Analyze

The project "Researching Kaohsiung Archive: practice and reflection" is a collaborative effort with the UCI team addressing the global environmental injustice record in Kaohsiung, Taiwan, particularly focusing on the slow and accumulative harm caused by petrochemical development. Under the Environmental Injustice Global Record (EIGR) website, the Kaohsiung Archive serves as a trans-disciplinary platform for data archiving and communication. Since joining in 2021, the team has collected and visualized diverse data sources, engaging stakeholders in collaboration. The archive development involves addressing key questions related to environmental justice studies, fostering brainstorming and reflection. The project acts as a boundary object, connecting local and international communities, providing an information infrastructure for social dialogue,and aiming to contribute to a sustainable transformation discourse on the risks of petrochemical developments in Kaohsiung. The long-term impact on academic production method and knowledge dissemination remains to be seen, but the project aspires to inspire co-creation, cross-border cooperation,and innovation to empower civil society and enhance environmental justice governance.

The creation of the Kaohsiung Archive begins with a series of questions, utilizing the Environmental Justice (EJ) study framework applied to Hawaii as a guide. These questions delve into the influence of industries on environmental governance and advocacy, exploring the strategiesemployed. The process involves collaborative efforts to answer these questions, fostering brainstorming, debates, and reflections on characterizing the setting and revealing environmental injustice within the case study.

Following workshops and fieldwork in Kaohsiung, the project evolved to formulate narrative structures for mapping and visualizing environmental injustice in the region. Objectives include outlining Kaohsiung's features, focusing on petrochemical-related air pollution and industrial transformation issues, and designing relays to illustrate the challenges faced by fence-line communities and showcase potential action initiatives.

The project's progression involves tracking the issue, identifying and categorizing stakeholders, as well as gathering information and experiences from various parties. Stakeholder claims are sorted out, and efforts are made to find common action goals. Discursive risk analysis is conducted, examining environmental monitoring issues around petrochemical facilities. For instance, in Dashe, there is a focus on the discursive gaps between local residentsand petrochemical workers, revealing disparities in perceptions of air quality and expectations regarding governmental control.

Source

Tu, Wen Ling. 2023. " Researching Kaohsiung Archive: Practice and Reflection." In 4S Paraconference X EiJ: Building a Global Record, curated by Misria Shaik Ali, Kim Fortun, Phillip Baum and Prerna Srigyan. Annual Meeting of the Society of Social Studies of Science. Honolulu, Hawai'i, Nov 8-11.

The project "Researching Kaohsiung Archive: practice and reflection" is a collaborative effort with the UCI team addressing the global environmental injustice record in Kaohsiung, Taiwan, particularly focusing on the slow and accumulative harm caused by petrochemical development. Under the Environmental Injustice Global Record (EIGR) website, the Kaohsiung Archive serves as a trans-disciplinary platform for data archiving and communication. Since joining in 2021, the team has collected and visualized diverse data sources, engaging stakeholders in collaboration. The archive development involves addressing key questions related to environmental justice studies, fostering brainstorming and reflection. The project acts as a boundary object, connecting local and international communities, providing an information infrastructure for social dialogue,and aiming to contribute to a sustainable transformation discourse on the risks of petrochemical developments in Kaohsiung. The long-term impact on academic production method and knowledge dissemination remains to be seen, but the project aspires to inspire co-creation, cross-border cooperation,and innovation to empower civil society and enhance environmental justice governance.

The creation of the Kaohsiung Archive begins with a series of questions, utilizing the Environmental Justice (EJ) study framework applied to Hawaii as a guide. These questions delve into the influence of industries on environmental governance and advocacy, exploring the strategiesemployed. The process involves collaborative efforts to answer these questions, fostering brainstorming, debates, and reflections on characterizing the setting and revealing environmental injustice within the case study.

Following workshops and fieldwork in Kaohsiung, the project evolved to formulate narrative structures for mapping and visualizing environmental injustice in the region. Objectives include outlining Kaohsiung's features, focusing on petrochemical-related air pollution and industrial transformation issues, and designing relays to illustrate the challenges faced by fence-line communities and showcase potential action initiatives.

The project's progression involves tracking the issue, identifying and categorizing stakeholders, as well as gathering information and experiences from various parties. Stakeholder claims are sorted out, and efforts are made to find common action goals. Discursive risk analysis is conducted, examining environmental monitoring issues around petrochemical facilities. For instance, in Dashe, there is a focus on the discursive gaps between local residentsand petrochemical workers, revealing disparities in perceptions of air quality and expectations regarding governmental control.

Tu, Wen Ling. 2023. " Researching Kaohsiung Archive: Practice and Reflection." In 4S Paraconference X EiJ: Building a Global Record, curated by Misria Shaik Ali, Kim Fortun, Phillip Baum and Prerna Srigyan. Annual Meeting of the Society of Social Studies of Science. Honolulu, Hawai'i, Nov 8-11.

