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Central Valley job training Question 5

mtebbe

Schools and colleges have stepped up to provide skilled manufacturing training

Fresno County offers employee training through the New Employment Opportunity program, which reimburses companies that hire through the program

Economic leaders/local government: bringing in diverse occupations and companies to the valley, including a medical complex in Clovis, which will house the first medical school in the valley

Who manages the environment?

AKPdL
Annotation of

Pb. Atomic Number 82. 

Divorced from its placement on the periodic table, the element finds itself exposed in a garden, nestled between bioretention and a bus depot. 

Researchers came into to town and made the lead in the soil ledgible and knowable. Soil was tested and this dirt pile was labeled a hot spot. The soil, through analysis in a lab, became suddently differentiatiated from it's environment.  Speculation on the origins of now changed earth ran rampant. Yes, the lead is a chemical legacy, but from where or from whom? Perhaps a long shuttered paint store was dumping its expired wares behind a shop. The chemical legacy proves persistant, but its origin story has degrated with time. Would there be any purpose to tracking the origin of the spot? Are there even actors to hold accountable? Should resources be spent to remediate the small environmental harms when others lurk that are larger in scale in and in affect?

While we ponder, the site is marked by a material more durable than our more human legacies. A concrete marker, or bench (depending on your tolerance for risk), tells a visitor of a history bound the earth. To intervene, the site is covered with dirt, a sign cautions the curious to resist the urge to disturb. To remediate this spot would take time, money, and expertise when all those resources are in short supply. Instead, the area is stewarded to make visible its contents. A delightfully perverse cue to care, inviting disuse and intentional avoidance. Let the earth lie.

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josh.correira
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Quoted from the front page of the website

"Our Mission ... to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level.

Our Goal ... to assure that comprehensive, culturally acceptable personal and public health services are available and accessible to American Indian and Alaska Native people."

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josh.correira
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The membership consists of American natives who would like to receive the benefits of this organization. To be eligible to be a member you must be "an Indian and/or Alaskan Native" evidenced by several factors including being a part of a tribe, living on reservation land, or living in the household of a native. The employees consist of federal healthcare professionals commissioned by the United States Public Health Service and Civil Service federal employees.

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josh.correira
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The IHS mainly focuses on disaster prevention and preparedness with initiatives such as teaching children about illness prevention, teaching about safe drinking water and food safety, preventing the spread of disease, and preventing injuries. They also have a number of resources available to their members to connect with healthcare professionals. This seems to be a community awareness type approach that prevents the spread of disease by teaching the community. It resembles that of many healthcare systems and does not seem to suggest problems with other approaches.

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josh.correira
Annotation of

Legislation including the Indian Healthcare Improvement Act and the Snyder Act are the bases on which the IHS was founded. The passing of the Patient Protection and Affordable Care act by President Obama is the cornerstone of the IHS, however no single event seems to shape the agency's way of approaching health.