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Collaborations of physicians and researchers with industry can provide valuable benefits to society, particularly in the translation of basic scientific discoveries to new therapies and products. Recent reports and news stories have, however, documented disturbing examples of relationships and practices that put at risk the integrity of medical research, the objectivity of professional education, the quality of patient care, the soundness of clinical practice guidelines, and the public's trust in medicine. Conflict of Interest in Medical Research, Education, and Practice provides a comprehensive look at conflict of interest in medicine. It offers principles to inform the design of policies to identify, limit, and manage conflicts of interest without damaging constructive collaboration with industry. It calls for both short-term actions and long-term commitments by institutions and individuals, including leaders of academic medical centers, professional societies, patient advocacy groups, government agencies, and drug, device, and pharmaceutical companies. Failure of the medical community to take convincing action on conflicts of interest invites additional legislative or regulatory measures that may be overly broad or unduly burdensome. Conflict of Interest in Medical Research, Education, and Practice makes several recommendations for strengthening conflict of interest policies and curbing relationships that create risks with little benefit. The book will serve as an invaluable resource for individuals and organizations committed to high ethical standards in all realms of medicine.
No person or place is immune from disasters or disaster-related losses. Infectious disease outbreaks, acts of terrorism, social unrest, or financial disasters in addition to natural hazards can all lead to large-scale consequences for the nation and its communities. Communities and the nation thus face difficult fiscal, social, cultural, and environmental choices about the best ways to ensure basic security and quality of life against hazards, deliberate attacks, and disasters. Beyond the unquantifiable costs of injury and loss of life from disasters, statistics for 2011 alone indicate economic damages from natural disasters in the United States exceeded $55 billion, with 14 events costing more than a billion dollars in damages each. One way to reduce the impacts of disasters on the nation and its communities is to invest in enhancing resilience-the ability to prepare and plan for, absorb, recover from and more successfully adapt to adverse events. Disaster Resilience: A National Imperative addresses the broad issue of increasing the nation's resilience to disasters. This book defines "national resilience", describes the state of knowledge about resilience to hazards and disasters, and frames the main issues related to increasing resilience in the United States. It also provide goals, baseline conditions, or performance metrics for national resilience and outlines additional information, data, gaps, and/or obstacles that need to be addressed to increase the nation's resilience to disasters. Additionally, the book's authoring committee makes recommendations about the necessary approaches to elevate national resilience to disasters in the United States. Enhanced resilience allows better anticipation of disasters and better planning to reduce disaster losses-rather than waiting for an event to occur and paying for it afterward. Disaster Resilience confronts the topic of how to increase the nation's resilience to disasters through a vision of the characteristics of a resilient nation in the year 2030. Increasing disaster resilience is an imperative that requires the collective will of the nation and its communities. Although disasters will continue to occur, actions that move the nation from reactive approaches to disasters to a proactive stance where communities actively engage in enhancing resilience will reduce many of the broad societal and economic burdens that disasters can cause.
For 100 years, the Congressional Research Service (CRS) has been charged with providing nonpartisan and authoritative research and analysis to inform the legislative debate in Congress. This has involved a wide range of services, such as written reports on issues and the legislative process, consultations with Members and their staff, seminars on policy and procedural matters, and congressional testimony. The Government and Finance Division at CRS took a step back from its intensive day-to-day service to Congress to analyze important trends in the evolution of the institution-its organization and policymaking process-over the last many decades. Changes in the political landscape, technology, and representational norms have required Congress to evolve as the Nation's most democratic national institution of governance. The essays in this print demonstrate that Congress has been a flexible institution that has changed markedly in recent years in response to the social and political environment.
How has the regulation of business shifted from national to global institutions? What are the mechanisms of globalization? Who are the key actors? What of democratic sovereignty? In which cases has globalization been successfully resisted? These questions are confronted across an amazing sweep of the critical areas of business regulation--from contract, intellectual property and corporations law, to trade, telecommunications, labor standards, drugs, food, transport and environment. This book examines the role played by global institutions such as the World Trade Organization, World Health Organization, the OECD, IMF, Moodys and the World Bank, as well as various NGOs and significant individuals. Incorporating both history and analysis, Global Business Regulation will become the standard reference for readers in business, law, politics, and international relations.
Chicago, 1988. I was 52 years old, 5'4" tall, and 130 pounds, with red hair and a 36DDD bust, enjoying dramatic Lake Michigan and skyline views from my 21st-floor apartment in the landmark Lake Point Towers building. I had never felt more alive. I was Chicago's reigning madam, providing $400 an hour call girls to Chicago's business owners, traders, lawyers, judges, politicians, mobsters, pro athletes, and Hollywood stars at addresses all over Chicago's downtown and Gold Coast. Vice was on their way up--the doorman had tipped me off. I started thinking back on my life, where I came from, and how I ever got to where I was now. I began life the youngest of nine on a primitive farm in the backwoods of Tennessee. Seeking to make my own way in the world I would meet and marry a man from Cicero, Illinois. Soon I was pregnant eight times in eight years, malnourished, and beaten--once nearly to death. That’s when I left. When I recovered and returned for my five kids, I discovered they'd been put in a brutal orphanage. It took me years to get them back. God knows why I got into this business. It was to save my kids. But I chose to stay. I enjoyed it, I was good at it, and I’d still do it today if I could... From my earliest days as a hanky-panky entrepreneur in the 1960s--renting rooms by the hour at the Addison Motel--others took notice. Playboy, Penthouse, the Sybaris. My adventures took me to all over the Western Suburbs, to Atlanta, Savannah, and the Oak Brook Polo Fields, and eventually to the nightclubs, bars, yachts, and penthouses of Chicago’s Gold Coast. I’d work in this business until 2002 when the FBI busted me and I served 17 months in federal prison. Now I’m retired, living in Florida, and spending my days like many seniors here, walking, playing with my grandchildren, going to church. Let me take you back to my days of juggling three sugar daddies, living and breathing sex, providing the city’s elite with beautiful women, having loads of cash and tons of fun, and experiencing the joys and heartaches of a life on the edge, lived to its fullest.