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The past three decades have seen the rise of clinical governance, firstly as a concept and ultimately as a system. Increasing knowledge of the scope of iatrogenic harm to consumers, coupled with public inquiries into poor care around the world, is driving the development of governance of clinical care into an established component of corporate governance. Many gains are being realised in Australia, including a reduction in infections and preventable, in-hospital cardiac arrests, improved experience and outcomes for patients, better governance of clinical care and more meaningful involvement of patients and consumers in health care.
This novel contributions reveal how environmental regulations drive engineering design costs, focusing on the emblematic case of packaging. Using a regulatory database and simulation-based modeling, we evaluate functional expansion as a key driver of cost escalation, identifying its volume effect (rising costs from added environmental functions) and scope effect (increased interdependencies among ecosystem actors). The findings offer a simulated cost envelope to support engineering design teams in their forecasts, but also underscore the hurdles of sustainably managing these regulatory-driven costs in the packaging product system, by benchmarking cost trajectories against sustainability metrics, such as carbon pricing.
The conclusion summarises the book and reflects on what is at stake in reconceptualising the transformation of European banking as extroverted financialisation. It contemplates recent financial endeavours to ‘improve’ our global financial architecture and finds most somewhat lacking in their ability to introduce a global financial system that serves social rather than financial ends. In fact, missing the implications of EF, some of these endeavours have the potential to worsen, rather than improve, the threats of credit crunches and crises. Alternatively, we might be better off to consider more radical solutions that tackle the very nature of USD debt creation and the financial architecture itself.
The chapter generally explores the role, function and regulation of private agents in professional tennis and contrasts similar issues as they arise in other sports in a variety of jurisdictions. The chapter starts off setting out agency in tennis in its particular context. It then goes on to ascertain the background to sports agents in general and tennis agents in particular. Attention is paid to the types and roles of agents in professional tennis, as well as their regulation by the key transnational tennis actors, in addition to their regulation by domestic and transnational rules. The chapter further explores the various contractual agreements between professional tennis players and agents and attempts to set out the law on player–agent contracts. In addition, it sets out a framework concerning the legal issues arising from player–agent relations in professional tennis
Chapter 5 lays out the institutional grounding for global financial markets and their currency, the USD. This provides an answer to an ongoing puzzle on the origins of the 2008 financial crisis. Scholars of the global banking glut hypothesis recognise that European banks were deeply connected to US finance but do not fully account for why this was the case. By contrast, this chapter demonstrates that, despite their global nature, US and Eurodollars are thoroughly grounded in US financial institutions, which has given US banks an additional competitive edge over other banks. The complex institutional infrastructure made US financial markets exceptionally deep and liquid so that US banks could flexibly fund their practices of liability management (LM) in US money markets and arbitrage between Euro- and USD markets. By contrast, European banks’ money markets were ill-equipped for LM while foreign banks faced heavy restrictions to bank in the US until the 1970s. This posed a key constraint to the international practices of the European banks. In response, German banks expanded their offshore funding practices to access more USDs to be able to compete against US banks.
Kansas’ tumultuous, violent early years drove the development of a distinctively intrusive, inexpert model of reform. The KCIR was a clear elaboration upon this historical pattern. Constitutional restraints left the state persistently underfinanced. The conflicts of the Bleeding Kansas period catalyzed political and mob violence that persisted until the 1890s. Progressive Republicans, the dominant political force in Kansas from the 1890s through the 1920s, thus developed an aggressive program of regulation of economic and personal conduct, a program not reliant on rational administration, for which there was no fiscal capacity or expertise, but upon an expansive legal conception of regulatory (or flatly coercive) interventions justifiable by appeal to the public interest. These reforms were often ineffective or too bold to withstand scrutiny in the US Supreme Court. The state’s leaders, like Governor Allen, had considerable first-hand experience with the difficulties, and in many cases the violence, of settlement: Their commitment to the state’s forceful variant of progressivism rose from deep and genuine fear of social disorder.
Foundation models – models trained on broad data that can be adapted to a wide range of downstream tasks – can pose significant risks, ranging from intimate image abuse, cyberattacks, to bioterrorism. To reduce these risks, policymakers are starting to impose obligations on the developers of these models. However, downstream developers – actors who fine-tune or otherwise modify foundational models – can create or amplify risks by improving a model’s capabilities or compromising its safety features. This can make rules on upstream developers ineffective. One way to address this issue could be to impose direct obligations on downstream developers. However, since downstream developers are numerous, diverse, and rapidly growing in number, such direct regulation may be both practically challenging and stifling to innovation. A different approach would be to require upstream developers to mitigate downstream modification risks (e.g., by restricting what modifications can be made). Another approach would be to use alternative policy tools (e.g., clarifying how existing tort law applies to downstream developers or issuing voluntary guidance to help mitigate downstream modification risks). We expect that regulation on upstream developers to mitigate downstream modification risks will be necessary. Although further work is needed, regulation of downstream developers may also be warranted where they retain the ability to increase risk to an unacceptable level.
