Matching Items (5)
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- All Subjects: public policy
- Creators: Sarewitz, Daniel
Description
Corporations in biomedicine hold significant power and influence, in both political and personal spheres. The decisions these companies make about ethics are critically important, as they help determine what products are developed, how they are developed, how they are promoted, and potentially even how they are regulated. In the last fifteen years, for-profit private companies have been assembling bioethics committees to help resolve dilemmas that require informed deliberation about ethical, legal, scientific, and economic considerations. Private sector bioethics committees represent an important innovation in the governance of emerging technologies, with corporations taking a lead role in deciding what is ethically appropriate or problematic. And yet, we know very little about these committees, including their structures, memberships, mandates, authority, and impact. Drawing on an extensive literature review and qualitative analysis of semi-structured interviews with executives, scientists and board members, this dissertation provides an in-depth analysis of the Ethics and Public Policy Board at SmithKline Beecham, the Ethics Advisory Board at Advanced Cell Technology, and the Bioethics Committee at Eli Lilly and offers insights about how ideas of bioethics and governance are currently imagined and enacted within corporations. The SmithKline Beecham board was the first private sector bioethics committee; its mandate was to explore, in a comprehensive and balanced analysis, the ethics of macro trends in science and technology. The Advanced Cell Technology board was created to be like a watchdog for the company, to prevent them from making major errors. The Eli Lilly board is different than the others in that it is made up mostly of internal employees and does research ethics consultations within the company. These private sector bioethics committees evaluate and construct new boundaries between their private interests and the public values they claim to promote. Findings from this dissertation show that criticisms of private sector bioethics that focus narrowly on financial conflicts of interest and a lack of transparency obscure analysis of the ideas about governance (about expertise, credibility and authority) that emerge from these structures and hamper serious debate about the possible impacts of moving ethical deliberation from the public to the private sector.
ContributorsBrian, Jennifer (Author) / Robert, Jason S (Thesis advisor) / Maienschein, Jane (Committee member) / Hurlbut, James B (Committee member) / Sarewitz, Daniel (Committee member) / Brown, Mark B. (Committee member) / Moreno, Jonathan D. (Committee member) / Arizona State University (Publisher)
Created2012
Description
The Energiewende aims to drastically reduce Germany’s greenhouse gas emissions, without relying on nuclear power, while maintaining a secure and affordable energy supply. Since 2000 the country’s renewable-energy share has increased exponentially, accounting in 2017 for over a third of Germany's gross electricity consumption. This unprecedented achievement is the result of policies, tools, and institutional arrangements intended to steer society to a low-carbon economy. Despite its resounding success in renewable-energy deployment, the Energiewende is not on track to meet its decarbonization goals. Energiewende rules and regulations have generated numerous undesired consequences, and have cost much more than anticipated, a burden borne primarily by energy consumers. Why has the Energiewende not only made energy more expensive, but also failed to bring Germany closer to its decarbonization goals? I analyzed the Energiewende as a complex socio-technical system, examining its legal framework and analyzing the consequences of successive regulations; identifying major political and energy players and the factors that motivated them to pursue socio-technical change; and documenting the political trends and events in which the Energiewende is rooted and which continue to shape it. I analyzed the dynamics and the loopholes that created barriers to transition, pushed the utility sector to the brink of dissolution, and led to such undesirable outcomes as negative wholesale prices and forced exports of electricity to Germany’s European neighbors. Thirty high-level energy experts and stakeholders were interviewed to find out how the best-informed members of German society perceive the Energiewende. Surprisingly, although they were highly critical of the way the transition has unfolded, most were convinced that the transition would eventually succeed. But their definitions of success did not always depend on achieving carbon-mitigation targets. Indeed, Germany jeopardizes the achievement of these targets by changing too many policy and institutional variables at too fast a pace. Good intentions and commitment are not enough to create economies based on intermittent energy sources: they will also require intensive grid expansion and breakthroughs in storage technology. The Energiewende demonstrates starkly that collective action driven by robust political consensus is not sufficient for steering complex socio-technical systems in desired directions.
ContributorsSturm, Christine (Author) / Sarewitz, Daniel (Thesis advisor) / Miller, Clark (Committee member) / Anderies, John (Committee member) / Hirt, Paul (Committee member) / Arizona State University (Publisher)
Created2018
Description
Each of the three essays in this dissertation examine an aspect of health or health care in society. Areas explored within this dissertation include health care as a public value, proscriptive genomic policies, and socio-technical futures of the human lifespan. The first essay explores different forms of health care systems and attempts to understand who believes access to health care is a public value. Using a survey of more than 2,000 U.S. citizens, this study presents statistically significant empirical evidence regarding values and other attributes that predict the probability of individuals within age-based cohorts identifying access to health care as a public value. In the second essay, a menu of policy recommendations for federal regulators is proposed in order to address the lack of uniformity in current state laws concerning genetic information. The policy recommendations consider genetic information as property, privacy protections for re-identifying de-identified genomic information, the establishment of guidelines for law enforcement agencies to access nonforensic databases in criminal investigations, and anti-piracy protections for individuals and their genetic information. The third and final essay explores the socio-technical artifacts of the current health care system for documenting both life and death to understand the potential for altering the future of insurance, the health care delivery system, and individual health outcomes. Through the development of a complex scenario, this essay explores the long-term socio-technical futures of implementing a technology that continuously collects and stores genetic, environmental, and social information from life to death of individual participants.
