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joerene.aviles

While the practical yield of such circumscribed inquiry has been enormous, exclusive focus on molecular­level phenomena has contributed to the increasing “desocialization” of scientific inquiry: a tendency to ask only biological questions about what are in fact biosocial phenomena [1].

What would happen if race and insurance status no longer determined who had access to the standard of care?

Sometimes public health crises, such as the AIDS pandemic in Africa, can lead to bold and specific interventions, such as the campaign to provide AIDS prevention and care as a public good [54].

In this struggle, equity in healthcare is our responsibility.

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joerene.aviles

The main arguments in the article are that globalization has created new threats to the public health and security on a global scale, with biological threats the foremost concern. "Biosecurity" is the goal, which looks at public health preparedness at all levels (local, national, international, global) with four domains: "emerging infectious disease; bioterrorism; the cutting-edge life sciences; and food safety." Despite increasing defenses and plans for current threats, the article notes that we need to become better at predicting new threats and identifying risks to biosecurity while adapting to changing political, environmental and infrastructure factors that create difficult ethical decisions. 

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joerene.aviles

1. Narrative is a form in which experience is represented and recounted, in which events are presented as having a meaningful and coherent order, in which activities and events are described along with the experiences associated with them and the significance that lends them their sense for the persons involved.

2. our own responses themselves are culturally grounded, embedded in quite a different structure of aesthetic or emotional response than that of the members of society being described.

3. They were deeply committed to portraying a "subjunctive world", one in which healing was an open possibility, even if miracles were necessary.

4. Disease as represented in biomedicine is localized in the body, in discrete sites or physiological processes. The narratives of those who are subjects of suffering represents illness, by contrast, as present in a life.

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joerene.aviles

Private equity firms like "Warburg Pincus, Kohlberg Kravis Roberts & Company" that invest in emergency medical services.

TransCare EMS, an EMS provider owned by the firm Patriarch Partners that served East coast states, filed for bankruptcy; had trouble paying its employees and was losing contracts with counties.

Rural/Metro, another privately owned EMS/fire provider known for lateness, suing patients, and had deteriorating patient care, and was losing contracts with counties in several states.

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joerene.aviles

1. Nobel Prize winner Joshua Lederberg noted the connections between global inequality and threats to U.S. health security: “World health is indivisible, [and] we cannot satisfy our most parochial needs without attending to the health conditions of all the globe.”

2.Erin Koch (chapter 5) describes the implementation of a TB-control program called DOTS (for “Directly-Observed Treatment, Short-Course”) in post-Soviet Georgia.

3. the problem of maintaining quality control over global food and drug production chains, as indicated by recent scandals over the regulation of ingredients for pet food, toothpaste, or blood thinner that are imported from China.