Analyze

 “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

“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

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).

According to this article by Nicole Westmen (2020), police violence has been tied to the development of numerous underlying conditions that increase the risk of complications from COVID-19. Furthermore, experiences of police brutality have been shown to foment distrust with other institutions, including medical institutions. As a result, contact tracers are experiencing resistance to divulging such important information as whether or not COVID-19 patients attended a protest and who they might have encountered there, for fear of retaliation.

In New Orleans, African American communities were not only hit hard by Katrina's floods, but also by violent policing during the catastrophe and a disaster "recovery" effort that was fundamentally Anti-Black (closing of publich housing and the privatization of schools and health care). Recovery efforts were not organized along ideals of racial justice that would have addressed gaps in educational and health care resources. Instead, they were imagined along neoliberal principles that systematically excluded the city's Black population. I am interested in looking into how the Anti-Blackness of Katrina "recovery" set the stage for the virulent way COVID 19 is affecting New Orleans' African American communities.

In the US Virgin Islands, Hurricanes Maria and Irma decimated what were already decrepit public school and public health systems. Public schools and hospitals had not been property repaired and remained under-supported as of early March 2020. In places like the Island of St. Croix, residents reported the hospital having only one physicial on staff, and indicated fear of misdiagnosis and prolonged waiting times kept them from seeking health care there. The clientelle of the public health system is predominantly Afro and Hispanic Caribbean. Meanwhile, US "mainlanders" (who are predominantly white) are reported to seek their healthcare off island, something only those with ample financial resources can do. Infection rates and fatality rates for the USVI seem rather low from official reports, but it is important to find out if this is because testing itself is not readily avialable in the territory.

Media coverage from hard-hit cities suggests there is a disproportionate number of arrests and citations related to enforcement of social distancing among racial minorities.

Also, police response seems to have followed very different patterns in the case of "re-open" protests and anti-police brutality protests.

I'm currently learning more about Wikipedia for another course project, mostly focused on how I could use it to teach undergraduates. I've used Wikipedia countless times but never looked further into how the contribution process actually works, nor did I ever contribute anything. Below are a few brief observations about BLM on Wikipedia: 

Every article has a "talk" page where users discuss changes. As events are unfolding, there are various discussions about the Black Lives Matter entry. For example: should there be separate entries for BLM as an organization and social movement (like Black Panther Party and Black Power Movement). Currently, COVID-19 is only mentioned once, in a sub-section on protest in New Zealand.

In addition to the talk page, there is an entire WikiProject, a sort of overview site to cover activity about BLM. Throughout June 2020, they are hosting an edit-a-thon to improve articles related to BLM, racism, racial justice, and policing. 

Sidenote: there is also an entry for #AllLivesMatter – which according to the talk page was split off sometime in 2016. The "criticism" section opens with a reference to David Theo Goldberg (in our department here at UC Irvine).

As you can tell from my notes, I'm still very new (and slightly overwhelmed) by the different layers of participation. Since I will keep learning more, we could think about whether and if our own transnational project could contribute to discussions (see the WikiProject site for COVID-19). 

While it is certain that black communities in the US are being disproportionately impacted by COVID-19, the extent to which this is the case is still unknown. In Texas, there is only an 18% gap in the demographic data on the races of positive COVID-19 cases, which is much smaller than the 65% gap nation-wide. Still, this gap means the true prevalence of COVID-19 among black communities could range from being roughly equal to their population share to nearly three times worse (Martinez and Keller 2020). Furthermore, while Texas testing sites are recording the race/ethnicity of people who test positive for COVID-19, these articles in the Austin Statesmen and Austin's local NPR attest to the need to record similar data for rates of hospitalizations and death. Austin-Travis County does not record this data, which is why the City is unable to report any race-related differences in the distribution of COVID-19 fatalities (Platoff 2020). Across the state of Texas, only 1/3 of confirmed COVID-19 fatalities have data of the race or ethnicity of the deceased.