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Empirical points

margauxf

“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

margauxf

“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

 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).

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tamar.rogoszinski

This study contains findings by the National Center for Transgender Equality and the National Gay and Lesbian Task Force. It is written by  Jaime M. Grant, Ph.D., Lisa A. Mottet, J.D., and Justin Tanis, D.Min. With Jody L. Herman, Ph.D., Jack Harrison, and Mara Keisling.

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tamar.rogoszinski

This article states that, "transgender and gender non-conforming people frequently experience discrimination when accessing health care, from disrespect and harassment to violence and outright denial of service," which has caused this report to be written. The main issues are that transgender and gender non-conforming people are discriminated against when it comes to finding housing, health and partnership benefits, or jobs. Policy makers and the media dismiss these people and don't focus or care about them. As a result, the National Center for Transgender Equality and the National Gay and Lesbian Task Force formed a ground-breaking research partnership to address this problem.

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tamar.rogoszinski

This report consists of barriers faced by transgender and gender non-conforming people. Specifically with access to healthcare. It also includes statistics about HIV/AIDS, drug abuse, and suicidal tendencies. They also provide information regarding transition-related care with respect to counseling, hormones, and surgery.  

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tamar.rogoszinski

This report addresses the issues of bias and discrimination, which is important for technical professionals to know so that they can avoid making these errors in judgement and provide proper standard of care to everyone. This is important because 19% of the respondents were refused treatment at one point, which is absolutely terrible.