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Staßfurt, Saxony-Anhalt Environmental health threats

Philipp Baum

1. Long-term threats, legacy of mining
- Unstable old salt mines below Stassfurt that have to be monitored and water flows have to be management to prevent ground movement
- so far, more than 800 buildings, including an 500-year old church had to be demolished. Currently, ground movement is under control
- 27 waste heaps and contaminted sites within the city that contain many very hazadous chemical compunds. They were never properly cleaned up

2. Long-term threats, ongoing causes
- by-products of salt mining and refining are collected in large landfills that leak salt into sorrounding areas. There are no plans how these landfills can be remediated, they have to be mananged indenfinitely
- soil erosion of arable land around the city by high intensity farming of crops for livestock production and bioenergy
- toxic waste produced by waste incarceration plant is pumped into former salt mining caves where it solidifies and becomes impossible to recover

3. Short term threats
- explosion in bionenergy plant in 2020
- leakage of ammonia at public street in 2014
- pollution of river bode with ammonia and chloride by CHIECH Soda, massive fish kills every summer
- air pollution, cause unknown, probably mostly by metalworks industry

Staßfurt, Saxony-Anhalt Setting: Salt-mining

Philipp Baum

Staßfurt is a small city in the East German Bundesland Saxony-Anhalt with about 24 thousand inhabitants. Like many cities and villages in the area, it faces huge demographic problems: The population is shrinking rapidly, consists mostly of older people, unemployment is high, percentage of highly educated people is low. The city has a long history of salt mining that goes back to the 13th century. Many inhabitants proudly refer to Staßfurt as the "Cradle of potash-mining" ("Wiege des Kalibergbaus"). Unfilled salt mining shafts that were flooded by groundwater had to be abandoned and started to cave in. Over 800 buildings in the city center had to be demolished because of instabilities, among them a 500-year old church. Nevertheless, salt mining and a metallic industry that developed alongside it is still the largest economic sector in Staßfurt. The city is still permeated by an old mining culture that becomes visible in traditional festivals, clubs (Bergmannsverein e.V. Staßfurt) and the playing of traditional miner's song on offical occasions (Steigerlied).

Lexicon for Just Transitions

tschuetz

"Throughout the volume, we introduce several novel concepts to the EJ debate, and engage with rich debates within the field. Consequently, in this volume, an emerging lexicon provides a rich arena to further understand and address the complexity and holistic basis of environmental justice. Valle uses the term convivial labor in juxtaposition to capitalism, where labor is not a tool of capital- ism but a form of celebration and cultural connectivity. Vasconcellos Oliveira suggests that conditional freedom includes the precautionary principle in decisions to limit effects upon others where working towards a stable climate has obliga- tions and responsibilities that cascade across actions. Further, she postulates the need for sustainable consumption – seemingly an oxymoron – but situated within the context of limiting future injustices through accentuating intergenerational capabilities. Pandit and Purakayastha employ Shiva’s earth democracy to illuminate the contributions of indigenous Indian cultures to furthering vegetal living of con- nectivity and conviviality." (325)

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Sara_Nesheiwat

The Emergency Medical Treatment and Labor Act is a law requiring that anyone coming into the emergency department will be stabilized and treated no matter what their insurance situation is. In terms of women's health, it is important to note that this means for active labors, medical treatment is necessary and required, no matter the health insurance of the patient. The purpose of this law to prevent certain patients from being turned away in an emergency situation or refused medical treatments if they are unable to pay, putting their health at risk.

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Sara_Nesheiwat

EMTALA was enacted by Congress in 1986 and was part of the Consolidated Omnibus Budget Reconciliation Acts of 1985. Congress saw different cases around America where doctors were refusing medical care to patients who could not make a deposit at the time of their admittance to the ER. An example of this is a patient Eugene Barnes, who in 1985 suffered a stab wound and ultimately ended up dying because 6+ doctors refused to help him without payment or some form of compensation. This made national news and other cases began to come to light, such as at Baptist Hospital in Miami and many other areas. News outlets began to follow these cases and this caught attention of government officials. Shortly after, EMTALA was enacted.

http://www.pitt.edu/~kconover/ftp/emtala-draft.pdf

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Sara_Nesheiwat

This was touched upon a little in a previous question. Many cases of patient dumping were popping up around America. Patients in need  of emergency medical care were being cast aside, ignored and delayed due to their inability to pay. In addition to the stab patient, Eugene Barnes that sparked this law, there were dozens of other cases where patients needed to be transferred to larger hospitals but the hospital refused to take patients without insurance, so the patients died. There were cases of people being asked right before surgery for a deposit, and being unable to pay were discharged with no surgery. There was also a very high rate of dead babies that were arising due to the fact that mothers in labor were being turned away because the patient was uninsured. It was then realized by the government that there were no legal duties for a hospital to treat people who are in emergency situations but cannot pay, only ethical and moral duties, which apparently weren't enough in some cases. This led to the birth of the EMTALA, requiring medical attention to all ED patients as well as transfers if needed to stabilize, including mothers in labor.

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Sara_Nesheiwat

This policy greatly helped sculpt emergency medicine and public health. By giving the right to the patient to have emergency medical treatment required without proof of insurance or payment, astronomically influenced the amount of patients being turned away and their possibilty of developing worse illnesses or dying. In a paper I read, a young doctor in the late 70s and early 80s remembers watching a woman in labor give birth in the doorway of the hospital and proceed to borht her child in the parking lot after being turned away for not having insurance. By requiring hospitals and doctors to see that all ED patients get care, no patient was at risk of dying or complicating their baby's health and birth due to a lack of insurance, ultimately increasing public health efforts. Not all hospitals turned away their patients, but enough did to make it a public health concern and get Congress involved. EMTALA changed emergency medicine protocols but also public health expectations and actions.

http://www.hhnmag.com/articles/5010-the-law-that-changed-everything-and…

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Sara_Nesheiwat

This policy was explicitly made for vulnerable populations who couldn't afford or for whatever reason did not have health insurance. The vulnerable parties that did not have health insurance were at risk of being turned away at hospitals during crucial times of need and emergency situations. This act completely absolved the worries and fears of this vulnerable population without health insurance by making it a law that these ED patients were to receive care and stabilization. This act was made for this specific vulnerable population, to prevent discrimination.

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Sara_Nesheiwat

This policy was received in good light by the public for the most part. Patients were only to benefit from this, especially those who lacked insurance. Even those with insurance didn't have to waste time proving it any longer, they were treated and stabilized and insurance issues and payment were brought up later. Any ethically sound doctors, such as the ones working in hospitals that were already implementing the actions set forth by EMTALA (before it was law) had no issues with EMTALA. No doctor should have any issues with it due to their duty to act as well as ethical and moral standards they should be holding themselves up to, written in their oath they took to become doctor. The only people that would stand to receive this act negatively would be the doctors who were actively turning away patients in need, who are clearly morally compromised. Yet, media, patients, a majority of doctors and staff found and received this act positively or with little reservation.