Danger: implants

The superheated debate over breast implants awakened a sleeping giant of an issue clouding "medical devices"--the government's clumsy nomenclature for any medical product that is not a drug, from breast implants and artificial hips to X-ray machines and surgical thread. Some 130 categories of high-risk devices are in use with little or no proof of safety, reliability or effectiveness. All appeared before 1976, the year that the Food and Drug Administration got the authority to regulate such products. Under activist chief David Kessler and with added clout from a 1990 law, the FDA plans to scrutinize the entire 130-item list. Five will get special attention starting early next year: saline-filled breast implants, inflatable penile implants, testicular implants, heart-bypass pumps and cranial stimulators. U.S. News has looked at all five devices, using FDA data obtained through the Freedom of Information Act. In-depth computer analysis suggested that penile implants deserve closer examination. Why is clear from the following report.     

Inhuman development? Technics as enframing or poiesis?

This paper will examine some of the ways in which development has been influenced by the body of ideas known as techne, or technics. This body of ideas focuses on a central theme that envisages technology broadly defined as developing its own impetus that removes it from the control of human agency and that begins to circumscribe and even control human agency. This can be seen as having various impacts on development, notably a subsumption of any concern for human development to issues concerning process and production of outputs. The paper focuses on the approach of Heidegger as he provides an account that places technology at the centre of human being, whilst helping to distinguish both the negative (enframing) tendencies and the emancipatory (or, as Heidegger might have it, poietic) possibilities of technics. The paper concludes by identifying some of these negative and emancipatory influences in the development context.     

The Impact of the Unemployment Rate on Unemployment Benefits in Barbados: An Impulse Response Approach

The purpose of this article is to determine how the rate of unemployment will impact on unemployment benefits in Barbados using annual data from 1982 to 2009 with the use of an impulse response function. The results show that when a shock is applied to the rate of unemployment, which causes it to rise, unemployment benefits will contract marginally and this reaction will not stabilize until the 14th period when a new equilibrium will be attained. Since this new equilibrium will lie below the original equilibrium, rising unemployment will impact negatively on unemployment benefits although this decline will only be marginal.     

Complex Contracting: Management Challenges and Solutions

Governments at all levels buy mission‐critical goods and services whose attributes and performance requirements are hard to define and produce. Many governments—and the public managers who lead them—lack experience and knowledge about how to contract for complex products. The contract management counsel provided to public managers is thin. Missing is a conceptual managerial framework to guide purchasing the complex products that are often so critical to public organizations' core missions. Drawing on perspectives from across the social sciences, the framework presented in this article provides guidance on how managers can harness the upsides of complex contracting while avoiding its pitfalls. The framework helps identify conditions that increase the likelihood of positive outcomes for the purchasing government and the vendor—the win‐win. To illustrate the framework, the article provides examples of successful and failed acquisitions for complex products such as transportation projects, social service systems, and information technology systems.     

James Bond,Ian Fleming and intelligence: breaking down the boundary between the ‘real’ and the ‘imagined’

This article looks to answer the question of why the James Bond novels and films should matter to scholars of intelligence and national security. We argue that Bond is important because, rightly or wrongly, and not without inaccuracy, it has filled a public knowledge vacuum about intelligence agencies and security threats. On another level, this article explores the unexpected yet important interactions between Bond and the actual world of intelligence. We contend that the orthodoxy dictating that Bond and spying are diametric opposites—one is the stuff of fantasy, the other is reality—is problematic, for the worlds of Bond and real intelligence collide, overlap and intermesh in fascinating and significant ways. In short, Bond is important for scholars because he is an international cultural icon that continues to operate at the borders of fiction and reality, framing and constructing not only public perceptions but also to some degree intelligence practices. Core narratives of intelligence among not only the public but also policymakers and intelligence officers are imagined, sustained, deepened, produced and reproduced through and by Bond. We conclude that Bond and intelligence should be thought of as co-constitutive; the series shapes representations and perceptions of intelligence, but it also performs a productive role, influencing the behaviours of intelligence agencies themselves.     

THE ROLE OF INFORMATION TECHNOLOGY IN REGULATORY REFORM: THE CASE OF ELS

Abstract: The effects of the Electronic Lodgment Service on relations between tax agents and the Australian Taxation Office provide evidence for both the value and limitations of integrating information technology innovation with regulatory reform strategy. IT innovations such as ELS can promote cooperative regulation. The limitations of this achievement are largely limitations of regulatory context and strategy.     

Contracting for management: Assessing management capacity under alternative service delivery arrangements

Contracting critics suggest that when governments outsource, they reduce their capacity to produce services and manage service delivery. In this paper, we decompose the service delivery decision into service production and service management components. When governments contract for service production, they may also choose to contract for a portion of service delivery management. Studies that only compare the management activities of contracting and direct service delivery governments, without examining the management activities contracted to vendors, are likely to be incomplete and biased. Drawing on a unique survey of governmental refuse collection service directors, matched with a survey of refuse collection vendors operating under municipal contracts, we show that the vendors' management activities offset the decline in management capacity that occurs when governments contract for service delivery for this particular service. Governments can “buy” management activities when contracting for service production. © 2006 by the Association for Public Policy Analysis and Management