Forty Years of 'Testing, Testing': The Past and Future Role of Policy Experimentation in Healthcare Reform

2012 ◽  
Author(s):  
Maggie Francis
2017 ◽  
Vol 12 (1) ◽  
pp. 39-57
Author(s):  
Jamie McKeown

This article reports the findings from a study of discursive representations of the future role of technology in the work of the US National Intelligence Council (NIC). Specifically, it investigates the interplay of ‘techno-optimism’ (a form of ideological bias) and propositional certainty in the NIC’s ‘Future Global Trends Reports’. In doing so, it answers the following questions: To what extent was techno-optimism present in the discourse? What level of propositional certainty was expressed in the discourse? How did the discourse deal with the inherent uncertainty of the future? Overall, the discourse was pronouncedly techno-optimist in its stance towards the future role of technology: high-technological solutions were portrayed as solving a host of problems, despite the readily available presence of low-technology or no-technology solutions. In all, 75.1% of the representations were presented as future categorical certainties, meaning the future was predominantly presented as a known and closed inevitability. The discourse dealt with the inherent uncertainty of the subject matter, that is, the future, by projecting the past and present into the future. This was particularly the case in relation to the idea of technological military dominance as a guarantee of global peace, and the role of technology as an inevitable force free from societal censorship.


2020 ◽  
Vol 13 (4) ◽  
Author(s):  
David R Williams ◽  
Andrew Balmford ◽  
David S Wilcove

1973 ◽  
Vol 37 (1) ◽  
pp. 19-28 ◽  
Author(s):  
Seymour Banks

The past, present, and future role of advertising and promotion as seen by many of today's top business executives is described by the author. The article also reports some of the organizational and functional changes in advertising and promotion personnel made during the past 15 years.


2007 ◽  
Vol 52 (3) ◽  
pp. 36-44
Author(s):  
John Lwanda

In this personal short historical perspective I reflect on aspects of the medical history of Malawi, formerly Nyasaland, highlighting the role of Scotland and its people in the development of the Malawi medical services in both the colonial as well as the postcolonial period which began in 1964. The paper, after discussing the history of medical training in Malawi and current constraints and challenges, goes on to make some suggestions - based on historical lessons - about future role of Scottish involvement in Malawi's medical development. It would be unfortunate if, in a rush to ‘help or do something’ the mistakes of the past are repeated.


Authorea ◽  
2019 ◽  
Author(s):  
Isabelle Marechaux ◽  
Fanny Langerwisch ◽  
Andreas Huth ◽  
Harald Bugmann ◽  
Xavier Morin ◽  
...  

Rheumatology ◽  
2020 ◽  
Author(s):  
Robert W Ike ◽  
William J Arnold ◽  
Kenneth C Kalunian

Abstract The aim of our manuscript is to illustrate the past, present and future role of rheumatologists performing arthroscopy. Doctors first began adapting endoscopes to inspect joints to assess synovial conditions that concern rheumatologists. Rheumatologists were among the pioneers developing arthroscopy. Students of the father of modern arthroscopy, Watanabe, included rheumatologists, who taught others once home. Rheumatologists assessed the intra-articular features of their common diseases in the 60s and 70s. Improvements in instrumentation and efforts by a few orthopaedists adapted a number of common joint surgical procedures for arthroscopy. Interest from rheumatologists in arthroscopy grew in the 90s with ‘needle scopes’ used in an office setting. Rheumatologists conducting the first prospective questioning arthroscopic debridement in OA and developing biological compounds reduced the call for arthroscopic interventions. The arthroscope has proven an excellent tool for viewing and sampling synovium, which continues to at several international centres. Some OA features—such as calcinosis—beg further arthroscopic investigation. A new generation of ‘needle scopes’ with far superior optics awaits future investigators.


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