This article used data from Baltimore about AIDS care, and the authors' research in Rwanda, discussing results from the Partners in Health structural interventions and comparing them to produce their claims.
1) “The current concern with new microbial threats has developed in at least four overlapping but distinct domains: emerging infectious disease; bioterrorism; the cutting-edge life sciences; and food safety”
2) “’Global health’ is a second field in which health threats have been problematized in new ways.”
3) “The regulation of what Ulrich Beck calls “modernization risks” comprises a third field in which biosecurity has been newly problematized.”
4) “Although there is a great sense of urgency to address contemporary biosecurity problems— and while impressive resources have been mobilized to do so — there is no consensus about how to conceptualize these threats, nor about what the most appropriate measures are to deal with them.”
This act was a win for all individuals in EMS as no EMT, nurse, or doctor would have to send a patient in critical need away because there was no one to foot the bill. This was a horrible position that put medical workers in the position of moral culpability for policy formed by higher-ups who never had to deal with the reality of their decisions.
1. "as Richard Danzig has argued in the case of bioterrorism, despite the striking increase in funding for biodefense in the U.S., there is still no 'common conceptual framework' that might bring various efforts together and make it possible to assess their adequacy."
2. “Who should lead the fight against disease? Who should pay for it? And what are the best strategies and tactics to adopt?”
3. In contrast to classic public health, preparedness does not draw on statistical records of past events. Rather, it employs imaginative techniques of enactment such as scenarios, exercises, and analytical models to simulate uncertain future threats.
4. emergency response is acute, short-term, focused on alleviating what is conceived as a temporally circumscribed event; whereas “social” interventions—such as those associated with development policy—focus on transforming political-economic structures over the long term
More focus on the care, treatment, containment, and management of contagious diseases like Ebola would have increased its educational value, especially to first responders.
The college was created to continue New York State's position as a leader in homeland security, cybersecurity and emergency preparedness and as a response to the growing need for professionals in those fields. Advances in technology, and increased threats to terrorism and cybersecurity in the past few decades called for the formation of this college. Overall it was a strategic political and economic decision by Governor Andrew Cuomo as it would provide training in a field that's expected to grow by 650,000 employees (for cybersecurity) in the next decade*.
With over 80 citations, and a wide variety of sources (few of which are repeated), we know that this research article was infer that a good deal of time and care was spent on this article. There are lots of citations to steel investigation, structural and architectural references, government building standards, similar historical disasters, and news articles reporting on 9/11. Without even reading the article, one can suppose a good deal about the article and how it was produced.
The argument is supported with case studies, anecdotal evidence from medical officers, research on the history of the article, and news reports regarding the law.
I looked more into the U.S. policy on uninsured patients, ER hospital policy, and how they are treated. If you go the ER without insurance, you are expected to pay the full bill; however you are guaranteed under the federal Emergency Medical Treatment and Labor Act to receive treatment regardless of your ability to pay it. There are assistance programs available to help those whom cannot afford to pay their medical bills. Some of these are private charities, there are government programs that help with those at or below the poverty line, and the hospitals themselves will often negotiate a much lower price than originally billed for to meet a patient’s financial need. Despite this, there are still many cases where all of the above are not sufficient enough to keep patients out of bankruptcy. (http://health.howstuffworks.com/medicine/go-to-er-without-insurance.htm)
The policy doesn't specifically address the elderly or children, who are very vulnerable populations during disasters/ emergencies (but it does address pets and animals in Title IV).