The objective of integrated assessment of climate change is to put ava
ilable knowledge together in order to evaluate what has been learned,
policy implications, and research needs. This paper summarizes insight
s gained from five years of integrated assessment activity at Carnegie
Mellon. After an introduction, in Section 2 we ask: who are the clima
te decision makers? We conclude that they are a diffuse and often dive
rgent group spread all over the world whose decisions are primarily dr
iven by local non-climate considerations. Insights are illustrated wit
h results from the ICAM-2 model. In Section 3 we ask: what is the clim
ate problem? In addition to the conventional answer, we note that in a
democracy the problem is whatever voters and their elected representa
tives think it is. Results from studies of public understanding are re
ported. Several other specific issues that define the problem, includi
ng the treatment of aerosols and alternative indices for comparing gre
enhouse gases, are discussed. In Section 4 we discuss studies of clima
te impacts, focusing on coastal zones, the terrestrial biosphere and h
uman health. Particular attention is placed on the roles of adaptation
, value change, and technological innovation. In Section 5 selected po
licy issues are discussed. We conclude by noting that equity has recei
ved too little attention in past work. We argue that many conventional
tools for policy analysis are not adequate to deal with climate probl
ems. Values that change, and mixed levels of uncertainty, pose particu
larly important challenges for the future.