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I am interested in the Macro scale and the macro effects evident at a city-scale level. I remember visiting New Orleans in 2016 and vividly remember seeing several signs with a large 'No' symbol drawn and the text  "neighbors not tourists" printed on the sign. Recently, as part of my research into New Orleans, I stumbled on this piece by the Guardian on how short-term rentals through platforms such as Airbnb are leading to gentrification in New Orleans. Highlighted in the article is how several Airbnb hosts do not reside on the listed premises. I remember the place we stayed, as we were a large party, having a 617 prefix number.  The prefix stood out as I knew the code 617 represented Boston and was curious what someone with ties to Boston doing in New Orleans as a host. In a similar vein, the article also highlights the problem of absentee hosts, hosts who acquire property for the sole purpose of setting up the property as an Airbnb site.

To tackle the problem, one councilwoman passed a law that required any Airbnb hosts in residential zones to have a homestead exemption verifying they live on site. In this case, a city-wide measure was taken and passed into law affecting the micro. It is common to have one host having several properties in different residential areas in New Orleans. From a technical standpoint, it could be viewed that Airbnb as technology is developed and presented as a scalable product. With no limits to reproducibility. Meanwhile, real-life discontinuities exist in the form of such homestead laws. It is impossible to live in more than one homestead at the same time. In other words, the concept of the human is not scalable.
Likewise, neither is cultural heritage. The city of New Orleans positions its self as a city with great cultural heritage. It is through this heritage that they seek to draw more and more tourists. How do cities think of scaling up successful initiatives and how do they navigate the political, social, ecological, or economic entanglements. At what point is downscaling necessary? Is culture scalable?

[1]https://www.theguardian.com/us-news/2019/mar/13/new-orleans-airbnb-trem…

I am currently a Ph.D. student interested in exploring the entanglements of scale, especially in the context of environmental sensing.  My primary research seeks to engage in discourse around the value of scalability that is presented as inherent in computation. While the term scale-up is almost synonymous with computation, sustainability; on the other hand, is known as a problem of scale. Take for example, the discourse on climate change where the actions required to combat climate change requires interventions at different scales. In this context, demanding changes at individual scales while no corresponding changes happen at larger scales would not yield much.

In looking at New Orleans, I came across a video on IoT cameras developed by Cisco, the networking giant. What struck me other than the apparent rise of surveillance capitalism was the narrative of one of the police officers highlighted in the video. The officer mentions that it is not feasible for the city to place police officers on every corner. In the context of scale, the police officer is implying that cameras are useful as they extend the police officer's ability to surveil the city. In other words, cameras and the networks help scale up the police officer, making it possible for them to cover a larger scale than before.

One of the police officers, in the video, also mentions that New Orleans is a tourist and hospitable town. Which brings up the question at any given period, what scale of visitors can New Orleans support without stretching the city's resources? Several other cities in the world have made efforts to limit visitors, in order not stretch city resources. The recent crisis at Mount Everest is an excellent example of what happens when resources are stretched to accommodate the increasing number of local visitors. How could something of this nature similarly impact New Orleans?

At the communication center where the video feed is analyzed, the IT manager provides reasons as to why they chose Cisco as their vendor. One of the reasons he gives was that the system is easily expandable, allowing the ability to scale out/up the network.

The article illustrates with the use of statistics of the health care system and their diagnostic method that while the program was created with good intentions, it has become apparent that in order to receive the financial assistance necessary, they need to seek assistance from influential advocacy groups.

The Waiting Room, a documentary film addressing the conversation about health care reform and equal access to care, goes through the lives of those in the emergency room of a hospital. It addresses the problem that some families have no other choice, but to visit the ER, since they do not have a PCP (Primary Care Provider) or insurance.  Additional unforeseen cases, such as trauma, arrests, and individuals that have very urgent needs only naturally make the wait longer. 

The bibliography suggests multiple essays from the MSF showing that it is mostly focusesed on the MSF view. Not to say that this is bad.

The program's purpose is reaffirm the importance that, along with good clinical skills, practicioners of all levels should be able to practice with the ability to listen to a patient's social background, not just have an objective view.

The article has a very diverse bibliography with multiple references from the International Atomic Energy Agency. If you can learn anything, it's that Schmid pulls information from reliable sources. 

1. The study in Baltimore showed that with a reduction in the influence of socio-economic factors in patients receiving health care services. The studies showed that with their increased awareness and effort the socioeconomic disparities largely vanished. Unfortunately this is also underscored by the emergence of HIV which is resistant to multiple drugs. 

2. The use of the PIH model in Haiti was shown to have positive results there, so much so that it was adapted in Rwanda. The greater challenges faced by this group is water quality and gender inequality.

3. Another way the argument is supported is by discussing the ways that clinicians can help to intervene in structural violence. 

"Over the past 10 years, MSF has provided medical care to approximately almost 118,000 victims of sexual violence. Integrating related care into MSF general assistance to populations affected by crisis and conflicts has presented a considerable institutional struggle and continues to be a challenge. Tensions regarding the role of MSF in the care to victims of sexual violence and when facing the multiple challenges inherent in dealing with this crime persist. An overview of MSF experience and related reflection aims to share with the reader on one hand the complexity of the issue, and on the other hand the need to continue fighting for the provision of adequate medical care for victims of sexual violence, which after all and despite the limits, is feasible."

MSF is stricken by the intensely difficult task of helping with sexual violence. Not only do they have to deal with supporting the 118,000 people physically, but they help emotionally as well. Another aspect which contributes to the problem is the vast differences in gender equality throughout the world.