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"
UN - potentially caused the cholera outbreak, organized/managing response to the cholera outbreak without acknowledging responsibility for it
Pedro Medrano - UN coordinator for the response in Haiti
USAID - donor of approximately $1.5 billion since earthquake, uses international contractors to rebuild Haiti
Health Ministry - part of the Haitian govt. that manages country health and vaccinations
Ban Ki-moon - won't acknowledge possible UN role in creating cholera outbreak, UN Secretary-General
Haitian Government - currently undergoing disruption due to a change in terms of its Senators and disagreements between parties
Most of the claims are based on past examples in history of response to disease outbreaks and the development of new diseases. They looked at how regualtions were developed after each one, what research showed in each case, and how people reacted to the risk or security associated with each.
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The government and politicians that released the information do not share their defense of why they cut information out, at the cost of the people and responders.
"We help people worldwide where the need is greatest, delivering emergency medical aid to people affected by conflict, epidemics, disasters, or exclusion from health care." From their website, they try to help people in medical emergencies where there isn't access to adequate healthcare.