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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 documentary is missing because the documentary is as safe as the fence it mocks in its title.
In the beginning we are asked to bear witness to the construction and use of the most devastation weapon of indiscriminate death the world has ever seen, and all the harm the construction of such a tool, yet its construction and its use is justified near instantaneously by repeating the same old propaganda.
In continuation, we are asked to bear witness to the continuous production of similar weapons and the devastation caused by the mishandling of the waste that accumulated in their production, yet why such a production took place is not only left unquestioned, but simple hints of cold war propaganda is left in their places for safekeeping.
In the end, we are asked to bear witness to a sombre victory, same spectres of patriotism and nation-of-God watching over our shoulder, yet how the pitiful situation of being forced to celebrate even such a small victory is never explored.
To sum up, we are shown people, good people, who struggle against the symptoms of a disease, yet this disease itself never named, nor challenged. It could not have been challenged, as it would force a complete change in their discourse.
If we sincerely would like to critique how the bodies of these workers were made disposable; used, harmed, dislocated and discharged as deemed necessary; if we wish to explore this topic as the necropolitical issue it is, we cannot stop halfway through. This inability to stop chasing connections, relationalities wherever it fits our ideology, is not a call for “objectivism”, it’s a call to respect the term of Anthropocene with all its rhizomatic connections.
An investigation of nuclear waste, that does not factor the use of its product, the socio-political effects of said product, and the historical conditions that even led to the possibility of producing it in such ways and such quantities, are of no use for us. It cannot penetrate the barrier of capitalist realism. If it could, at least a single mention of workers unions would have existed. Instead, it has confessionals by atomic weapons lawyers whose heart goes out to these workers.
An America that refuse to face up to the fact that it is what it is by the great necropolitical project it led for hundreds of years, I struggle to accumulate sympathy for, what I can easily accumulate is rage however, which this documentary is missing..
Wish the documentary would have at least attempted to say something radical, instead of praising these disposable bodies for being patriotic about it. There are lives who never had false fences built as idols for safety, the collective idols of old America, the patriotic nation under God were built upon their broken bodies, what would you ask of them?
One of the reasons for the specific nature of data and knowledge management in this context is the economic necessity and attractiveness of stable, high paying employment. In terms of the beginning of the accumulation of local knowledge regarding the risks to which the workers and the neighbors were being exposed to, this clearly played a role. For fear of losing their good paying jobs, and due to the military nature of their occupation, workers never told anything about their jobs to their families, or didn't ask questions that could have led to uncomfortable answers. This dynamic continued later, as we can see by the testimony of the worker who worked on the clean-up of the Weldon Springs site. The Priest also notes that in the neighborhood, people were wary of information leaking, as it might depreciate their property values.
Something else which we can observe is that, on top of the economic necessity for preserving one's job, there is also a sentiment of pride in doing one's work properly. A worker recalls that the relationship that the workers had to having to wear blue (and reduce your actions because you were contaminated) was that it was just part the job, and that they had a job to do. After the Weldon springs plant closed, there was a liberation of voices, and it was easier to report health concerns. The sentiment of pride in doing ones work properly is completed by a sentiment of patriotism. The same worker, Mr Schneider, said: "We have to believe what our government tells us, what the heck, uh. Best country in the world, I still think it is." Another example of the relationship between the job and the risk is the testimony of the clean-up worker who said that they shut of their Geiger counters, because they were "just going nuts". Here we can see that when the risk is too high, it becomes less visible, less understandable, because it is inescapable. Another reason for the difficulty of accumulating and sharing information, at least until the 1990s, is the priority of beating the communists. The discourse of emergency and national priority is not conducive to asking questions (as we can observe today in different ways).
The closing of the Weldon Springs plant coincided with the rise of environmental concerns in the USA and the change in environmental perspective had an impact on the categorization of places such as the Weldon Springs one, which became a Superfund site. This required a change in management at the department of energy because they started needing to have conversations and interactions with the public. This did not solve all the knowledge management problems however, because the measures put in place to deal with the injustices were insufficient compared to the nature of the events that had unfolded.
