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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).
According to Google Scholar, this article has only been cited once. The publication's name is "Documenting Attacks on Health Workers and Facilities in Armed Conflicts." This publication discusses attacks on health facilities and workers in Afghanistan, Central African Republic, South Sudan, Syrian Arab Republic and Yemen.
The article's bibliography contains many references including the WHO, the Red Cross, and other organizations, as well as many other experts and professionals in the field.
The authors range from a variety of institutions including: Stockholm International Peace Research Institute in Sweden, Karolinska Institute in Sweden, Fafo Research Institute in Norway, and King's College London in the UK. The main author, Ludvig Foghammar, seems to have a lot of knowledge in economics, political science, and global health (according to his LinkedIn). He has served as Officer for European Affairs for the Swedish Embassy in Vienna, and a researcher at the Stockholm International Peace Research Institute.
The methods used in this paper include interviews from 11 different representatives of organizations working in complex security environments, information from research workshops that included researchers and practitioners in the fields of health and humanitarian aid delivery and policy, and overall analysis of organizational efforts made to address this type of violence.