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Morgan: What insights from critical theorizing about place can inform current efforts to understand and respond to the COVID-19

alli.morgan

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.

Morgan: Where are you situated as COVID-19 plays out? What backstories shape your engagement with COVID-19? How can you be conta

alli.morgan

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?

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joerene.aviles

Almost all of the references cited in the bibliography were taken from Google Scholar, implying that the authors used this database to collaborate on the article through the internet. Many of the articles cited were from Paul Farmer's own works, so he also seems like the main contributor to the article.  

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joerene.aviles

Emergency response was addressed in IV. Global Health and Emergency Response. They discussed how organizations have different approaches to emergency response, either going for preparedness (WHO), immediate mitigation (humanitarian organizations), or management of global health threats (Gates Foundation). Short term solutions (emergency response) are much more common while preparedness-based solutions to prevent emergencies or minimize risks are often not funded and difficult to maintain due to the social/economic/ international issues that would need to be addressed.

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joerene.aviles

The main findings of the article are the narratives of the people suffering from epilepsy can follow common "plots"; they have a starting point, cause, and the ongoing struggle with their condition and looking for a treatment/ cure. The narratives are given by the subjects, and can be interpreted differently by each reader. The actual patient experience of illness is subjective and can have social, cultural, and religious aspects tied to them.

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joerene.aviles

The article addresses the public health inequities caused by for-profit ambulance agencies, which can put low-income families in a worse situation when they bill outrageously and/or sue their patients after sometimes providing sub-par or negligent treatment. Also shows the poor examples of emergency response when first responders are delayed due to understaffing or don't have the drugs/ equipment to adequately treat patients ("hospital shopping" done by desparate ambulance agencies).