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 “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

“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

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).

A quote of NRC spokesman Neil Sheehan which is, "Quite frankly, we don't have any nuclear-plant complexes where you have so many reactors packed so closely together" capture the message of the article. It shows there are no nuclear emergency plans for Indian Point Disaster. In the 10 miles radius or even 50 miles radius, there should be prepared an emergency plans and educated the resisdents about the nuclear disaster. 

Another quote "I;m not against the planning. It's where is the funding going to come from to make it happen?" of Steven Peterson, who is director of emergency management for Ulster County, N.Y.. It reveals within the 50 miles radius area provide nuclear emergency plant need federal support and guidance. Government and organisations should offer resisdents a specific emergency plants, such as evacuation and power plants. 

Joseph De Avila applied lots of quotations to show different views about the planning for Indian Point Disaster, and also applied a image of the area might be influenced by Indian Point Disaster and the emergency plants should cover. Different views of different people and represnt different counties or organisation to show the present situation of the emergency plants for Indian Point Disaster. Joseph also applied the research of different quotations to show all the education and emergency planning should support by federal government. 

The article shows there are no specific nuclear emergency plants or Indian Point Disaster. The arounding environment is densely populated and no material educational to resisdent. The situtation are illustrated by image and quotations of many different representors. The main point is as the title shows, to urges expanded emergency planning for Indian Point disaster. The important thing is federal government need to support and guide the state and organisations. 

Indian Point Energy Centre is a new power plants station in Buchanan. As well as the communities around it are without any emergency respond plants to nuclear disaster. NRC is  Nuclear Regulatory Commission, which is an organisation for the safety of nuclear power production and civilians uses for nuclear materials. In addtion, there are some representors of different communities. For example, Ben Smilowitz who is executive director of the Disaster Accountability Project, and Dutchess County’s commissioner of emergency response,Dana Smith. Some actors' words are quotated to show the main point of the article and support the author research. 

The article reveals the Indian Point Disaster's arounding situation which is without any specific nuclear emergency plant. It descripes the different views of communities and shows the area in 5 miles radius to contrast the public emergency response should be urged and expanded. The lack of nuclear emergency response and resisdents education are should be improved by government.  

Prepare nucleaer emergency plants in the area which might be influenced, even expand the area as much as possible. Educated the resisdents about the evauation and emergency respond. When the disaster is happen, people should go indoor and close all the window and door. Keep updating the news and office information. and  follow the guidence to evacuate. Government should immediately active the emergency plants and radiological respond when the nuclear disaster acident happen. 

"Entergy Corp, which operates Indian Point, said that 10 miles 'provides a robust safety margin' and the Fukushima advisory reflected that area's bigger power complex and the lack of information surrounding that accident."
"...Disaster Accountability Project, a nonprofit organization that monitors disaster-response programs and the author of the report, cited the commission's response to the 2011 nuclear accident in Fukushima, Japan, in which it reccommended that U.S. citizens within 50 miles evacuate."