Analyze

“Environmental justice (EJ) scholars and activists see communities’ ability to participate meaningfully in decisions that affect the local environment, including siting decisions for refineries, power plants, waste dumps, and the like, to be integral to the idea of EJ (Cole and Foster 2001; Schlosberg 2007). For some, this explicitly includes the notion of consent: participatory processes are a means through which community members can give their consent (or not) once they fully understand the scope and consequences of a proposal (Shrader-Frechette 2005, 2007).” (252)

“EJ advocates have called attention to siting practices that target communities of color because of their political margin- alization. In order to challenge the siting of hazardous facilities, commu- nities of color have also had to confront exclusionary decision-making processes characterized by unrepresentative local governments, monolingual proceedings, and reliance on technocratic risk assessments, to name a few (Cole and Foster 2001). As a result, one of the Principles of EJ adopted in 1991 by the People of Color Environmental Leadership Summit calls explicitly for justice in decision-making practices: ‘‘Environmental Justice demands the right to participate as equal partners at every level of decision-making.’’ (254)

“Seeing disclosure as an important element of informed consent provides ethical grounds to excoriate polluting industries for suppressing information, making misleading scientific claims, and intimidating scientists who wish to draw attention to the health risks they pose (see, e.g., Schrader-Frechette 2007, 39-75).” (255)

“Current discussions of procedural justice in the siting of environmentally hazardous facilities are far from na ̈ıve about the limitations of scientific knowledge. EJ advocates have not only criticized industry and government scientists for patently unethical practices like suppressing data (e.g., Shrader-Frechette 2007), they have pointed out the ways that scientific ways of knowing and technocratic modes of decision making can circumscribe community members’ ability to have a say in decisions that will affect their local environments (Guana 1998; Shrader-Frechette 1991); they have also asserted the need for community members’ local knowledge to be recognized as part of just decision-making procedures (Allen 2003; Fischer 2000).” (263)

This text explores some of the current barriers to achieving procedural justice (participation in decision making by those affected by it) based on Science and Technology Studies (STS). Examples of some of these fundamental barriers include (i) lack of disclosure of information from industry, and (ii) lack of information available at the time of decision making (making consent to be subject to environmental hazards difficult or impossible. The author argues for proactive, STS-based knowledge generation to combat this.

            This past spring break (2016), on a Monday night while at home, I responded to a motor vehicle accident as a Good Samaritan. The accident happened at approximately 19:00 hours on my street in Blackstone, Massachusetts. My father was on our front porch when he heard a car barreling down our back country road which has a long straight away before taking a sharp turn. Before the impact he knew that the driver would not anticipate the curve fast enough at the speed he was traveling. Sure enough, there was a loud bang and the sound of a car rolling over, which I could hear from inside the house (approximately ¼ mile from crash).

I grabbed both of my personal first aid kits and a flashlight while my father called emergency services. I walked to scene with my father and younger brother. I sped walked and arrived at the crash site first.

The vehicle was a ‘90s sedan that went straight into a telephone pole, which broke like a toothpick, and rebounded backwards and flipped 90 degrees on its left side. Parts of the car, tools, and glass were on ground, airbags deployed. There was a car seat in back, and for a moment I thought a child but it was just clothing. Front right tire was up inside front passenger compartment. Hazards flashing. Driver window was rolled down. No people in the car.

My brother and father directed traffic on either end of the crash site. They almost certainly prevented at another crash by a car who didn’t see the accident but saw my brother flag them down with his light.

I saw man standing 20’ from crash site, talking to people in a gold SUV. When I arrived I start asking medical questions and the people in the SUV leave – they were by standards who pulled up but left after I started taking over. The man in question appeared to be a lower/middle class white/Hispanic, male in his 30s. He was driving an older car with lots of tools in the back which were now all over the road. Our neighborhood is a small country community and I know he was not from our neighborhood. I assumed he was some kind of mechanic, bases on tools in car. He was wearing dirty jeans and stained hoodie. He was definitely a blue-collar worker. He may have been from downtown Blackstone which is largely lower middle class and blue collar, or he may have been from Woonsocket, Rhode Island, which is known as “the Detroit of Rhode Island”.

