EiJ Global Record: Eastern North Carolina, USA
The eastern Piedmont and southeastern lowlands of North Carolina are the “birthplace” of the environmental justice movement (EJ) in the United States.
Main argument
Anonymous (not verified)In response to
Lee argues that EJ practice has long stagnated over an inability to properly define the concept of disproportionate (environmental and public health) impacts, but that national conversations on system racism and the development of EJ mapping tools have improved his outlook on the potential for better application of the concept of disproportionate impact. Lee identifies mapping tools (e.g. CalEnviroScreen) as a pathway for empirically based and analytically rigorous articulation and analysis of disproportionate impacts that are linked to systemic racism.
In describing the scope and nature of application of mapping tools, Baker highlights the concept of cumulative impacts (the concentration of multiple environmental, public health, and social stressors), the importance of public participation (e.g. Hoffman’s community science model), the role of redlining in creating disproportionate vulnerabilities, and the importance of integrating research into decision making processes.
Baker ultimately argues that mapping tools offer a promising opportunity for integrating research into policy decision making as part of a second generation of EJ practice. Key areas that Lee identifies as important to the continued development of more effective EJ practice include: identifying good models for quantitative studies and analysis, assembling a spectrum of different integrative approaches (to fit different contexts), connecting EJ research to policy implications, and being attentive to historical contexts and processes that produce/reproduce structural inequities.
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maryclare.crochiereAnnotation of
Medicare as a whole is either loved or hated by most people, and this is just one component of the policy as a whole. It is usually regarded in a positive light, since medicare generally treats both patients and providers well.
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maryclare.crochiereAnnotation of
They have been criticized for slow response to the Fukushima disaster, and by having an official stance as "pro-nuclear energy/usage" they are prone to protests by groups that oppose those views. Some criticism also comes from the fact that member states are not required to follow all nuclear safety guidelines.
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The article was compiled from a lot of personal stories, paired with research about culture, medicine, and beliefs.
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Anonymous (not verified)Annotation of
The article looks at the "chronic disaster syndrome" - consisting of a multitude of factors that all act upon a person or family after a disaser like Katrina. The aftermath of the distaster lasts years, and this can wear on one's health if they are unable to return to their normal lives. Being displaced for a long period of time, in less optimal conditions, in a new environment, with new schools and jobs, can be traumatic
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maryclare.crochiereEmergency response is not directly addressed in this article, however there is likely some emergency response occuring in the countries that are needing the humanitarian aid. Hopefully the first responders there are well trained in responding to victims of sexual assault if that is something that they see more often, if it is something that people would call an ambulance for in those areas.
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maryclare.crochiereThe main point is the lack of justice for Haiti in this rebuild process. They got huge amounts of dontions from all over the world in hopes of rebuilding the country to be better than it was. Insead, the vast majority of the money is not being spent in the right ways, and much of the spending is not being done in the most economical ways. The ways that the companies are going about rebuilding is much more wasteful than it has to be, thus using more of the money and preventing it from going as far as it could. Additionally, the UN has created a cholera epidemic in Haiti and is not being held accountable for cleaning it up.
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It doesn't cover many people that openly do have insurance, nor does it interview the healthcare providers outside of the ER, like the PCPs, the recovery facilities, etc.
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" For decades, those who study the determinants of disease have known that social or structural forces account for most epidemic disease. But truisms such as “poverty is the root cause of tuberculosis” have not led us very far. While we do not yet have a curative prescription for poverty, we do know how to cure TB."
"The debate about whether to focus on proximal versus distal interventions, or similar debates about how best to use scarce resources, is as old as medicine itself. But there is little compelling evidence that we must make such either/or choices: distal and proximal interventions are complementary, not competing"
" By insisting that our services be delivered equitably, even physicians who work on the distal interventions characteristic of clinical medicine have much to contribute to reducing the toll of structural violence"