Analyze

I published this news article about a hunger strike against Formosa Plastics that occurred in Texas this fall. Despite the extremity of a 30-day hunger strike, the protesting tactic has not gained attention from national media outlets. At the time I published this article, two small environmental organizations had announced the beginning of the strike, but none continued to cover the event in the unfolding weeks. While activists are driven to take on dangerous protest tactics, little communication of these tactics has carried across mass media.

The article itself introduces Formosa Plastics through its reputation as a "serial offender" of environmental and workplace safety regulations. I list several statistics on legal fines that Formosa Plastics has accumulated overtime, using these quantities to demonstrate the scale of their harm to environmental and human health. An important limitation of this storytelling strategy, however, is that many of Formosa Plastics' actions go undocumented, and even when documented, do not lead to legal consequences. Furthermore, we should still strive to acknowledge the harms committed by Formosa Plastics that are technically within legal limits.

BIOETHNOGRAPHY: “Thus, instead of combining objects of inquiry (biology and culture), I conceived of bioethnography as combining two different methods for knowing the world (Mol 2002, 153)—ethnographic observation and biochemical sampling—in order to ask and answer research questions that could not be addressed through either method alone. This methodological focus involves exploring how our data collection and analysis might be shaped if we suspended the nature/culture binary” (Roberts, 2021, p. 2)

“bioethnography asks, what if we created numbers otherwise, upending the cooked data that reinforces inequality? In fact, bioethnography can enable us to identify structural forces, such as NAFTA and the global health apparatus itself, that are part of the bodily processes that make ill health. In other words, while we know that all data is cooked, it matters how it’s cooked.” (Roberts, 2021, p. 5)

Roberts describes their ongoing bioethnographic collaboration with a team of exposure scientists who are working in environmental engineering and health. Though ethnography is not easily enumerated, Roberts emphasizes that integrating it with quantitative data is worthwhile and makes for “better numbers”. As an example, Roberts describes 3 bioethnographic projects on neighborhoods, water distribution, and employment and chemical exposures. These projects were part of a longitudinal birth-cohort study in Mexico City called Early Life Exposures in Mexico to ENvironmental Toxicants (ELEMENT), created to understand the effects of early-life nutrition and exposure to toxicants (such as lead and phenols). Overtime, this project was expanded to include the study of new toxins (e.g. BPAS, mercury, and fluoride) and new health concerns (e.g. obesity, meopause, sleep).

Roberts’ focus on neighborhoods was produced from the ethnographic observation that neighborhood characteristics might influence exposure levels. Following this observation, Roberts’ and ELEMENT researchers sorted participants by neighborhood and identified significant differences in blood-lead levels. Additionally, Roberts applied previous ethnographic observation and scholarship to argue that high levels of toxicants like lead correlate with the capacity of neighborhoods to withstand other dangers, such as police violence. These findings prompted the development of two new bioethnographic project centered on water and the effect of neighborhood dynamics on health.

The purpose of this program is to help instill into nurses, doctors, social workers and more with the ability to mix their clinical practice with the ability to interpret, recognize and be moved by stories of illness according to their mission statement. This program is for those that want to improve the effectiveness of their care by increasing their familiarity with the skill of narrative medicine. 

Columbia University was one of the first medical schools to open a program in Narrative Medicine. This program was built within their College of Physicians and Surgeons. Rita Charon is the executive director of the program and is on the forefront of spreading the need for narrative medicine in the medical field. Colleagues of hers also believe that medicine has become too professional and clinical, and doctors focus on treating medical problems based off symptoms, not the patient. The educational program at Columbia created the opportunity to earn a Masters of Science degree in Narrative Medicine in 2009, making to one of the first programs devoted to only narrative medicine. 

This program is located within an institution, Columbia University's Medical Center and College of Physicians and Surgeons. 

This program is funded by tuition paid for my students (or maybe some form of scholarship, on a case by case basis.) Columbia University is a private institution, and those enrolled in this program pay a tuition for cost of the education and resources. 

This prgram is only offered in-camous adn takes roughtl 2-6 terms  to cp,plete. earnign the degree requires 38 points. Menaing fuill time studnes can copelte the program in one academic year and a summer. The degree requirements include  five Core Courses in Narrative Medicine (22 points) and the Research Methodology course (4 points), which is required for all students who have not taken a graduate-level course in research methodology. The other 12 to 16 points may include any combination of additional Topics in Narrative Medicine courses, elective courses chosen from other departments, Independent Study and/or Capstone (two to four points).

Requirements to apply are a Bachelor’s degree or its equivalent and demonstrable evidence of promise in the field of narrative medicine according to the admissions website. Ultimately, those looking to enter the medical field in any capacity are the main targeted demographic for this program. The goal is to instill into doctors, nurses, PAs, social workers, etc, the idea of incorporating narrative medicine into their clinical work. Those predisposed to healthcare fields are likely optimal candidates for this program. 

Those that complete the course requirements and achieve all their points will graduate with an MS in Narrative Medicine.