Analyze

I've found myself returning to thinking about/around/within interstitial spaces of care, particularly within hospital settings, interested in how viral activity unsettles the ideas we have around space and boundaries, both biological and infrastructural. In COVID-19 pathology and response, the inbetween, the interstitial, become sites challenge and possibility. With COVID-19, we see an acknowledgment of once forgotten spaces quite obviously, with hospital atria and hallways being reconfigured into patient care spaces, makeshift morgues established in refrigerated trucks, and hospitals spilling out into neighboring streets and parks. More than ever, we see how hospitals are simultaneously bounded and unbounded--the most stable and unstable sites for care. Along this line of thought, what might thinking through hospitals as heterotopia of crisis and deviation afford?

Foucault outlines six principles for heterotopic spaces

The heterotopia is capable of juxtaposing in a single real place several spaces, several sites that are in themselves incompatible

Heterotopias are most often linked to slices in time—which is to say that they open onto what might be termed, for the sake of symmetry, heterochronies. The heterotopia begins to function at full capacity when men arrive at a sort of absolute break with their traditional time. This situation shows us that the cemetery is indeed a highly heterotopic place since, for the individual, the cemetery begins with this strange heterochrony, the loss of life, and with this quasi-eternity in which her permanent lot is dissolution and disappearance.

Heterotopias always presuppose a system of opening and closing that both isolates them and makes them penetrable. In general, the heterotopic site is not freely accessible like a public place. Either the entry is compulsory, as in the case of entering a barracks or a prison, or else the individual has to submit to rites and purifications.

I'm currently based in Troy, NY where I recently completed a PhD in Science and Technology Studies.  I'll soon be living in NYC to attend medical school. I can be reached at amorgan14[at]gmail[dot]com

I've long been interested in the disaster of routine medical care in the U.S. healthcare system. As far as COVID-19 is concerned, I'm particularly interested in how the long-term health impacts of intensive care are conceptualized and communicated (including Post Intensive Care Syndrome (PICS)) and the tensions between acute and chronic illness, broadly. 

How is the aftermath of COVID-19 crisis being imagined in different settings? How is this shaping beliefs, practices, and policies?

This policy affects all patients, or potential patients, in the United States and further affects all hospitals and care providers. It ensures that all patients suffering from emergency medical condition(s) are provided the appropriate medical care regardless of their initial ability to pay. Furthermore, it requires that hospitals, their emergency departments, and their staff must treat and stabilize these patients prior to transferring to another facility. 

• "Chronic disaster syndrome thus refers in this analysis to the cluster of trauma-and posttrauma-related phenomena that are at once individual, social, and political and that are associated with disaster as simultaneously causative and experiential of a chronic condition of distress in relation to displacement."
• "Despite the overwhelming need for mental health services, few residents were able to access mental health support for their symptoms, simply because health care facilities and health care personnel were so scarce. Most health personnel were themselves experiencing the trauma of displacement, and few clinical facilities survived the disaster."
• "Families had to find a place to live, a way to replace lost income, a place for their children to go to school, a way to obtain their prescription medications and telephones, a way to pay mounting unpaid bills for homes they no longer inhabited. Without their personal documents, they had to try to track insurance policies, if they had them, bank accounts, and health records, to begin the slow process of accessing government or insurance funds to help pay for their displacement and their hoped-for recovery."

The Cold War was a principal motivating factor for the IPPNW who aims to abolish nuclear weapons and thereby prevent nuclear war and destruction.

The authors present the issues surrounding increasing violence against healthcare professionals, especially in regions where the geopolitical or socioeconomic conditions have created environments with lack of security. One major issue cited is the lack of ongoing research into these issues.

The National Regulatory Commission: Government agency responsible for public safety with regards to nuclear reactors and nuclear energy

Entergy: An integrated energy company that primarily deals with electric power production. Operators of the Indian Point Nuclear Power Plant

Disaster Accountability Project: Nonprofit organization that monitors disaster-response programs and acts as a watchdog for disaster response and preperation

The Burning of the US Capitol Building, 1814. From the very beginnings of its contruction, the US Capitol Building was plagued by conflict between the chief engineer Benjamin Henry Latrobe, who desired a durable and fireproof design, and Congress, which pushed for rapid completion of the building with limited expense. The result was a mixed contruction, with parts of the building constructed to withstand a major fire and others constructed with lumber. Following the fire, Latrobe conducted a relatively thorough investigation, revealing the various points of failure and recontructing the timeline of the disaster. However, as far as the public was concerned, the disaster was the result of diplomatic and military failures, rather than any engineering failures. 

The Hague Street Explosion, 1850. Steam power was widely used in the United States, but safety protocols and standards were not widespread nor maintained by any particular agency. The exact nature and cause of the boiler explosion at Hague Street was widely debated by various experts, engineers, and laypersons. The federal government scrambled to enact new laws regarding boiler inspection and safety with little effect in reducing boiler-related disasters, while city officials instead chose to remember the disaster through a fund-raising campaign for the victims' families. 

The Iroquois Theater Fire in Chicago, 1903. The disaster called into question the integrity of the building code system in the city of Chicago and caused widespread debate regarding who should be responsible for enforcing building codes. The disaster resulted in a rapid expansion of fire code and fire safety standards and the creation of a network of investigators, comprised of engineers, insurance agencies, testing labs, and fire officials. However, the pressure for such action and progress soon declined as the government, press, and public moved on from the disaster. 

The author supports his case by citing various articles of legislation, highlighting the anecdotal accounts from affected immigrants, and presenting the perspective of physicians who are tasked with caring and treating for these patients. 

In addition to coordinating the various local, state, and federal resources in the response efforts to a disaster, FEMA provides various resources to emergency response organizations including education and funding.