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Empirical points

margauxf
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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

Quotes

margauxf
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“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
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 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).

pece_annotation_1476028194

wolmad
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This study sought to establish the prevelance and corelation of intimate partner violance victimization in the six months before and after Hurricane Katrina. The studies conducted showed the following results:

The percentage of women reporting psychological victimization increased from 33.6% to 45.2 %.

The percentage of men reporting psychological victimization increased from 36.7% to 43.1%

Reports of physical victimization increased from 4.2% to 8.3% for women, but were unchanged for men.

The studies also showed that various socioeconomic standings from before the storm had significant impacts on how intimate partner violance increased after the storm.

pece_annotation_1476028448

wolmad
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This article was published throught the National Institute of Public Health's Public Access database. The NIH makes all of the peer reviewed articles and studies that it funds available to the public on this platform "to advance science and improve public health." 

pece_annotation_1476028586

wolmad
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The data for this study were collected as part of a larger, population-based, representative study of persons living in the 23 southernmost counties of Mississippi prior to Hurricane Katrina. This is not a new or inventive way of studying this issue, as a representitive study of a population is one of the classic ways social research is conducted.