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pece_annotation_1480867180

wolmad
Annotation of

This report does not specifically address disaster, however it shows a new trend in primary care medicine, taking it out of doctor's offices and hospital emergency rooms and bringing it into people's residences. Recent trends have shown massive increases in ED usage for non emergency conditions, causing a shortage in beds and resources. The communuty paramedic program has the purpose of "respond[ing] to identified health needs in underserved communities, ultimately improving the quality of life and health of rural and remote citizens and visitors." The report also cites previous community paramedic programs in Fort Worth, TX, and Nova Scotia, Canada, where the program was shown to decrease ED usage by 23% and reduce costs by over $2 million. 

pece_annotation_1475371939

joerene.aviles

"The impaired body, the body unable to produce, was socially illegitimate, then."

"By analogy with the therapeutic mesasures applied at the end of life for patients suffering from illness deemed incurable, we can describe the measures and procedures devised to allow foreign patients without residence rights to stay in France, receive treatment, and have their living costs paid, as a compassion protocol."

"The logic of state sovereignty in the control of immigration clearly prevailed over the universality of the principle of the right to life. The compassion protocol had met its limit."

pece_annotation_1476026053

wolmad

This article focuses on "chronic disaster syndrome," a condition that arises in the aftermath of a large scale disaster where factors from the disaster lead to perminant changes in the lives of those effected. These changes include physical and mental health crises, geographic displacement, loss of life, family, community, jobs, and property, and societal instability. The causes of these conditions are not only limited to the disaster itself but they are also by the how goverments and private sector institiutions either support recovery or put up road blocks to prevent a return to normal, perpetuating the emergency into the future. 

pece_annotation_1478900879

joerene.aviles

The narrative is sustained through Atul Gawande's experience and research into improving his end-of-life care for his own patients by meeting with other healthcare professionals (oncologists, palliative care experts and surgeons), and analyzing his actions with his father. The film has strong emotional appeal, as loss of loved ones is a common experience, and difficult for all parties involved. 

Scientific info isn't really in depth (disease processes aren't talked about) mostly just psycho-social aspects discussed.