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.
The article was compiled from a lot of personal stories, paired with research about culture, medicine, and beliefs.
Emergency 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.
The 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.
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.
" 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"
Most of the claims are based on past examples in history of response to disease outbreaks and the development of new diseases. They looked at how regualtions were developed after each one, what research showed in each case, and how people reacted to the risk or security associated with each.
The article discusses the "compassion protocols" of France, the laws that allow illegal immigrants to stay in the country and get treated for diseases. They will not be deported and if they are incurable, then their housing costs will be paid for. It brings up politics that are very different from that in America, as far as what people are entitiled to. To be allowed to stay, one must apply to the government and wait to be accepted or denied. In cases of doubt, the individual was supposed to be accepted.
The information in this study can be used to offer help to couples after disasters, as it shows that counseling may be needed to help aleviate some of the issues at hand. While counseling may not be readily available with all of the other disaster relief that is going on, it should be reconized as something that may be necessary to help the recovery process and ensure greater safety.
Emergency response is discussed in the following quote:
"One such intervention, psychological debriefing or critical incident stress debriefing, was developed in the 1980s for emergency responders and has been used with other victims of trauma (46). The technique is applied within 48 h of the traumatic event, during which victims are asked to describe the event and their emotional responses to it in detail. They are also given suggestions of methods to relieve stress (12). Intervention studies, however, have found that this method does not prevent psychopathology and, by strengthening memories of the traumatic event, may impair the natural recovery process and even worsen symptoms (44). Therefore, it is no longer recommended in the immediate aftermath of traumatic event exposure (12, 49)."
This quote shows that the psychological needs of first responders are also considered, not just those of the people who were victims. It shows a weakness in the abilities to heal people afterwards, as this method is no longer recommended. Other methods are being pursued, as the first responders of the world need support and healing too.