Fieldnote May 9 2023 - 6:20pm
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這周是我們第一次參與文建站的活動,我和Annabelle見到了李金妹、李金蘭阿嬤兩姊妹,還有何秀妹阿嬤。金蘭阿嬤的五官深邃,總覺得看起來有點酷;金妹阿嬤看起來很聰明,而且相當健談,說話很有條理;秀妹阿嬤則是非常的活潑可愛,說話有很多生動的小動作。
3/25 fieldnote walking
Emergency response is not directly addressed in this article, however there is likely some emergency response occuring in the countries that are needing the humanitarian aid. Hopefully the first responders there are well trained in responding to victims of sexual assault if that is something that they see more often, if it is something that people would call an ambulance for in those areas.
The main point is the lack of justice for Haiti in this rebuild process. They got huge amounts of dontions from all over the world in hopes of rebuilding the country to be better than it was. Insead, the vast majority of the money is not being spent in the right ways, and much of the spending is not being done in the most economical ways. The ways that the companies are going about rebuilding is much more wasteful than it has to be, thus using more of the money and preventing it from going as far as it could. Additionally, the UN has created a cholera epidemic in Haiti and is not being held accountable for cleaning it up.
It doesn't cover many people that openly do have insurance, nor does it interview the healthcare providers outside of the ER, like the PCPs, the recovery facilities, etc.
" For decades, those who study the determinants of disease have known that social or structural forces account for most epidemic disease. But truisms such as “poverty is the root cause of tuberculosis” have not led us very far. While we do not yet have a curative prescription for poverty, we do know how to cure TB."
"The debate about whether to focus on proximal versus distal interventions, or similar debates about how best to use scarce resources, is as old as medicine itself. But there is little compelling evidence that we must make such either/or choices: distal and proximal interventions are complementary, not competing"
" By insisting that our services be delivered equitably, even physicians who work on the distal interventions characteristic of clinical medicine have much to contribute to reducing the toll of structural violence"