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Analyze

Empirical points

margauxf

“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

“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

 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).

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christopher.vi…

In the future, I do believe that industrial development and sustainable development are compatible because there is a possibililty of a new source of green energy that is not fossil fuel that can aid both developments. However, currently I do not believe that it is possible to have industrial and sustainable development together with the current resources that we have. Fossil fuels are too harmful for the environment while implementation of green energy in industry is too costly and will not yield the same amount of productivity. Once there is a source that is as powerful and easy to implement, such as fossil fuel, becomes apparent, or companies/officials find an efficient way to implement green energy into industry, then industrial and sustainable development will become compatible.

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christopher.vi…

Yes and no. Communities should be able to do something about their air quality in their area but within the state's command. For example, states should have a state regulation on air quality and be able to enforce that regulation. However, individual communities should be able to do what they want to meet that state regulation on air quality. With this, communities still have the freedom to do something about their air quality while the state maintains its power

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christopher.vi…

To help the government with air pollution, people can try to use their cars less. This can be done through walking, biking, or carpooling to their destinations. This will help lessen the usage of fossil fuels that decrease the air quality. Although this may not seem like much, if more and more people begin to do this, eventually the results will begin to show

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Dhruv.Patel

The EPA has a large impact to help minimize the hazard. one of the few things that they are doing is provinding the "critical science to develop and implement outdoor air regulations under the Clean Air Act and puts new tools and information in the hands of air quality managers and regulators to protect the air we breathe." also, the EPa designated areas that meet and dont meet the the standards for the PM standards and ozone standards.