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BIOETHNOGRAPHY: “Thus, instead of combining objects of inquiry (biology and culture), I conceived of bioethnography as combining two different methods for knowing the world (Mol 2002, 153)—ethnographic observation and biochemical sampling—in order to ask and answer research questions that could not be addressed through either method alone. This methodological focus involves exploring how our data collection and analysis might be shaped if we suspended the nature/culture binary” (Roberts, 2021, p. 2)

“bioethnography asks, what if we created numbers otherwise, upending the cooked data that reinforces inequality? In fact, bioethnography can enable us to identify structural forces, such as NAFTA and the global health apparatus itself, that are part of the bodily processes that make ill health. In other words, while we know that all data is cooked, it matters how it’s cooked.” (Roberts, 2021, p. 5)

Roberts describes their ongoing bioethnographic collaboration with a team of exposure scientists who are working in environmental engineering and health. Though ethnography is not easily enumerated, Roberts emphasizes that integrating it with quantitative data is worthwhile and makes for “better numbers”. As an example, Roberts describes 3 bioethnographic projects on neighborhoods, water distribution, and employment and chemical exposures. These projects were part of a longitudinal birth-cohort study in Mexico City called Early Life Exposures in Mexico to ENvironmental Toxicants (ELEMENT), created to understand the effects of early-life nutrition and exposure to toxicants (such as lead and phenols). Overtime, this project was expanded to include the study of new toxins (e.g. BPAS, mercury, and fluoride) and new health concerns (e.g. obesity, meopause, sleep).

Roberts’ focus on neighborhoods was produced from the ethnographic observation that neighborhood characteristics might influence exposure levels. Following this observation, Roberts’ and ELEMENT researchers sorted participants by neighborhood and identified significant differences in blood-lead levels. Additionally, Roberts applied previous ethnographic observation and scholarship to argue that high levels of toxicants like lead correlate with the capacity of neighborhoods to withstand other dangers, such as police violence. These findings prompted the development of two new bioethnographic project centered on water and the effect of neighborhood dynamics on health.

This film is meant to show the struggles of an ER waiting room from all sides. It shows the frustrations of patients waiting to be seen for hours, financial workers, social workers, and doctors struggling to see everyone in a timely manner. It also shows organizers tryign to sort everyone and move the patients around in ways that benefit all parties. Essentially, this documentary is highlighting the issues that exist in the ER because of lack of staff, beds, and overall means to take care of the large influx of patients. 

This film shows live footage of interactions in the hospital as well as voice over narrations that highlight the mood and stress of the situation. They give some statistics, but the main point of this film is to show the stories of some patients and the doctors and staff to highlight their message. It has an emotional appeal in the sense that viewers can sympathize with and feel frustrated for all parties involved - not just the patients.

There are many people portrayed and mentioned in the film. They discuss issues within governments and insurance companies. They show patients without insurance struggling to get medication and care. As a result, they express issues with access to care and paying for hte care that they receive. They show doctors and the struggles they have with handling patients and those that come in with the ambulance. Nurses and other ER staff are shown as well. They show narratives of several patients in the waiting room and their experience once they do finally make it to a bed. All of these players have a lot of decisions to make, starting with the decision of the patient ot come to this public hospital (possibly because being turned away from others), and ending with a doctor's care and decision whether or not to release patients. 

They are shown for a moment in which they bring in trauma patients, but are not a main player in this documentary.

I found the most compelling part of the film a portion where an elderly man needing dialysis swears and screams at one of the doctors that he's sick and tired of having to wait for dialysis. He says how annoying it is to come to this hospital and expresses frustrations with having to get dialysis at this particular hospital. He is frustrated to such an extent that he even asks the doctor to remove the catheter and let him die, stating that eveyrone dies so he doesn't care anymore if it's sooner rather than later. He's tired of waiting.

I thought every aspect of the film served a purpose and helped shape the documentary.

Policy makers, mostly. People who are privileged and can go to private doctors or hospitals don't often see the issues that public hospitals face. Policy makers who don't see this as a problem would benefit from seeing this documentary. But I think that everyone can learn smething from this documentary. For future doctors it can show patient care and bed-side manners. For a regular person it can show the need for insurance so that they can push local policy makers to make a change.

Maybe having government workers would have helped create a more wholesome argument.