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The World Trade Center collapse was a unique disaster for American organizations to deal with, the aftermath and subsequent investigation into the collapse shows a need for a unified system of authority between investigative organizations. The paper shows the development of his system using several other disasters throughout American history.

The policy is at the moment limited to a single town, and therefore not well known to the public. The article describing this policy does not go into detail as to the public opinion, but only the opinions of first responders.

This report doesn't have a great deal of impact with technical professionals. This report is much more geared toward those in the government in Colombia and actors in the international community. The report touches on the fact that hospitals and clinics are obligated to provide all persons with emergency care, but doesn't address emergency medicine more than that.

The argument is supported through a combination of personal stories, historical changes in protocol, and analysis of the reasons why applicants resort to a medical argument for residence permits. The use of personal stories of applicants highlights the inconsistencies in the process largely due to compassionate bias on the part of officials reading the applications, as well as the resources available in different cities. As the protocols were changed the article shows that while some of the inconsistencies were resolved, the process of determining who can and cannot receive medical treatment necessitates personal judgment which inevitably affects the outcome.