Analyze

Some residents of flooded homes in Three Rivers/Woodlake blame new housing developments that replaced orchards and a creek bed for recent flooding

Farmers drove pickup trucks loaded with dirt into a breached levee, then covered the trucks with dirt

Operations of transnational companies are affecting marginalized communities across the globe. As Kaswan had highlighted through examples of Union Carbide’s pesticide plant in India, as well as pollution associated with oil companies in Latin America, the implications of distributive environmental justice in such contexts are apparent yet difficult to address. Across international boundaries law enforcement becomes increasingly difficult, which is at the heart of the problem of my research topic. 

“The “right” scale will depend upon the nature of the harm being analyzed and purpose for which information is being gathered.” (Kaswan, p 29)

“Numerous studies, at a multiplicity of scales, analyze the distribution of a wide variety of land uses, as well as risk: what exposures, with what consequences, do people experience?” (Kaswan, p 33). 

This text builds on concepts of equality, bases for deviating from the core idea of equality, and the multiple contexts that define and shape distributive justice. Kaswan additionally advances the distributive environmental justice by outlining the different contexts, including historical land use patterns, government regulations, infrastructure, and enforcement and the implications that each of these dimensions have on contributing to distributive injustice. 

The main narrative of this text builds on foundational ideas on equality and extrapolates it further to establish how distributive environmental justice, its ideas and articulations, as well as its operationalization, has taken shape throughout the years. To outline these points, Kaswan outlines different cases of environmental disaster, and subsequent government responses, to showcase how government institutions have both upheld and endeavored to address distributive environmental inequality in the past decades.

The Emergency Medical Treatment and Labor Act is a law requiring that anyone coming into the emergency department will be stabilized and treated no matter what their insurance situation is. In terms of women's health, it is important to note that this means for active labors, medical treatment is necessary and required, no matter the health insurance of the patient. The purpose of this law to prevent certain patients from being turned away in an emergency situation or refused medical treatments if they are unable to pay, putting their health at risk.

EMTALA was enacted by Congress in 1986 and was part of the Consolidated Omnibus Budget Reconciliation Acts of 1985. Congress saw different cases around America where doctors were refusing medical care to patients who could not make a deposit at the time of their admittance to the ER. An example of this is a patient Eugene Barnes, who in 1985 suffered a stab wound and ultimately ended up dying because 6+ doctors refused to help him without payment or some form of compensation. This made national news and other cases began to come to light, such as at Baptist Hospital in Miami and many other areas. News outlets began to follow these cases and this caught attention of government officials. Shortly after, EMTALA was enacted.

http://www.pitt.edu/~kconover/ftp/emtala-draft.pdf

This policy applies to American law and patients who are in need of emergency medical treatment and is to be followed by all emergency departments and personnel alike. 

This was touched upon a little in a previous question. Many cases of patient dumping were popping up around America. Patients in need  of emergency medical care were being cast aside, ignored and delayed due to their inability to pay. In addition to the stab patient, Eugene Barnes that sparked this law, there were dozens of other cases where patients needed to be transferred to larger hospitals but the hospital refused to take patients without insurance, so the patients died. There were cases of people being asked right before surgery for a deposit, and being unable to pay were discharged with no surgery. There was also a very high rate of dead babies that were arising due to the fact that mothers in labor were being turned away because the patient was uninsured. It was then realized by the government that there were no legal duties for a hospital to treat people who are in emergency situations but cannot pay, only ethical and moral duties, which apparently weren't enough in some cases. This led to the birth of the EMTALA, requiring medical attention to all ED patients as well as transfers if needed to stabilize, including mothers in labor.