Analyze

This article are main to referre to the Haiti's government, United Nations and USAID. Haiti's government is continuing political turmoil, and it influenced the organisation for the rebuilding after the earthquake. The government exploits the donation for children vaccination rates and HIV treatment in post disaster. These actions and auttitudes break the deals between other organisations' supporting. Due to these reasons, U.N. persuade member nations to reduce the supporting. Therefore, the restore after the disaster and cholera are so slow. USAID is United States agency for international development, and it has donated Haiti $1.5 billion since earthquake, but Haiti's people are not really can get the support.

The artical shows the political and government really influence the people's health and emergency. Haiti's government disappointed all the other oganisations and it makes the restore difficult after the eaarthquake and cholera epidemic. The artical descrpites the situation and fact in the 5 years after the disaster. In addition, the reactions of the involved organisations such as United Nations are shows the problem and the result that where the money go. There are also applied examples to support why the donation are not final go to the Haiti's people, and Haiti's government is deal-killer. Apart from this, the artical shows if there are not enough economic fund and medical supporting after disaster, there might be a epidemic comes up, and make the situation worse. All the donation and support are should be in good organisation to help people and rebuild the environment.

The government should organise all the source and fund for the disaster. Using good political to communicate with other nations and organisation who offer the supporting. Make sure the people get help such as money, food and water. As well as help people get back confident to government, therefore the government need to manage the sources in suitable areas. Medical supporting and equipment are offered for more saving and treatment. To provide the epidemic comes up post disaster, the government and organisations should be care about the weather, environment and other circumstances. If Haiti's government can help people get the supporting on fundings and others, it can really make the Haiti's restore and control the cholera epidemic. In addtion, it might can bring the confident from U.N. and other organisations.

1. Under private equity ownership, some ambulance response times worsened, heart monitors failed and companies slid into bankruptcy, according to a Times examination of thousands of pages of internal documents and government records, as well as interviews with dozens of former employees. In at least two cases, lawsuits contend, poor service led to patient deaths.

2. “Private equity has, in this case, threatened public safety,” said Richard Thomas, the mayor of Mount Vernon, N.Y, which relied on TransCare. “It’s not the way to treat the public.”

3.  Do the Write Thing “didn’t sit well with the firefighters,” said Nico Latini, who has worked at Rural/Metro for a decade. “We operate under a high level of integrity and we do the right thing every day — with an R, not a W.”

The main point of the article is that private ambulance and fire department agencies have questionable policies and business practices that hurt not only patients but also their employees. It's supported with anecdotal evidence following several agencies that have filed for bankruptcy, going over incidents of lateness, understaffing, lack of supplies, and aggressive billing or lawsuits to get payments from patients.

Private equity firms like "Warburg Pincus, Kohlberg Kravis Roberts & Company" that invest in emergency medical services.

TransCare EMS, an EMS provider owned by the firm Patriarch Partners that served East coast states, filed for bankruptcy; had trouble paying its employees and was losing contracts with counties.

Rural/Metro, another privately owned EMS/fire provider known for lateness, suing patients, and had deteriorating patient care, and was losing contracts with counties in several states.

The article addresses the public health inequities caused by for-profit ambulance agencies, which can put low-income families in a worse situation when they bill outrageously and/or sue their patients after sometimes providing sub-par or negligent treatment. Also shows the poor examples of emergency response when first responders are delayed due to understaffing or don't have the drugs/ equipment to adequately treat patients ("hospital shopping" done by desparate ambulance agencies). 

"Today, people interact with private equity when they dial 911, pay their mortgage, play a round of golf or turn on the kitchen tap for a glass of water."

"Supervisors regularly paid for supplies out of their own pockets and hoped for reimbursement, emails show. Some workers said the ambulances carried expired medications. Others went “E.R. shopping.”  "

There were many personal interviews along with overall analysis of the system through history of the industry and related companies. He combined both personal subjective experience and objective events to strengthen his arguement.

That companies are destroying what EMS and Fire should be by making it hard financially in many ways to sustain an agency. It is supported with past news articles, events involving the industry and related companies, and personal expereinces through interviews.