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“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).
The incredible amount of awful potholes in Newark called for this report. This report lists all of the streets and the dates that they will be paved in Newark, and it is one fat list. Newark roads are awful. Bad roads=poor infrastructure= weak resilience. If there is a disaster, someone who lives in a poor area may hit a pothole and be completely stranded and die, as a result of the poor infrastructure of our roads in Newark. I once hit a pothole in Newark and the bang from my wheel hitting the edge of the hole was loud and drastic enough for me to worry about a flat tire. I didn't get a flat, fortunately, but my tire frame was bent.
I uploaded this artifact because I believe that reparing Newark’s infrastructure is very important, especially since a lot of it’s economy relies on it. Without the repairs, it would lead to bigger problems such as increasing the cost of maintenance for its residents and the companies that use it daily. This decision made me realize that although Newark is struggling in bringing its economy back, its politicians know that maintaining it’s road is the foundation towards recovering from the recession.