ContributorsWade, Nathaniel Lane (Author) / Bozeman, Barry (Thesis advisor) / Sarewitz, Daniel (Committee member) / Cook-Deegan, Robert (Committee member) / Arizona State University (Publisher)
Created2019
Description
For more than 100 years, the Unite States National Park Service (NPS) has been guided by a mandate to preserve parks and their resources for the enjoyment of present and future generations. But all parks are subject to conditions that may frustrate preservation efforts. Climate change is melting the glaciers. Rising seas are sweeping away protected shorelines. Development projects, accompanied by air, water, light, and noise pollution, edge closer to parks and fragment habitats. The number of visitors and vested interests are swelling and diversifying. Resources for preservation, such as funds and staff, seem to be continuously shrinking, at least relative to demand.
Still, the NPS remains committed to the preservation of our natural and cultural heritage. Yet the practice of that promise is evolving, slowly and iteratively, but detectably. Through explorations of legal and scholarly literature, as well as interviews across the government, non-profit, and academic sectors, I’ve tracked the evolution of preservation in parks. How is preservation shifting to address socio-ecological change? How has preservation evolved before? How should the NPS preserve parks moving forward?
The practice of preservation has come to rely on science, including partnerships with academic researchers, as well as inventory and monitoring programs. That shift has in part been guided by goals that have also become more informed by science, like ecological integrity. While some interviewees see science as a solution to the NPS’s challenges, others wonder how applying science can get “gnarly,” due to uncertainty, lack of clear policies, and the diversity of parks and resources. “Gnarly” questions stem in part from the complexity of the NPS as a socio-ecological system, as well as from disputed, normative concepts that underpin the broader philosophy of preservation, including naturalness. What’s natural in the context of pervasive anthropogenic change? Further, I describe how parks hold deep, sometimes conflicting, cultural and symbolic significance for their local and historical communities and for our nation. Understanding and considering those values is part of the gnarly task park managers face in their mission to preserve parks. I explain why this type of conceptual and values-based uncertainty cannot be reduced through science.
Still, the NPS remains committed to the preservation of our natural and cultural heritage. Yet the practice of that promise is evolving, slowly and iteratively, but detectably. Through explorations of legal and scholarly literature, as well as interviews across the government, non-profit, and academic sectors, I’ve tracked the evolution of preservation in parks. How is preservation shifting to address socio-ecological change? How has preservation evolved before? How should the NPS preserve parks moving forward?
The practice of preservation has come to rely on science, including partnerships with academic researchers, as well as inventory and monitoring programs. That shift has in part been guided by goals that have also become more informed by science, like ecological integrity. While some interviewees see science as a solution to the NPS’s challenges, others wonder how applying science can get “gnarly,” due to uncertainty, lack of clear policies, and the diversity of parks and resources. “Gnarly” questions stem in part from the complexity of the NPS as a socio-ecological system, as well as from disputed, normative concepts that underpin the broader philosophy of preservation, including naturalness. What’s natural in the context of pervasive anthropogenic change? Further, I describe how parks hold deep, sometimes conflicting, cultural and symbolic significance for their local and historical communities and for our nation. Understanding and considering those values is part of the gnarly task park managers face in their mission to preserve parks. I explain why this type of conceptual and values-based uncertainty cannot be reduced through science.
ContributorsSullivan Govani, Michelle (Author) / Minteer, Ben A (Thesis advisor) / Budruk, Megha (Committee member) / Sarewitz, Daniel (Committee member) / Theuer, Jason (Committee member) / Arizona State University (Publisher)
Created2019
Description
The purpose of this study is threefold: highlight the present health, self-sufficiency and integration needs and assets of asylum seekers in Phoenix, Arizona during the asylum seeking process phase (while an asylum claim is awaiting a decision); understand the City of Phoenix’s response to asylum seekers; and contextualize and compare the city’s present response to increased arrivals of asylum seekers against municipal responses in other contexts and academic discussions of the “local turn.”. Through semi-structured in-depth interviews with asylum seekers and community leaders, this study finds that asylum seekers’ physiological healthcare needs are sometimes met through emergency department admissions and referrals to sliding scale services by caseworkers in the International Rescue Committee’s Asylum-Seeking Families program in Phoenix. Mental and behavioral health service needs are less likely to be met, especially for women who want to speak with a medical professional about their traumatic experiences in Central America, trip through Mexico, detention in the United States (U.S.) and their often-marginalized lives in the U.S. This dissertation concomitantly explores how other municipalities in the U.S. and internationally have responded to increased immigration of asylum seekers and refugees to urban centers, and how certain approaches could be adopted in the City of Phoenix to better serve asylum seekers.
ContributorsSchlinkert, David (Author) / Velez-Ibanez, Carlos (Thesis advisor) / Lara-Valencia, Francisco (Thesis advisor) / Arzubiaga, Angela (Committee member) / Arizona State University (Publisher)
Created2020