Analyze

 “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

“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

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).

The purpose of this program is to educate students to become global leaders (dubbed Phoenix Leaders) in radiation disaster response. The program aims to use experience from the aftermath for Hiroshima to create an overarching program of “Radiation Disaster Recovery Studies”, with multiple disciplines of Medicine, Environmental Studies, Engineering, Sciences, Sociology, Education and Psychology. The eventual aim is to create a new and evolving system of response, safety, and security. 

The program was created in reaction to the disaster at Fukushima-Daiichi, with influence of the lessons learned post-bombing in Hiroshima. Hiroshima University specializes in radiation casualty medicine and works to improve medical care in response to nuclear emergencies. This program was specifically made to generate leaders capable of directing relief efforts while keeping the clear goal of reconstruction post-disaster. 

The program is located at the Hiroshima university campus. It involves common coursework for all tracks of the program (at the Hiroshima Phoenix Training Center), specialized courses in different professional subjects, fieldwork in Fukushima, and internships with a Japanese company and an international organization. 

Funding appears to come from the university, along with the Ministry of Education, Culture, Sports, Science and Technology.

The program is divided into three sub-programs: Radiation Disaster Medicine, Radioactivity Environmental Protection, and Radioactivity Social Recovery. The Radiation Disaster Medicine course is a four year PhD program, for those who already have professional degrees (medicine, pharmacy, dentistry, etc.) and master’s degrees (medical physics). The Radioactivity Environmental Protection course is a five year program for students who have completed a bachelors or masters in a related field. The Radioactivity Social Recovery course is a five year program for students with a bachelors or master’s. The curriculum is broken down into common subjects, specialized subjects, fieldwork, and internships. 

This is a program targeted to students with bachelors, masters, or professional degrees who desire to protect people from the various consequences of nuclear disasters. 

Participants receive a PhD upon successful completion of the program.