Analyze

Empirical points

margauxf
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“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

Quotes

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“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

 

Summary

margauxf
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 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).

further queries

ntanio
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1. In the different instances of PECE (D-STS/TAF/etc.) are the artifacts/essays you have created in once instance available to cite/share in another? For example, how would you link an essay built for VTP into a TAF-California essay?

2. How to navigate the various levels of restriction remains unclear to me. For example, if I want to share and build an essay with a research partner but the project is not ready for prime time, how do I set restrictions to share work in progress? Is there a way for me to do a quality control tests to see how an essay looks to not-me participants.

3. I want to use PECE to build an annotated bibliography that typically addresses Traweek's 5 key aspects of a reading. Importing the citation to zotero is easy, and typically I would add notes to the zotero file, but if I want a more uniform notetaking and accessible bibliography PECE seems to be a better fit. For any given project how should I go about building a PECE essay that would be consistently allow new citations to be added along with ongoing and layered/laminated annotations?

Expectations of data management

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Most of my experience is not with funders but with IRB. In multiple IRB applications I have had to assert that data will not be shared and in fact will be stored on a hard drive that is not connected to the internet in a locked environment to protect the privacy of research participants. This may be because much of my research to date has involved minors in and outside classroom learning environments. However even on team projects where sharing data is assumed, we have has to assert that data will be stored offline except during short periods when using a qualitative analytic program like Dedoose.