The policy is a disaster relief act aimed to provide governmental aid/ assistance at the local, state, and national levels for emergency preparedness and response in the event of a major disaster.
The main findings are about gender based violence in armed conflicts and the political implications of addressing gender based violence (separating and giving special treatment versus treating everyone as neutral) in humanitarian aid efforts.
Sexual violence has a place in humanitarianism; when it comes to getting treatment in humanitarian aid efforts gender-based violence is recognized as a "crime against humanity" that needs to be addressed as they are common in armed conflicts.
Gender-based violence is approached as both a medical and health issue; the immediate wounds as the result of gender based violence (usually sexual violence) is focused on for treatment in emergencies but the deeper issue of the "rape epidemic" resulting from the system/ culture is not "treated".
The article notes the U.N.'s role in the cholera epidemic that killed thousands of Haitians and government and societal factors that lead to Haiti's lack of major improvement after the earthquake. Another public health issue that was mentioned was, "the only part of the Haitian government that receives direct funding from the U.S. government, the Health Ministry, has racked up impressive post-earthquake gains in childhood vaccination rates and access to lifesaving HIV treatment".
The report addresses how strained public health infrastructures can get in the face of large scale epidemics like in the ebola outbreak. It analyzes the responses of local government, health care workers, and MSF in the ebola outbreak, discussing what could have been done to prevent the spread and severity of the disease.
Disaster investigations look at the emergency response that followed the incident, either the timing or actions taken to save human lives. There's more about the investigations calling for improved emergency preparedness; policies and technology development to prevent disasters such as the Hague Street Explosion (1850) which involved a faulty boiler (and other factors) and the Iroquois theater fire (1903) which led to changed theater building policies.
The policy doesn't specifically address the elderly or children, who are very vulnerable populations during disasters/ emergencies (but it does address pets and animals in Title IV).
The narrative is sustained through Atul Gawande's experience and research into improving his end-of-life care for his own patients by meeting with other healthcare professionals (oncologists, palliative care experts and surgeons), and analyzing his actions with his father. The film has strong emotional appeal, as loss of loved ones is a common experience, and difficult for all parties involved.
Scientific info isn't really in depth (disease processes aren't talked about) mostly just psycho-social aspects discussed.
Violence against health care workers is the subject of the article so emergency medical response is addressed directly, but mostly within the context of humanitarian aid.
While the practical yield of such circumscribed inquiry has been enormous, exclusive focus on molecularlevel phenomena has contributed to the increasing “desocialization” of scientific inquiry: a tendency to ask only biological questions about what are in fact biosocial phenomena [1].
What would happen if race and insurance status no longer determined who had access to the standard of care?
Sometimes public health crises, such as the AIDS pandemic in Africa, can lead to bold and specific interventions, such as the campaign to provide AIDS prevention and care as a public good [54].
In this struggle, equity in healthcare is our responsibility.