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1) "In this new state of social world, the body of the immigrant has become illegitimate as labor force, since it is always suspected of deleteriously affecting the job market, but the body of the foreigner has found a new source of legitimacy through illness, which, under certain conditions of seriousness and impossibility of receiving treatment in the country of origin, makes it possible to obtain a residence permit on "humanitarian grounds."

2) "Yet the variation in medical opinions observed was due less to the form of the procedure than to the use the medical officer made of it."

3) "Evaluation of this criterion, however, was not the outcome of a unilateral decision by the examining doctor or the social worker. Foreigners and their families might also develop tactics once they knew how the system worked."

The overarching goal of the report appears to be an overarching analysis of the current systems in place to address and research mental health outcomes in disaster events. The article firstly presents comorbidities known to predispose individuals to development of mental illness.This would be in the hands of the response team to recognize that a certain population may be more predisposed to developing PTSD from the event-- such as children or females, who have shown increased levels of PTSD and MDD. Recognizing that students from an all-girl's K-12 School who have just come from, say, a forest fire will be more likely to develop mental health complications after the disaster than a population of older, male welders will help streamline appropriate responses.

Secondly, by exploring and recognizing these factors (pre, peri, post), emergency responses can help prepare and minimize mental health effects. For example, by implementing PFA in all government agencies, this help mitigate the traumatic effects of experiencing a disaster; PFA includes three distinct goals in treating these patients, including limiting stress reactions and regaining feelings of control. 

Thirdly, while studying mental health in the wake of disasters is crucial to ensuring successful and adequate interventions, there are four major challenges, all discussed in the report (defining target population, obtaining representative sample, implementing an appropriate study design, and measuring key constructs). The authors contend that for future research, several key changes can be made to benefit overall research outcomes. These include widening the scope of psycho-pathological inquiry from to include other disorders such as GAD and panic disorder, the time ranges studied (with higher emphasis on pre/peri factors to help tailor interventions), other factors that create predisposition, and further intervention implementation.

The major stakeholders are those exposed to the contaminated water (and subsequently suffer from cancer and other major illnesses) and the Marine Corps. Unfortunately, the Marine Corps and other government agencies show fairly limited attempts to aid those fighting for information about Camp Lejeune. Moreover, several meetings within Washington DC reveal the nature of policy making; how special interest groups often overshadow the common welfare of the public. Jerry Ensingmer and his counterparts often deal with the harsh realities of fighting giants with slingshots, and often have to choose between family and trying to help those also effected by the contaminated water. There are many questions raised about how much governing bodies actually care about soldiers, and how deep the "semper fi" motto actually goes.