Analyze

Empirical points

margauxf
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“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

Quotes

margauxf
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“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

 

Summary

margauxf
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 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).

Health risk posed by airborne chemical release

veralaub
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It was reported, that one worker at the industrial park was suffering from eye irritation, following the release of hydrogen chloride. He had to be treated at the outpatient clinic of the industrial parks' Occupational Health Center, and could go home afterwards. There is no further information of long-term effects the worker might have suffered from to be found on the internet, according to my search. However, eye irritation induced by chemical exposure can lead to effects such as increased eye pressure and a following reduction of vision, as well as chronic pain.

I am wondering, how this worker got hurt, as this was not reported in the article. Usually, workers need to wear proper protective equipment in areas in which one risks exosure to airborne chemicals that can cause corrosion, including protective goggles. As can be read in a follow-up article (https://www.fnp.de/frankfurt/frankfurt-gas-trat-aus-weil-ein-rohrleitun…), a pipeline malfunction had been found as the reason for the release, possibly in an area where no protective equipment is required? I can only speculate on this, but the worker seems not have been informed about the incident.

Missing information seems to be a common theme in this case, in the aforementioned article it is also reported that the smartphone application that is supposed to warn residents about such incidents, released a warning only 50 minutes after the sirenes had been going off. Also it is written in the article, that after the incident the citizen telephone line was busy, such that some callers could not get the information they required, and that many residents are not familiar with the meaning of the different signals released by the warning sirene. In case this or similar incidents happen in the future, they therefore pose a grave health risk to the surrounding population.

Stakeholders at industrial park and in Hoechst

veralaub
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In this setting, several stakeholders are to be identified:

- Citizens living in Hoechst and surrounding areas and workers at the industrial park: Necessitate information to ensure their safety.

- Infraserv and companies at industrial park: Bad press is bad for image of industrial park, whcih might lead to political or financial consequences; Centralization of information flow on website "ihr-nachbar.de" to create narrative?

- Fire department Frankfurt: Responsibilities as first responders to incidents include information release to public and combat incident.

- Public media/ press: Information of the population as well as economic pressure to release notions that are of interest to public (to gain clicks/sell magazines and newspapers); Need to report correctly to gain/keep trust of potential information consumers.

- Local politicians: Need to take political measures to protect citizens to gain/keep trust of potential voters; Possibly also require good relationship with Infraserv and companies, as many high-profile companies are located at industrail park bringing in tax money.

pece_annotation_1517328780

christopher.vi…
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The article informs its readers that there is an excess amount of lead in Newark's drinking water as of September 20, 2017. Five addresses had the tap water tested and the lead levels exceeded at least three times the federal standard and Newark's Water Department was informed. The article then explains the process at which Newark's Water Department must go through in response to the excess amount of lead and what residents must do.