This chapter focuses on the second bridge between economic and social values in contract law, examining the role played by regulation in bringing together these values. The discussion questions the effectiveness of regulatory responses to business to consumer (B2C) relations in English consumer contract law, in protecting people not just as economic actors, but also as citizens, and in safeguarding values such as autonomy and human dignity. The analysis focuses on the regulation of unfair contract terms, unfair commercial practices, implied terms in contracts for the provision of goods, services and digital content, and on information and cancellation rights in business to consumer (B2C) contracts. This chapter also examines the concept of consumer vulnerability in trader– consumer relations.
Local news is in crisis. Too few subscribers are willing to pay the costs required to create sustained and high-quality local news products, and the advertisers that previously subsidized local news have fled to new sites, especially social media platforms. Press organizations and policymakers have begun experimenting with possible fixes. Media institutions have looked to new private funding models, especially nonprofit institutions supported by philanthropic foundations. And state legislators have begun testing different public financing vehicles for local media. Yet these efforts represent only a small set of possible solutions to the crisis in local news. And they have proven insufficient to save news organizations from financial devastation. This chapter argues that the local news crisis should be understood as an innovation failure, one that calls for solutions from areas of the law that have long grappled with similar problems. In markets like pharmaceuticals and technology, policymakers often employ “innovation policy pluralism,” or combinations of intellectual property protections with non-IP tools such as prizes, grants, and tax credits. Such combinations harness both free-market forces and government regulation to foster socially valuable services in productive ways. This chapter surveys these different innovation policy levers and maps them onto both existing and proposed local press interventions.
Breastfeeding is the recommended way to feed infants. However, a safe and nutritious substitute for human milk is needed for infants when breastfeeding is not possible. As infants are a vulnerable population group, infant formula products are regulated by prescriptive provisions for composition and labelling. Any changes to the composition of these products must be established as safe prior to being permitted. As our knowledge of human milk expands, infant formula ingredients are developed to better replicate it. Food Standards Australia New Zealand (FSANZ) has assessed the addition of ingredients for the addition to infant formula products including human identical milk oligosaccharides (HiMOs) isolated using precision fermentation methodology. These ingredients are considered to be nutritive substances as their addition to food is intended to achieve specific nutritional purposes. In accordance with the Ministerial Policy Guidelines, FSANZ must assess both the safety and the health effect of nutritive substances for their use in infant formula. FSANZ risk assessments are undertaken by a multidisciplinary team covering toxicological and nutritional considerations using the best available scientific evidence. FSANZ assessments of the health effects concluded that the use of HiMOs in infant formula products would have a beneficial outcome for infants and align with the equivalent role of these substances in human milk(1,2). The weight of evidence supports health effects through an increase in the abundance of Bifidobacterium spp. in the infant gut microbiota, anti-pathogenic effects, inflammatory suppression and facilitation of appropriate immune responses and antigenic memory. FSANZ safety and technical assessments concluded that there are no public health and safety concerns associated with adding HiMOs to infant formula products(1, 2). The permitted levels are comparable to levels in human milk and are chemically and structurally identical to the naturally occurring forms. Food Standards Australia New Zealand, Canberra, 2606, Australia Based on the available evidence and intended purpose, a number of HiMOs have been permitted for use in infant formula products including 2′- fucosyllactose, lacto-N-neotetraose, difucosyllactose, lacto-N-tetraose, 3'-sialyllactose sodium salt, 6'-sialyllactose sodium salt. Evidence continues to emerge on the beneficial effects of HiMOs on infant health.
From its origins in ancient Mesopotamia, through the advent of coinage in ancient Greece and Rome and the invention of paper currency in medieval China, the progress of finance and money has been driven by technological developments. The great technological change of our age in relation to money centres on the creation of digital money and digital payment systems. Money in Crisis explains what the digital revolution in money is, why it matters and how its potential benefits can be realized or undermined. It explores the history, theory and evolving technologies underlying money and warns us that money is in crisis: under threat from inflation, financial instability, and digital wizardry. It discusses how modern forms of digital money (crypto, central bank digital currencies) fit into monetary history and explains the benefits and risks of recent innovations from an economic, political, social and cultural viewpoint.
The Intergovernmental Negotiating Committee (INC) on plastic pollution are United Nations member states who will convene for the second part of the fifth session of the Intergovernmental Negotiating Committee in Geneva (INC5.2) 5-14 August, 2025 to negotiate a global plastics treaty. The Scientists’ Coalition for an Effective Plastics Treaty (‘The Scientists’ Coalition’) is an international network of independent scientific and technical experts who have been contributing robust science to treaty negotiators since INC1 in 2022. The Scientists’ Coalition established a series of working groups following INC5.1 in Busan, Korea 25 November – 1 December 2024. Each working group has produced science-based responses to the selected articles of ‘the Chair’s text’ (the latest version of the draft global plastics treaty text). This Letter to the Editor summarises those responses.
