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BSVAC was founded during the height of the crack-cocaine epidemic, when gang and drug violence were rampant throughout the city. While violence has decreased in Bed-Struy, felony assaults as of 2013 stood at around 5.9/1000, well over double the NY city-wide rate of 2.4/1000. This is an area rife with poverty, with median income of about $19,000 and a population heavily dominated by non-white individuals (latino, african-american, multi-race, ect.). Hence, the organization has been heavily molded by this urban, highly volatile environment. The vast majority of BSVAC personnel are of color and outreach is primarily aimed at keeping non-white youth away from street or drug life. The heavy emphasis on gun and drug violence in the area shapes the call volume and type, with shooting and stabbing wounds being a regular occurrence. The agency, for the most part, is a trauma-based service. Thus, their responses to calls would be different than an ambulance without this lengthy history and experience. Moreover, BSVAC has played a role in volunteering and responding to large-scale disasters, such as 9/11, Hurricane Katrina, and Haiti. As members are highly experienced in high volumes of large traumatic injuries, they are well-equipped to handle larger emergencies (similar to the ER physicians in County Hospital of LA or the trauma surgeons in Cook County outside Chicago).

The report quite clearly details the need to change our approaches to healthcare and epidemic emergencies. Currently, we seem to address these events in a singular method, and are unwilling to alter this approach. This is partially due to the narrow scope of patient care; for the most part, administering care to patients follows a standard guideline that does not seek to reach beyond that singular case. It is beyond the scope of a practitioner to attempt to mitigate socioeconomic discrepancies within their clinics alone. However, as Farmer and his colleagues argue, broadening this standard is necessary to combat illness. Biosocial factors, not just medicinal factors, need to be tackled in order to fully combat disease.