Analyze

“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).

From Roberto: I took the liberty of reaching out to the disaster research and practitioner community via the RADIX listserv to see what their thoughts are on the inclusion of war and terrorist attacks within the category of disasters. In my query, I specified that my interest was in the ways academics, and particularly anthropologists, thought about this issue in theoretical/analytical terms. I was hoping to make a clear distinction between the inclusion of war and attacks in policy, as that may follow more a vital systems security type of governmental justification, but it is interesting that, in their responses, the respondents moved back and forth between academic and governmental definitions of disasters. One comment was particularly insightful, bringing up alternative concepts other than disaster that may be more inclusive. People like Katiana Lementec, for example, has used the term "upheavals" to bring disaster scholarship and development induced disaster/displacement like the building of the Three Gorges Dam. One respondent brought up "complex emergencies," and we could also include "crisis" as one of the more inclusive terms, but these terms also bring with them the baggage of ignoring the historical political ecology or longue durée of catastrophes and reducing our focus to the immediate emergency. I asked those who replied if I could share their thoughts with the Disaster STS group and they agreed, so I copied and pasted their responses in the word document that is attached.

• Disaster governance -- and legitimation of particular modes of governance -- has been different in different historical periods and settings. Historian Michele Landis Dauber (year?), for example, describes how New Dealers had to frame the Great Depression as a disaster -- “afflicting citizens through no fault of their own” - in order to secure and legitimate federal aid to those in need. Focusing on more recent developments, John Hannigan, describes how “a humanitarian aid model for dealing with disasters became widely accepted in international affairs during the 1970s and 1980s; faltered in the 1990s; and is currently being challenged by a new approach to disaster management wherein risk management and insurance logic replace humanitarian concern as guiding principles” (2013, 1)" (quoted in Fortun et al. 2016) 

• While organized to address immediate needs, disaster response often lays ground for enduring structures of different kinds. A literally concrete example is how temporary housing for disaster survivors often becomes permanent housing, though under-designed for this. A more general examples is given by MIchale Landis Dauber in her description of the way federal aid to people in need during the Great Depression in the United States laid ground for a truncated and compromised form of the welfare state that we still live in -- turning on “suspicion that those in need are reasonable for their own deprivation.” 

Roberto:

Perhaps this piece by Paul Farmer et al. on the compounding of the cholera epidemic and earthquake in Haiti gives us some food for thought? Thinking about transnational STS and critical disaster studies, it may be worthwhile to discuss how COVID is compounded in places that are still recovering from or experiencing other kinds of disasters. 

1. Disaster anthropologists have long defined disasters as diachronic processes that enhance the socially disruptive and materially destructive capacities of geophysical phenomena, technological "accidents," and epidemics. One question to ask however, is whether we must give special consideration to the way viruses manifest agency in comparison to say hurricanes, earthquakes, or toxins or radioactivity released during technological accidents. Do we draw analytical blindsides by reducing pandemics to simply another kind of disaster? What special methodological and theoretical considerations must we keep in mind when examining COVID 19 from a disaster anthropology perspective? 
2. Following up on the question above. In many instances, governmental, non-governmental, and inter-governmental organizations engage in a division of labor that separates responsibility for disaster management from pandemic management while, in other instances, an organization may be charged with managing both. When dealing with COVID as a transnational phenomenon, what agencies are involved in its mitigation and how do their legal and policy jurisdictions factor in to their ability to handle the pandemic? 

Roberto:

Vivian:

VSS and Reflexive Biopolitics goes well with Lowe's piece, because she makes the very good point that the infrastructures that Lakoff/Collier discuss that are at the core of VSS/biopolitical governance are quite different across contexts (and as she goes on to show, in Indonesia).  Beck is interesting, certainly, and is part of a general group of sociologists (including Giddens, etc) that discuss risk/globalization.   

The IAEA is an international organization that seeks to promote the peaceful use of atomic technology and serve as an international regulator to promote safety and eliminate proliferation of nuclear weapon technology. According to the IAEA’s mission statement: “The International Atomic Energy Agency:  is an independent intergovernmental, science and technology-based organization, in the United Nations family, that serves as the global focal point for nuclear cooperation; assists its Member States, in the context of social and economic goals, in planning for and using nuclear science and technology for various peaceful purposes, including the generation of electricity, and facilitates the transfer of such technology and knowledge in a sustainable manner to developing Member States; develops nuclear safety standards and, based on these standards, promotes the achievement and maintenance of high levels of safety in applications of nuclear energy, as well as the protection of human health and the environment against ionizing radiation; verifies through its inspection system that States comply with their commitments, under the Non-Proliferation Treaty and other non-proliferation agreements, to use nuclear material and facilities only for peaceful purposes.” (iaea.org)

The membership of the IAEA consists of 168 countries as of February 2016. Membership includes all major countries and every nuclear power other than North Korea. To become a member state, a country must submit an application which is then reviewed by the IAEA Board of Governors who determine if the applying country is willing and able to uphold the charter. Then the general conference must approve the application and grant the state membership. It is important to know that a country does not need to join the Nuclear Non-Proliferation Treaty to be a member of the IAEA. Currently India, Israel, Pakistan, and the South Sudan have not signed and North Korea is withdrawn. (iaea.org)

 The mission of the IAEA is to promote and help the development of peaceful nuclear technologies and promote safety standards as well as inspect compliance to the commitments to non-proliferation treaties. (iaea.org)

                The IAEA has worked with Iran to complete seven projects and has another nine in the works for development of nuclear power, spent fuel processing, radiopharmaceuticals, heavy water, and security projects. (en.mehrnews.com/)

                The IAEA just held a conference in Manila to assist the Philippines in determining whether or not to revive its mothballed nuclear power plant, under the larger umbrella of the future of nuclear in the Asia-Pacific. (bworldonline.com)

                The agency also responded to the Fukushima incident. During the incident, they assisted Japan by analyzing a plethora of data and sending recommendation and results of their work. Over the last 5 years, the IAEA has sent ten expert missions and will assist in decommissioning the plant. Meanwhile, the IAEA is helping with monitoring leak/contamination management and managing radioactive waste. They are furthering first response efforts by hosting drills to better train and equip first responders for nuclear disasters. (iaea.org)

The IAEA’s approach is to be a friend of the countries and nuclear partners of those countries which hold IAEA membership. One of the IAEA’s missions is to promote nuclear power while on the other hand its other mission is to promote safety and check adherence to the nuclear treaties, agreements, and standards.