Issue Technology decisions move to municipal, hospital and regional actors

Summary

The report argues that strategic decisions about technology are spreading to a much wider range of actors than the industries that traditionally made them. A city authority buying a transport fleet is partly deciding who gains from grid flexibility. A hospital system weighing whether to manufacture therapies it once purchased is also deciding which patients will get them. A regional government in a resource economy considering refining capacity is, in effect, choosing whose livelihoods are protected during the transition. The report describes this redistribution of decision-making as, in substance, a redistribution of responsibility. That responsibility covers whether these technologies are trusted and whether their benefits are shared.