Analyze

syilx Okanagan nation

Misria
In response to

Our project has been conducted in so-called ‘Kelowna’ , located in ‘British Columbia’ , ‘Canada’. This land on which we live and work is the unceded, ancestral territory of the syilx Okanagan nation. Prior to European colonisation in the 19th century, the syilx people stewarded the land for thousands of years, guided by an ethos that sees the nonhuman world as an inheritance to be protected rather than owned and exploited. In spite of the violence of settler colonialism, syilx culture endures. A compelling example of the mobilisation of syilx knowledge systems and philosophies against environmental injustice is the restoration of kokanee and coho salmon to the Okanagan. Since the 1990s, the Okanagan Nation Alliance has led efforts to restore habitats, build fish passages over dams, and release fry. The salmon populations have rebounded from near extinction through a process guided by syilx environmental principles. While designing a class in place-based environmental humanities methods we have collaborated with syilx colleagues to integrate their philosophies and approaches to land-based learning. 

Image source 'Mission Creek in Kelowna', Daisy Pullman

Pullman, Daisy, Astrida Niemanis, Natalie Forssman and Haida Gaede. 2023.  "Place-based Learning on syilx Land." In 4S Paraconference X EiJ: Building a Global Record, curated by Misria Shaik Ali, Kim Fortun, Phillip Baum and Prerna Srigyan. Annual Meeting of the Society of Social Studies of Science. Honolulu, Hawai'i, Nov 8-11.

Empirical points

margauxf
Annotation of
In response to

“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
Annotation of
In response to

“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
Annotation of
In response to

 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).