Analyze

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).

pece_annotation_1474235827

a_chen
Annotation of
In response to

The information of the article was collected by investigating several news agencies. For example, a team of journalists from the Guardian and health works went to the distant village of Guinea to cross the words about Ebola. From the words of the Guinea village chief, journalists from other news agencies are also known.

pece_annotation_1474235839

a_chen
Annotation of
In response to

The article has reveal the trust issue (crisis) dealing between the local publics and the health department workers on the spread of Ebola (and anyone that assist with the work of spreading the awareness of Ebola). This issue is revealed via the several violence acts happened in the area. These cases are reported with briefs of scenes and relevant data.

pece_annotation_1474235856

a_chen
Annotation of
In response to

In this article, the main agencies been depicted are the local publics and the health centers. From the reports, Guinea medical centers and aid works are the main targets that received violence acts and harassments from the general publics. Whereas the publics have the perception that aid workers such as doctors and nurses are the transporters of the virus within the local communities.