As I tried to obtain basic medical information from the patient, it was apparent he had an altered mental status, and did not appear to understand fully what was going on. I am not certain if it was alcohol and/or drugs as for safety reasons I did not get close enough to the patient/suspect to tell. He was ambulatory and verbal. The interesting part of our conversation was to the best of my ability as follows:

“Are you sure you’re okay? Umm yeah. Are you hurt anywhere? I’m fine. [I did visual inspection of patient using flashlight which revealed no major injuries other than minor cuts from airbag]. [He starts to edge away from scene]. You should wait for ems to check you out. Wait, you’re right! I might die?! You appear to be okay externally but things like internal bleeding, and a full assessment could reveal other problems. Naaaa [turns and starts to walk away down street]”

I attempted to convince the patient to wait on scene but he was going through several mode swings during my interactions with him from fear, anxiety, agitation, and anger. While I was talking to the patient, the first officer from the neighboring town arrived on a motor cycle. I informed the officer at the scene of the situation about the patient/suspect fleeing the scene. The officer took note of it and continued to work to secure the crash site. Another officer arrive from my town from the west. I informed the same and he stated that he would need me to make a witness statement and proceeded to the crash site. A third and fourth officer arrived together the same time as two ambulances (indicated because of rollover) from the east. One of them told me again that they would need a witness statement.

I met back up with my dad and brother who were no longer needed to control traffic with law enforcement on scene. Neighbors had started coming out to see the commotion. We were all talking near the scene while waiting for officers. Finally one of the officers asked another officer if he should go look for the suspect. He left approximately 20 minutes after my last contact. I never spoke with the arriving EMS as they came from the east and I was on the west of the accident but officers told them that the patient was missing. Eventually multiple officers and cars were out looking for patient/suspect but was not found as far as I am aware. I finally was given the chance to give my testimony which, to the best of my knowledge, mirrors this report. After reading out loud in front of the officer and my father and brother to confirm accuracy, the officer asked me something very strange. First, he asked me to add what the suspect was wearing (which I had forget to include), but then he also asked me to state that I saw the suspect drive into the telephone pole and that I smelled alcohol on the patients breath. Neither of these things were what I told any of the officers and ran counter to my testimony as written. I include the suspect’s clothing description but I did not add the second mention and stated that I had not witnessed those things. After my report I left the scene with my brother and father.

Some of the policies and procedures relevant to this case were: scene safety, dealing with aggressive/combative patients, and HIPPA did not apply to me as a bystander so I gave full testimony including medical status to the officers.

After reflecting on the education I received and didn't receive, there are a few things that would have allowed me to be better prepared for this incident. How do I convince patients to stay on scene? When do you give up? I wish my EMT class was a little better scene on safety training. Being distracted by the emergency at hand, I did not truly take into account the fact that the power lines were live and drooping with half of the telephone poll pulling on them. Only supported by the next and previous poll but not drooping more than 3’ from normal, more than 15’ from ground, and 10’ above vehicle. Reflecting on it, I did not really consider the threat as I should have, and neither did the officers on scene. I don’t understand why it took so long for police to search for the suspect who could have had major medical issues. Should I have followed suspect/patient alone? When is a citizen arrest allowed/appropriate? Should I have asked for the badge number of the officer who asked me to misrepresent the truth on an eye witness testimony? What is the process to do that anyway? If I had the answers to these questions I feel I may have been able to provide better assistance, but then again perhaps not.

this graph is a perfect representation of the affects any thing can have on communities.  this graph can be correlated with things like natural disasters and their would be an increase in numbers.

The sources of resilience come when the economy improves.  This graph shows that the poverty rate had increased from 2008-2009 because of the recession the country went through.

Food stamp (SNAP) rolls increased over the years, and the article addresses that this is a sign of poverty.  The USDA is an agency that administers food stamps.