Analyze

“Under a 1986 federal law titled the Emergency Medical Treatment and Labor Act (EMTALA), hospitals are required to treat people who come to the ED presenting with an emergency medical condition, defined as a condition that, without treatment, will likely lead to serious impairment or death. … EMTALA is one of the largest federal mandates to provide services to have gone unfunded (Friedman 2011); costs instead fall on states and local health care systems.” 481

“In bringing ethnographic attention to hot spotting as a technique of governance, we find that it provides lifesaving humanitarian interventions while operating within the racialized structures of violence that produce continual life crises. The institutional rationality of hotspotting and the encounters of care that it produces illustrate the often-contradictory role of medicine in the lives of poor people: both caring and coercive, it intertwines care and violence.” 475; “we conclude by suggesting that economic investment and return are becoming a reigning logic in the governance of poverty, generating hot spots as sites of interest for both policing and health care and decentering normative assessments of deviance, illness, and social problems” 476; “Neoliberal social assistance, as it is practiced in the health care safety net, is conceptualized as an “investment “in the population, as a strategic and targeted deployment of basic resources, one that promises to generate a return on investment for the state or health system in the form of cost savings.“ 485

 The authors examine the practice of “hot spotting,” a form of surveillance and intervention through which health care systems in the US intensively direct health and social services towards high-cost patients.  Health care hot spotting is seen as a way to improve population health while also reducing financial expenditures on healthcare for impoverished people. The authors argue that argue that ultimately hot spotting targets zones of racialized urban poverty—the same neighborhoods and individuals that have long been targeted by the police. These practices produce “a convergence of caring and punitive strategies of governance” (474). The boundaries between the spaces of healthcare and policing have shifted as a “financialized logic of governance has come to dominate both health and criminal justice” (474).

1) "About 2,000 tons of asbestos and 424,000 tons of concrete were used to build the towers, and when they came crashing down they released dust laden with toxins."

2 "But as early as Sept. 13, Mrs. Whitman and the agency put out press releases saying that the air near ground zero was relatively safe and that there were "no significant levels" of asbestos dust in the air. They gave a green light for residents to return to their homes near the trade center site"

The article contains quotations attributed directly to the judge, so I would presume she was either present for the ruling or accessed the case brief. This would also be where Ms. Preston could obtain direct quotations from the plantiff's arguments. Additionally, the article includes statements from the EPA, public officials, and Senator Rodham Clinton; these would either be from official public releases or interviews by government personel. 

The article debriefs a ruling by Federal District Court Judge Deborah A. Batts on a class action lawsuit against the EPA. It details the claims made by the plantiffs' surrounding EPA officials' misconduct after 9/11. Specifically cited are Christie Whitman, who chaired the EPA  during the attacks, and several other EPA officials.

Judge Batts: Deborah A Batts, sitting judge of the Manhattan Federal District Court at the time of these proceedings. She handed down the ruling that allowed the pursuit of the class action lawsuit.

Christie Whitman: Former EPA "leader" (chair) at the time of the 9/11 attacks. She and several other officials (unnamed in this article) are accused of misleading the public about air quality surrounding the tower site.

EPA: Environmental Protection Agency. Federal agency charged with matters pertaining to the environment, particularly those that concern public health. The EPA often aids in creating standards for environmental safety (including pollution and airborne particles).

The article's primary focus is the failure of a government agency in the wake of the 9/11. The EPA's inadequate response to air pollution and subsequent public misguidance led to a multitude of public health issues. While the article does not explicitly detail the issues stated in this lawsuit, it does mention the EPA's failure to properly formulate and enact a plan to clean up materials released into the air.

1) EPA: what are the exact duties and responsibilities of the EPA after a disaster? While we mostly consider it to focus on pollutants and environmental conservation, both this article and FEMA training seem to indicate it holds a much larger role in emergency situations.

2) Christie Whitman: a former governor of New Jersey and Administrator of the EPA from 2001-2003, Whitman served during the 9/11 attacks. Despite pointed personal criticism about her time in the EPA (including legal action), Whitman historical demonstrated a pattern of moderatism, often putting her at odds with the administration she served. It would be interesting to see where in the 9/11 lapse emerged-- whether it be from judgement, misinformation, or disinterest.

3) 9/11 Health Effects: The release of millions of asbestos and concrete particles into the air certainly increases the odds of chronic respiratory issues for NYC populations. I would be interested in whether any other chronic issues or epidemics have been noted as a result of pollution from the Towers' collapse

Preston's article mentions the EPA still had not formulated and enacted a plan for cleanup-- it should be noted the year of publication was 2006. She claims "After an expert panel failed last year to settle on a method for organizing an E.P.A. cleanup, the agency said it would proceed anyway with limited testing and cleaning". Moreover, in the 10 years since publication, several studies have indicated increased public health risks and chronic illness prevalence in populations near the disaster zone. It seems the approach of sit-and-wait did nothing but exacerbate the issue, leading me to believe this will serve as a symbol in any future pollutant-laden disasters.