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).

Truly bringing different “stakeholders” to the table - because the Rio event was very much taken over by the corporate green consultants

It seemed to be all about communications strategies - not necessarily ads but knowing how to handle media when something happens, oh and having those meetings where they set all the ground rules - so they agree to meet with activists but only on the corporation’s terms. Leveraging the UN stage - so signing charters and prominently displaying their messaging at the stage of a conference.

t seems like the consultants truly see the corporations as the victims here - the CEOs or the people in the companies who can get jail time for not putting appropriate audit systems in place or get trapped in complex legal monitoring requirements - they don’t seem to have a bit of sympathy for the victims or for the activists, who they see as “attacking” them.

There’s a little bit where the CEO of Union Carbide claims to be doing the “moral” not just strictly legal amount of help in the aftermath of Bhopal, given the Indian government’s ownership stake in the plant. 

Mostly responsibility is seen as a performance by the Green Consultants - because no matter how “good” you are you still get attacked by activists and the laws are too hard to follow and are designed to trip you up. So responsibility also becomes a pre-emptive offensive strategy - And Green Consultants try to get people within the corporation to see the political, financial investment, PR, etc. benefits that come with this performance of green. It’s necessary to perform “Transparency” [though it wasn’t called that yet, perhaps]- the house analogy. Like the case of ARCO - the somewhat green-er gas is celebrated and rakes in profits and maintains a car-based status-quo; and the explosions are not mentioned.

Taking over the definition of “sustainable development” and making this concept rational, ensuring that economic growth is no longer in opposition to environmental protection - “leading” by being a driver at a UN conference - work done by the “beyond blame” rhetorical trick of [weaponizing inclusion] - self-imposed audits, monitoring, and management tools which are then loudly communicated about, in addition to the participation in institutions that give outside credibility

After it’s clear an “it can’t happen here” approach won’t work, Green Consulting and Enviro-comms and harmonization of oppositions come into play- corporations listening to the different “customer-publics” and finding a way to meet what’s being asked for but on the corporation’s terms. Coming to the table to negotiate but never take demands. Pushing on their own definitions of these terms, especially sustainable development, and co-opting the movement so that environmentalism becomes corporate.