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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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maryclare.crochiere

"Two FDNY EMTs who had to intervene to stop four police officers beating a handcuffed patient on a stretcher have turned the cops in to authorities"

""Three cops began to punch the patient in the face, EMS (had) to get in the middle of it to intervene. Pt's. wounds and injuries cleaned in the (ambulance)," the report said."

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maryclare.crochiere

The article shows the fact that EMTs had to step in to prevent police officers from further abusing an inmate/patient. The purpose of EMS is to take care of people that are hurt accidentally or in crimes, not to pull police officers off of patients. This article is purely factual, but shows a very poor example of police "helping" EMTs.

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maryclare.crochiere

This article is all about emergency response. Could you imagine being called to a scene where the patient is sustaining injuries from a police officer? As EMTs, we are trained to help police for help if the patient is combative or a minor, and all they should do is restrain the patient or act as their parent for custody purposes. The police officer should not be the reason we have to provide care, unless someone's safety was at risk - which it does not seem was the case. This situation shows increased risk for EMTs in the field and more challenges we are facing each day with the politics and violence around police departments these days.

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wolmad

"The violence broke out when the patient spit at the Emergency Service Unit officers and swore at them. The officers responded by hitting him in the face, hauling him off the stretcher to the ground and then tossing him back on the stretcher, "

"After the first round of punches, the patient was "taken off the stretcher to the ground and restrained again, pt. was thrown by ESU again on to my stretcher," the EMT wrote. "Pt. sustained injuries to face and head," the report said."