This article explores the interaction between the Conseil de la Concurrence (Competition Council) and the Autorité de Régulation de la Poste et des Communications Électroniques (Telecommunications and Postal Regulatory Authority) (ARPCE) in the Algerian legal system. Algerian policy-makers have given special consideration to the issue of overlapping jurisdiction between these two authorities. The article discusses the Algerian strategy to resolve regulatory overlaps in the electronic communications market and also highlights the intervention of the ARPCE as a competition authority for the electronic communications market. Furthermore, the article analyses the Optimum Telecom Algeria case as a turning point in restoring the Competition Council’s role and highlights the need for systematizing the intervention of the two authorities. Finally, the article provides a forward-looking perspective through proposing a memorandum of understanding to promote cooperation between the Competition Council and the ARPCE.
The same developmental principles account for both normal and disturbed development. Disturbed behavior too is coherent and meaningful. Psychopathology is an outcome of development. This applies to common problems such as idealization or over-control; childhood disturbances such as ADHD; and to extreme symptoms, such as the stereotypes of autistic children and the dissociation and thought disturbances of adults. All of these become more understandable when looked at through the lens of meaning.
Across the twentieth century, CEOs became more powerful, and their decisions had a sizeable effect on their company’s performance and the British economy. Some CEOs harnessed technological and organisational innovations which allowed companies to grow and become more efficient, resulting in improvements in national productivity. In contrast, the insularity and lack of dynamism of some CEOs played a significant role in Britain’s economic stagnation. History shows that who gets to the top matters. Based on this, the chapter goes on to argue that those involved in selecting and preparing CEOs need to develop pathways to the top that identify individuals with interpersonal characteristics, values, and vision focused on the long-term stewardship of companies. They need to improve diversity to ensure that a range of cognitive abilities and insights get to the top. Across the century, various corporate governance mechanisms have been used to address the principal–agent problem at the heart of the corporation. The chapter closes by arguing that corporate governance needs to be strengthened through legislation to align CEOs to the long-term interests of company stakeholders.
In April 2023, the Office of Management and Budget (OMB) published a draft of revisions to Circular A-4, the first changes proposed since its publication in 2003. Following a public comment period, OMB published the final revised Circular A-4 in November 2023. In this article, we provide a section-by-section comparison describing the similarities and differences between the April draft and the November revision of Circular A-4. Among other observations, we note that the revised Circular A-4 changes the default social rate of time preference from 1.7 to 2.0%, retains recommendations for using distributional weighting in benefit–cost analysis, and retains recommendations to use a global point of view when determining the spatial scope of the analysis.
Ex ante, my primary concerns were about implementation across the wide expanse of federal applications, supporting the supplemental use of distributional weighting, trying to find a supportable middle ground on discounting using the expected value of bounds and a more consistent scope of analysis. Ex post, I felt heard if not followed, perhaps not uncommon for reviewers.
Cities demobilize migrant workers through partial and incomplete inclusion at what is perceived by local authorities and migrants as the higher meso-level of regulation of institutions. The local state plays two main roles in migrant education services. As regulators, municipal authorities shut down, take over, or certify private, “people-run” migrant schools that serve as informal substitutes when rural students cannot enroll in urban public schools. At the same time, they exclude, segregate and separate, or include those students in public schools as providers. Three main approaches to regulation and integration are (1) suppression and exclusion, (2) selective absorption and segregated inclusion, and (3) certification and full inclusion, as exemplified by Beijing, Shanghai, and Chengdu, respectively. Municipal and district officials use migrant social policy in this area to push visible results and avoid blame and criticism and employ complementary approaches between private regulation and public integration.
This chapter wraps up the arguments and delineates possible avenues ahead for central banks. Central banks may become Banks of the State, financing government deficits as they have done recently. This may imply a retreat from central bank independence. With large holdings of public securities in central bank balance sheets, the pressure to finance governments would increase. Another option is for central banks to change their job profile, becoming Banks for Everybody. This would happen if they decided to issue all-purpose retail central bank digital currencies. This would risk weakening private initiative in the payment industry, a sector where private markets have worked well recently. The third avenue is for central banks to remain Banks of the Banks, the dominant model that prevailed until the Great Financial Crisis of 2008–09. Central banks would continue to exert rigorous surveillance and use their regulatory powers to encourage further progress and foster efficiency and stability in the underlying settlement infrastructures. We express support for this line but also highlight some challenges, first and foremost the regulation of crypto assets and the extension of safety nets and central bank competence on “shadow banking,” the growing unregulated segment of financial markets.
This paper considers whether assisted suicide and euthanasia (AS/E) is an area for medical regulation or whether there is a better alternative regulatory mechanism to govern it. Drawing from empirical evidence across a range of jurisdictions where it is legalized, the paper argues that there are at least four good reasons to consider demedicalizing AS/E: (1) pragmatic ethical issues of infrastructural weakness in AS/E service provision in already overstretched healthcare systems globally; (2) challenges of medicalization; (3) regulatory complexities concerning medical law (including pharmaceutical law) and criminal law; (4) the risk that AS/E becomes more easily susceptible to healthcare economics. The paper suggests several recommendations concerning a possible “demedicalized model.”