I think that this is interestingly written and an interesting comparison between your own experiences in Singapore and the Naluwan grandma. What do you think can be applied to your final piece of work from this fieldnote? Do you think that your experiences in Singapore has shaped you to think differently and feel differently from an Amis person living in Naluwan?
“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 its mission statement, "The American Red Cross prevents and alleviates human suffering in the face of emergencies by mobilizing the power of volunteers and the generosity of donors."
Approximately 90 percent of the American Red Cross membership is volunteer, drawing people from all ages, ethnicity, and background. These volunteers respond to nearly 70,000 disasters every year, mostly home and apartment fires. They also put on training programs and blood drives.
The Red Cross is a large national organization with fixed sets of stockpiled resources which they adapt and apply to each disaster response they face. They set up shelters, distribute emergency supply kits and provide food and medical service in the aftermath of disasters.
This organization does not claim to have new or novel way of responding to disasters, however their uniqueness lies in the sheer number of disasters of all sizes they respond to. This is best characterized by the information found on their page titled "Disaster Relief," which states the following:
"We respond to an emergency every 8 minutes
No one else does this: not the government, not other charities. From small house fires to multi-state natural disasters, the American Red Cross goes wherever we’re needed, so people can have clean water, safe shelter and hot meals when they need them most."The American Red Cross was founded in 1881 with the experiances of the Civil War still fresh on people's minds. After touring Europe and seeing the swiss Red Cross in action, Civil War nurse Clara Barton founded the American Red Cross to provide disaster relief and first aid both on the homefront and the front line. Early on, the Red Cross served to educate the public about topics such as first aid and water safety, while starting nursing programs and providing assistance to the military and military families. As new needs, such as blood donation, made themselves apparent, the Red Cross met these needs, starting donation programs and doing labratory research on the blood dontation technology and techniques starting in the 1960's.
Funding for the American Red Cross comes primarily from individual and corporate donations. They are funded by the people to serve the people.