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Since 1972, Eeyou Itschee, a territory east of James Bay, has been terraformed by the largest hydro-generation system on the planet, led by HydroQuébec and the Government of Québec. A territory 2/3rds the size of France has been diked, dammed, its rivers redirected, and criss-crossed by electrical transmission lines to the South and to the US. Due to the high levels of mercury released by the forests flooded for reservoirs the size of Belgium, health authorities recommend eating no more than two fish from the rivers each month. Fluctuating spring river levels led to the drowning of tens of thousands of Caribou. Learning only from newspapers, the resident Eenouch came together and negotiated the first land claims agreement in Canada, surrendering about 99% of their territory for promises of economic development. 50 years on, a settler-colonial geography, reinforced by a complex sociolegal framework, contain and constrain spatial relations in and of Eeyou Itschee through constant processes of renegotiation and reparation for land with money. Our research focused on a survey of the ways the science literature represents the region and its features. Our research ties with this territory are strongly linked to Nemaska, an Eenouch hamlet 2 days drive north of Montreal that was expropriated but managed to relocate and rebuild their community. Today, a lithium (spodumene) mine is being developed nearby. The community fears the impacts. However, the Nemaska band council approved the project due to the economic benefits it might bring. For more information: https://www.spaceandculture.com/2023/10/31/eeyou-istchee-old-nemaska/ 

Source

Shields, Rob, Cheryl Arnston, Nicholas Hardy and Juan David Guevara-Salamanca. 2023. "Eeyou Itschee and settler colonial terraforming." In 4S Paraconference X EiJ: Building a Global Record, curated by Misria Shaik Ali, Kim Fortun, Phillip Baum and Prerna Srigyan. Annual Meeting of the Society of Social Studies of Science. Honolulu, Hawai'i, Nov 8-11.

Since 1972, Eeyou Itschee, a territory east of James Bay, has been terraformed by the largest hydro-generation system on the planet, led by HydroQuébec and the Government of Québec. A territory 2/3rds the size of France has been diked, dammed, its rivers redirected, and criss-crossed by electrical transmission lines to the South and to the US. Due to the high levels of mercury released by the forests flooded for reservoirs the size of Belgium, health authorities recommend eating no more than two fish from the rivers each month. Fluctuating spring river levels led to the drowning of tens of thousands of Caribou. Learning only from newspapers, the resident Eenouch came together and negotiated the first land claims agreement in Canada, surrendering about 99% of their territory for promises of economic development. 50 years on, a settler-colonial geography, reinforced by a complex sociolegal framework, contain and constrain spatial relations in and of Eeyou Itschee through constant processes of renegotiation and reparation for land with money. Our research focused on a survey of the ways the science literature represents the region and its features. Our research ties with this territory are strongly linked to Nemaska, an Eenouch hamlet 2 days drive north of Montreal that was expropriated but managed to relocate and rebuild their community. Today, a lithium (spodumene) mine is being developed nearby. The community fears the impacts. However, the Nemaska band council approved the project due to the economic benefits it might bring. For more information: https://www.spaceandculture.com/2023/10/31/eeyou-istchee-old-nemaska/ 

Shields, Rob, Cheryl Arnston, Nicholas Hardy and Juan David Guevara-Salamanca. 2023. "Eeyou Itschee and settler colonial terraforming." In 4S Paraconference X EiJ: Building a Global Record, curated by Misria Shaik Ali, Kim Fortun, Phillip Baum and Prerna Srigyan. Annual Meeting of the Society of Social Studies of Science. Honolulu, Hawai'i, Nov 8-11.

The film looks at the struggles of the doctors in MSF while on missions in third-world countries. These issues stem from lack of supplies, quality of the facilities, and high patient influx. The doctors in the film are burning out quick, with way too many responsibilities to tkae care of. The setting is in Liberia and the Congo during a period of war. The film also examines the tensions developed between the doctors due to differences in style, knowledge, and culture. The clash of personalities and reasons for being in MSF also contribute to the tension. 

The film largely plays on emotional appeals and drama. By documenting the interviews of the doctors, which often are about the other doctors, the viewers see just how hard it is to detach ones self from their work. There is a scene in which the doctors talk about how, despite all the issues they face in the medical setting, everything at the end of the day is about personal relationships. It even briefly touches on sex between the medical staff and how that contributes to the care given. Since the film is based on personal interviews, little to no scientific information is given about the disease and injuries seen; its all based on personal opinion. 

The stakeholders in the film would be the doctors, the local health ministry, and the patients themselves. The doctors were the most focused on, and they were put into a lot of situations in which they were the sole decision makers. However, many times the decisions weren't life or death, but death or comfort. For instance, Davinder was in a situation where a child was inexplicably swelling all over his body. The doctors weren't well equipped for diagnosing his illness, and thus the child was doomed to worsen and die. A nurse informed him that the mother had taken the child and left, to which Davinder remarked that he couldn't blame them. He believed the comfort of the child in somewhere without his care was worth just as much as, if not more than, his care in the hospital. This was quite different than Kiara's opinion that they needed to stay in the hospital. She blamed it on a lack of confidence in medical ability, while he saw it as being human.

Following the time on the mission, the doctors all had to decide what was next. Dr. Brasher left MSF to practice medicine in Paris, while Dr. Gill went to Australia to become a pediatrician, with no plans of returning to MSF. Dr. Lapora was promoted to Emergency Coordinator, and established three more missions in other parts of the world. Dr. Krueger still works with MSF and has been on a number of other missions. All of the doctors continued medicine, but their experiences in Liberia dictated their plans on whether to continue this service.  

Emergency responders as a unique group aren't discussed or portrated in the film. However, the doctors had to take on the role of emergency responders often, while not neccesarily being emergency doctors. The question in the film became whether or not the doctors were prepared for these roles, and if they had the energy to dedicate to them. Some doctors burn out, and others thrive, but regardless they are challenged to make sacrifices that emergency responders often must decide on. 

The film would have the most impact on the general population, like something that would be played on a news channel before prime time. The level of emotional appeal and interpersonal drama is enough to keep anyone intersted for the length of the film. The film does however paint the experience in a negative light, which could discourage professionals from pursuin mission worlk. Thats why the general population would be most receptive to the struggles. Its easy for them to say "I would do something like that if...." without having the ability to do anything.