This is for multiple reasons. The first the nature of the risk means that the production of knowledge and regulations was complicated by a lack of understanding of the different medical pathways, conditions, and interactions which lead to the development of health problems. The number of people affected is also quite small, so the statistics may not appear to be significant. The second is the complexity of the accumulation of data in order to gain reparation and recognition, something which led to a movement to make the process more collective, in order to support the data finding and management process and make the knowledge of the administrative procedures consolidated. Finally, there were instances where the records of employee exposure were falsified, which meant that the access to this information was impossible.
One question that is brought up in the documentary which compelled me is the quesiton of knowing how to mark the borders of acceptable risk. While at the beginning of the nuclear production operations, the question is not raised so much, it comes into play later, when the environmental movements have influenced the governance of the USA enough that the clean-up becomes a question answerable through policy. It is at that point that multiple tensions arise. First, there is the tension between the perception of risk that the workers who worked in the factories had and the outwards sign of protection that the workers doing the clean up wear. And second, once risk is acknowledged, a tension arises related to the extent of risk, and the areas which need to be protected. As the priest recalls, people visiting the clean-up site, were in laymen's clothing on one side of the fence, and on the other side of the fence, people were in moon suits. Similarly, a clean-up worker recalls that the houses where they stayed during their time at work were just on the other side of the fence from the clean up site where they had to wear protective gear.
Another tension which intrigued me in this documentary is between the representation of exposed workers as heroes and as victims. This is something which arises of another context which is mentioned in this documentary which is the military, and some of the exposed workers are veterans. Faced with life altering situations, it is without a doubt useful to have a construction which permits the making of meaning and the perception of oneself as honorable, but it should be investigated what the impact of patriotism and loyalty to country is on perception of risk and injustice.
The last question which intrigued me in this documentary is that of the construction of the deterrent/protective structure on the nuclear waste site. The priest raises an interesting point when he asks whether the best use of the money spent was in constructing this structure that would, according to him, be attractive to children, instead of providing financial support and health care to the people affected by the radiation. It really made me question the value of creating an attractive memorial like structure, and the discourse it conveys on the nature of the events which unfolded there. And of course, the classic question of the management of essential message bearing structures that wil long outlive us.
The original labor of this quotidian Anthropocene is the labor of weapon production. The economy of war produced a situation where workers' security or the environment was absolutely not the main priority. As someone said in the documentary, there was no reason for workers not to be protected as early as 1942. After the war, work had to be put in to construct more permanent buildings which would improve worker safety and allow better control of the uranium purification process. Another form of labor was put in to structure the practices of control of worker's contamination.
Another labor, which was provoked by the anthropocenics in this situation is that of the medical professionals who surrounded and treated the workers. For example, Mr Schneider's first cancer was discovered by his chiropractor.
Another provoked labor is the activist labor of the workers, children and activist who are impacted by the health risks of working in those factories. The paperwork and administrative labor required to obtain compensation for health impacts is very high, and requires expert help, organizing in a collective was another labor which permitted the previous ones, and allowed for the pooling of ressources and knowledge to properly defend the rights of workers. A labor which is related to this one is the labor of workers' unions to fight for accurate representation of the risks entailed by the employment of their members and to support the protection of workers.
Related to the labor within the factories themselves is the labor of clean-ups, which contained some of the same risks, with more protection and less exposure time than the original problem producing labor. There is also the labor of knowledge production and risk assessment by individual workers who were coerced in putting their livelihoods above their health. One worker says he had severe nosebleeds on the job and was warned/threatened by his supervisor that he would be fired if he told someone about it.
The final labor that I noticed being covered in this documentary is the labor of everyday clean up. Some people recall cleaning radioactive dust off of their laundry that they set to dry outside, and someone else recalls her brother cleaning the dust off his car in the morning.