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Reflection on how Place can be Preserved for Generations to Come

e0418040

Interesting how you managed to discover the Amis language connection to Malay, further connection to Austronesian, and the similarities the language has to other Asian languages. I also liked your posed questions, which are in line with what I am concerned about after reading your piece. I remembered posing such a similar question to my Ahma, regarding whether there would be a loss of culture as the younger generation starts to live far away from their original hometown, Taitung. She mentioned that the younger generation here in Naluwan, Hsinchu are working hard to continue to uphold the Amis culture and roots in their new "home". So hopefully for generations to come, the Amis people will not lose their heritage, and not forget their original roots.

Empirical points

margauxf

“Under a 1986 federal law titled the Emergency Medical Treatment and Labor Act (EMTALA), hospitals are required to treat people who come to the ED presenting with an emergency medical condition, defined as a condition that, without treatment, will likely lead to serious impairment or death. … EMTALA is one of the largest federal mandates to provide services to have gone unfunded (Friedman 2011); costs instead fall on states and local health care systems.” 481

Quotes

margauxf

“In bringing ethnographic attention to hot spotting as a technique of governance, we find that it provides lifesaving humanitarian interventions while operating within the racialized structures of violence that produce continual life crises. The institutional rationality of hotspotting and the encounters of care that it produces illustrate the often-contradictory role of medicine in the lives of poor people: both caring and coercive, it intertwines care and violence.” 475; “we conclude by suggesting that economic investment and return are becoming a reigning logic in the governance of poverty, generating hot spots as sites of interest for both policing and health care and decentering normative assessments of deviance, illness, and social problems” 476; “Neoliberal social assistance, as it is practiced in the health care safety net, is conceptualized as an “investment “in the population, as a strategic and targeted deployment of basic resources, one that promises to generate a return on investment for the state or health system in the form of cost savings.“ 485

 

Summary

margauxf

 The authors examine the practice of “hot spotting,” a form of surveillance and intervention through which health care systems in the US intensively direct health and social services towards high-cost patients.  Health care hot spotting is seen as a way to improve population health while also reducing financial expenditures on healthcare for impoverished people. The authors argue that argue that ultimately hot spotting targets zones of racialized urban poverty—the same neighborhoods and individuals that have long been targeted by the police. These practices produce “a convergence of caring and punitive strategies of governance” (474). The boundaries between the spaces of healthcare and policing have shifted as a “financialized logic of governance has come to dominate both health and criminal justice” (474).

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Diego Martin

I think it is an important step, clearly for presenting complaints, the problem will not be solved; we should all do it if we see something of this kind. In addition to the complaints, there are many steps to follow, such as organizing protests, taking care of daily consumption or becoming aware that a sustainable life is better for everyone.