On regulating perceived risk.

Effective health care Pub Date : 1985-01-01
F G van Andel
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Abstract

Modern society increasingly depends on government regulation to manage risks. Until recently, evaluation of risks of technology was primarily considered a technical problem. However, public controversy has politicized the issue of risk, raising questions about the role of experts. This paper briefly explores the nature of technical risks of aircraft, nuclear energy and medicines. It is contended that in the case of aircraft intensive regulation has led to a measurable improvement of its safety record. The constant call for more regulation in the areas of medicines and nuclear energy on the other hand seems more the result of public controversy, since the actual effect of regulatory measures on safety is too difficult to show. This stresses the important role of the media, a theme, which is elaborated by reviewing a number of cases. The general conclusion is concerned with the notion that public pressure is the only rationale which makes regulators step in. Regulatory decision-making about risk, then, is more anecdotal than systematic, because public controversy is unpredictable. As a consequence regulators can no longer seek to minimize harm, but must now move towards the aim of minimizing perceived harm. Finally, in the light of this assumption, some thought is given to costs and benefits of medicines and nuclear energy. It is appropriate to make a strong case for medicines in this context, for, as opposed to nuclear energy, alternatives are usually not available.

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关于调节感知风险。
现代社会越来越依赖政府监管来管理风险。直到最近,技术风险评估主要被认为是一个技术问题。然而,公众的争议使风险问题政治化,对专家的作用提出了质疑。本文简要探讨了飞机、核能和医药技术风险的性质。有人认为,就飞机而言,密集的监管导致了其安全记录的显著改善。另一方面,不断呼吁在医药和核能领域加强监管似乎更多的是公众争议的结果,因为监管措施对安全的实际影响很难显示。这强调了传播媒介的重要作用,这一主题通过审查若干案例加以阐述。总的结论是,公众压力是促使监管机构介入的唯一理由。因此,有关风险的监管决策更多的是道听途说,而不是系统性的,因为公众的争议是不可预测的。因此,监管机构不能再寻求将伤害最小化,而必须朝着将感知到的伤害最小化的目标迈进。最后,根据这一假设,对药物和核能的成本和收益进行了一些思考。在这种情况下,为药物提供强有力的理由是恰当的,因为与核能相反,替代品通常是不可获得的。
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