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Songs as artifacts

sharonku

There are manu artifacts mentioned in your fieldnote--songs, stories, fishing tools, grocery stores, etc. How do you analyze these artifacts--why and how were they constructed, used? What are the social, economic, cultural meanings/functions of these artifacts? And how have these artifacts helped construct the sense of place and identity of the Naluwan people?

The Guided Tour

tschuetz

Before our tour at the Weldon Springs Interpretative Center, we were asked not to take any pictures of our tour guide nor of other employees. To be recorded publically, they would have had to obtain an official media clearance. The photo points to these limits, with the metal arch obscuring the group as it listens to the guide. In consequence, there are at least two aspects that should be retained in our written record. First were the upbeat style and delivery of our male guide, that shaped our experience of the exhibition. Our group asked him about his educational background and he briefly explained the process to become a certified interpreter. Second is the fact that we were being accompanied and followed around by a group of about six representatives of the Department of Energy. Our group came to agree that this number and associated costs are significant, pointing towards the attention that our (probably usual?) international group of scholars drew. It might have been curiosity or slight hostility, it's hard to tell, also because we didn't ask them directly. The image certainly captures some lessons and dynamics what it means to visit an educational fieldsite with a larger group in contrast to the 'lone fieldworker.'

The Tribute: Muddled in Meta

jradams1

The Tribute to the Mallinckrodt Uranium Workers is perhaps the most reflexive display in the Interpretive Center at Weldon Springs. By listing the names of the Mallinckrodt employees and acknowledging their sacrifices, the tribute at least intimates how the toxic process of uranium refinement, including the secrecy and deceit that surrounded it, impacted the lives of the local community. And yet, given the juxtaposition of the exhibit next to the "Timeline of the Nuclear Age" and an encompassing display on "The Process" of refinement, the critical nuance of this quotidian, human level is muddled by both the macro events of history and the micro details of scientific practice. It is also worth noting that in the online tour of the exhibit, the purpose and the meaning of the tribute bears no mention all. An image of the arch is provided, but not a single bit of context as to what it signifies. Instead, what we are given access to is only the timeline, the process description, and a romanticized version of the Mallinckrodt story taken from a tour guide that was written in 1959. 

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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.