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seanw146The article: “Structural Violence and Clinical Medicine” was written by Paul E Farmer, Bruce Nizeye, Sara Stulac, and Salmaan Keshavjee. Paul Farmer is an anthropologist and physician who works professionally as a humanitarian healthcare worker in impoverished nations, physician at Brigham and Women’s Hospital Division of Social Medicine and Health Inequalities, Professor at Harvard University, and cofounder of Partners In Health. Bruce Nizeye is a Director of the Program on Social and Economic Rights. Sara Stulac is a Director of Pediatric Programs at Inshuti Mu Buzima, in Rwanda, and Partners In Health’s deputy chief medical officer. Salmaan Keshavjee is also a physician at Brigham and Women’s Hospital, an instructor at Harvard’s Department of Medicine, and a specialist at Partners In Health on tuberculosis.
It is important to understand the work of Partners in Health (PIH) is to assist underdeveloped countries build high quality healthcare systems, when talking about the authors’ work.
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seanw1461) “‘A confusion between humanitarianism and politics–two fundamentally different orders of activity – can only lead to a mutual weakening of both”.
2) “Approaching gender-based violence as a medical or health issue alters how violence is both approached and understood; that is, rather than understanding gender violence in the context of gendered relations of power, or as part of larger histories and expressions of inequality which are inseparable from histories of class or race or colonialism, this type of medicalisation transforms gender-based violence into an emergency illness, requiring immediate intervention.”
3) “Sexual violence elicited a particular form of moral outrage in the MSF report and debate; and the question was how to justify the willingness to condemn the perpetrators in cases of rape more than with other forms of violence or torture. Should women be !C 2011 Blackwell Publishing Ltd. Medicalising and Politicising Sexual Violence 259 treated as special categories of victim, who need more protection? Furthermore, are they the only ones recognised as subject to rape? Should sex and sexual violence be seen as crimes apart, or should they be equivalent to any type of harm or injury in times of war? What is the nature of gender-based violence, and how do we qualify the particular vulnerabilities to it?”
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Andrew Lakoff is an Associate Professor of Sociology and Communication at the University of Southern California, Department of Sociology. His disciplines are: Social Theory, Medical Anthropology, and Cultural Anthropology.
Stephen Collier holds a Ph.D in Sociocultural Anthropology at the University of California Berkeley, Department of Department of Sociology. His disciplines are Social Policy, Social Theory, Social Theory, Foucault, and Neoliberalism. He was also Chair and Associate Professor at The New School, Department of International Affairs from 2003-2015.
Although they are not directly involved in emergency response, Stephen and Andrew have written extensively on the social aspects of medicine, especially in disaster scenarios.
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seanw146I felt that the extend interview time of Emmanuel Urey’s family in the US did not further any real understanding of the issue and was just an appeal to the viewer’s emotion.
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seanw146The Iroquois Theater Fire, the destruction of US Capitol Building, and the Hague Street boiler explosion are used as historical examples to support the arguments made in the article as well as the findings of a steel expert who investigated the collapse of the towers.
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seanw146Emergency response is not directly addressed, but the policy of allowing otherwise ineligible people to full access to the emergency medical system indirectly is effected and has its own challenges, disputes, and implications.
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seanw146The arguments are supported by data from the National Institute of Health and beyond as well as interviews with people on the ground.
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seanw146The assessments that patients take are not visible to the public so I can not elaborate on it. This is what is quoted from the company’s website about the “Easy Clinical Screenings”:
“Patients take digital, gamified mental health assessments conveniently on their mobile device to learn their actual diagnosis and become more self aware. Providers can deploy customized assessment questions specific to each patient. Patients can see their charted progress over time. Assessments are reimbursable by insurers.”