We provide a tour of the ecology of emerging digital tools and artifacts that increasingly mediate public engagement with science in the context of environmental decision making. As our examination of emerging technologies in this context illustrates, while not all technical communication is science communication, science communication is increasingly also productively viewed as technical communication.

Effectively addressing wicked problems requires collaborative, embedded action. But, in many cases, scholarly commitments, social justice, privilege, and precarity collide in ways that make it difficult for community-engaged scholars to ethically navigate competing duties. This article presents our efforts to support reciprocal community engagement in addressing cancer- obesity comorbidity and risk coincidence in underserved communities. Partnering with community healthcare professionals, we conducted an adapted Systems Ethnography/Qualitative Modeling (SEQM) study. SEQM offers an alternative ethical framework for community-engaged research, one that supports reciprocity through enabling participant-centered community self-definition, goal setting, and solution identification.

Recent research in rhetoric of health and medicine (RHM) has worked to evaluate the effectiveness of patient inclusion initiatives in health policy decision-making. Extending this line of research, this article evaluates the extent to which the U.S. Food and Drug Administration’s (FDA) patient and consumer representative programs meaningfully engage patient experiences. In so doing, this study provides directed and summative content analyses of pharmaceuticals policy deliberation at 163 FDA drug advisory committee meetings. The results indicate that the current implementation of the patient and consumer representative programs do not adequately ensure that patient experiences are being included as a part of advisory committee deliberation or subsequent pharmaceuticals policy. Additionally, the results presented support the growing concern that attempts to include patient perspectives in health policy may actually further marginalize patient populations.