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pece_annotation_1475371051

ciera.williams
Annotation of

The film gave a lot of instances where the providers were more or less just having fun. For example, nearly every interview invoved the guys sitting down and drinking a beer while joking. While this proved their humanity, it also showed that the doctors spent much of their free time having fun rather than getting sleep. I would assume that they weren't drinkng while still "on call" or planning on giving care, and thus had the time to get proper rest. The amount of luxury afforded to the doctors after the trip also was a bit less compelling. At the end, the doctors were swimming at a nice pool and just relaxing, which is understandable for destressing. But it also seemed to take away some perspective. These doctors go on about how little resources they have to give and how the wish they could stay on their mission, but immediately turn back to luxury. Its just a bit hypocritical. And I understand that they cannot directly contribute to the people they care for in terms of wealth, but I found it was a bit unnecessary to include in the film.

pece_annotation_1476208027

ciera.williams

The article addresses the lack of unity in the decision making proceess during emergencies. Lots of life-or-death decisions are left up to a doctor's judgemnet, which causes ambiguity as a result. One can argue that doctors are given this right to judgment as a sign of their training and the trust we put in them. However, when the trust is perceived as betrayed by affected individuals, the judgement is called into question. 

Another point is the lack of evacuation preparadness in hospitals.

pece_annotation_1478486910

ciera.williams

The author addresses emergency response in the context of the workers who responded to and continue to work at the site of the chernobyl nuclear disaster. These workers were monetarily compensated in high ammounts, but left physically injured and disabled by the exposure to radioactivity at the site.

pece_annotation_1478901984

joerene.aviles

The stakeholders are Dr. Atul Gawande, other healthcare professionals, and the patients with terminal illnesses. They have to decide what the patient's priorities are, treatment options, and basically how much time and quality of life patients are willing to trade for extended years to live. Is the treatment making the patient worse or better? Doctors have to put themselves in a position of vulnerability by personally getting to know their patients, and deal with the guilt and blame if their treatments aren't successful or what they had said to the patient's family.

pece_annotation_1480896327

joerene.aviles

1. Under private equity ownership, some ambulance response times worsened, heart monitors failed and companies slid into bankruptcy, according to a Times examination of thousands of pages of internal documents and government records, as well as interviews with dozens of former employees. In at least two cases, lawsuits contend, poor service led to patient deaths.

2. “Private equity has, in this case, threatened public safety,” said Richard Thomas, the mayor of Mount Vernon, N.Y, which relied on TransCare. “It’s not the way to treat the public.”

3.  Do the Write Thing “didn’t sit well with the firefighters,” said Nico Latini, who has worked at Rural/Metro for a decade. “We operate under a high level of integrity and we do the right thing every day — with an R, not a W.”