The Emergency Medical Treatment and Labor Act is a law requiring that anyone coming into the emergency department will be stabilized and treated no matter what their insurance situation is. In terms of women's health, it is important to note that this means for active labors, medical treatment is necessary and required, no matter the health insurance of the patient. The purpose of this law to prevent certain patients from being turned away in an emergency situation or refused medical treatments if they are unable to pay, putting their health at risk.

EMTALA was enacted by Congress in 1986 and was part of the Consolidated Omnibus Budget Reconciliation Acts of 1985. Congress saw different cases around America where doctors were refusing medical care to patients who could not make a deposit at the time of their admittance to the ER. An example of this is a patient Eugene Barnes, who in 1985 suffered a stab wound and ultimately ended up dying because 6+ doctors refused to help him without payment or some form of compensation. This made national news and other cases began to come to light, such as at Baptist Hospital in Miami and many other areas. News outlets began to follow these cases and this caught attention of government officials. Shortly after, EMTALA was enacted.

http://www.pitt.edu/~kconover/ftp/emtala-draft.pdf

This policy applies to American law and patients who are in need of emergency medical treatment and is to be followed by all emergency departments and personnel alike. 

This was touched upon a little in a previous question. Many cases of patient dumping were popping up around America. Patients in need  of emergency medical care were being cast aside, ignored and delayed due to their inability to pay. In addition to the stab patient, Eugene Barnes that sparked this law, there were dozens of other cases where patients needed to be transferred to larger hospitals but the hospital refused to take patients without insurance, so the patients died. There were cases of people being asked right before surgery for a deposit, and being unable to pay were discharged with no surgery. There was also a very high rate of dead babies that were arising due to the fact that mothers in labor were being turned away because the patient was uninsured. It was then realized by the government that there were no legal duties for a hospital to treat people who are in emergency situations but cannot pay, only ethical and moral duties, which apparently weren't enough in some cases. This led to the birth of the EMTALA, requiring medical attention to all ED patients as well as transfers if needed to stabilize, including mothers in labor.

This policy greatly helped sculpt emergency medicine and public health. By giving the right to the patient to have emergency medical treatment required without proof of insurance or payment, astronomically influenced the amount of patients being turned away and their possibilty of developing worse illnesses or dying. In a paper I read, a young doctor in the late 70s and early 80s remembers watching a woman in labor give birth in the doorway of the hospital and proceed to borht her child in the parking lot after being turned away for not having insurance. By requiring hospitals and doctors to see that all ED patients get care, no patient was at risk of dying or complicating their baby's health and birth due to a lack of insurance, ultimately increasing public health efforts. Not all hospitals turned away their patients, but enough did to make it a public health concern and get Congress involved. EMTALA changed emergency medicine protocols but also public health expectations and actions.

http://www.hhnmag.com/articles/5010-the-law-that-changed-everything-and…

This policy was explicitly made for vulnerable populations who couldn't afford or for whatever reason did not have health insurance. The vulnerable parties that did not have health insurance were at risk of being turned away at hospitals during crucial times of need and emergency situations. This act completely absolved the worries and fears of this vulnerable population without health insurance by making it a law that these ED patients were to receive care and stabilization. This act was made for this specific vulnerable population, to prevent discrimination.

This policy was received in good light by the public for the most part. Patients were only to benefit from this, especially those who lacked insurance. Even those with insurance didn't have to waste time proving it any longer, they were treated and stabilized and insurance issues and payment were brought up later. Any ethically sound doctors, such as the ones working in hospitals that were already implementing the actions set forth by EMTALA (before it was law) had no issues with EMTALA. No doctor should have any issues with it due to their duty to act as well as ethical and moral standards they should be holding themselves up to, written in their oath they took to become doctor. The only people that would stand to receive this act negatively would be the doctors who were actively turning away patients in need, who are clearly morally compromised. Yet, media, patients, a majority of doctors and staff found and received this act positively or with little reservation.

It is said that EMTALA doesn't apply to ambulance services, technically this would be true. Yet, EMTALA does indeed effect our patients, and anything that effects our patients can effect us and should be a concern of ours as EMS providers. If EMTs are spending time in the hospital sorting out insurance issues and payment, that is more time they are out of service. Also, if the patient's treatment time is delayed, not only will the hospital be blamed, but so will EMS. If a patient is in cardiac arrest, EMTs will not be stopping and wasting time to find out insurance and payment issues from family members, that will be the last thought on their mind. They will be transporting and attempting to stabilize the patient. EMTs and EMS will not compromise the health of a patient due to insurance or payment issues, just like hospitals are now mandated to do.