 17 mM; p < 0.0001). Alterations in electrolyte levels may have been because of hemoconcentration or dilution from electrolyte fluxes in the lungs, or from passive diffusion during immersion. This study has demonstrated that vitreous sodium level is an easily performed test that may be a useful adjunct to the investigation of possible immersion deaths.     

How Useful is Basal Renal Tubular Epithelial Cell Vacuolization as a Marker for Significant Hyperglycemia at Autopsy?

Basal vacuolization of renal tubular epithelial cells (so-called Armanni-Ebstein phenomenon) has been attributed to hyperglycemia causing accumulation of cytoplasmic glycogen. Review of 34 autopsy cases with significant hyperglycemia (vitreous glucose ≥ 15 mmol/L/270 mg/dL) was undertaken to determine whether there was any significant association between the degree of hyperglycemia and the severity of this morphological change (graded as 0, 1+, 2+, and 3+). No association was demonstrated. Review of the subgroup of 14 cases with terminal hyperglycemia without ketoacidosis was then undertaken to assess the effect of hyperglycemia in isolation on renal tubular epithelial cells. Vitreous glucose levels in these 14 cases ranged from 17 to 49.7 mmol/L (306-894.6 mg/dL) with a mean of 26.25 mmol/L (472.5 mg/dL) and β-hydroxybutyrate levels ranged from 0.02 to 2.55 mmol/L (0.36-45.9 mg/dL) with a mean 0.79 mmol/L (14.22 mg/dL). Not one of the latter cases displayed basal vacuolization. No relationship between basal vacuolization of renal tubular epithelial cells at autopsy and terminal hyperglycemia could, therefore, be demonstrated.     

The constitutional political economy of Gordon Tullock

This paper surveys Gordon Tullock’s contributions to constitutional political economy. His first major contribution was his joint project with James Buchanan on liberal constitutional design. The explicitly constitutional analysis of The Calculus was followed by a series of papers and books that focused on the use of resources in conflict, including Tullock’s contributions to the anarchy and rent-seeking literatures. Tullock also pioneered the rational choice-based analysis of dictatorships and the relative merits of alternative legal systems, topics that has been neglected until fairly recently by most scholars working in the CPE tradition.     

On the political economy and limits of crisis insurance: the case of the 2008–11 bailouts

The bailouts of 2008–10 are the most recent in a long series of insurance-like policies designed to limit the losses of those harmed by a crisis of some kind—but enacted after a crisis is under way. This paper analyzes the economics and politics of “crisis insurance” programs. The analysis helps explain why ex-post insurance is popular, why it tends to be undersupplied by private markets, and why governments may be better able to provide it. The analysis also points out that there are limits to what losses can be covered. The routine adoption of new programs to limit losses from crises tends to require greater expenditures through time because of moral hazard problems and the nature of crises. Eventually, this trend may produce “uninsurable” crises. The analysis of this paper suggests that such problems can be moderated, although not eliminated, through appropriate standing polices for ex-post funding of crisis insurance.