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maryclare.crochiere

When community factors such as transportation and insurance status were minimized as factors preventing HIV/AIDs care, the playing field was leveled within a few years. No longer were those issues much more often seen in the patients that did not survive, rather, they were seen more evenly in those that did and did not survive.

Combining clinic treatments with home-visits and prescription drug deliveries has been found to be most effective for treating all people, regardless of social factors, in places from rural Africa to Boston, MA.

Mutli-faceted approach in rural areas were most effective and able to dramatically reduce Mother-to-Infant-Transmission of HIV. This requires more resources and organization, but it takes care of the issue most efficiently in areas that are very poor and have very rudimentary infrastructure, even worse than in poor cities.

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maryclare.crochiere

Lakoff has a PhD in social anthropology and is an associate professor of sociology at the Univeristy of Southern California. Collier in an associate professor of international affairs at the New School in New York. Both authors have extensive backgrounds in studying people, but not disease, so their stance in this paper is not looking at the biological or emergency response aspects, but more how people plan and react to such.

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maryclare.crochiere

First responders share their experiences, how they responded, how they realized there weren't going to be many survivors. Many of them suffered from health issues afterwards. The air was very toxic and led to cancers. It makes you wonder how other safety information is given to first responders. They weren't even doing a rescue mission at the point that asbestos was being hidden in reports, so their lives should not have been risked like that for simply cleaning up rubble. Was it worth it for them to shovel the debris and pull out parts of bodies at that point, while putting their well being and lives at risk? If they had waited a few months for the dust to settle and be cleaned up, would that have saved many of the first responders? Offices in the area and houses nearby weren't inspected until even later. Schools opened as a sign of American strength led to asthma, bronchitis, etc. Are those lives worth the public image?

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maryclare.crochiere

Medicaid covers the elderly and low-income families, those that are likely to not be able to afford health care, since children and the elderly often\ require more medical attention. It would seem to me that mental disabilities don't discrimintate based on age or strength, like physical issues may, however old age and decreasing physical abilities can harm mental health. These populations, with lower income, do not have as much access to mental health help, and that can further their economic situation, so this policy ensures that they will be taken care of sufficiently. At the same time, it ignores the needs of the middle-aged patients, as they must be covered by the state or in other ways.

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maryclare.crochiere

The program is targeted for the entire world. They want to advance science while encouraging peace and furthering the training and knowledge of those who will save lives in the face of disaster. This is able to apply to the whole world, based on the possible size of disasters associated with the magnitude of these types of power. Thus, the goal is for everyone to be involved, and most of the world is involved at this point.

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maryclare.crochiere

Emergency response is not directly discussed in this article, however seizures are a common reason to call  for EMS. Seizures, or "fainting" as they called it, can be dangerous, especially if the patient is alone or if it is at night. If there are a lot of people with epillepsy that is not controlled, then there could be an overload on the EMS system.

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maryclare.crochiere

"But more significantly, in addition to revealing the reproduction of inequality, the fissures rendered visible by the entry of gender-based violence into humanitarian missions force an engagement with new forms of the political. Humanitarianism’s mission has expanded so that it now occupies a dominant place in the global political arena – whether humanitarians asked for this or not"

"It seems that humanitarianism, as universalism,both erases and depends on difference; on the one hand, it manages difference, declawing it so that it doesn’t tear apart the humanitarian kit, made to fit and rehabilitate everyone into a basic bare-bones humanity. That is, it assumes that difference ultimately leads back to sameness: to some nondescript, generic human survival. Yet on the other hand, humanitarianism is necessarily built on difference – the difference between two populations – those who have the power to protect, and those who need protection66 – those who suffer, and those who recognise and address suffering"

"It seems that MSF workers assumed that sexual violence would bring a particular sort of shame, greater than that accompanying other forms of violence or brutality; and therefore that it should be kept quiet, confidential, in the private realm. This particular approach stems from the historically and culturally situated belief that a woman’s chastity is her most precious possession and that sexual violence is more significant than other forms of violence – of course,the question is whether it is equally significant for female and male, straight and queer."

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maryclare.crochiere

I further researched the reliability of some of the funds that were donated to in the months after the disaster. The FBI issued warnings to those donating to be sure they were giving money to a reliable fund, as there was a lot of fraud taking place. With so much money being donated internationally in a short period of time, it was likely easy for such to occur, and that also took away from the amount of aid Haiti received.

I also looked into the improvements in the country over the first few years since the earthquake. The people of Haiti were cited as having a strong desire to help rebuild, they just needed to be shown how. http://www.nbc29.com/story/20596283/haiti-sees-improvements-since-earth…

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maryclare.crochiere
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I looked up the rates of hospital bankruptcy/closing, the results looked to be interesting. The article (http://www.healthcarefinancenews.com/news/hospital-bankruptcies-result-…) makes it seem avoidable, if the warnings are taken seriously in the years leading up to the crisis. "What they found was that filing hospitals tended to be smaller, not part of a health system and were more likely to be in the Northeast or West Coast. Many factors were involved, including poor financial management, changes in payer mix, reimbursement reductions, overzealous construction and purchasing of physician practices, decrease in volume and demographic shifts that were the impetus for filing."

I also looked up ER wait time statistics, by state, over the course of several years, etc. (https://projects.propublica.org/emergency/) Very interesting!