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wolmad
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Didier Fassin is a French anthropologist and a sociologist in the school of science at the Institute for Advanced Study in Princeton, NJ. He has conducted fieldwork in Senegal, Ecuador, South Africa, and France. Fassan is also trained as a physician in internal medicine and holds a degree in public health. Some of his early research focused on medical anthropology, the AIDS epidemic, mortality disparities, and global health. 

pece_annotation_1474992965

erin_tuttle
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The author, Didier Fassin, is a French anthropologist and sociologist with training in medicine and public health. He has worked in the field of medical anthropology for decades through research and field experience. He currently works as a professor of social science at the Institute for Advanced Study in Princeton. 

pece_annotation_1474992982

erin_tuttle
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The article focuses on the adapting regulations for ill immigrants to remain in France in order to receive treatment unavailable in their countries. Through the changes in protocol over nearly a decade the author shows how the system changed from case by case process in which many immigrants were denied a residence permit while suffering from serious illnesses, to an organized protocol that aimed to provide an equal opportunity to applicants regardless of location and department.

pece_annotation_1474992998

erin_tuttle
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The argument is supported through a combination of personal stories, historical changes in protocol, and analysis of the reasons why applicants resort to a medical argument for residence permits. The use of personal stories of applicants highlights the inconsistencies in the process largely due to compassionate bias on the part of officials reading the applications, as well as the resources available in different cities. As the protocols were changed the article shows that while some of the inconsistencies were resolved, the process of determining who can and cannot receive medical treatment necessitates personal judgment which inevitably affects the outcome.

pece_annotation_1474993049

erin_tuttle
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  • “Sometimes the foreigner, too, is no more than his body, but this body is no longer the same: useless to the political economy, it now finds its place in a new moral economy that values suffering over labor and compassion more than rights.”
  • “The compassion protocol is thus a procedure of the last resort that derives from a form of sympathy evoked in the face of suffering. It demands the right to keep alive individuals who have nothing except their mere existence.”
  • “the medical officers were caught between the duties mandated to them by the public institution that employed them and those their profession required them to respect”

pece_annotation_1474993065

erin_tuttle
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The article provides statistics of approved applications based on the medical reason for the application and the department the application was processed at based on location, to show how different acceptance rates are. The article also provides many stories of applications, invoking an emotional response that allows the reader to sympathize with the personal challenge that faces medical officers and government officials making the discussions that may dramatically affect the health and wellbeing of individuals.

pece_annotation_1474993082

erin_tuttle
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The article does not address emergency response, rather it dealt with public health and the government’s responsibility for the health of immigrants. A significant part of public health is the allocation and availability of resources, which differs based on country. The argument made is that the available medical resources in France should be used to assist those who do not have access in their countries. Unfortunately, there remains the responsibility to the citizens of France to provide access to any and all resources necessary for their health which necessitates denying treatment to some immigrants. The issues faced by the government and public health interests is how to balance those moral obligations, which is discussed in the article.

pece_annotation_1474993127

erin_tuttle
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No bibliography is available in the PDF as the article is a published as the third chapter in a book. The bibliography of the book found online does not separate sources by chapter, however the extensive list of sources and historical aspect of the article suggests a significant amount of research into the statistics and available archived applications.