This map is a fascinating and important image as it does NOT show the many sites of (ongoing) nuclear radiation contamination in communities impacted by uranium extraction and processing. For example, the Navajo Nation has around 270 unreclaimed open pit tailings piles. This is not official "waste" but is quotidian waste that creates longstanding environmental harm.
Characterization of loss from Vietnam’s Ministry of Agriculture & Rural Development (2018) within the Evaluation report on 10-year implementation of the national policy for ‘agriculture-farmer-rural’ development [ not available for public view]
“ Aquaculture households have lost 503.2 million VND (21,665 USD) per household, then fishing households 231.3 million VND (9958 USD) per household, and coastal service households 102.0 million VND (4392 USD) per household. Note that both fishing and fish farming households lost similar por- tions of their total income, around 98 percent, even as fish farmers earn twice that of fishers on average. In a country where the average yearly income of rural households is 130 million VND or 5600 USD (MARD, 2018), losing an average of 11,000 USD per household is significant.” (Truong et al., 2021, p 8).
Characterization of the compensation schemes adopted by Vietnam’s government:
“According to a report by the Ministry of Finance in 2018, the government was able to provide direct cash compensation to those identified as being impacted across the four provinces. This is because of the settlement with Taiwan Formosa Plastics for 500 million USD. In addition to cash, the Vietnamese government gave over 19,000 tonnes of rice to impacted households in the months following the fish kill. The government also monitored the safety of the ocean environment. As the government switched from emergency relief to recovery support, more programmes were introduced including loan access, scholarships for students, health insurance, and livelihood training pro- grammes. The government also worked with the Fisheries Department and other relevant agencies to build environmental monitoring systems, provide consistent water testing, engage in food safety monitoring, and work towards ecological rehabilitation of aquatic stocks” (Truong et al., 2021, p 10).
“Environmental disasters have a tendency to further increase work precarity, particularly in places that are highly dependent on eco- logical resources (Marschke et al., 2020). Livelihoods, as such, may need to transform rather than persist in the face of crises (Alexander, 2013).” (Truong, 2021, pg 3)
“ Vietnam has struggled with ineffective environmental regulatory programmes or insufficient enforcement capabilities to ensure adequate protection of the environment as Vietnam develops (Fortier, 2010). Environmental impact assessments (EIA), in general, are viewed as bureaucracy rather than as an important aspect of the development approval process (Wells-Dang et al., 2016).” (Truong, 2021, pg 4)
The narrative of the text highlights the following key points extrapolated from survey responses and interview participants:
Impacts of the Formosa disaster on households vary by livelihood strategies, and were particularly amplified for poorer households, women, and households without diversified livelihood strategies.
Coping mechanisms of households primarily involved reducing household expenditures, accessing loans, adopting a new livelihood strategy, and expanding existing livelihood strategies. However, adoption rates of these coping mechanisms vary across households with livelihoods across the service, fishing, and fish farming enterprises.
Compensation, though cited to have ignited protests from parties not qualified for restitution, did offer substantial help to those who were able to receive compensation. Additionally, compensation delivery was delayed (between one to two years after the incident was reported), further escalating impacts across families without savings.
Economic recovery of household income 30 months after the Formosa incident indicates that the majority of households have recovered their livelihood activities. However, this does not take into account families who are no longer in the region (out migrated following the disaster prior to the inception of this study).
Authors of the publication have affiliations to the Hue University of Agriculture and Forestry and the School of International Development and Global Studies at the University of Ottawa, Canada. The funding for this study comes from the Vietnam National Foundation for Science and Technology Development.
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.
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…