Facilities and enforcement case searches can both easily be limited by geography (EPA region, city, state, zip code, county, proximity to national border, and watershed). The tool also automatically produces maps that allow users to see the distribution of facilities across space.
This database uses a broad variety of data. Most of the data is collected by the EPA itself. Users are able to search for facilities regulated under the following systems:
When looking at individual facilities, the database provides detailed facility reports, enforcement case reports (civil and criminal), air pollutant reports, effluent charts, pollutant loading reports, effluent limit exceedances reports, CWA program area reports, permit limits reports, and other facility documents as available. The database provides easy ways to download and map the data. The database also allows users to narrow facilities searches using demographic data from EJScreen (also maintained by the EPA), the U.S. Census, and tribal land data.
Users can also look for information on federal administrative and judicial enforcement actions through an enforcement case search.
ECHO is maintained by the U.S. Environmental Protection Agency (EPA). Its purpose is to provide comprehensive information about all of the facilities regulated by the EPA. It is connected directly to the EPA's internal enforcement record system, so information is currrent.
The Enforcement and Compliance History Online (ECHO) Database, maintained by the Environmental Protection Agency (EPA).
Environmental Protection Agency (EPA). Enforcement and Compliance History Online (ECHO) Database. 2022. Available online: https://echo.epa.gov/ (accessed on 17 March 2022).
The Grassroots Global Alliance provides a strategy for just transition to a regenerative economy. For the policy makers, this organizations has come up with these questions as guidance:
1. Who tells the story?
2. Who makes the decision?
3. Who benefits and how?
4. What else will this impact?
5. How will this build or shift power?
Framework: Protect, Repair, Invest, Transform. Under each category, this organization presents their demands and solutions.
Five points of intervention: the Narratives, Base Building and Organizing, Policy Development, Electoralization and Implementation, Direct Action.
This film is meant to show the struggles of an ER waiting room from all sides. It shows the frustrations of patients waiting to be seen for hours, financial workers, social workers, and doctors struggling to see everyone in a timely manner. It also shows organizers tryign to sort everyone and move the patients around in ways that benefit all parties. Essentially, this documentary is highlighting the issues that exist in the ER because of lack of staff, beds, and overall means to take care of the large influx of patients.
This film shows live footage of interactions in the hospital as well as voice over narrations that highlight the mood and stress of the situation. They give some statistics, but the main point of this film is to show the stories of some patients and the doctors and staff to highlight their message. It has an emotional appeal in the sense that viewers can sympathize with and feel frustrated for all parties involved - not just the patients.
There are many people portrayed and mentioned in the film. They discuss issues within governments and insurance companies. They show patients without insurance struggling to get medication and care. As a result, they express issues with access to care and paying for hte care that they receive. They show doctors and the struggles they have with handling patients and those that come in with the ambulance. Nurses and other ER staff are shown as well. They show narratives of several patients in the waiting room and their experience once they do finally make it to a bed. All of these players have a lot of decisions to make, starting with the decision of the patient ot come to this public hospital (possibly because being turned away from others), and ending with a doctor's care and decision whether or not to release patients.
They are shown for a moment in which they bring in trauma patients, but are not a main player in this documentary.
I found the most compelling part of the film a portion where an elderly man needing dialysis swears and screams at one of the doctors that he's sick and tired of having to wait for dialysis. He says how annoying it is to come to this hospital and expresses frustrations with having to get dialysis at this particular hospital. He is frustrated to such an extent that he even asks the doctor to remove the catheter and let him die, stating that eveyrone dies so he doesn't care anymore if it's sooner rather than later. He's tired of waiting.