Analyze

Chemical Transportation Risk and Safety

tschuetz
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In April 2024, Formosa Plastics Corp. USA was among 137 companies to receive the 2023 Pinnacle Award by the Union Pacific Railroad for "safe shipping of hazardous materials". The transport company honors cusotmers that "release prevention protocols, corrective action plans and have zero non-accident releases of regulated hazardous materials shipments". 

Meanwhile, journalists at the Intercept have followed how in the aftermath of the East Palestine train disaster, lobbyists have both weakened rail safety (Thakker 2023) and supported the buildout of toxic polyvinylchloride (PVC) production (Mitchell 2023, 2024). The latter includes Formosa Plastics planned expansions in Louisiana's St. James Parish.

TCEQ's 1-mile rule

tschuetz
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"The “1-mile rule”: Texas’ unwritten, arbitrary policy protects big polluters from citizen complaints. It’s not found anywhere in state law or the Texas Commission on Environmental Quality’s rules, but for years the agency has denied citizens the ability to challenge air pollution permits because they live more than a mile away." (Baddour 2023)

Diane Wilson's writing

tschuetz
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Throughout her 30-year career, Diane Wilson has been a prolific author, having published several books (Wilson 2005; 2011) that have been highly regarded by scholars of feminist and environmental literature (Poe 2013; Thornber 2014; Aming-Hong 2022). Wilson's book, An Unreasonable Woman (2005), has been praised by Karen Thornber (2014), an ecocritical writer who has noted that the book highlights the "global consequences of local and national behaviors" and can "work to change consciousness in the absence of public policy" (Thornber 2014, 991). Moreover, literature scholar Heidi Amin-Hong (2022) has argued that Wilson's "documentary aesthetics" demonstrate how Formosa's pollution of Vietnamese waters is part of a longer history of pollution caused by militarized projects across transpacific geographies, ranging from Vietnam to Taiwan and Texas (Aming-Hong 2022, 1). According to Amin-Hong, Wilson's use of dialogue "decenters individual authority in favor of collective knowledge gathering and communal action" (Aming-Hong 2022, 6).

Matagorda Bay Fishing Cooperative

tschuetz
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"[Formosa Plastics] paid $50 million in a consent decree to create the Matagorda Bay Mitigation Trust. The money is spread across environmental restoration and protection projects to mitigate the effects of decades of pollution. It also establishes the Matagorda Bay Fishing Cooperative to help shrimpers and fishers and oyster harvesters revitalize local seafood businesses." 

Source: https://capitalandmain.com/hellcat-big-oil-great-grandmother-is-fightin…

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Sara_Nesheiwat
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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.

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Sara_Nesheiwat
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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

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Sara_Nesheiwat
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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.

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Sara_Nesheiwat
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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…