Analyze

This report does not specifically address disaster, however it shows a new trend in primary care medicine, taking it out of doctor's offices and hospital emergency rooms and bringing it into people's residences. Recent trends have shown massive increases in ED usage for non emergency conditions, causing a shortage in beds and resources. The communuty paramedic program has the purpose of "respond[ing] to identified health needs in underserved communities, ultimately improving the quality of life and health of rural and remote citizens and visitors." The report also cites previous community paramedic programs in Fort Worth, TX, and Nova Scotia, Canada, where the program was shown to decrease ED usage by 23% and reduce costs by over $2 million. 

The report addresses matters of disaster and health through describing the failures that the government and other organizations had on the people. Hospital's refused to evacuate (executives) leaving people stranded without power (poor planning, generators were located below sea level), and medicines. It tak=lks about the failure to evacuate and help people who have disabilities and/or who have medical problems. This led to people dying for preventable reasons. Health preperations were delayed due to the governent not allowing food and medical supplies to be delievered on time creating a discrepancy and improper treatment of people/ The shealthers that they provided were also inadequate, water systems were nonexistent after the power went out, there was rationing- the people rioted.